I am a survivor of what I believe to be therapist abuse, emotional manipulation, and grooming behaviors from LCSW, which I experienced while undergoing Ketamine Assisted Psychotherapy. I came to the center in my city, full of hope that I would get to access this kind of therapy as a lifelong, low-income person who has experienced immense trauma starting at the age of two. I had heard of the benefits and life-changing experiences that others had experienced with this type of therapy and was hoping for the same. Without access to the sliding scale cost model that the center was offering LGBT+ and BIPOC, I would have never been able to afford a therapy like this. I was hopeful to be able to access this therapy and would check in regularly about my place on the waitlist. FOR THE READER'S INFORMATION: COMMON REACTIONS TO SEXUAL MISCONDUCT BY A THERAPIST If a therapist has engaged in any sexual behavior or contact with you, you may experience some or all of the following feelings or reactions: Intimidated or threatened. Guilt and responsibility—even though it is the therapist’s responsibility to keep sexual behavior out of therapy. Mixed feelings about the therapist—e.g., protectiveness, anger, love, betrayal. Isolation and emptiness. Distrust of others’ feelings or intentions or your feelings. Fearful that no one will believe you. Feeling victimized or violated. Experiencing traumatic symptoms, e.g., anxiety, nightmares, obsessive thoughts, depression, or suicidal or homicidal thoughts. Before Intake, Admin told me I would have a psychological evaluation with a psychiatrist. INTAKE I arrived for my psychological intake, where LCSW accessed me. I was surprised to learn he was not a psychiatrist. I had seen LCSW in the main lobby as he hurried towards the elevator as I was reading the board to find the suite {~Location~} was in. I joined LCSW in the elevator, and he asked what floor I was going to. I said,” 4, the same as you, were probably going to the same place”. I made that assumption on how LCSW looked, as I assumed the guy with long died hair probably had something to do with psychedelics. We both ended up at the the center, where he instructed me on how to use the call button and told me to expect the admin to grab me from the waiting room soon. This appointment seemed pretty standard, so he asked me some basic questions and reviewed some basics of KAP therapy. I remember discussing my yoga practice and studies in herbalism, and he asked me what inspired that path. I told him my honest answer was a bit embarrassing as I was 15 and was first introduced to yoga in a small town in {~State~} when reading about it in Seventeen magazine and had read an interview with a yogi. I also said that I thought the yogi was attractive, which probably caught my attention. LCSW responded to this by saying. “Likely.” I found his response to be a bit demeaning. He didn’t understand the complexity of being raised in isolation in a place that lacked a diversity of culture and could only connect to the outside world through old magazines that my friends would hand down to me at school. At the end of this appointment. He told me that I would get a list of therapists and that I would get to pick from that list. I later received an email from LCSW: “Great news, I will be your therapist.” This felt uncomfortable to me for a few reasons: the inconsistency in the information I was told about choosing my therapist made me nervous, and I usually avoid working with male/male-bodied therapists due to significant traumas I have experienced from being raped, objectified, and brutally attacked by men. I chose to trust the process and hoped that this might be an opportunity to experience healing and safety with a male-bodied person who would hopefully be safe with me. LCSW told me we had to reschedule the first preparation appointment due to an emergency. As I tried to walk away unbothered by the random emergency, he stopped me and apologized multiple times, and I thought it strange that he would spend so much time apologizing to me if there was an emergency. PREP 1 My preparation appointments with LCSW were bizarre. My first couple of appointments discussed the possibility of therapeutic touch, what therapeutic touch is, and informed consent. I found it odd how much time was spent on these subjects; this was discussed at length during all three preparation appointments. I had done a lot of somatic healing bodywork with a physical therapist, and these conversations were not new to me. Still, I was uncomfortable with the amount of time and number of times this was brought up during preparation. PREP 2 LCSW discussed therapeutic touch again at great length. He claimed to be trained in somatics. LCSW said to me, “ I am your therapist for only a short amount of time, so we can do ANYTHING you want.” LCSW said to me, “ I know I am your therapist, but I want you to have as much power as you want.” LCSW asked me how I felt about therapeutic touch. I let LCSW know I was uncomfortable with touch in any capacity and would prefer to be given physical distance as much as possible. I told LCSW that I, historically, would avoid touch in any capacity throughout my life and gave examples of how I place pillows between myself and my friends when I sit on couches next to them. LCSW asked me if I was comfortable with him suggesting to me that I could touch myself. I felt uncomfortable with how he worded this but didn’t react. For example, he said some patients have tremors uncontrollably and can be instructed to place their hands on their arms. I told him I did not want him to make these suggestions. LCSW asked me what the thought of being touched felt in my body. He asked if this felt squirmy, and I said yes. During my preparation appointments, LCSW acted like he was some kind of drug dealer and made it seem like he would be involved in how many mg of Ketamine would be prescribed to me from the pharmacy. He asked me during each session how many milligrams I would want. He said I got to choose up to 600mg per session. I asked if I was prescribed 600mg each session and if I would have to take all of it during the session if I decided not to. He said I could do this. I asked for the max prescription, and he told me I could be prescribed 250mg. This was another example of him offering me a choice (like choosing my therapist) and then taking that choice away. He then asked me again how much I wanted to be prescribed in the following session. I remember this session was in person. I told him I wanted to be prescribed the high end of what is normal, and he said he would go with that. I was made aware that the dosage is prescribed by the prescribing doctor, Prescribing Doctor, and there is a standard dosage that most patients are prescribed with a max dosage of 400mg. LCSW disclosed his gender identity to me and asked me if I had a preference in how he would present himself during our sessions because sometimes he wears dresses and glitter. I asked if he was asking about my comfort with my gender expression. He assured me that was not what he was asking about and, instead, wanted to know if I would be more comfortable with one of his gender expressions over another, and I let him know that I didn’t think it mattered. I found this conversation beyond strange and uncomfortable. I’ve been in therapy since I was 18, and I have never had a therapist behave in the ways I convey with LCSW and found him to be strange, unpredictable, over-sharing, and unsafe. Before my final in-person preparation appointment, LCSW informed me that he had moved his office to a different location in the center because it was larger. PREP 3 LCSW quickly allowed me access from the waiting room on this day. Almost immediately after I pressed the button on the wall, I could hear his footsteps coming down the hallway, and this made me uncomfortable as most therapists or doctors that I have worked with allow for 1-5 minutes to pass before greeting me in the waiting room. I felt LCSW was unusually excited or rushed about my arrival. LCSW had warned me in the previous preparation appointment that he had moved offices because the new office was larger. I was highly uncomfortable with the move when I saw his office. I froze in the doorway. He moved his office to the center's most private and secluded area. The new office seemed smaller. A reclined chair in his old office was available for the KAP therapy, which felt safe. The chair was not in his new office, and my options for where to lay down during my KAP therapy were a couch that I was much too tall for or a mattress on the ground. I felt unsafe laying on a mattress with LCSW in the room, but I thought I had no choice. I had experienced so much seductive and inappropriate behavior with him that discovering I would not have a reclined chair and would be isolated in the building was devastating news to me. The fact that his new office did not have room for the antigravity chair in his old office was an example of how this move was not due to the office being larger than he claimed. I had brought gifts for LCSW for the Winter Solstice. I had gifted him a piece of mushroom art made with layers of paper and a mushroom hairpin that my coworker made. These items were kept on a shelf in his office for all of my following sessions. I wasn’t aware that therapists are not supposed to accept gifts from their clients. LCSW was overly excited about the gifts. During our in-person preparation session, LCSW would ask me questions unrelated to my therapy. Do you like guacamole? Do you enjoy Role-Play Board Games? When I asked why he asked me these questions, he answered, “I’m trying to understand your resources.” After initially reporting him to my doctor, I discovered his dating profile while listing his display name, “Guacamole,” and his interests, “Role-play Board Games.” Now, I wonder if he was spending my sessions with me trying to gauge our compatibility for dating. LCSW would be extremely flirtatious with me. He would have his long hair up in a bun, pull it out slowly, groom it with his fingers, and display it in front of his shoulders, all while batting his eyes at me. Both times he did this, I went into shutdown. I would avoid eye contact, look at the floor, hunch, and move my body in the opposite direction, showing my physical discomfort. I would be talking about something both times he did this, and each time, I lost my words and stopped talking as a part of the shutdown state of my nervous system. This flirting with his hair happened on PREP 3 and KAP 1. One session was a preparation appointment, and the second time was before I was administered ketamine for my KAP session. I asked LCSW if people clench their jaw while on Ketamine as I often have a lot of jaw tension and use a nightguard at night. He shared with me that his other clients who are “guarded” usually feel more relaxed on Ketamine and that often the jaw relaxes, but he let me know I could bring my guard if I wanted. I remember not liking that LCSW had indirectly called me guarded, but he was not wrong about that assessment. I had learned to be guarded to protect myself from people, especially harmful people like LCSW, who were unpredictable and unregulated. As I think back to this interaction, I wish I had been able to remain guarded around LCSW, which was not possible for me while on a psychedelic. LCSW asked me during an in-person preparation appointment if I had been hypnotized and if it worked. LCSW would use Neurological Language Processing on me to try and seduce me and make me think about sex during two of my sessions, PREP 3 & KAP 1. When he gave directions for taking the ketamine medication, he would speak at a regular pace until he got to the part of the directions that directed me that I could spit or swallow the ketamine. Specifically, the words “spit and swallow” were slowed down to an unusually slow pace, and he would stare into my eyes with intensity when he said those words slowly. He would slow that part of the directions down to a slow pace, all while making intense eye contact that made me highly uncomfortable. He did this during my last preparation appointment and also during my first appointment with the ketamine. During these experiences, with the sexual and seductive nature of the emphasis of these words, while giving me directions, I would go into shutdown. I would look away and disengage with LCSW during these interactions. I was feeling highly unsafe, overwhelmed, confused, and afraid. KAP 1 During my first KAP appointment, LCSW welcomed me from the waiting room, pressed the switch on the wall, and looked around the room as usual. He would typically follow me down the hallway to his office, which made me uncomfortable as I have been stalked coming home at night off the bus countless times. In any capacity, I will avoid having any persons behind me as I feel safer when I can see people and when I have enough physical distance to run or defend myself if I can see signs of aggression in a person. I was surprised that LCSW would walk closely behind a person with PTSD, and I felt he had minimal experience working with people with PTSD and didn’t understand trauma-informed care. Most trauma-informed professionals I work with would check in with me regularly about what I was comfortable with. Before working with LCSW, I’d never had a doctor or staff walk so closely behind me. For example, I have had Doctors ask me if I am more comfortable sitting in a chair that faces the door instead of having the door behind me, and LCSW never checked in with me about any of these things. I was violently attacked for asking a 300lb man to try and be quiet so that I could sleep. I struggled to ask for what I needed to feel safe and comfortable from men after this experience, and I did not feel safe asking LCSW not to walk behind me or continue invading my personal space. While being let into the center, I stood behind him with as much physical distance as possible and waited for him to finish so I could follow him down the hall. He instructed me to walk down the hallway to his office and followed me closely. I entered LCSW’s dark office with the blinds closed. I felt uncomfortable immediately but was trying to manage my fear and stress the best I could as I was so dedicated to healing with Ketamine Assisted Psychotherapy and was looking to this therapy as my last hope after having tried everything with a slow, painful progress that had many setbacks as I struggled to avoid people like LCSW in my life who prioritize their desires over my well-being. We were in the center alone during all my appointments except the intake. There were no other therapists or admin. My KAP appointments were scheduled at the end of the day in the winter, so it was often already dark outside. I have since learned that being so isolated and having appointments late in the day are red flags. I was moving and brought in a book from my personal library to give to LCSW. On {~Book Name~}. LCSW responded to this by saying, “That’s really sweet.” This book lived on his bookshelf in following appointments. LCSW let me know I could set up my altar items at the end of his table and that he was going to the restroom and would be right back. I would like to mention that LCSW often seemed very different after visiting the bathroom. I suspected he was struggling with drug abuse and addiction, as when he went more than a few hours without a restroom break, he would look awful with sunken eyes with dark circles under them. He would get sweaty and look generally ill, and the only time I have seen anything like this was when I was around a family member who was experiencing opioid addiction. I was recovering from my KAP session when he looked ill to me, so it might have something to do with the medication or lighting. When LCSW returned from the bathroom, he walked right behind me while I was on my knees setting up my altar. I began physically shaking when he walked behind me because I feared him. I was visibly shaking, and LCSW started blowing air forcibly out of his nose multiple times, loudly. He was standing right behind me as I was visibly shaking and without tissue or covering his face. He blew out of his nostrils very forcefully multiple times until I froze. Then, I slowly turned my head in his direction and asked him, “Do you have allergies?” He said, “No, I have_____.” I can’t remember the condition he stated he had, but I remember it included something nasal-related to his nose. After asking this question to him, he immediately stopped with the weird, aggressive nose forceful exhalation. I never saw him do any weird breathing at any other time. I believe he did this to distract me from my body shaking and to gain sympathy from me as a form of emotional manipulation. My body was showing me how unsafe I felt, and I believe that LCSW wanted to distract me or was threatened by this. He then asked me to share the items for my altar with him. LCSW, told me he had to read my blood pressure. I was wearing a thick sweater and tried to pull the sleeve up high enough to be able to wrap the band around my arm. I could not pull the arm up high enough and asked LCSW if he could just put the band over my sweater. He said no and asked if that was okay. I sighed with disappointment and removed my sweater. Underneath my sweater, I wore a crop top/tank top shirt with no bra because I was instructed to dress comfortably. I was not comfortable with being so exposed around LCSW after experiencing so much harmful sexual behavior from him. Still, I was so desperate to receive this Ketamine Assisted Psychotherapy treatment that I was trying my best to cope with the harm I was experiencing. LCSW helped to wrap the band for the blood pressure reader around my arm. He did this very slowly. When he went to press the velcro together on the band, he used the tips of his two fingers, pointer & middle finger, and slowly pushed the velcro together with his two fingertips like this. This was taking forever and was very inappropriate and sexually charged. At this point, I got angry with LCSW. I audibly sighed with anger and frustration, and LCSW recognized this. He stopped petting my arm and took a step back. He told me to uncross my legs. He stood on the other side of the room and stared at the wall as the automatic blood pressure reader read my blood pressure. The machine went off with three beeps, and LCSW was still staring at the wall, completely disassociated. LCSW administered the Ketamine to me and did the creepy “spit or swallow” thing after this. He then helped me get onto the mattress and tucked me in, touching my body while tucking me in around my arms and legs. I remember having a difficult time relaxing or feeling comfortable during this appointment. I did not want to wear my eyemask or the noise-canceling headphones because I didn’t feel safe with LCSW and wanted to be aware of my surroundings as much as possible. I remember looking down at my body multiple times to make sure he wasn’t touching me. After about an hour into the session, I let LCSW know I had to use the restroom. LCSW helped me and told me we would have to walk slowly to the bathroom as I lacked balance. Someone from one of the other offices was walking behind us. I got into the bathroom and used one of the stalls. I sat there after finishing, not wanting to come out because I was so afraid of being around LCSW. The person who walked behind us to the bathrooms was also in the restroom in one of the other stalls. As she went to leave, she probably noticed that I was sitting in a stall and not doing anything. She asked me if I was okay, and I said yes. As we walked back, I exited the bathroom and noticed that LCSW was holding my hand, which I found very confusing. LCSW helped me back onto the mattress, tucked me into my blankets again, and touched my body on my arms and legs again. LCSW violated my informed consent by holding my hand and touching me while tucking me into my blanket while I was on Ketamine. I had clearly stated to LCSW that I did not want him to touch me in any way. I had a little loss of coordination but generally was fine walking on my own, and I did not need LCSW to hold my hand to “help” me. I was in an open and loving state of mind while on the medication, and this experience is when things got confusing for me. I knew I felt Uncomfortable with the unusual attention he was giving me and with the seductive and flirtatious behaviors he exhibited before taking ketamine with him. This was the first time those feelings confused me, and a part of me liked how it felt to have this attention while under a psychedelic. These feelings caused me internal distress. After returning to the room, I tried to relax into my experience. I experienced a body sensation that reminded me of my body sensation when I had an out-of-body experience where you tense up right before leaving your body. I heard LCSW say, “There you go.” This freaked me out and took me out of my experience. I remember fidgeting my body after this. His comment felt like it was sexual to me. LCSW checked his laptop during my first KAP appointment and often texted someone through iMessage. As soon as the music ended, LCSW said my name “{~Name~}.” This jolted me out of my relaxed state. He told me he needed to use the restroom, and I asked him to bring me some water. When he returned, I had moved to the couch, and he responded to this move by saying, Woah. We chatted about my experience, as I didn’t feel like talking while on the medication. He then checked in with me and told me it was 515pm. Fifteen minutes later than when our appointment was supposed to end. I had arranged transportation and was shocked by how late our appointment had gone. I scrambled to get my things together to get to my ride in time. LCSW told me that I should plan to have my transportation picked up 15 minutes after our sessions, but this should have been communicated to me beforehand. I have since learned that therapists extending your appointment time past when it is supposed to end is a red flag. INTEGRATION 1 This was my first integration appointment. LCSW asked me how I was doing, and I said, “Fine.” He asked me to use a different adjective, and I told him I was feeling a lot. During this appointment, I went through my backpack, looked for my journal, and pulled out my headphones in their case in front of LCSW. He responded to seeing these headphones with an angry sigh. I shared some of the things I journaled about, and he seemed impressed by what I had written. I shared with LCSW about an oracle deck I had used the night after the first KAP session. I shared a card I pulled the night after my first KAP appointment while asking, “How can LCSW help me.” I read the description of the card I had pulled: “angel’s trumpet.” He got down on his knees and moved towards me with a coffee table in between us. He told me the reading resonated with him. I asked him how so, and he talked about his cornerstone of death work as the card description discussed how this card was related to hospice workers, which LCSW shared with me he had done before his current job. I resonated more with aspects of the reading that mentioned a seductive nature as I felt he had been sexually inappropriate with me, but I did not share that with him. He asked to see the cards' box and got loud and excited about my deck. “THERE’S A MAGIKAL BOTANICAL ORACLE DECK!” I often found LCSW’s energy to be unpredictable. He would, at times, use his therapist's voice and then have these excited or angry outbursts. He asked me if he could take a photo of the deck, and I said that was fine. After this first integration appointment, I felt a lot of shame and anxiety around having the headphones that I perceived LCSW had gotten angry about. He might be mad at me for seeking sliding scale services while having expensive headphones. I got these noise-canceling headphones as a self-care item for myself when I thought I would be undergoing KAP therapy while living with my ex, who would slam doors and move around the house angrily. I got these headphones to help me eliminate that noise and feel a sense of safety for integration. I felt so much anxiety and shame around my perception of LCSW being angry with me that I impulsively made a $500 donation to the center that I requested my employer match. My company later agreed to match my donation. I could not afford this donation, but I wanted to feel like LCSW was not angry with me for using the sliding scale services. the center later refunded my donation after reporting the harm. I requested this reimbursement, which I was grateful for as this was not a donation I was in any financial situation to make, and it was made on credit. I had made sure this donation was made privately and chose not to share my name as a donor with the center as I didn’t want LCSW to mention this to me because I didn’t want to talk about this uncomfortable situation with him. LCSW's phone was going off with a bell sound at the end of the session, and he apologized multiple times for this and said it shouldn’t be going off while he was messing with his phone. INTEGRATION 2 The second ketamine appointment was canceled because LCSW had gotten sick. He had canceled an earlier preparation appointment because he had COVID, and I remember thinking he gets sick a lot. He wanted to keep our integration appointment and schedule it virtually, so we met via Google Meet. In his email coordinating this with me, he stated he would still “love” to have a virtual appointment. I didn’t like his use of the word love. He started the virtual appointment by overly complimenting my hair and telling me it looked good multiple times, making me uncomfortable. I remember I gave a cold and short “thanks.” He told me I had transformer hair and asked if I had recently changed my hair. I told him no, I was just wearing my hair up. I thought to myself that he was weird to make such a big deal about my hair and that I had worn my hair up around him before. In the background of his call was his bed in his bedroom, which I thought was strange and inappropriate. REACHING OUT FOR HELP On the evening a few days following integration 2, I asked my friend and mentor, a Naturopath Doctor, for advice. We scheduled an on-call, and I shared my concerns about this therapist. I wasn’t sure if I should approach LCSW with my fears about his behavior. She was extremely upset about the information I was sharing about my experience. She shared her knowledge about ethics as a provider and told me that this behavior was highly inappropriate and that she was worried about me. I remember her yelling out, “Don’t mess with my girl, fucker.” She asked me if I thought he was a predator. We came up with a plan that I would write out my concerns about LCSW’s behavior and share them with him during my next appointment. I did write this all out in my journal that evening. With {~Doctor's~} wisdom, I began to see that while experiencing this inappropriate behavior from LCSW before and during the altered state I was in using Ketamine, I had developed an addiction to the dysfunctional emotional state I would enter into when I experienced this abuse. I had been starving myself after my first KAP appointment, feeling high off the inappropriate attention, and having confusing feelings after experiencing the boundary crossing while on a psychedelic. I felt like the experience with LCSW was confusing my feelings surrounding love and solidifying my prior experiences that love is abuse. I was abusing myself, thinking I was loving myself. I wanted to look good, and since the abuse I experienced during my last preparation appointment at the end of {~Month~}, I had dropped four pant sizes. I was rapidly losing weight, which was noticed by my other care providers, who mentioned the change in weight to me. Since writing this in my journal and approaching my second KAP appointment, I have become very nervous about approaching LCSW with my concerns. I did not want to have this confrontation with him. I decided the night before that I was not going to read this to him unless there was another boundary crossing or sexually inappropriate interaction. KAP 2 Toward the beginning of my second KAP appointment, I asked LCSW about a stuffed animal bat he had on his bookshelf. He went into a very long-winded description of this bat. While looking at the bat in my opposite direction, he said that the wings were the PRIDE flag and the ears were the polyamorous flag. After sharing the polyamorous flag ears, he looked his right shoulder in my direction. I was staring at the wall across from me. I was worried about his intentions behind basically telling me that he is polyamorous. KAP 2 and integration 3. During these appointments, LCSW was more professional. He left his hair in a bun. He didn’t emphasize “spit or swallow.” He was normal when reading my blood pressure. I was so grateful that he had finally changed his behavior and respected these boundaries. I felt like he finally recognized how these behaviors affected me. I just had to manage my conflicting feelings around a part of me that felt like I had become addicted to this inappropriate attention. I was compassionate towards myself about that as I knew it made sense why I felt this way, that my experience was confusing, and that the psychedelic experience opened me up to feeling loving and caring to the therapist who I was feeling so unsafe with prior. I knew I could get help with this from my regular therapist and planned to discuss this during our next session. LCSW asked if I wanted the eye shade and headphones this time. I said I wanted to try them because hearing the lady in the room who shared a wall with LCSW, who worked with a different organization, and hearing him talk during my session last time was distracting. He said, “Yeah, I’m sorry about that.” LCSW was still sick during this appointment and was wearing a mask. I was annoyed that he was coughing during my experience, and I found that distracting even with the headphones. At the end of this session, I gave LCSW a gift of a mullein tincture that I had ethically wildcrafted from the wilderness, extracted, and offered him a chance to try it. He asked me how to take it, and I shared the standard dosage of three dropper fulls three times a day and let him know to discontinue use if he had any side effects and when he no longer has symptoms of illness. Again, at the end of our appointment, we ended 15 minutes late. INTEGRATION 3 During our last session, I asked LCSW if he had tried the mullein tincture. He told me that he had taken it home, was using the standard tincture dosage, and was enjoying it. LCSW asked how it felt to have him respect my boundaries. He asked me this because he chose to be professional during one of our sessions. I told him I wasn’t sure if that was possible, but I was grateful for how he showed up yesterday. I had processed some of the imagery or hallucinations I experienced in KAP 2, including my cat, who had passed OE. I shared with LCSW how I chose OE because she was the only kitten in the litter who seemed to want me to hold her. He responded to this story by saying, “You picked each other.” I found his wording and response odd and worried that he was hoping that I would pick him in response to him picking himself as my therapist and picking me for a patient to be inappropriate with. I shared with LCSW that I was surprised that I did not feel a dissociative effect with Ketamine. I shared that I could feel my body more than I ever had before, and I was curious about this because I had spent most of my life dissociated from my body due to trauma. I gave examples of how other drugs would work oppositely for me than the general public. He responded to this by calling me an anomaly. I found this odd as I always thought that these effects were due to me being neurodivergent. For many people with ADHD, coffee can make them sleepy. I was uncomfortable with LCSW making comments like I was unique or one of a kind, and I didn’t think that was a healthy mindset I was seeking for myself. LCSW asked me to share something coming up that I wasn’t sure I felt safe talking about with LCSW. I told LCSW I was uncomfortable talking about this with him because he is a male-bodied person and because we had a weird dynamic. He nodded and said yes, I am a male-bodied person. I worded this like that because LCSW shared with me that he identifies as non-binary, so I did not want to refer to him as a man out of respect. I told LCSW about how I would wake up to my ex-boyfriend on top of me many times and how, eventually, I developed an injury from this repeated trauma that made it so I was unable to have sex without experiencing a lot of pain. LCSW had an angry outburst at this news and told me that I was raped and that it wasn’t consensual, and {~Name~} was loud and angry. This made me highly uncomfortable, and I shut down. LCSW asked me for the name of the man who did this to me. I gave him the name, and then I started to defend the person who did this to me because I don’t think LCSW took the time to understand the layers of this trauma, how much I loved the person who did this to me, and what factors were involved (alcohol) that made this person do things they wouldn’t normally do. LCSW started to calm down after this, as his anger triggered me. LCSW said he believed good people do bad things. LCSW asked me what gym I go to during this meeting. After reporting LCSW, I saw one of the therapists that worked for him at my gym, during a queer event, and I felt highly anxious that he was having people watch me. I have been going to this gym for seven years and have never seen this therapist before. At the end of the appointment, I offered LCSW a cottonwood bud oil extract that I had ethically wildcrafted from the wilderness and processed and extracted. I let him know, and it was labeled for external use only. I told him it was nice on this skin but that it should be tested on a small piece of skin first. He was grateful for this gift from me. He did not inform me that accepting patient gifts was inappropriate and did not uphold professional boundaries. I was not aware of these boundaries and ethics around gift-giving until after initially reporting sexual misconduct. I have text evidence about my ride from KAP 2. These texts were oddly missing from my text history, so my friend sent me screenshots of the messages she had on her phone. REACHING OUT FOR HELP & SUPPORT My friend who I first told about that harm I was experiencing followed up with the morning after KAP 2. After my integration appointment, I spoke with a friend at the sauna at my gym who went to school to become an LCSW and shared my experience with her. She told me that he had violated the code of ethics and that I was highly vulnerable. She then shared with me that her psilocybin guide had slept with her during their work together and that she had stopped her treatment with him. She asked me if I thought this was the first time he had done something like this. I had a panic attack in the locker room of my gym after talking to my friend. A week after KAP 2, I then shared my experience with my regular therapist, who also asked if I thought I was the first person he behaved this way with. She also informed that he had clear ethical codes. I had a panic attack during this session. The questions about LCSW being a predator remained in my mind. I knew his behavior as a therapist was inappropriate, and I wondered if the sometimes subtle nature of the experience and strange experience with his directions of “spit and swallow” could be accidental, especially when he repeated these behaviors even after I went into a shutdown state during my first experience with this behavior. I spent most of the night researching this kind of abuse. I am good at hyper-fixating and spending many hours researching a subject, quickly learning everything I can about it. I found many articles about grooming behaviors from therapists and emotional manipulation/therapy abuse that I felt uncomfortable with and how much I relate to them. These articles discuss the alleviation of symptoms of depression for victims due to the addictive nature of this inappropriate attention. I was pissed. I wanted to heal my brain, and I could not allow that to be based on a temporary response to the inappropriate attention I was receiving. I then read about how therapists sometimes adjust their behavior, becoming more professional after the patient shows some attachment or addiction to this behavior. The theory is that the patient will then approach the therapist and make the situation feel like a victim desires to have inappropriate interactions. I could not allow a situation like this when I had been so dedicated to healing for so many years of my life. I was highly agitated after learning more about this kind of abuse. I knew at this point that I was being deeply harmed and abused to an extent I couldn’t be fully aware of without the support of the people I spoke to about it and the knowledge of how this abuse affects victims. I planned to give myself time to process this new information before taking action. A week and one day after KAP 2, I had panic attacks in the waiting room of my doctor's office because I was struggling with the experience I had with LCSW and the knowledge I gained about the abuse I was experiencing. The doctor asked me about my experience with KAP, as I had listed Ketamine on my medications. It took me about an hour to tell her about my experience, but eventually, I was able to get it out of me between the tears and panic attacks. I did not want to report this to the doctor. I knew she would have to report him. I knew I would have to stop my therapy, and I did not want to give up this opportunity for KAP therapy. At the time, I also did not want to get LCSW in trouble, and a part of me felt incredibly guilty for telling this doctor about my experience. She was so amazing through this process. She spent about 2 hours with me, supporting me by sharing my experience. I had chosen this doctor for her indication of being trauma-informed; she had been patient, helpful, and understanding. She told me that I didn’t do anything wrong as I expressed my shame about how my feelings were confused once I had used a psychedelic with LCSW. She helped me come up with a safety plan. I knew I was in a very fragile state and thought it would be wise to have someone hold onto my ketamine. She reached out to my doctors with my permission. She was able to get ahold of Prescribing Doctor, the prescribing doctor. On the day of my initial report to my doctor, I spoke to Prescribing Doctor on the phone, who works with {~Name~}. Prescribing Doctor is the prescribing doctor and is a part of the leadership team at the center. I was uncomfortable during this phone call with Prescribing Doctor; her tone was delighted and cheery. She told me she was in the middle of the forest in {~Location~}with joy and excitement. Her cheerful tone seemed highly inappropriate, given the circumstances, as I had just spent the day having panic attacks due to being groomed by her coworker. Later. I met with Prescribing Doctor in person. I asked Prescribing Doctor what was next after I reported the sexual misconduct. I shared with Prescribing Doctor how LCSW would disrespect my boundaries and continue to do so after I shut down in his office. Prescribing Doctor responded to this by saying, “he missed it.” I shrugged my shoulders in response. She reacted to my shrugging my shoulders by getting wide-eyed. Her reaction made me feel crazy and like she did not believe me. Prescribing Doctor then offered me a facilitated dialog with LCSW LCSW and offered that LCSW could bring the items I left in his office to my home, but I did not want that. I confirmed I did not feel comfortable having LCSW come to my house. It was an incredibly inappropriate thing even to suggest. Prescribing Doctor's notes do not include that the offering and idea of a facilitated dialog was her idea as a response to me asking what is next after reporting the sexual misconduct. She ignores my requests for this detail to be added to my record. The notes make it seem like it was my idea, which is not the case. I had no idea what a facilitated dialog even was before her offering it to me. Prescribing Doctor agreed to hold onto my medication and I could have it back whenever I felt ready. She later refused this unless I signed an NDA/release of all claims and when I shared my story more widely I was retaliated against and she claims she did this because I shared my experience of SI. I later was made aware that I wouldn't be able to take my life with ketamine and that it is safe for this reason, and I would likely just take a long nap. I also had not had any thoughts about using Ketamine to hurt myself. I was later offered the facilitated dialog again with the {~Location~} team as part of a social justice framework. Cofounder and Psychiatrist informed me they could not provide it due to their insurance. That news was devastating, and I drove to a bridge to jump off it the next day but wasn’t brave enough to do so. I felt like the center had no idea how to handle my experience and report and was in a position to respond to it with care, and having something else offered to me by them and then taken away was traumatic. I think I held on to hope that I would get some kind of justice in the way that they had offered it to me, and having it taken away after experiencing something that broke me on a mental, physical, and spiritual level was not something I was in any position to handle. I was told multiple times over the course of reporting sexual misconduct by LCSW that the center and Prescribing Doctor had reported the sexual misconduct I experienced. It was only after some probing that I was made aware that any details regarding my experience had to come from me directly to the board and I felt that them not disclosing this to me without probing was a manipulation tactic to make me believe that the reporting was taken care of. I felt like the center was unwilling to uphold their signing of this document because they did not believe me. They allowed LCSW to continue to work in a leadership position. I have reported LCSW to the LCSW report and am sending this document to the LCSW Social Work Board in {~State~}. I have received support from SHINE and joined their peer support group for survivors of psychedelic harm. I am still seeking a regular therapist and am no longer working with my prior regular therapist due to her eating lunch during the last two therapy appointments. I have become hypervigilant for any signs of unprofessionalism from my care team after this sexual misconduct I experienced from LCSW. This experience with LCSW and the leadership team at the center of my city, has devastated my well-being. I came close to jumping off a bridge the day after getting the news about no longer being offered the Facilitated dialog. I have lost my trust in all people and my care team. I stepped away from therapy as I no longer feel safe in these dynamics. I fired all of my doctors and therapists. I started smoking cigarettes to try and help cope with the stress. Most days, I hope to die and don’t wish to continue living. I have angry outbursts where I would act on urges and exhibit behaviors that are abnormal for me. I lost all will to live, and most days, I don’t have the energy to care for myself. I would be amazed if I didn’t end up taking my own life in the next two years. The few people who care for me don’t know how to help me and comment on how hopeless I seem. Some of the people closest to me have stopped answering my calls or texts because they don’t know how to help me, and I have been in crisis for many days since Jan. 26th. I am trying many new psychiatric medications that are not helping me. The center and LCSW entirely abandoned me. I was not allowed to speak to LCSW. I had to wait many weeks between emails from the center. I was denied being matched with another therapist to help me understand the changes I was experiencing after two KAP sessions and experienced such sinister abuse and trauma from LCSW. My regular therapist, tried calling Prescribing Doctor so she could get information on how to support me better, but she has yet to get a callback. I asked the center for LCSW resignation.