Meet Our Provider Andrew Carnahan

My style of therapy is insight-oriented, non-judgmental, and centered on the belief that happiness and healing is unique to each of us. I enjoy working with people of all genders and presentations on overcoming, anxiety, depression, difficulties related to trauma and substance abuse. I am supportive of clients who engage in all relationship styles (ENM, polyamory and monogamy) and work to be a supportive ally of LGBTQ+ communities and individuals.

Ketamine assisted therapy offers people a chance to step outside of their existing narrative framework. This is a chance to encounter life’s joys, sufferings, and meanings from a new perspective. By learning from and integrating these new perspectives into your life, a fuller and richer way of being with all of yourself becomes available. The sense of wholeness that being with all of yourself offers a gateway to healing the wounds of the past and developing the courage to step into the future.

I have over a decade of experience helping people, either with substance use or mental health disorders. My master’s degree is from Seattle University’s psychology program focused on existential approaches to psychotherapy. I also have a two-year technical degree in alcoholism and chemical dependency counseling from Edmonds College. In addition, I have certifications in Jungian psychotherapy and studies, as well as a certification in Psychedelic- Assisted Therapies and Research granted by California Institute of Integral Studies.

For more information about my practice feel free to explore my website:

Meet our Medical Team

Rafael Gonzalez-Vizoso, MD

Dr. Gonzalez-Vizoso started his education at Brooklyn College where he earned his BA in chemistry while fulfilling his pre-med requirements, graduating Cum Laude. He completed his medical school education at Harvard Medical School where he also did a year of research in Tropical Medicine.

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His internship was done at Newton-Wellesley Hospital, a Tufts University Medical School affiliated program, and his residency in Emergency Medicine at Boston Medical Center, a Boston University Medical School affiliated program.

He has been board certified by the American Board of Emergency Medicine since 1996. He has been practicing Emergency Medicine in multiple settings -anywhere from Level 2 Trauma Centers in urban settings to small to medium rural hospitals- since his graduation from residency in 1994. He is currently the Medical Director for Emergency Services at a critical care access rural hospital in Eastern Washington. He is also the Chairman of the Board of Lightshine, a non profit organization dealing with the care of orphans -specifically in the setting of attachment disorder-, and has traveled extensively on behalf of this organization through Central and South America.

After arriving in Seattle in 1996, he taught Introduction to Clinical Medicine at the University of Washington Medical School as a clinical instructor for 5 years. He also engaged in outcomes research as the medical director of Health Research Associates, Inc. where he co-authored papers, wrote grants and lead studies for 10 years. For the past 18 months, he has been interested in Ketamine Assisted Psychotherapy and has undergone all the appropriate training with The Ketamine Training Center, headed by Dr. Phil Wolfson, a leading authority on ketamine assisted psychotherapy (KAP) and has become certified in this treatment modality.

Dr. Gonzalez-Vizoso’s interest in KAP was sparked by the dearth of options available for mental health patients in crisis as well as people with addiction disorders. This induced him to delve into the latest research in the use of psychedelics for mental illnesses. He has used ketamine as an anesthetic in the emergency medicine setting as aid for painful procedures and rapid sequence intubation for over 25 years and is very familiar with the use and safety profile of ketamine. During his training for KAP, Dr. Gonzalez-Vizoso experienced firsthand the amazing effects of ketamine. In association with veteran, ketamine trained psychotherapists, he has become increasingly active in the field of applying psychedelics in the setting of mental illnesses and hopes to continue to do so for the foreseeable future.

Besides his interests in medicine, Dr. Gonzalez-Vizoso holds two black belts in two different styles of martial arts, is an avid free diver and spearfisherman as well as an avid cyclist. He is an amateur historian and has serious spiritual and religious pursuits. He also writes poetry but is too afraid to show it to anyone yet.

Getting started

If you’re ready to get started, please click the box below. If you’d like to learn more about Ketamine-Assisted Therapy please check out our section on “What is Ketamine-Assisted Therapy.

For any other questions, please email under Clients Seeking Care

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