Conscious Dying/Conscious Living: Ketamine-Assisted Psychotherapy

Inclusion Criteria: * Decision making capacity including conscious awareness and sufficient memory capacity. * Ability to provide informed consent. * Understanding of English language and ability to converse. * 12 months or less life expectancy by prognosis. * Age 18-85. * Able to identify one or two Caregiver/Support Person(s) (relative, spouse, close friend, or other caregiver) who willing provide the following functions: 1) to drive the participant home on medication visits (if applicable), 2) to be reached by Clinical Investigator(s) in the event of a subject becoming suicidal or ill, and 3) to provide collateral information as needed. See Appendix D for Consent form. * Have significant anxiety about impending death with a STAI Trait score of 45 or greater. * If the individual has a documented history of anxiety disorder, the patient and investigator are in agreement that the individual's present anxiety is primarily resultant from or exacerbated by their illness and approaching death. * May continue but not change psychiatric medications during the course of the study. * May continue but not change therapists during the course of the study. * Willing to refrain from using stimulants, anxiolytics, and PI designated medications during the day of the study sessions. * Willing to refrain from using alcohol and marijuana for 24 hours before-- and the day of study sessions. * Agrees to refrain from the use of any psychoactive drug during the course of the study., this referri…