Tuesday, August 27, 2024

Thoughts about Ketamine 8/27/24


 

I became interested in psychedelic psychotherapy a while back because it's different, it's exciting and it's outside of the box. That is my specialty... breaking out of that box, finding freedom in being unique and different from the norm. I thought that the clients who are drawn to me would probably also be drawn to or at least curious about the possibilities. I was excited.

In Oregon, the laws are such that someone like me can become credentialed to provide psilocybin retreats and ongoing psychedelic-assisted therapy. So, I started taking training and looking into what it would take for me to build an arm of my business in this modality. That is what started me on my journey.

Over the past couple of years, I have done research. Both academic and experiential. I am learning that magic mushrooms are amazing earth medicine that humans have been utilizing as long as there have been humans. I have a spiritual belief about its benefits and I think I have an incredible opportunity to team with the universe and help people manifest the life transformations they desire, using a completely different state of mind than they are used to. How is that not exciting?

If you have never experienced psilocybin, it is a commitment. Let's say 6 hours. As a therapist providing this specialized service, either I work for a much lower hourly rate than normal or, I charge regular folks an obscene fee for individual sessions. Even if that did not feel unethical to me, it would add time constraints on everything else I want to do. The only way I see myself enjoying this would be yearly retreats with other providers and many participants. I am open to this and networking with people who are also interested in figuring out how to include this in their offerings. So, what then?

When I first learned of ketamine-assisted therapy in courses I took, I disregarded it and focused on the other, plant medicines for psychedelic work. I wasn't interested. It went into my "not for me" box and tried to be ignored. I had a judgment about it before I ever allowed myself to be curious about it. I am a chicken and was afraid to try it but I felt like if I wanted to do psychedelic-assisted therapy - and if I wanted to enjoy it, I had to expand my options.

Knowing that it would wear off in an hour was helpful. Even if I hated it... I can do anything for an hour. My dear sweet departed best friend Rob first introduced me to ketamine. I felt very safe in his presence and I trusted him. It wasn't "therapy" because we were friends, but it was beautiful. I had an experience of feeling connected to all. To be loved completely by God/The Universe/All That Is, and I felt absolutely connected and included. I felt incredible for days, and I'll add that this was last year during my horrible 2 year long-covid experience and emotional struggle. Thank you, Rob! It was transformative. I felt hope and it was a pivotal point in my recovery. 

Since then I have studied more about ketamine and shadowed some sessions with a seasoned therapist. I found a ketamine-assisted therapy provider and signed up to try it as a client. I didn't follow the suggestions of weekly sessions because I was still a little scared. I signed up with a program that sends the medication and you can use an app that has music and a journal. I thought because I am a therapist and I have a shit ton of training, I could do it on my own. And I did. It felt good and I am sure I benefitted from it, but I waited weeks or a month between sessions, and without the chance to process my experience with someone, I forgot much of it between sessions and I didn't take what I learned with me between sessions.

After I completed those sessions, I signed up as a provider with another company. One that focuses much more on including a therapist. I matched with another provider to exchange ketamine-assisted therapy. She and I meet twice a week and provide each other with amazing experiences. As a therapist, this experience has been invaluable to me. My skills in this area are growing fast and feel as natural as breathing. My learning partner is a fantastic therapist who I learn from each week. I had no idea what a huge benefit it would be to have a therapist there with me and to help me integrate my experience as my medication is wearing off. 

My son Tino took his own life in 2010 and since that time I have clocked TONS of therapy hours. I was diagnosed with PTSD and had constant feelings of grief that had just become part of me. I accepted that and found silver linings and ways to move forward despite the weight of that terrible experience. But it weighed on me, always. 

I want to share that my ketamine journey recently took me to a slightly scary experience of facing this sadness and grief. When I faced that shadow, it was not only my grief for Tino... It was my dad, my mom, my grandparents, my friend Rob, and also grief over lost opportunities, mistakes, and even some of my cherished belongings (my 67 VW Bug my dad gave me when I turned 16). It provided me with a healing experience that literally changed me. That feeling I thought had just become me, was not me. I do not feel that weight anymore and I am getting used to how it now feels to be "me".

In a world where recreational drug use is epidemic, Drugs and alcohol addictions have wreaked havoc on my family and so many people I have loved. I have lost too many people I loved to drugs. I used to be a substance abuse counselor in both outpatient and residential settings. As you can imagine, I have some reservations about encouraging anyone to try this wonderful therapy modality. 


Sunday, August 18, 2024



Honeycombs keep appearing to me. I have researched the symbolism and what I found completely resonates with me. 

Beehives signify the importance of community, cooperation, and shared responsibility. Strength lies in unity. I can achieve great things when I work together with the people in my life.

 

Bees communicate with each other through a complex language of dance and scent, guiding each other to food sources and alerting the hive to danger. Communication is key. 


Thick golden honey guides me to practice patience and be persistent in my endeavors, knowing that in due time, my efforts will absolutely pay off in due time.


Sweet, slow honey-filled chambers, invite me to savor life’s delights while acknowledging that passionate work and inclusion within a community make life’s sweet joys possible.


Honeycombs remind me to enjoy life’s rewards while appreciating the journey that led to manifesting them.



Friday, July 19, 2024

July 2024


I'm Back! 

When I was on leave for much of 2023 and the start of 2024 due to having Long Covid I was afraid. I had Long Covid Brain Fog and anxiety which increased as time progressed and I wasn't seeing the changes I wanted to see. I was seeing my PCP, a neurologist, a pulmonologist, and mental health care providers and I spent a great deal of time and energy on my recovery. 

I believe that KAP really helped me gain the insight and clarity I desired. It was difficult at times because I was torn between two ways to live my life. The way I was doing it... I was living with my wife where I had a lot of love, safety, and security built in but at the cost of my being away from and missing out on what my heart was aching for. 

I had an internal struggle that I was aware of for several months and while processing this, I realized that I was actually in a full-on tug of war with myself for years. When I took my first job out of grad school, I moved away from my friends and family when I accepted the position with a promise to myself that I would come home in a few years when I had enough supervision to take the board exam. 

In 2014 I reached that goal and started planning to head home and two things happened. First, my (to be) wife began pursuing dating me and I thought that was worth sticking around for and I was assaulted at work. I had a TBI and for 10 months I was unable to work, was heavily involved with L&I, and had many medical appointments. 

At this time, I almost went home. My elderly dad wanted me to move to his house so he could take care of me. I didn't think that would be fair to him and my (to-be) wife and social work co-workers offered to help me get through my recovery... and boy! They did. I was super grateful. And I stayed.

By then my relationship became serious and while I felt very drawn to going home, I made a deal with my wife to stay with her and her kids until her youngest kid was 18. Then we would go to Oregon to be with mine. So, I stayed.

Of course, life happens and it just isn't possible for her to leave WA now and we don't know when. She became aware of this years ago when her oldest turned 18 and then her middle kiddo turned 18... that is not some magic number that makes kids ready to be adults. My wife communicated that she couldn't leave. And I stayed.

I knew a long time ago that I was unhappy and I missed my family terribly. I ignored, I rationalized, I isolated, I shut down, and shoved away my feelings. After all, most people I know my age do not live near their families. Kids grow up and do their own lives and sometimes they move away. I tried to accept it. 

I was miserable thinking about staying in WA and I was miserable thinking about going back home to OR. I needed a change and things got worse for me the longer I lingered in this emotional mess. KAP helped me have the breakthrough I needed. 

I felt an incredible sense of love and belonging the very first time I tried ketamine. I had an overwhelming feeling that everything would be okay. It became clear that I wanted to go home to Oregon. It became clear that I did not want to damage my relationships. It became clear that now was the time to act. From the very moment I made the decision to move I felt 100% better. My wife said I changed. 

So, today I write this blog from my apartment in Oregon. I have two roommates, my 10-year-old pup, and Sunshine, my 3-year-old canary. I am a close drive to my kids, grandkids, and brother as well as my nephew and his wife and kids. My wife and I watch TV together at night on speakerphone and we are taking things as they come. 

I have been licensed in WA for 10 years and I am maintaining that license and will continue seeing my current clients. I have a new Oregon License and I am super excited to be able to offer services to clients living in either state. I have been devouring the most delicious training and am excited about building my business by including KAP.

I have been very interested in psychedelic psychotherapy for a few years now. My curiosity did what it typically does, leading me into a wonderful new adventure. Below my post, I have included Ketamine Assisted Psychotherapy (KAP) 101 for anyone interested. 


Ketamine-Assisted Psychotherapy (KAP) 101

What is Journey Clinical?

● Journey Clinical is a platform for licensed psychotherapists to incorporate science-based psychedelic therapies in their practice safely and effectively, starting with Ketamine-Assisted Psychotherapy (KAP). Journey Clinical’s in-house medical team takes on patient eligibility, prescriptions, and outcome monitoring, while I take on the therapy. Their collaborative care model is designed to deliver personalized treatment plans to meet your individual needs and improve long-term outcomes.

I offer a therapeutic modality called Ketamine-Assisted Psychotherapy (KAP) in partnership with an organization called Journey Clinical.

Ketamine-Assisted Psychotherapy (KAP) is a holistic modality in which ketamine is used as a complement to psychotherapy to help eligible patients experience more frequent breakthroughs and sustained improvement in symptoms. I take on the psychotherapy portion of the experience, while Journey Clinical’s medical team supports you on all medical aspects. This includes determining eligibility, developing a custom treatment plan, prescribing the medicine, and monitoring outcomes. Below is more information about KAP to help you navigate if it may be a good fit for you.

What is Ketamine?

● Ketamine is a legal, safe, and effective medicine used to treat a variety of mental health conditions, including depression, anxiety, and PTSD. Ketamine has rapidly-acting antidepressant and mood-enhancing effects, which can begin to take effect within 1-2 hrs. after treatment and last for up to 2 weeks. It works by blocking the brain’s NMDA receptors and stimulating AMPA receptors, which are thought to help form new synaptic connections and boost neural circuits that regulate stress and mood. Ketamine has also been shown to enhance overall neuroplasticity for lasting symptom improvement.

● Ketamine can be administered in a variety of ways, including IV infusion, intramuscular injection, via nasal spray, and using sublingual lozenges. In my work with Journey Clinical, we only use the sublingual lozenge form.

How Does Ketamine Feel?

● The effects of ketamine, which most patients find pleasant, last for approximately 45 minutes. These effects can make you feel “far from” your body, and facilitate shifts in perception that can often feel expansive in nature. Your motor and verbal abilities will be reduced, so you’ll be lying down in a comfortable position during the experience. Once these effects subsided, we’ll spend the remainder of our appointment giving you space to process and discuss your experience. While it may feel hard to articulate what happened during the experience, patients feel like the insights gained are nonetheless clear. Studies have shown that the benefits to mood and neurological growth can last up to two weeks after the Ketamine experience.

How Does Ketamine-Assisted Psychotherapy Work?

1. InitialconsultationwithJourneyClinical

  • ●  You schedule an initial evaluation with a clinician from the Journey Clinical medical team via Zoom. They will go over your medical and psychiatric history with you, provide education on the treatment, and determine if you are eligible for KAP.

  • ●  If Journey Clinical’s medical team determines that you are eligible for KAP, they will develop a personalized Ketamine prescription and outcome monitoring plan for you.●  Journey Clinical’s medical staff will write a ketamine prescription for you, and a small amount of oral ketamine will be sent to your home, enough for the first 2 KAP sessions. You will be taught to take your vitals and self-administer the ketamine lozenges by Journey Clinical’s medical team in advance of our KAP sessions

2. Preparation sessions:

● Once you receive your ketamine lozenges, we will schedule time for our KAP preparation, dosing, and integration sessions. Preparation session(s) will be scheduled just like regular therapy sessions before the KAP dosing session. The goal of a preparation session(s) is to align on the process and set intentions for our KAP sessions together.

3. KAP DosingSession:

  • ●  A typical ketamine dosing session lasts between 1-2 hours and can take place either in-person at my office, or remotely via telehealth.

●  During a dosing session, you will self-administer your ketamine lozenge in your home. You will be in a comfortable, reclining position wearing an eye mask and listening to calming music. Although a KAP dosing session may be largely an internal experience, I will be present with you the entire time to hold space and provide support as needed.

4. IntegrationSessions:

● After our KAP dosing session, we will meet for multiple integration therapy sessions to review the memories, thoughts & insights that arose during your dosing session, and to prepare for the next dosing session.

5. Follow-upconsultationswithJourneyClinical:

● After our first KAP session, Journey Clinical’s medical team schedules regular follow-ups with you to monitor outcomes and prescribe ketamine lozenge refills, as appropriate. The frequency of follow-ups depends on your unique treatment plan, at a minimum of once per quarter.

Follow-up Consultations with Journey Clinical :

● After our first KAP session, Journey Clinical’s medical team schedules regular follow-ups with you to monitor outcomes and prescribe ketamine lozenge refills, as appropriate. The frequency of follow-ups depends on your unique treatment plan, at a minimum of once per quarter.

What is the Cost of Treatment?

● Ketamine-Assisted Psychotherapy is an affordable, accessible modality. Although the medical intake and follow-ups are not covered by insurance, they are eligible for out-of-network reimbursement.

○ Ketamine-Assisted Psychotherapy

■ My typical hourly rate is $155/hr

○ Journey Clinical Medical Costs

  • First-time patients

    • ●  Initial medical consultation with Journey Clinical: $250

    • ●  Cost of medication: $88 (enough for 2 sessions)

  • Ongoing treatment

    • ●  Follow-up medical consultation with Journey Clinical $150

      (at least 1X per quarter)

    • ●  Cost of medication: $148 (enough for up to 6 sessions)

      How Do I Sign Up?

● If you would like to explore the possibility of working with me on KAP, please call me at 425-521-6518 or e-mail me at mattiazz35@gmail.com to discuss eligibility and the next steps.


Wednesday, January 4, 2023

Happy New Year 2023

Happy 2023

The Universe never fails to amaze me. I am sure 2023 will be no different. 

The law of attraction says when you place your attention upon something, you will attract more of the same. Being grateful... if you really feel appreciation... turbocharges your law of attraction "magnet" to bring you more things to be grateful for. This is because when you give mental AND emotional attention you have the perfect recipe for delicious forward momentum. 

Some of the things I feel grateful for today are my family, my friends, my clients, my pets, my community, my neighborhood, my home, and all of the wildlife just out my window. I appreciate my medical providers, science, masks, and online shopping. There are also my happy places away from home...Kauai and Disneyland. And of course my health!

My private practice has a beautiful cozy new home in 2023! I have become affiliated with a fantastic counseling clinic; Bluestone Psychological Services in Edmonds, WA. I will provide telehealth services with some openings in my Lakewood, WA office. Me @ Bluestone Psychological Services 

I hope you are paying attention as the Universe works to amaze you! I want all the best for you and yours! Happy New Year! Thank you for being here. 


💙💚💛💜

Happy New Year! Allie

Thursday, November 18, 2021

Just for One Day

 


What would happen if you woke up tomorrow and decided that all day you would pretend that you are the best version of yourself.. that improved, healthier, happier, more patient, more grateful version of yourself? Why wait until after the education, promotion, the right season or age, or environment? What if you just tried on that amazing version of yourself for a day?

That was a question that I posed to a client recently. As soon as I said it I realized that I have never tried this myself. Not like that... Oh, I have done this as it related to manifesting one thing or another. I do that all of the time... in piecemeal. But I have never tasked myself to BE my best self for a day - all day. 

Because maybe that would just be too hard. Or maybe not worth it. It might be embarrassing if I fail... How ridiculous! It should be comfortable and easy because the best version of myself IS comfortable and easy. Obviously, it was time that I tasked myself with this assignment. I rose to the challenge and today I am here to tell you about how that went. 

It was soooooo FUN! I honestly had the time of my life. I found that with each segment (a change from one activity to another) if I asked myself "what would I do or say on my best day doing this?" I usually knew the answer - what my best would be... and it was not very hard. It became easier as the day went on as well because with every BEST experience I felt more confident that I can be my best.

Of all the fun I had, being the best wife, the best mother, the best grandmother, the best sister, the best friend, the best counselor and coach I could be was the most phenomenal feeling ever! It wasn't noon by the time I stopped wondering if I could maintain this level of focus and attention - it just came and came and came as natural as breathing. 

I challenge my readers to take this challenge and be your best for a day! I will help you if you need a mentor or guide. All you have to do is ask. 







Friday, September 3, 2021

... And she is off!

September 3, 2021 - Evening




As I wrap up my day today and think about tomorrow, I feel so much gratitude and joy I can almost taste it! 

Since 2016 I have had the honor to work for Kaiser Permanente Hospice and Home Health. Tomorrow is my last day in that role - as a Medical Social Worker Case Manager. I very courageously and somewhat bittersweetly made the decision to make the changes needed to chase this beautiful and exciting dream of bringing Magic Allie LLC to life in a big way! Then... tomorrow morning, I will work my last Saturday (which I volunteered to do, every other week for the past year - and I have loved every last one of them) and, well my last day in that role that I have appreciated and loved.

I am thrilled to share that I was offered a Per Diem position with KP HH and Hospice as well as a continued position as the social worker on the most amazing interdisciplinary team and incredibly beautiful patients and families at the ALS clinic. I feel so glad about staying on with KP because they have been a fabulous employer, and I have come to deeply respect and adore the compassionate and hard-working social workers, nurses, physical therapists, doctors, admin folks, and my supervisor. 

In 2020 when my dad and my father-in-law died days apart and things were nuts in our family and well... honestly... 2020. You lived through it too. During these challenging times, I was so supported. Showing up for work often refilled me with faith in the world by walking hard journeys with people who were dying and witnessing their families as they demonstrated that love is a powerful force. While I am leaving one role at KP, I am happy happy happy that I get to continue being part of the KP team.

This work... counseling... is what it is all about for me. It all started with chemical dependency treatment and I was hooked once I worked at Willamette Family Women's Residential Center. Two women I worked closely with are still my best friends, my chosen family. And still to this day several of my old clients have pieces of my heart. 

AND ❤️ AND ❤️ AND ❤️❤️❤️ now...

I am off! I am official and legit! I am a small business owner. I am a successful small business owner and I won't even start telling you about how much I admire and enjoy my counseling clients. 

I want to thank my beautiful marvelous wife Melissa and magnificent family for believing in me and supporting me as I planned and executed bringing my vision into this reality I love so much. Thank you for celebrating with me. Thank you for encouraging me. Thank you for your patience and acceptance and for never ever trying to "talk sense into me". 

Wednesday, July 14, 2021

Be a person who gets what they want!




Here is an interesting topic that I have found myself discussing several times this week. The law of attraction says, "that which is like unto itself is drawn". As an introduction (oversimplification) let's talk about my window again. 


I wanted a window, I wanted an office, I wanted a place to see clients, that would be big enough to have groups (after Covid-19 is not a barrier). I wanted these things. I felt the desire and because I focused on my thoughts and feelings (that which is like unto itself is drawn) my feelings of wanting grew into feelings of desire, passion, and excitement. 


Anytime you identify something you want and give it your attention; your desire will grow and it will feel delicious. (Unless you are focusing on not having what you want). It feels good to notice there is something you want. You want wonderful things! When you feel desire, the Law of Attraction is gathering all of the cooperative components needed to manifest your desire into something you can see and touch. You are more than half the way there. 

 

In this case, my window and my office all came together and it is real and tangible and you can come to my office and know that it is real. Obviously, I have the result I wanted. Not only the window and office space...  other wonderful things that I placed in my "vortex" of desire have worked their way into manifestation. For instance, I have a beautiful office patio area I can use for sessions - or to relax in while I do my documentation.

 

Some of the most fun I ever have is seeing the Law of Attraction at work and having the awareness to understand what is happening! I have been enjoying my life so much! One thing after another - after another flows to me like a river of Joy. It is super fun and I want to share what I know with all of you. 

 

I get to sit right here at my desk (which is also fantastic) at this perfect window every day. And every day I make a point to remember that although I "have" my desire. I still very much want it. I want and appreciate it. I love this window; I am thrilled with my office and I am nearly beside myself with excitement and happiness over my private practice launching. 

 

There is an endless supply of topics to appreciate... so much to feel good about! 

 

Like most people, I always have desires that haven't yet manifested... and some of these things may seem harder to believe in. When I notice and spend energy on the fact that I want something that I do not have yet, it actually makes a barrier. The way to handle this is to trust that what I want is in my "vortex" and all the cooperative components are getting lined up and I need to stop blocking my desires (focusing on not having). But how?

 

I could just distract myself with other thoughts or activities - which is a good thing to do... and I can take, make, find, set aside time to focus on having desires (an awesome office, with great windows and a fun successful private practice) and getting to have them! Want and have - want and have - want and have. Yes! I have what I wanted AND I still very much desire to have it. So every day I have a huge desire that I get to have! And every day I get to have what I want. 

 

My experience of myself over and over is that I get what I want. My belief (a belief is only a thought that you keep thinking) becomes I am a person who gets what I want. Then when (because it will) I think again about the things I want and don't have, I will have faith that it will all work out. I will offer less resistance and when I stop resisting and get out of my own way - amazing things happen.

 

Many of our greatest teachers have said we get what we expect. Those of us who expect to be happy - Are!  

Thoughts about Ketamine 8/27/24

  I became interested in psychedelic psychotherapy a while back because it's different, it's exciting and it's outside of the bo...