✓ Last verified: February 2, 2026 — Edited & verified by Angelica Bottaro for HealingMaps Editorial Staff

Known For: Watermark Counseling is a therapy-forward ketamine practice led by Dr. Shoshana Aal, Psy.D, who holds a doctorate in Clinical Psychology from the University of Denver and brings over nine years of experience in the Denver metro area. The clinic offers ketamine-assisted therapy (KAP) sessions lasting one to two hours with both medical staff and a mental health therapist present, along with dedicated integration sessions between ketamine experiences—a model that prioritizes therapeutic depth over volume.
| Review Scores | Not yet rated |
| Location | Lakewood / Denver, Colorado |
| Address | 899 Logan St, Suite 307, Denver, CO 80203 |
| Phone | (720) 514-9925 |
| Website | watermarkcounseling.com |
| Treatments | Ketamine-Assisted Psychotherapy (KAP), Integration Therapy, General Psychotherapy |
| Conditions Treated | PTSD, Depression, Anxiety, Trauma |
| Cost | Contact clinic for pricing |
| Insurance | Contact clinic for details |
| KAP Available? | Yes |
| Clinical Lead | Dr. Shoshana Aal, Psy.D (Clinical Psychology) |
💡 No clinic-specific pricing posted? See our ketamine therapy cost guide for typical pricing ranges by treatment type and insurance pathways.
HealingMaps Take: Watermark Counseling is an excellent fit for patients who want ketamine therapy fully integrated with psychotherapy rather than as a standalone medical procedure. Dr. Aal’s doctoral-level psychology training ensures that the therapeutic component of KAP is as rigorous as the medical side. The structured approach—one to three integration sessions between each ketamine session—reflects a commitment to lasting change rather than quick fixes. Most patients begin to feel improvement within two to eight sessions. A strong choice for Denver-area patients who prioritize the “assisted psychotherapy” part of KAP.
Market Position: Watermark Counseling treats both depression and PTSD — the two most common ketamine therapy indications, accounting for 34% of HealingMaps patient inquiries.
Industry pricing reference. Watermark Counseling has not published specific per-session pricing — contact the clinic directly for a quote. The calculator above shows typical metro-level cost estimates across protocols, not this clinic’s specific prices.
| Protocol | Typical Industry Cost | Offered Here |
|---|---|---|
| IV Ketamine | $350–$650/session | — |
| Spravato (esketamine) | $0–$250 copay (insured) | — |
| IM Ketamine | $250–$400/injection | — |
| KAP (with therapist) | $400–$1,200/session | ✓ Yes |
| At-home troches | $150–$300/month | — |
Sources: CDC PLACES 2023 (Denver County, CO, crude prevalence) · U.S. Census ACS 5 Year · HealingMaps proprietary patient inquiry data.
Behind this data: HealingMaps has analyzed 23,496 patient inquiries (Oct 2022 – Mar 2026), mapped 1,473 verified clinics across 3,142 counties, scraped 132 clinic pricing pages, and collected 658 practitioner survey responses. This snapshot reflects our multi-source methodology.
Treatment-resistant depression — typically defined as failure on two or more antidepressant trials — is the FDA-approved indication for Spravato and the most common clinical qualifier for ketamine therapy insurance coverage. Source: HealingMaps 2026 Ketamine Clinic Intelligence Report — drawn from 23,496 patient inquiries and 132 clinic website analyses.
This 3-question summary is matched to the protocols and conditions Watermark Counseling treats. Editorial responses are HealingMaps-authored, grounded in our 2026 Ketamine Clinic Intelligence Report.
Yes — Watermark Counseling offers KAP, which combines ketamine dosing with structured psychotherapy during the dissociative window. KAP sessions are longer than standalone infusions and priced accordingly. A reasonable consult question: whether KAP is delivered by a single integrated provider, or by a separate therapist working with the prescribing clinician.
Watermark Counseling treats depression via KAP for trauma-anchored depression. Insurance coverage is rare for IV/KAP — most patients pay out of pocket. TRD is typically defined as two or more prior antidepressant trials without sufficient response — patients meeting that bar are best candidates here.
Yes — Watermark Counseling treats anxiety, including generalized anxiety, social anxiety, and panic disorder. The evidence base for ketamine in anxiety is less robust than for depression, but it can be a meaningful option for patients who haven’t responded to SSRIs or benzodiazepines. Worth asking which of their protocols they typically recommend for anxiety-primary patients.
Leave a Reply