Ketamine-assisted psychotherapy (KAP) is moving from the periphery toward the mainstream of mental healthcare. Research on the use of KAP in the context of couple therapy, however, remains limited. This phenomenological analysis sought data from psychotherapists (n = 9), representing four different modalities of couple therapy, who are incorporating ketamine into their work with dyads. Qualitative interviews revealed substantial diversity with respect to how and why respondents are using ketamin