Integrative Psychotherapy · Somatic & Metabolic Health

Pewee Valley, Kentucky

Integrative care
for the whole person.

Depression, anxiety, relationship struggles, trauma, sexual concerns, metabolic health, the shifting terrain of perimenopause and menopause — when life has lost its sense of coherence, Dr. Monica Hurt brings nearly two decades of deep integrative training to meet you with exactly what your situation calls for.

18 YearsClinical Practice
C-PAT CertifiedPsychedelic-Assisted Therapy
EclecticIntegrative Approach
Metabolic HealthNutrition & Lifestyle
Dr. Monica Hurt

"Healing is a journey, not a destination. I bring science and soul to walk it with you, one step at a time."

— Dr. Monica

Who Monica Works With

People ready to come back to themselves.

Individuals
Depression & Anxiety
Persistent low mood, anxiety, burnout, or the sense that life has lost its color. Effective, tailored support that goes deeper than coping strategies — including nutritional and lifestyle factors that affect mood and coherence.
Relationships
Couples in Transition
Communication breakdown, disconnection, betrayal, or simply wanting more from the relationship you already have. Healing begins with being truly heard.
Specialized
Sexual Health & Intimacy
Desire, intimacy, identity, and shame — in a non-judgmental, professionally trained space where nothing is off limits.
Women's Health
Perimenopause & Menopause
An integrative approach grounded in original doctoral research — helping women find their way back to balance and attunement through the hormonal, psychological, metabolic, and relational shifts of perimenopause and menopause.
Metabolic Health
Nutrition & Lifestyle
Drawing on her doctorate in integrative health, Monica incorporates metabolic psychology, nutritional approaches, vitamins, and lifestyle strategies as genuine tools for healing and restored coherence.
Medicine-Assisted
Treatment-Resistant Conditions
For those who have tried everything. Ketamine-assisted psychotherapy opens a neurological door that hasn't been tried yet.

Monica's Philosophy

"The brain is always capable of change. The body is always trying to heal. My job is to create the conditions where both can actually happen."
— Dr. Monica

An Eclectic Integrative Approach

From science to spirituality — whatever healing requires.

True wellbeing has a feeling. When the body, mind, and nervous system are in flow, everything becomes clearer. Monica does not work from a single framework because no single framework fits every human being. Her approach is deliberately eclectic — fluid, personalized, and drawn from wherever the work needs to go. Treatment is personalized each and every time.

The full spectrum of what healing can be.

Evidence-Based Science Metabolic & Somatic Sacred Practice
Somatic Experiencing — body-based trauma resolution
Narrative Therapy — reshaping the stories we live inside
Mindfulness-Based Approaches — presence as a foundation for change
Metabolic Psychology — nutrition, supplements, and lifestyle as therapeutic tools
Emotion-Focused and Solution-Focused Therapy — evidence-based relational work
Ketamine-Assisted Psychotherapy — neuroplasticity-amplified healing
AASECT-Trained Sex Therapy — specialized human sexuality training
Ericksonian Hypnotherapy — working with the unconscious mind
Jungian Depth Psychology — shadow work and the architecture of the psyche
Sacred Shamanic Practices — woven in when the work calls for it
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"True wellbeing has a feeling. When the body, mind, and nervous system are in flow, everything becomes clearer."

Specialty Focus

Helping women find their way back through perimenopause and menopause.

Perimenopause and menopause can make women feel profoundly out of sync — with their bodies, their moods, their relationships, and their sense of self. Monica is one of a small number of therapists in the region who approaches this transition from a genuinely integrative standpoint, grounded in original doctoral research.

"Healing begins the moment we stop fighting our own becoming."

Services

Every path back to yourself is different.

Individual
Individual Therapy
One-on-one work tailored to what you carry. Depression, anxiety, trauma, identity, metabolic health, transitions, and more.
Somatic and body-based approachesMetabolic health and nutritionSex therapy specialtyPerimenopause and menopause focus
Couples
Couples Therapy
Beneath every recurring conflict is a loss of attunement. This work finds it and restores the connection underneath.
Communication and conflictIntimacy and reconnectionBetrayal and trust repair
Medicine-Assisted
Ketamine-Assisted Psychotherapy
A clinically rigorous protocol for when other approaches haven't been enough. Medically supervised, therapist-present, integration-focused.
On-site medical providerFull integration support6-session protocol
Dr. Monica Hurt

About Monica

A clinician shaped
by her own becoming.

Monica has spent nearly two decades building one of the most complete integrative clinical practices in the region. She brings together psychotherapy, the full scope of integrative health including metabolic and nutritional approaches, somatic work, and depth practice — meeting each person with exactly what their healing requires.

She is also the author of Intuitive Self Care: Creating an Owner's Manual for Self and the developer of Liminal Somatic Therapy — an original integrative framework born from years of clinical practice and personal healing.

Doctor of Integrative Health (DSc)
LMFT — Licensed Marriage and Family Therapist
C-PAT — Certified Psychedelic-Assisted Therapist

An Original Framework

Liminal Somatic Therapy — the thread beneath all the work.

Monica developed Liminal Somatic Therapy after nearly two decades of integrative clinical practice — her own coherent framework weaving together neuroscience, somatic intelligence, depth psychology, and neuroplasticity-assisted states into a single model of lasting change.

Find Us

Come find your way in.

Monica sees clients in person at her office in Pewee Valley, Kentucky, and remotely via telehealth for those throughout the state.

Office Address

English Manor II, Suite 100
7608 West Highway 146
Pewee Valley, Kentucky 40056

Remote sessions available throughout Kentucky via secure telehealth. Evening and weekend appointments may be available upon request.

Ketamine-Assisted Psychotherapy

When the brain needs
a new opening.

A medically supervised, therapist-present protocol for people who need something that works at a neurological level.

There are people who have done years of therapy, tried every medication, and still feel stuck — still unable to find their flow, still out of sync with themselves. Not because they aren't trying, but because the brain's habitual patterns have become walls. Ketamine-assisted psychotherapy works by temporarily creating a window of neuroplasticity, a biological opening where deeply ingrained patterns can begin to shift.

This is not a ketamine infusion clinic. Monica practices KAP the way it was designed to be done — with a trained psychotherapist present for the entire medicine session, an on-site medical provider administering intramuscular ketamine, and a full integration protocol to ensure the insights become lasting change. This is how the FDA-approved model was intended to work.

The neuroscience is clear: ketamine rapidly increases BDNF (brain-derived neurotrophic factor), promotes synaptogenesis, and temporarily quiets the default mode network — the part of the brain responsible for rumination and rigid self-narrative. Within this window, the therapeutic relationship does its most powerful work.

The Protocol

1
Therapeutic Evaluation
A comprehensive intake to assess readiness, history, and therapeutic intention. This conversation shapes the entire course of treatment.
$300
2
Medical Evaluation
On-site evaluation by our medical provider to confirm clearance for intramuscular ketamine. Safety is the first priority.
$300
3
Medicine Session
A 90 to 120 minute session. Monica remains present throughout, transcribing and time-stamping observations to support deep integration. A brief psycholytic window at the close begins the unpacking while the medicine is still active.
$500 · includes medicine
4
Integration Session
Scheduled within 24 to 72 hours of each medicine session. This is where the medicine's openings become durable change.
$150
5
Full Course of Treatment
Most clients complete 6 paired medicine and integration sessions over six weeks. Additional sessions can be added as the work requires.
Ongoing as indicated

Ready to learn more?

KAP begins with a conversation. Reach out to find out whether this protocol is the right fit.

About Monica

A clinician shaped
by her own becoming.

A lifetime of curiosity, deep clinical training, and personal healing — distilled into one unusually complete integrative approach.

Meet Dr. Monica Hurt

Dr. Monica Hurt came to this work the way most healers do — through her own becoming. Her clinical identity was not forged only in training programs. It was shaped by her own sustained engagement with healing — through yoga and somatic discovery, through doctoral research in integrative health, through years of learning what it actually takes for a human nervous system to find its flow again.

She is warm and direct in session, rigorously trained beneath the surface, and genuinely funny when the moment calls for it. She works with men, women, and couples across a broad range of concerns — from depression and anxiety to trauma, sexual health, relationship breakdown, and the terrain of serious life transitions.

Her doctorate in integrative health encompasses the full science of whole-person healing — including metabolic health, nutrition, lifestyle medicine, and psychoneuroimmunology. Her doctoral dissertation took that knowledge further, developing the first clinical protocol combining ketamine-assisted psychotherapy with hormone replacement therapy for perimenopausal women, and that research continues to inform her clinical work today.

Monica also brings sacred shamanic principles to her practice for clients who are drawn to that dimension of healing — a thread woven through her own personal journey and her clinical framework, Liminal Somatic Therapy.

She practices in Pewee Valley, Kentucky, in person and remotely, and partners with physicians and hormone care specialists in the Louisville area to provide coordinated, whole-person care.

Intuitive Self Care by Dr. Monica Hurt
Author
Intuitive Self Care →
Creating an Owner's Manual for Self — Monica's published guide to understanding who you are and how to care for yourself with intention, clarity, and flow.
Dr. Monica Hurt

Credentials & Training

Doctor of Integrative Health (DSc) — the science of whole-person healing
Licensed Marriage and Family Therapist (LMFT)
C-PAT — Certified Psychedelic-Assisted Therapist
AASECT-Trained Sex Therapist
Ericksonian Hypnotherapy — Dr. John Lentz lineage
Somatic Experiencing Practitioner
Narrative Therapy, Mindfulness-Based Approaches
EFT, SFT, EAET, CBT — evidence-based foundations
Shamanic Practitioner — integrative and sacred depth practice
Developer of Liminal Somatic Therapy (LST)
Author of Intuitive Self Care
Nearly two decades of integrative clinical practice

Ways We Can Work Together

Every path back to
yourself is different.

Whether you are arriving in crisis or arriving curious, there is a place to start.

Individual
Individual Therapy

One-on-one work for depression, anxiety, trauma, life transitions, burnout, identity, and more. The approach is eclectic and fluid — drawn from whichever methods fit your nervous system and your story, personalized every single time.

As a Doctor of Integrative Health, Monica brings the full scope of whole-person medicine into the session — including metabolic health, nutritional strategies, targeted supplements, and lifestyle approaches where relevant.

AASECT-trained sex therapy and perimenopause and menopause specialty support are both available within individual sessions.

$200 / individual session
Couples
Couples Therapy

Relationships are complex systems, and the patterns that bring couples to therapy rarely live on the surface. This work goes beneath the argument to the attachment needs, communication habits, and unresolved histories that are actually driving the disconnection.

Whether you are in crisis or simply wanting more depth and connection, this is a space where both people can be genuinely heard and find their way back to each other.

Communication and conflict patternsEmotional disconnectionBetrayal and trust repairIntimacy and sexual concerns
$275 / couples session
Medicine-Assisted
Ketamine-Assisted Psychotherapy

A structured clinical protocol for people who need more than conventional therapy alone — particularly those with treatment-resistant depression, PTSD, chronic pain, or entrenched patterns that haven't responded to other approaches.

Offered in a medically supervised, therapist-present model with full integration support. Not a clinic. A complete therapeutic program.

An Original Clinical Framework

Liminal Somatic Therapy

A coherent model of healing developed across nearly two decades of integrative practice — built on neuroscience, the wisdom of the body, and the understanding that wholeness is always possible.

Liminal Somatic Therapy is an integrative psychotherapeutic modality developed by Dr. Monica Hurt. The word liminal means threshold — the in-between space where one thing has ended and another has not yet begun. This is where healing lives.

LST was born directly from Monica's eclectic clinical philosophy — the conviction that no single modality holds the whole answer, and that the most transformative healing draws fluidly across the full spectrum from neuroscience to somatic practice to the sacred. It draws on neuroplasticity research, Jungian depth psychology, somatic intelligence, shadow work, mindfulness, and the understanding that symptoms are not failures. They are the system's signal that something is searching for its flow.

The goal of LST is not symptom removal alone. It is the work of becoming whole.

Psychedelics, when clinically indicated, function within LST as one potent neuroplasticity tool among many. Sacred shamanic principles are also woven in when the work calls for it.

A stone Buddha statue, part of Monica's sacred and shamanic practice

The Six Pillars

I
The Body as Threshold
II
Somatic Intelligence
III
Neuroplasticity & Change
IV
Depth Psychology & Shadow
V
Soul Retrieval
VI
Integrative Medicine States

Experience it in session

LST is best understood by experiencing it. Every service here is grounded in its principles.

Specialty Focus

Finding your way back
through perimenopause and menopause.

An integrative approach grounded in original doctoral research — for women ready to feel like themselves again.

Perimenopause and menopause can make women feel profoundly out of sync with their bodies, their moods, their relationships, and their sense of self. This transition is too often treated as something to simply endure. Monica sees it differently. It is a threshold, and like every threshold in the body, it asks to be met with curiosity rather than resistance.

Grounded in original research: Monica's doctoral dissertation developed the first clinical protocol combining ketamine-assisted psychotherapy with hormone replacement therapy for perimenopausal women — research that continues to inform her clinical work today.

"Who am I becoming? This chapter asks the question directly. The work is learning to answer it."

Areas of Focus

Support across every dimension of the transition.

Balance
Attunement Through Transition
Perimenopause can feel like losing yourself. This work is about finding your way back, restoring the attunement between who you are, how your body feels, and how you move through the world.
Metabolic Health
Nutrition & Lifestyle
Metabolic psychology, nutritional strategies, targeted supplements, and lifestyle approaches addressing the biochemical roots of mood, energy, and cognition alongside the psychological ones.
Psychological
Mood & Somatic Support
Depression, anxiety, and mood dysregulation addressed at the root. Somatic work to help the nervous system integrate physical changes rather than resist them.
Intimacy
Sexuality & Physician Collaboration
Libido and intimacy addressed with clinical precision, alongside coordinated care with Louisville-area hormone specialists when indicated.
Medical
Hormone Replacement Therapy Support
Coordinated care with physicians and hormone specialists to ensure therapy and medical treatment work together, not in isolation.
Identity
Relationship & Life Shifts
Who am I becoming? What does this chapter ask of me? The existential and relational dimensions of midlife transition, held with depth and care.

A Privilege, Not a Decline

Wearing this chapter like a crown.

Monica believes the menopausal transition is a privilege and an initiation, not a decline. Women who are properly supported through it become some of the most clear, capable, and powerful versions of themselves. This is the work of becoming whole, met with science, soul, and a full tool bag of support.

Get in Touch

Let's find out if
we're a good fit.

The first conversation is free and carries no commitment. Fill out the form below and Monica will be in touch within one business day.

Prefer to call? (502) 324-1598

All information is kept strictly confidential. You will hear back within one business day.

Common Questions

Questions before
you begin.

Everything you might want to know before reaching out. If your question isn't here, just ask.

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What happens in a first session?

The first session is a conversation, not a clinical interrogation. Monica wants to understand what brought you in, what you have already tried, and what you are hoping is possible. There is no pressure to share everything at once. From there, the two of you decide together what the work should look like.

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Do you accept insurance?

Session fees and insurance details are available upon inquiry. Reach out through the contact form or by phone and Monica's office will walk you through current rates and any applicable options.

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Is ketamine-assisted psychotherapy safe?

KAP at this practice is medically supervised from start to finish. A licensed medical provider with years of experience in psychedelic medicine evaluates every client and administers the medicine, while Monica remains present throughout the entire session. Intramuscular ketamine is given at a controlled, sub-anesthetic dose specifically intended for therapeutic work, not recreational use. Full details live on the KAP page.

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Do you offer telehealth?

Yes. Monica sees clients in person at her Pewee Valley office and remotely via secure telehealth for clients throughout Kentucky. KAP medicine sessions are conducted in person, but evaluation and integration sessions can often be scheduled remotely.

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What is Liminal Somatic Therapy?

Liminal Somatic Therapy, or LST, is Monica's original integrative framework, woven from neuroscience, somatic intelligence, depth psychology, and neuroplasticity-assisted states. It is the underlying architecture behind every service offered, not a separate service in itself. Read the full framework on the My Approach page.

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How is perimenopause support different from regular therapy?

Monica's approach draws on original doctoral research combining ketamine-assisted psychotherapy with hormone replacement therapy for perimenopausal women. Sessions can incorporate metabolic and nutritional strategy alongside the psychological and relational work, and Monica coordinates directly with Louisville-area hormone specialists when medical care is part of the picture.

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How do I get started?

Reach out through the contact form or call the office directly. The first conversation is free and carries no commitment. Monica will be in touch within one business day to find out whether the practice is a good fit for what you need.

Still have a question?

Reach out directly. There is no question too small.

Writing & Publications

Words from
the work.

Monica's published writing and ongoing projects, drawn from nearly two decades of clinical practice and personal healing.

Intuitive Self Care by Dr. Monica Hurt
Published Book
Intuitive Self Care →
Creating an Owner's Manual for Self — Monica's published guide to understanding who you are and how to care for yourself with intention, clarity, and flow.

"The body is always trying to heal. Writing is one more way of listening to it."

In Progress

Currently being written.

Forthcoming
The Threshold: Menopause as Portal, Privilege, and Power
A book on the menopausal transition as initiation rather than decline, blending personal narrative with clinical authority. Monica's thesis is direct: the menopausal transition is a privilege, and women who are properly supported through it become some of the most capable and powerful versions of themselves. Details on publication will be shared here as they become available.

Want to Hear More?

Stay close to the work.

Reach out to be notified about new writing, retreats, and offerings as they become available.

Retreats & Group Offerings

Healing held
in community.

Beyond the individual session, deeper work sometimes calls for shared space, sacred container, and time set apart.

Some of the deepest healing happens not in a single session, but in sustained, held space, away from the rhythms of daily life. Monica periodically offers retreats and workshops that draw on the same integrative philosophy as her individual work: science and soul, body and depth psychology, evidence-based practice and sacred tradition.

Offerings are limited in size to preserve the intimacy and safety of the container. Specific dates, locations, and registration details are announced as they are scheduled.

"The wilderness has always been part of how I heal. I wanted to bring people into that with me."

Areas of Focus

What these offerings explore.

Embodiment
Somatic & Sacred Practice
Group experiences drawing on shamanic drumming, somatic regulation, and depth work to help participants reconnect with the body as home.
Transition
Midlife & Menopause
Retreats centered on the menopausal transition as initiation, drawing on Monica's doctoral research and clinical protocol.
Sacred Sexuality
Reclaiming the Erotic
Workshops exploring the body as sacred, shadow work, healing sexual shame, and sovereignty as a foundation for intimacy.

Interested in Joining?

Be the first to know.

Reach out to be notified when upcoming retreats and workshops are scheduled.