Licensed Mental Health Professionals

• Qualifying medical doctors must be licensed to practice in their state or province.
• Qualifying advanced practice registered nurses must have a Master of Science in Nursing (or higher) with a specialization in psychiatric mental health nursing and must be licensed to practice through their state board or province.
• Qualifying Mental Health Clinicians must have a master’s degree or above in the mental health field (Counseling, Marriage Family Therapy, Psychology, Psychiatry, Social Work) or related mental health discipline and be licensed to practice through their state board or province.
• Individuals who only hold a chemical dependency or substance abuse license are not eligible as these licenses generally do not allow for a mental health scope of practice.  
• A copy of the participant's qualifying license must be submitted to the Precision EMDR Training Portal during registration for CE credits. Registration is not complete until this copy has been received.  

Pre-Licensed Mental Health Professionals

• These are clinicians who are actively pursuing a mental health license through their state board (or province) while working under a licensed supervisor. Some of these license types include associate, intern, limited, provisional, temporary and pre-license.
• Qualifying pre-licensed mental health clinicians must have a master's degree in the mental health field (Counseling, Marriage Family Therapy, Psychology, Psychiatry, Social Work) or related mental health discipline and must be actively pursuing a full license through their state board (or province) while working under a licensed supervisor.
• Individuals who only hold a chemical dependency or substance abuse license are not eligible as these licenses generally do not allow for a mental health scope of practice.
• Pre-Licensed Mental Health Professionals must have the approval of their Clinical Supervisor, documented in a letter stating the following: "I approve enrollment in Introduction to Ketamine Assisted EMDR Therapy™: Enhancing Trauma Treatment with Low Dose Ketamine.” A copy of (1) your State Registration as a Pre-Licensed Mental Health Professional AND (2) a current Clinical Supervisor’s Verification Letter of acknowledgement of the above (including the supervisor's degree and license number) must be submitted to the Precision EMDR Training Portal during registration for CE credits. Registration is not complete until a copy of the Clinical Supervisor's Verification Letter has been received.

EMDR Training Level

Full EMDR Training is Required. Attendees must have completed an EMDRIA-Approved Basic Training (including the 10 hours of required Consultation). A copy of the participant’s EMDRIA-Approved Basic Training Certificate of Completion must be submitted to the Precision EMDR Training Portal during registration for CE credits. Registration is not complete until a copy of the EMDRIA-Approved Basic Training Certificate of Completion has been received. Please note, some agencies offer EMDR trainings that are not EMDRIA-Approved. No continuing education credits nor EMDRIA credits will be issued to those who have not completed an EMDRIA-Approved Basic Training.

This self-paced homestudy webinar provides a comprehensive overview of Ketamine Assisted EMDR Therapy™ (KA-EMDR)—a structured, evidence-informed model that integrates low-dose (psycholytic) sublingual ketamine with standard EMDR therapy to enhance trauma memory reprocessing. Participants will explore reasons why ketamine may be a valuable addition to EMDR therapy, including its potential to increase neuroplasticity, expand the window of tolerance, and support the reconsolidation of traumatic memories. The training highlights the advantages of the psycholytic approach—such as preserving client engagement and emotional access—over higher-dose psychedelic methods.  By the end of the training, participants will be able to list key preparatory tasks necessary for assessing appropriateness and ensuring client readiness for KA-EMDR. The course also introduces learners to the full 8-phase EMDR protocol as adapted for ketamine integration, with emphasis on unique and specific steps within the reprocessing phases. Learning is supported by lecture accompanied by detailed slides, video demonstrations, clinical case material, and findings from the instructors’ recent pilot study showing reductions in PTSD symptom severity and functional impairment. The course is focused on adult clients. (Advanced Level)

By the end of the training, participants will be able to:

• Name 3 or more reasons why ketamine may be a useful addition to EMDR therapy in the treatment of trauma.
• Identify 3 or more possible advantages to using the psycholytic approach as compared to the psychedelic approach when integrating ketamine with EMDR therapy.
• List 3 or more important tasks to complete when assessing appropriateness and preparing clients for Ketamine Assisted EMDR Therapy™.
• Describe at least 2 unique and specific steps of the Ketamine Assisted EMDR Therapy™ memory reprocessing protocol.

Course Introduction

• Welcome video
• Course handouts
• Trainer introductions
• Learning objectives & course overview
• Disclaimers

Module 1: Theoretical and scientific rationale for Ketamine Assisted EMDR Therapy™

• AIP Model & Memory Reconsolidation 
• Safety profile of ketamine 
• Ketamine’s therapeutic effects 
• Ketamine and the brain
• Subjective effects of ketamine 
• Rationale for psycholytic vs. psychedelic approach

Module 2: Pilot research study and case presentation

• Overview of study conducted in 2024 and published in 2025
• Study results
• Participant case presentation

Module 3: Phases 1 and 2 of Ketamine Assisted EMDR Therapy™

• Collaborating with medical prescriber
• Screening clients and informed consent
• History taking and treatment planning
• Preparation

Module 4: Phases 3 through 8 of Ketamine Assisted EMDR Therapy™ 

• Details of specific protocol utilizing ketamine during EMDR reprocessing
• Review of Ketamine Assisted EMDR Therapy™ Reprocessing Script
• Strategic timing of ketamine self administration

Module 5: Video demonstration of Ketamine Assisted EMDR Therapy™ conducted in person

• Michele Topel working with an adult gay man reprocessing trauma related to sexual identity, and trauma of mother’s death.

Module 6: Video demonstration of Ketamine Assisted EMDR Therapy™ conducted online

• Danielle Ciccone working with an adult woman reprocessing touchstone memory of a “big T” trauma.

Almeida, T. M., Lacerda da Silva, U. R., Pires, J. P., Borges, I. N., Martins, C. R. M., Cordeiro, Q., & Uchida, R. R. (2024). Effectiveness of Ketamine for the Treatment of Post-Traumatic Stress Disorder - A Systematic Review and Meta-Analysis. Clinical neuropsychiatry, 21(1), 22–31. https://doi.org/10.36131/cnfioritieditore20240102 

Dore, J., Turnipseed, B., Dwyer, S., Turnipseed, A., Andries, J., Ascani, G., Monnette, C., Huidekoper, A., Strauss, N., & Wolfson, P. (2019). Ketamine Assisted Psychotherapy (KAP): Patient Demographics, Clinical Data and Outcomes in Three Large Practices Administering Ketamine with Psychotherapy. Journal of psychoactive drugs, 51(2), 189–198. https://doi.org/10.1080/02791072.2019.1587556 

Duek, O., Korem, N., Li, Y., Kelmendi, B., Amen, S., Gordon, C., Milne, M., Krystal, J. H., Levy, I., & Harpaz-Rotem, I. (2023). Long term structural and functional neural changes following a single infusion of Ketamine in PTSD. Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 48(11), 1648–1658. https://doi.org/10.1038/s41386-023-01606-3

Ecker, B., & Bridges, S. K. (2020). How the science of memory reconsolidation advances the effectiveness and unification of psychotherapy. Clinical Social Work Journal, 48(3), 287–300. https://doi.org/10.1007/s10615-020-00754-z

Hess, E. M., Greenstein, D. K., Hutchinson, O. L., Zarate, C. A., & Gould, T. D. (2024). Entactogen effects of ketamine: A reverse-translational study. American Journal of Psychiatry, 181(9), 815-823. https://doi.org/10.1176/appi.ajp.20230980

Novo Navarro, P., Landin-Romero, R., Guardiola-Wanden-Berghe, R., Moreno-Alcázar, A., Valiente-Gómez, A., Lupo, W., García, F., Fernández, I., Pérez, V., & Amann, B. L. (2018). 25 years of Eye Movement Desensitization and Reprocessing (EMDR): The EMDR therapy protocol, hypotheses of its mechanism of action and a systematic review of its efficacy in the treatment of post-traumatic stress disorder. Revista de Psiquiatría y Salud Mental (Engl Ed), 11(2), 101-114. https://doi.org/10.1016/j.rpsm.2015.12.002 

Passie, T., Guss, J., & Krähenmann, R. (2022). Lower-dose psycholytic therapy—A neglected approach. Frontiers in Psychiatry, 13, Article 1020505. https://doi.org/10.3389/fpsyt.2022.1020505 

Rosoff, A. L. (2019). How we do what we do: The therapist, EMDR, and treatment of complex trauma. Journal of EMDR Practice and Research, 13(1), 61–74. https://doi.org/10.1891/1933-3196.13.1.61

Sicignano, D. J., Kurschner, R., Weisman, N., Sedensky, A., Hernandez, A. V., & White, C. M. (2024). The impact of ketamine for treatment of post-traumatic stress disorder: A systematic review with meta-analyses. Annals of Pharmacotherapy, 58(7), 669–677. https://doi.org/10.1177/10600280231199666 

Topel, M., & Ciccone, D. (2025). Ketamine Assisted EMDR Therapy™ for PTSD: investigating the synergistic effects of pharmacotherapy and psychotherapy. European journal of psychotraumatology, 16(1), 2572861. https://doi.org/10.1080/20008066.2025.2572861

Six (6) hours of APA CE credit are available for attendees who are present for the entire program, co-sponsed by Precision EMDR Academy. Precision EMDR Academy is approved by the American Psychological Association to sponsor continuing education for psychologists. Precision EMDR Academy maintains responsibility for this program and its content.

APA credits are accepted by most doctoral and masters-level licensing boards. The California Board of Behavioral Sciences recognizes the American Psychological Association as an approval agency for CE providers: https://www.bbs.ca.gov/licensees/cont_ed.html You are responsible to verify with your state licensing board regarding qualifying continuing education credits.

Six (6) EMDRIA Credits are available for attendees who are present for the entire program. Eligibility for EMDRIA Credits is restricted to those who have completed an EMDRIA-Approved Basic EMDR Training. This program is consistent with the EMDRIA Definition of EMDR. The Ketamine Assisted EMDR Therapy^TM Institute, Danielle Ciccone, LPCC, and Michele Topel, LPC maintain responsibility for this program and its contents in accordance with EMDRIA requirements. EMDRIA Credit Provider #24073 / EC Program Approval No. 24073-DL03

‍Full attendance of the training is required to receive Continuing Education Credit. Participants are required to pass a post-test to evaluate learning of the program material. The post-test includes 6-8 multiple choice questions per hour/CE credit. A minimum of 75% correct answers, within 3 attempts, is required to pass. At the end of the post-test, participants are required to attest to having attended the training in full and that they are the person who completed the post-test, as well as to identify words embedded throughout the program.  Login data on the course site is used to verify completion of all program modules.  

As all course materials become immediately available once registration is complete, refunds for the course will generally not be issued.  If you have a grievance and/or believe your concern should be considered as an exception to this refund policy, please follow the below instructions for submitting a grievance.

All trainings by Precision EMDR Academy and Ketamine Assisted EMDR Therapy™ Institute are held in facilities in accordance with the Americans with Disabilities Act. If special accommodations are required for any reason, please notify us 30 days in advance at [email protected]. It is important to us that we are able to team with you in making adequate preparations to meet your needs.

It is Ketamine Assisted EMDR Therapy™ Institute’s and Precision EMDR Academy’s policy to treat all participants and potential participants with fairness and professionalism, and to strive for excellence in the services we provide. Ketamine Assisted EMDR Therapy™ Institute and Precision EMDR Academy are fully committed to conducting all activities in strict compliance with the American Psychological Association's Ethical Principles of Psychologists. Precision EMDR Academy and Ketamine Assisted EMDR Therapy™ Institute will comply with all legal and ethical responsibilities to be non-discriminatory in promotional activities, program content and in the treatment of program participants. The monitoring and assessment of compliance with these standards will be the responsibility of Danielle Ciccone and Michele Topel of the Ketamine Assisted EMDR Therapy™️Institute, as well as the Professional Credentialing Committee of Precision EMDR Academy, including Susanne Morgan, LMFT, Director of Training, in consultation with Colette Lord, PhD, Director of Professional Credentialing;  Danielle Hiestand, PsyD, LMFT, Assistant Director of Professional Credentialing; and Venessa, De La Cruz, LCSW, Director of Community Connection.

While Ketamine Assisted EMDR Therapy™ Institute and Precision EMDR Academy go to great lengths to assure fair treatment for all participants and attempt to anticipate problems, there will be an occasional issue which requires intervention and/or action by staff. This procedural description serves as a guideline for handling such grievances.

A grievance is defined as any occurrence, situation, or condition that a participant thinks is improper, unfair, unjust, or inequitable. This policy provides participants with the opportunity to express a concern or complaint related to the quality of services. If you feel you have been treated unfairly, unprofessionally, or feel that your rights have been breached, please follow the procedures outlined below. Precision EMDR Academy and Ketamine Assisted EMDR Therapy™ Institute will not retaliate against anyone for filing a grievance.

Resolutions are case specific and may include providing a credit for a subsequent training, or providing a partial or full refund of the training fee.

If you have a grievance about the course materials, the concern may first be discussed with a member of the Ketamine Assisted EMDR Therapy™ Institute team. If you are not satisfied with the outcome of that discussion—or if you believe such discussion would not be appropriate—you may proceed by filing a written grievance. Written grievances regarding course content should be submitted via email to [email protected]. Danielle Ciccone and Michele Topel, Co-Directors of Training, will acknowledge receipt of your grievance within five business days and will initiate an internal review. If you do not receive acknowledgment within that timeframe, please follow up by email to confirm that your grievance has been received.

Concerns related to course materials may include issues such as factual inaccuracies, unclear or potentially harmful content, insufficient instructional support, or problems with course delivery or accessibility. We encourage you to include as much detail as possible to support a timely and thorough review. Your grievance will be reviewed directly by Danielle Ciccone and Michele Topel, in consultation with relevant members of the instructional or administrative team. Any necessary corrective actions will be taken to uphold the quality, integrity, and ethical standards of the training experience.

If you have a grievance about CEs, send a written grievance to the Director of Training at [email protected]. The Director of Training will initiate an investigation and provide an acknowledgment to you within two business days. If you do not receive acknowledgement within two business days, please contact the Director of Training by email or phone at 760-452-2776 to confirm your written grievance has been received. The Director of Training, Assistant Director of Training, Director of Professional Credentialing, Assistant Director of Professional Credentialing, Professional Credentialing Committee Chair, and Director of Community Connection will conduct a review of the matter and make recommendations for its resolution.

Precision EMDR Academy and Ketamine Assisted EMDR Therapy™ Institute acknowledge the traumatic impact and other harms of violence and discrimination. We oppose oppression in all forms, and aspire to promote access for all, without discriminatory behavior or bias. Precision EMDR Academy and Ketamine Assisted EMDR Therapy™ Institute value creating a safe, supportive, inclusive environment for training regardless of an individual's sexual orientation, gender identity, race, ethnicity, culture, or religion. Please bring any concerns regarding training experiences contrary to these values to the attention of Danielle Ciccone at [email protected], or Michele Topel at [email protected].

Please bring any concerns regarding administration of CE credits and Certificates of Completion contrary to these values to the attention of Susanne Morgan, Director of Training, at [email protected], or Venessa De La Cruz, Director of Community Connection, at [email protected].

There is no commercial support for this program. Danielle Ciccone and Michele Topel are the Co-Founders of Ketamine Assisted EMDR Therapy™ Institute and Co-Developers of Ketamine Assisted EMDR Therapy™. Susanne Morgan is the owner of Precision EMDR Academy. There are no known conflicts of interest.

Ketamine Assisted EMDR Therapy™ Institute and Precision EMDR Academy are committed to the identification and resolution of potential conflicts of interest in the planning, promotion, delivery, and evaluation of continuing education. Consistent with concepts outlined in the APA Ethical Principles of Psychologists and Code of Conduct, potential conflicts of interest occur when an individual assumes a professional role in the planning, promotion, delivery, or evaluation of continuing education where personal, professional, legal, financial, or other interests could reasonably be expected to impair their objectivity, competence, or effectiveness.

Danielle Ciccone, Michele Topel, and Susanne Morgan are responsible to identify, declare, and resolve any potential conflict of interest we may have in offering any specific program of continuing education. In the event of a potential conflict of interest, Danielle Ciccone, Michele Topel, and Susanne Morgan will assume responsibility to resolve the potential conflict. Ketamine Assisted EMDR Therapy™ Institute and Precision EMDR Academy require that professionals participating in the planning of continuing education identify any potential conflict of interest they may have in the review, selection, development, delivery, or evaluation of that program and disclose the conflict or recuse themselves from any decision-making concerning that program. In the event of a potential conflict of interest, Danielle Ciccone, Michele Topel, and Susanne Morgan will ensure that the individual recuses themselves from the planning process. There are no known conflicts of interest.