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Relations (1)
related 2.00 — strongly supporting 3 facts
The Montreal model incorporates mindfulness exercises as a core component of its 'psychedelic paradigm' approach to ketamine-assisted therapy, as evidenced by [1], while the model's structured procedures for preparation and integration provide the framework for these practices {fact:1, fact:2}.
Facts (3)
Sources
The Montreal model: an integrative biomedical-psychedelic ... frontiersin.org 3 facts
claimThe Montreal model administers ketamine treatments using 'psychedelic paradigm' hallmarks, which include the use of blindfolds, 'rolling' integrative and preparatory psychological support, and music or mindfulness exercises.
procedureThe Montreal model of ketamine-assisted therapy follows a structured session course consisting of seven steps: (1) Check-in: Review recent life events, medical/psychiatric risk, symptomatic changes, treatment changes, and progress on goals. (2) Rolling integration: Discuss the previous ketamine treatment experience and its relevance to day-to-day life. (3) Establish intentions and activities: Mutually agree on goals, music, and the degree of clinician guidance. (4) Ketamine initiation: Verify baseline hemodynamic parameters, psychological readiness, and consent, then install an intravenous line and start the infusion. (5) Ketamine infusion: Conduct a brief mindfulness exercise; if using music, play a 50–60 minute playlist; if not using music, encourage openness and acceptance while monitoring blood pressure (every 10–15 min), heart rate, and oxygen saturation. (6) Debrief: Engage in a 20–30 minute discussion following the 40-minute infusion or music playlist, prioritizing validation of emotions and revisiting intentions. (7) Rolling preparation: Review and discuss plans for the subsequent days and the next treatment, including behavioral goals.
procedureThe Montreal model for ketamine treatment preparation involves nine specific goals: (1) establishing a treatment frame, (2) cultivating a therapeutic alliance, (3) psychoeducation and management of expectations, (4) determining behavioral treatment goals, (5) optimizing medications, (6) framing the ketamine experience, (7) trial mindfulness exercise, (8) music discussion, and (9) arranging for concomitant psychotherapy.