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I always do my best to meet my clients where they are. That said, I practice a client-led approach in order to honor defenses as we gradually dismantle them together. I typically meet clients weekly or 2 times/month. For ketamine work, I like to meet with clients for preparation several times before a first dosing session, followed by dosing session, followed by an integration session within 1-2 days. For EMDR, I like to meet with client 4 times prior to beginning reprocessing in order to develop trust and build rapport.