In-office ketamine sessions are troche sessions held in a calm, private room at any of our offices, where a trained SomaVerse guide or ketamine-trained therapist stays with you from the moment the medicine dissolves until you’re steady enough to head home. It’s where every SomaVerse client begins.
Ketamine troche sessions are offered in office at all of our offices: Lawrence (2619 W 6th St, Suites A & C), Overland Park (10100 W 87th St, Suite 204) and Topeka (5020 SW 28th St, Suite 204). Once you’ve completed at least our main program with us and are medically approved, you may be approved to continue troche sessions at home. In-office sessions give you, and us, the most information with the most support: how your body responds, how your blood pressure behaves, and what the experience is like with a professional in the room.
When you book, your team will tell you exactly where your session will be, where to park and who will greet you. The rest of this page walks through what happens, who’s with you, what it costs, and how to get home safely.
In office is where you’ll start, and it may stay the right fit if…
- This would be your first time with ketamine, and you’d feel better with a professional in the room.
- Home isn’t quiet or private: roommates, kids, thin walls, a dog that needs you.
- You wouldn’t have a sober adult who could sit with you through a home session later on.
- You want a therapist present to do deeper work while the medicine is active.
- Trauma tends to pull you out of your body, and you want someone trained to help you stay grounded.
- You live in Missouri, where coming to a Kansas office is the clearest path to dosing.
Why everyone starts in office
Because the first sessions teach everyone the most. At SomaVerse, every client starts in office, and home sessions are considered only after you’ve completed at least our main program and are medically approved. The American Society of Ketamine Physicians, Psychotherapists & Practitioners (ASKP3) recommends that people complete supervised in-office sessions without complications before any at-home dosing is considered.
Your first ketamine experience is a meeting with an unknown. You don’t yet know how quickly the troche comes on for you, whether you’ll feel nauseated, how your blood pressure responds, or what emotional material might surface. In office, a trained person is watching all of that in real time and can respond.
That information shapes everything afterward: your dose, whether home sessions could make sense later, and what kind of support you need. The FDA’s 2023 safety communication on compounded ketamine centered on exactly this gap, the absence of an on-site provider monitoring sedation, dissociation and vital signs. In-office sessions close it.
What the room is like
Think living room, not procedure room. The space is quiet and private, with a comfortable place to recline, blankets, eye shades and a music playlist chosen to support inward attention.
The setting is deliberate. Researchers who study psychedelic-assisted therapy describe “set and setting,” the idea that your mindset and surroundings shape the experience as much as the dose does. That work grew out of classic psychedelics, but clinicians apply it to ketamine for good reason: a room that feels safe makes it easier to let go.
You’re welcome to bring something that grounds you, such as a photo, a small object, a journal for afterward or a favorite sweater. Wear soft, comfortable clothes, and plan on putting your phone away for the session.
Who stays with you, and what they’re watching for
A ketamine-trained guide or therapist is with you for the whole session. You won’t be left alone with the medicine.
Your guide attends to the basics first: breathing, comfort, nausea, how alert you are, and your blood pressure before you dose. They know what typical ketamine effects look like and when something isn’t typical. Our medical team, led by Psychiatry & Ketamine Medical Director Angel Patterson-Tetuan, PMHNP-BC, sets your dose and follows up with you after every session.
They also hold the emotional side. If fear or grief rises, they can help you breathe, offer a reassuring hand if you agreed to that beforehand, or simply remind you that you’re safe and that this will pass. Much of the time, the best support is quiet presence.
- Guide dosing session (2 hours, $250): a ketamine wellness guide sits with you, supports your intention and helps you settle back afterward
- Ketamine-assisted psychotherapy (2 hours, $350, self-pay): a ketamine-trained therapist is present and can do active therapeutic work while the medicine opens things up
Guide session or KAP session: which do you need?
Think of a guide session as a safe container, and a ketamine-assisted psychotherapy (KAP) session as therapy held inside that container. Both happen in the same room, with the same medicine.
A guide session suits people who mainly want to rest into the experience and let it unfold, with integration afterward. On many days, the medicine and the quiet are enough.
A KAP session suits targeted work, such as trauma, a relationship rupture or a stuck place in grief, when you want a licensed therapist engaging in real time. Some people alternate, and your team can recommend a mix. Guides aren’t therapists, and we’ll always be clear about who is in the room and what their role is. Learn more about ketamine guides and coaching.
Getting home safely: a ride is required
You’ll need a trusted adult to drive you home from every in-office session. You can’t drive for the rest of the day, even if you feel fine by the time you leave.
Ketamine can affect coordination, reaction time and judgment after the obvious effects pass. Before you book, line up a friend, partner or family member, and plan a quiet evening without alcohol, big decisions or heavy responsibilities.
With offices in Lawrence, Overland Park and Topeka, most clients can dose fairly close to home. Overland Park is roughly 15–25 minutes from much of Kansas City, Missouri, and Lawrence is about 35 minutes from Overland Park on K-10 and 30 minutes from Topeka on I-70. Factor the drive into who brings you, since your driver should stay nearby or return when you’re ready.
When in office stays the best setting
Some people do every session in office, and that’s a perfectly good plan.
If your home isn’t private, you don’t have a sober adult who can sit with you, or you’re doing intensive trauma work, in office may remain your best setting. Missouri residents dose in person at our Kansas offices, and Overland Park is closest to Kansas City; the medical evaluation can be in person or by secure video. See ketamine therapy for Missouri residents.
Once you’ve completed at least our main program with us and are medically approved, you may be approved to continue troche sessions at home. Either way, you keep the same team, and you can always come back in.
What an in-office session costs
The medicine and the session support are priced separately. A single troche dose is $90, or about $60–$90 per dose in a series. A 2-hour guide dosing session adds $250, and a 2-hour ketamine-assisted psychotherapy session with a therapist is $350, self-pay. Most clients start with the Individual Ketamine Healing Package, $480 for 6 sessions, which includes the ketamine prescription, a Journey Box, medical monitoring, a preparation session and sessions at any of our offices; the medical evaluation, therapy or guide sessions and integration are billed separately.
Bundles can bring the cost down, and payment plans are available. Solo Ketamine, for first-time clients, is $1,505 and includes a medical assessment and follow-up, therapy and guide preparation, 8 ketamine sessions, 3 guide sessions and 3 integration groups. Eligible medical and therapy visits may be billed to insurance. See pricing.
