Support before, during and after ketamine

Ketamine Integration Coaching in DC, Maryland & Virginia

Structured coaching to help you prepare for your ketamine treatment, and to reflect on what you experienced and bring it into daily life.

Book a free consult Call (301) 381-8381

No obligation · No referral needed · We check your benefits up front

An open journal and a cup of herbal tea on a sage-green blanket in warm morning light — the post-infusion integration practice that helps patients carry the benefits of ketamine therapy forward at Avesta clinics in DC, Maryland, and Virginia.

4.9★Google average

10+ yrsDMV experience

5Local clinics

Overview

What is Ketamine Integration Coaching?

In short

Ketamine integration coaching is structured support for making sense of your ketamine experience. It includes preparation before your infusions, optional sitting sessions during them, and integration sessions afterwards to help you reflect and bring insights into daily life. It is coaching, not therapy or medical treatment.

While we know from clinical research that ketamine works to effect change in the brain, we believe that integrating your infusion experience with the help of a coach can support your healing journey. Ketamine integration coaching helps you incorporate any insight you gain into your daily life.

At Avesta, integration coaching includes preparation before your ketamine, sitting sessions to accompany you and hold space for you during your experience, and integration sessions to help you process it afterwards. You are accompanied by a trained, certified psychedelic or ketamine coach.

Processing happens through reflection, introspection, writing, reading and discussion. The goal is to help you unpack and make use of your ketamine experience for lasting change. If you need clinical-level therapeutic support, ask about ketamine-assisted psychotherapy (KAP).

Conditions & Concerns

What integration coaching can help with

Coaching is practical support that surrounds your ketamine treatment.

Making sense of your experience

Reflect on what came up during your infusions with a coach, through discussion, writing and reading.

Bringing insights into daily life

Turn any insight into practical steps in how you think, relate to others and go about your day.

Preparing with intention

Explore what you want to work on before your infusions begin.

Choosing support

Is integration coaching or KAP right for you?

Coaching may be the right fit if

You are generally psychologically stable and want focused support turning your ketamine experience into life changes
You would like help setting intentions before your infusions
You want structured reflection, such as writing and guided discussion, after your infusions
You feel comfortable with a trained coach who can support you

KAP may be the better fit if

You are carrying a significant diagnosis or a trauma history
You want clinical-level therapeutic processing alongside your infusions
You want a licensed ketamine-assisted psychotherapist (KAP) who can help diagnose or treat mental health conditions

The three stages

Support before, during and after your infusions

Preparation

Before your infusions

Set clear intentions for what you want to work on before treatment begins.

Sitting sessions

During your infusion

Your coach can accompany you and hold space for you during your experience.

Integration sessions

After your infusions

Process what arose through reflection, introspection, writing, reading and discussion.

Your coach will talk you through a plan that fits your goals.

A Patient’s Perspective

What receiving ketamine treatment can actually feel like

“Even after the first couple of infusions, they saw my light shining again. That felt amazing because it had dimmed quite a bit.”

Josh K. · Avesta patient, IV ketamine infusions

Read the full story →

Individual experiences vary. A patient story is not a guarantee of results.

Investment & Coverage

Integration Coaching pricing & insurance

Integration coaching pricing is discussed individually. Ask our team during your free consultation.

Who Sets Our Protocols

Dr. Ladan Eshkevari, PhD, CRNA, FAAN

Founder & Co-CEO · Georgetown University faculty

Dr. Eshkevari led a study with her Georgetown graduate students published in the Journal of Psychiatric Research, supporting ketamine therapy for people living with treatment-resistant depression. She sets the clinical protocols used at every Avesta clinic.

Read the published study (PDF)Watch her interview

Patient Experiences

What our patients say

ExcellentBased on 225 reviews

Write a review

Amy GutierrezAugust 18, 2026Bethesda

I have had the pleasure of going to 3 locations- Bethesda, Tyson, and DC. Every experience has been phenomenal and the staff makes sure you are heard and happy. Both before the infusion and afterwards. They are all amazing and have the best bedside manners!

Wendy LaffermanSeptember 25, 2026Columbia

This was my first visit to Avesta for a Ketamine infusion for chronic migraine pain comorbid with mental health diagnosis.

Coming in with a lot of anxiety due to past experiences, I was greeted by Nyla who was kind, patient, and empathetic throughout my entire visit. She was there to answer any questions I had. The environment was quiet and peaceful; with a sign as a reminder.

My practitioner, Nate, was amazing. He was caring and intentional. Communicated every step of the process and eased all my fears; specifically getting the IV on the first stick!! Both checked in on me often throughout the infusion to ensure I was having the best possible experience.

I’m incredibly grateful that I found this place and am looking forward to my next visit!

Kate GowingAugust 2, 2026Norfolk/Virginia Beach

Great treatment, been coming to Avesta in DC for a while. Glad they finally opened closer to me.

Spencer AgostiniAugust 2, 2026Tysons

Avesta is the best ketamine clinic in Northern Virginia. I did my research and I'm so glad I decided to go with Avesta.

Matthew ConnorsSeptember 10, 2026Washington DC

Nice atmosphere, professional staff that are also warm and friendly. I won't go anywhere else.

Paul ThompsonJuly 3, 2026Bethesda

Meghan was well informed, polite, answered all of my questions clearly and in the context of our conversation she provided information she discerned to be important to me.

Toby KatesAugust 2, 2026Columbia

Excellent clinic for Spravato treatments, they are so friendly and welcoming.

Carole WilkinsFebruary 10, 2026Tysons

As always the experience was top notch. Nate and Gillian saw to it that my needs were met and questions answered. I always feel like I’m in the best hands when I’m there. These treatments are life savers for me.

Elsa AlaswadJuly 18, 2026Washington DC

This place is a haven for me. What makes it the most special are the people who work here, especially Abigail and Arielle. They make the whole experience feel safe and comfortable. Abigail is a wonderful and caring future physician who makes you feel right at home. She’s a joy to have around. Arielle is an expert at IV placement in addition to being an amazing healthcare provider with impeccable bedside manner. I love to see she’s the NP on because I know I’m gonna be in extremely capable hands. Avesta is my happy place. Thank you for making my life better.

D SMay 3, 2026Bethesda

Excellent service and facility.

Carolyn ErwinAugust 1, 2026Columbia

No complaints. Always feel better after my sessions!

B CJanuary 16, 2026Tysons

I love this place. It’s comfortable and the staff is so nice. Dion Gillian and Mimi are the best. I highly recommend them.

Safety & Side Effects

Risks & side effects of Integration Coaching

Integration coaching is not medical treatment or psychotherapy. Coaches are trained coaches, not licensed therapists, and do not diagnose or treat mental health conditions.

Reflecting on a ketamine experience can bring up strong feelings. Tell your coach or your Avesta provider if you are struggling. If you are in crisis, call or text 988, or call 911 in an emergency.

Locations

Our Ketamine Clinics in Washington, DC, Maryland & Virginia

Every Avesta location is staffed by a licensed clinician for every session.

Washington, DC

1400 16th St NW, Suite 101

4833 Rugby Ave, #400

5840 Banneker Rd, Suite 270

(301) 381-8381

Tysons, Virginia

8000 Towers Crescent Dr, Suite A150

(703) 646-6343

Norfolk / Virginia Beach, Virginia

6275 E. Virginia Beach Blvd, Suite 103

(301) 381-8381

Frequently Asked Questions

Common questions about Integration Coaching

What is the goal of ketamine integration coaching?

The goal is to help patients unpack and leverage the ketamine experience for lasting change.

What does ketamine integration coaching involve?

It involves preparation for ketamine, sitting sessions during the experience, and integration sessions for processing.

How can ketamine integration coaching aid in healing?

It can help patients incorporate insights from ketamine experiences into their daily lives.

How is ketamine coaching different than ketamine-assisted psychotherapy?

Ketamine coaching is provided by a psychedelic or ketamine-trained coach, while ketamine-assisted psychotherapy is provided by a licensed therapist. Both aim to prepare you for your session, can sit with you during, and help you integrate after your session. Coaching is provided with the belief that patients who are more mentally prepared for their infusions and who are willing to do the work in between infusion sessions are going to take more away from their ketamine therapy. However, patients who need help processing previous trauma should work with a trained KAP therapist who can provide this deeper level of guidance and support.