About Sapience Therapy
What we offer for clients, colleagues, students and community members
Information for Clients:
Healing, with support every step of the way.
At Sapience Therapy, we offer ketamine-assisted psychotherapy (KAP) for depression, anxiety, PTSD, and other mental health struggles, mostly right here in our office. You'll be welcomed and cared for from your first call to your last session.
Getting started: We begin with a free, brief screening to make sure ketamine is a good fit for you. Then you'll meet with one of our prescribers and with your KAP therapist for medical and psychiatric intake conversations about your history, your goals, and any questions you have. If you both feel it's the right path, a compounding pharmacy will mail your ketamine lozenges to you or to our clinic. If they come to you, please bring them unopened to your first session.
What to expect from sessions: KAP sessions last three hours and use either lozenges or intramuscular (IM) ketamine, whichever suits you best. Most of our therapists start at 9 or 10 am, or at 1 or 1:30 pm, so let us know before scheduling your intakes if you need other times.
Why we suggest six sessions. We recommend a series of six, spaced weekly or every other week. Many people feel some relief after the first session, though it can take two or three to really notice. Booking all six up front holds your times, and if KAP turns out not to be right for you, you can cancel up to 48 hours ahead without penalty.
Getting ready: Please skip food for 4 hours beforehand to help avoid nausea. Plan on a ride home afterward, and take the rest of the day easy, since you won't be able to drive.
You won't be doing this alone. We prefer that prospective clients already see a therapist regularly, so you have support between sessions. We may reach out to your therapist or psychiatric provider so we can work together on your care. We have a limited number of spots available for talk therapy (out of pocket) with therapists on our team who can work with clients who don't have one yet.
Lower-cost options: Sapience Therapy is proud to be an internship site for the Smith College School of Social Work. During the academic year (September to May), we offer a limited number of reduced-cost KAP sessions with our social work intern, supervised by a fully licensed clinician. There's often a waiting list, so just ask if you're curious.
Preparation and integration: We offer preparation and integration sessions with our own KAP therapists, our social work intern, and also with our own integration specialist, which can help you get even more from your sessions. Add them when you book, or any time later. Preparation and integration sessions are available even to clients who are not receiving ketamine through Sapience.
Healing together. Our small groups bring together 4 to 8 people, meeting in person and on Zoom, for six 3-hour KAP sessions, plus robust preparation and integration along the way. We're enrolling our next cohort now. You can find full details on our website.
Ketamine infusions. Infusions are now available on their own, or paired with preparation, integration, and KAP during the infusion itself.
Fees for clients:
Intake Evaluations
Medical intake prior to KAP: $200
Psychological intake prior to KAP: $200
Intake prior to ketamine infusions: $300 (waived with a six-session package)
Intake for a prescription to use with an outside, Sapience-approved KAP therapist: $325
Ketamine-Assisted Psychotherapy (KAP), In-Office
3-hour therapy session with ketamine (usually lozenges), on a sliding scale:
Low end: $600
Middle: $675
Full: $750
Add $35 to any tier for supplies and disposal with IM dosing.
Ketamine Infusions
Infusion: $500 per infusion
KAP during an infusion session (2 hours): $50 with a social work intern, or $400 with a licensed KAP therapist (in addition to the infusion cost)
Intake fee waived for a package of six sessions (deducted from cost of sixth session)
Preparation & Integration Sessions (Non-Medicated)
With a licensed psychotherapist or physician: $190 for 50 minutes
With a skilled integration coach over Zoom: $100 for 1 hour, or $75 for 45 minutes
Talk therapy with a social work intern on Zoom or in person: $50/hour
Prescriptions
Ketamine lozenges: $100 to $180 per prescription, depending on the number prescribed, plus shipping
Small Group KAP Series: $3,000 all-inclusive
Includes intakes, prescription, multiple preparation and integration sessions, and six 3-hour group KAP sessions. Details here
Consultation
One-hour consultation with Dr. Scott and/or Dr. Rajanna: $300
Information for Clinicians:
Support for your practice, and for your own learning.
We work with therapists, social workers, psychologists, and other clinicians across the Pioneer Valley. If you want to learn KAP, offer it to your own clients, or send a client our way, we'd like to hear from you.
Trainings: Our one-day KAT experiential training is a full day in Florence, MA for licensed and pre-licensed clinicians. You go through prep, your own ketamine session, and integration, with teaching on screening, safety, and ethics. We also run multi-day training retreats, including retreats for BIPOC clinicians. None are scheduled right now, so sign up at the bottom of this page to hear when the next one opens. If you'd rather have your own ketamine experience one on one, we can arrange an individual experiential session on request.
Prescribing for your clients: If you're trained in KAP and want to offer it in your own practice, we can handle the medical side: a medical evaluation, the ketamine prescription (plus Zofran, and clonidine if blood pressure calls for it), and ongoing ketamine-related follow-up. You provide the therapy. We ask for training through Sapience (the one-day training or one of our retreats) or equivalent training such as CPTR, IPI, KTC, Polaris, Fluence, or Naropa. We also ask for liability insurance that covers KAP, a suitable space, and an emergency plan, which we'll review with you. Your client must live in Massachusetts, Vermont or New York. Email us for our full outside KAP therapist program overview.
Consultation: Book time with Dr. Scott for clinical questions about a client, screening, medical concerns, or a hard session. For help setting up KAP in your own practice (protocols, consent, emergency planning, space, and logistics), we invite you to book a business consultation with Dr. Scott and/or Dr. Rajanna.
Referrals, both ways: Many people who contact us need a therapist for KAP or for integration. Clinicians who meet our outside prescribing criteria join our list of affiliated therapists, and we refer to them if our KAP therapists don’t have space or aren’t a good fit. We also maintain a running list of psychedelic-friendly therapists (licensed in MA, VT or NY) who are open to taking on new psychotherapy clients - send a blurb describing your practice, service area and any insurances you take, to us and we will add you to the list. You can also refer your clients to us for in-office KAP, IM ketamine (if approved by prescriber), ketamine infusions (limited availability for now), small group KAP series, and retreats. With your client's permission, we'll keep you in the loop.
Sitting with your own client: If your client is coming to us for KAP, IM ketamine, or an infusion, you can be there with them, at our office or in one of our small groups. Your client pays Sapience our usual rate for the service, and you bill your client separately, however the two of you arrange it.
Volunteering: We welcome volunteer sitters at our retreats, trainings, and small groups, working alongside our team. It's hands-on experience holding space. Licensed and pre-licensed clinicians, and selected experienced lay helpers, can apply through our volunteer form. Volunteering is unpaid and includes HIPAA training. We confirm volunteers for each event, usually close to the date.
Social work practicum: Sapience is a practicum site for the Smith College School for Social Work. Our MSW intern works with clients under the supervision of our licensed clinicians. Placements are arranged through Smith. We would consider a placement for an MSW graduate student from other training programs if space allows. Please email us for details.
Coming soon for clinicians: A journal club, and a clinical consultation group you can join on a regular basis. Peer integration groups, where clinicians can talk about their own experiences of non-ordinary states, in or outside a clinical setting. Occasional in-person gatherings to meet other clinicians in the area and our team. (Sapience does not provide, recommend, or encourage the use of any substance outside of legal medical care.)
Coming soon for your clients: Virtual integration circles, in-person support groups without medicine, and a virtual integration writing group led by our social work intern.
Fees for Clinicians:
One-day KAT experiential training:
$650 ($500 for current graduate students)
Individual experiential session:
Costs are the same as in-office KAP, above, including intakes and prescription
Sliding scale and IM dosing available
Clinical consult with Dr. Scott, or business consult with Drs. Scott and/or Rajanna:
$175 for 30 minutes, $325 for 60 minutes
Medical intake for a prescription with you as an outside therapist:
$325, billed to your client, plus the cost of medicine (no subscriber fee for you)
Payment
We accept credit cards, with a 3% processing fee added.
Pay by Zelle or check to avoid the fee.
Financing is available through Advance Care.
Insurance
Most insurance doesn't cover ketamine for mental health, so we don't accept insurance. We're happy to provide a superbill (an itemized invoice) you can submit to your insurer if you'd like.
Missed Appointments
Appointments missed with less than 48 hours' notice have a $50 fee.
Getting Started
We use Osmind, which gives you an online patient portal, an app, and mood tracking. Once you decide to work with us, Osmind will email your intake, information, and consent forms. Please complete and sign them before your first appointment.
Find Us
25 Bank Row St, Suite 3, Greenfield, MA
Parking: The garage is just around the corner on Olive Street.
Directions: Take the stairs or elevator to the third floor, turn left, and our office is the last door in the hallway.