A Blueprint for Implementing Ketamine-Assisted Psychotherapy in Palliative Care: Design, Process, and Treatment Patterns of a Real-World Clinical Program.
Journal of palliative medicine March 1, 2026 Robert K Horowitz, William E Rosa, Ali John Zarrabi et al.
Psychospiritual distress causes profound suffering in people with serious illness, yet treatment options are few. A palliative care-embedded ketamine-assisted psychotherapy (KAP) program called Pal-KAP was developed and delivered at an academic medical center. Between May 2023 and September 2025, 59 patients were referred for screening; 43 met eligibility criteria, and 30 elected to participate. Patients (age 19-76, mean 53) completed a median of 1.5 medicine sessions (range 1-5). Most had cancer (80%) or neurological disease (13.3%). Ketamine dose averaged 0.93 mg/kg intramuscularly, with minor adverse effects and no serious adverse events. This experience suggests that KAP can be delivered safely and ethically in palliative care.