Psychedelic Therapy

What you need to know

Psychedelic therapy is an innovative approach to mental health treatment that combines the use of psychedelic substances with therapeutic guidance. The therapeutic use of Psychedelics has shown promising potential in treating mental health conditions and promoting psychological healing. 

The efficacy of psychedelic-assisted therapy within the context of mental health disorders and conditions is a topic of ongoing research, and results can vary based on the specific mental health condition, the individual, the therapeutic approach, and the psychedelic substance used.

The primary goal of this therapy is to facilitate profound psychological insights, promote emotional healing, and catalyse personal growth amongst many other benefits.

Preparation: Preparation for psychedelics-assisted therapy is a crucial step that helps create a safe and supportive environment for the therapeutic experience. Adequate preparation enhances the potential for positive outcomes, emotional healing, and personal growth and some key aspects of preparation for psychedelic therapy to be taken into consideration are: 

Select a Qualified Facilitator: Choose a trained and experienced therapist who specialises in psychedelic-assisted therapy and is familiar with the specific substance being used. The therapist should have expertise in both psychotherapy and the potential effects of the substance.

Therapeutic Relationship: Build a trusting and open therapeutic relationship with your chosen therapist. Discuss your intentions, goals, concerns, and expectations for the therapy.

Medical Assessment: Undergo a thorough medical and psychological assessment to ensure that you are physically and mentally fit to engage in the therapy. Disclose any medical conditions, medications, or past psychological issues.

Education: Educate yourself about the chosen psychedelic substance, its effects, potential risks, and benefits. Understand what to expect during the experience and how it may differ from recreational use.

Set Intentions: Clarify your intentions and goals for the therapy. What specific issues or challenges do you hope to address? Setting clear intentions can guide your experience and integration afterward.

Choose the Setting: Select a safe and comfortable environment for the therapy. This could be a therapy center, clinic, or other appropriate location. The setting should promote relaxation, security, and a sense of well-being.

Create a Supportive Space: Prepare the physical space where the session will take place. Make it cozy, with comfortable seating, soft lighting, and items that bring comfort (blankets, cushions, etc.).

Guidance for Before the Session:

Your therapist may provide guidelines on dietary restrictions, hydration, and medications to avoid before the session. Follow these recommendations to ensure safety and optimize the experience.

Mental and Emotional Preparation: Engage in practices that support mental and emotional well-being leading up to the session. This could include mindfulness, meditation, journaling, or relaxation techniques.

Clear Schedule: Ensure that you have ample time both before and after the session for rest, integration, and recovery. Avoid scheduling any important commitments on those days.

Support System: Inform a trusted friend or family member about your upcoming therapy. They can provide support before and after the session and be available in case you need assistance.

Trust the Process: Approach the experience with an open mind and a willingness to surrender to the therapeutic process. Let go of expectations and allow the experience to unfold naturally.

Review Safety Guidelines: Review safety guidelines provided by your therapist, including what to do in case of discomfort, anxiety, or unexpected reactions.

Journaling: Consider keeping a journal to document your thoughts, feelings, and experiences leading up to and after the therapy. This can help with integration and reflection.

Follow Instructions: Follow the instructions provided by your therapist or facilitator regarding when and how to consume the psychedelic substance. Remember that each individual's preparation will be unique based on their needs, goals, and the specific psychedelic being used. Effective preparation enhances the therapeutic potential of psychedelics-assisted therapy and contributes to a safe and transformative experience. Always prioritize safety, legality, and working with qualified professionals.

Set: The term "Set" in the context of a psychedelic experience refers to one's mindset or mental state before, during, and after taking a psychedelic substance. It encompasses the thoughts, emotions, beliefs, and intentions that an individual brings to the experience. A positive and open mindset, along with clear intentions, can significantly influence the nature and outcomes of the psychedelic journey. 

Having a proper "Set" involves various psychological and emotional factors:

Attitude: A positive and open attitude towards the experience can help facilitate a more profound and meaningful journey. Approaching the experience with curiosity, respect, and a willingness to learn can enhance the potential for positive outcomes.

Emotional State: Emotions can have a significant impact on a psychedelic experience. Being in a stable and relatively calm emotional state can lead to a more balanced and constructive journey.

Expectations: Setting realistic and informed expectations can prevent disappointment or confusion during the experience. Understanding that the psychedelic journey is unique for each individual and can bring both challenges and insights is important.

Intentions: Having clear and meaningful intentions for the journey can guide the experience toward specific areas of personal growth, self-discovery, or healing. Intentions provide a framework for the mind to focus on during the journey.

Preparation: Adequate preparation, both physically and mentally, can contribute to a positive set. This may involve meditation, relaxation techniques, journaling, or engaging in activities that help create a calm and centered mental state.

Mindfulness: Being present and attentive to the experience as it unfolds can enhance one's understanding of the insights and emotions that arise during the journey.

Acceptance and Surrender: Embracing the unpredictable nature of the psychedelic experience and being willing to let go of control can lead to more transformative insights.

Ultimately, the "Set" plays a crucial role in shaping the trajectory of a psychedelic experience. A positive and well-prepared mindset can help individuals navigate the various aspects of the journey, making it more meaningful, insightful, and potentially therapeutic. It's important to note that the "Set" is just one part of the broader context, along with the physical environment ("Setting") and the dosage of the substance being taken ("Dose").

Setting: In the context of a psychedelic experience, "Setting" refers to the physical and environmental factors that surround and influence the individual during their journey with a psychedelic substance. The setting includes the physical location, atmosphere, surroundings, and overall conditions in which the experience takes place. The setting can significantly impact the nature and outcomes of the psychedelic journey. Considerations within the "Setting" include:

Physical Environment: The physical space where the psychedelic experience occurs is crucial. Factors such as lighting, colors, comfort, and cleanliness can affect the individual's comfort and sense of safety.

Location: Whether the experience takes place indoors or outdoors can lead to different sensations and perceptions. Each setting offers unique opportunities for connection with nature or inner exploration.

Privacy: The presence or absence of other people can influence comfort levels. Some individuals prefer solitude for a more introspective experience, while others may feel more at ease with trusted friends or guides.

Sound: Ambient sounds, music, or silence can impact the emotional and mental aspects of the journey. Certain sounds or music may enhance relaxation or trigger specific emotions.

Temperature and Comfort: Feeling physically comfortable is important for maintaining a positive experience. Adequate clothing, temperature control, and access to blankets or pillows can contribute to overall well-being.

Safety: Feeling safe and secure in the environment is paramount. Knowing that one won't be disturbed, encountering unexpected risks, or facing potentially harmful situations is crucial for a smooth journey.

Support: If the individual is partaking in the experience with others, the presence of trusted friends, experienced guides, or facilitators can offer emotional support and guidance during potentially challenging moments.

Nature of the Experience: The setting should align with the individual's intentions for the experience. For example, if the goal is introspection and self-discovery, a quiet and contemplative environment may be preferred.

Preparation: Properly preparing the setting by arranging necessary items, such as water, tissues, and comfort objects, can contribute to a smoother experience.

The "Setting" is intertwined with the other two components of a psychedelic journey: "Set" (mindset) and "Dose" (amount of the substance taken). An optimal setting, along with a positive mindset and appropriate dose, can enhance the potential for a meaningful, transformative, and safe psychedelic experience. It's important to carefully consider and tailor the setting to align with the individual's goals and intentions for the journey.

Dose: In the context of a psychedelic experience, "Dose" refers to the quantity of the psychedelic substance that an individual consumes. The dose plays a crucial role in determining the intensity, duration, and overall nature of the psychedelic journey. Finding the right dose is important to ensure a safe and meaningful experience, as different doses can lead to a range of effects, from mild perceptual changes to intense altered states of consciousness. Some of the key points to consider about "Dose" in a psychedelic experience are:

Intensity of Effects: The dose directly affects the intensity of the psychedelic effects. A lower dose might result in subtle changes in perception, mood, and thoughts, while a higher dose can lead to more profound and potentially overwhelming experiences.

Duration: The duration of the psychedelic journey is also influenced by the dose. Higher doses often result in longer-lasting effects, which can range from a few hours to an entire day.

Personal Tolerance: Individuals can vary widely in their sensitivity to psychedelic substances. What might be a moderate dose for one person could be overwhelming for another due to differences in tolerance and brain chemistry.

Set and Setting Interaction: The chosen dose interacts with both the individual's mindset (set) and the physical environment (setting). A high dose in a challenging setting, for example, could lead to a more difficult experience, while a lower dose in a supportive setting might be more manageable.

Experienced vs. Inexperienced Users: Those new to psychedelics often start with lower doses to acclimate to the effects. Experienced users might gradually increase their dose over time to explore deeper aspects of the experience.

Guided Experiences: If working with a facilitator or guide, the appropriate dose is often determined based on the individual's intentions and the facilitator's experience.

Research and Education: Proper research and education about the specific psychedelic substance are crucial. Knowing the typical effects, dosing ranges, and potential risks associated with different doses can help individuals make informed decisions.

Safety Concerns: Taking too high a dose can lead to an overwhelming experience, sometimes referred to as a "bad trip." It's important to prioritise safety and start with a lower dose if it's the individual's first time or if they're unfamiliar with the substance.

Individual Goals: The desired goals of the experience play a role in determining the dose. A lighter dose might be suitable for relaxation and self-reflection, while a higher dose might be chosen for profound insights or spiritual exploration.

Overall, finding the right dose is a delicate balance that requires careful consideration of individual factors, including experience level, mindset, and intentions. Starting with a lower dose and gradually increasing it, if desired, can help individuals navigate the effects of the substance and have a more controlled and positive experience. It's important to approach dosing with respect for the substance and a commitment to safety.

Integration: Integration is a vital part of the psychedelic experience, as it bridges the gap between the insights gained during the journey and their application in daily life. It's a transformative process that enables individuals to reflect on the experience and to turn profound moments into lasting positive change, leading to personal development, healing, and a deeper understanding of oneself and the world.

Key aspects of ‘Integration’ include:

Reflection and Understanding: After the psychedelic journey, taking time to reflect on the experience is essential. This involves thinking about the emotions, thoughts, and realisations that emerged during the journey and understanding their significance in your life.

Meaningful Changes: Integration is not just about having a single profound experience but using it to create lasting positive changes. It's about identifying areas in your life that can benefit from the insights gained and making conscious efforts to implement those changes.

Behavioural Adjustments: The insights gained during the psychedelic journey might lead to shifts in behaviour, habits, relationships, and personal priorities. Integration involves aligning your actions with the wisdom gained.

Emotional Processing: Integrating a psychedelic experience may involve working through and processing the emotions that surfaced during the journey to lead to emotional healing and growth.

Community and Support: Engaging in discussions with peers who understand the transformative potential of psychedelics can be valuable. Integration circles or therapy sessions specifically designed for post-psychedelic experience support can provide insights and validation.

Artistic Expression: Many people find that creative outlets such as art, music, writing, or other forms of expression help them integrate the experience on a deeper level.

Patience and Time: Integration is a gradual process that can extend over days, weeks, months, or even years. It requires patience and self-compassion as you navigate the changes and challenges that come with transformation.

Professional Guidance: Some individuals seek the guidance of therapists, counsellors, or integration coaches who specialise in working with people who have had psychedelic experiences. These professionals can provide tools and strategies for effective integration.

Contextualising Insights: Integrating the insights gained from a psychedelic journey involves contextualising them within your life circumstances. 

Continual Reflection: Regularly revisiting the insights and experiences from the journey allows for ongoing growth and adaptation. Integration is not a one-time process but a continual journey of growth and learning.

Bad Trips: A "bad trip" is a colloquial term used to describe a negative, distressing, or overwhelming experience that occurs during a psychedelic journey. It refers to a state of heightened anxiety, fear, confusion, or discomfort that can overshadow the positive aspects of the experience. 

A bad trip can be emotionally intense and may lead to feelings of panic, paranoia, and even terror. It's important to note that not all challenging experiences during a psychedelic journey are considered "bad trips," as they can sometimes result in valuable insights and personal growth. 

Key characteristics of a "bad trip" include:

Intense Negative Emotions: A bad trip often involves an overwhelming flood of negative emotions such as fear, anxiety, sadness, or paranoia and can become all-consuming and difficult to manage.

Distorted Perceptions: Perceptions of time, reality, and the environment can become distorted. This can lead to feelings of disconnection, confusion, and a loss of control.

Intrusive Thoughts: Negative thought patterns and intrusive thoughts may dominate the experience. These thoughts can be distressing and challenging to redirect or manage.

Physical Discomfort: Physical sensations like nausea, dizziness, and rapid heart rate can contribute to the discomfort of a bad trip.

Sense of Doom: A feeling of impending doom or a sense that something catastrophic is about to happen can be a common feature of a bad trip.

Loss of Ego Control: A bad trip can include a loss of connection to one's sense of self or identity, leading to a feeling of being overwhelmed or unable to ground oneself.

Intensity: The emotional and psychological intensity of a bad trip can feel like an insurmountable challenge, and individuals may struggle to find relief.

While a ‘bad trip’ (or a challenging experience) can be distressing, it's important to remember that these experiences are not uncommon with psychedelics. They often arise due to a combination of factors, including the individual's mindset ("set"), the physical environment ("setting"), and the dosage of the substance being used. 

Mitigating a bad trip or turning it into a more manageable one may involve:

Changing Environment: Moving to a different physical location or altering the setting can sometimes help shift the trajectory of the experience.

Support: Having a trusted friend, guide, or sitter present who can provide comfort and reassurance.

Grounding Techniques: Techniques like deep breathing, meditation, or focusing on a soothing object can help manage anxiety.

Distraction: Engaging in an activity that captures your attention, such as listening to music or drawing, can redirect your focus.

Acceptance: Reminding yourself that the experience will eventually pass and that you are in a temporary altered state of consciousness.

PSYCHIATRY WHAT THE MICROSCOPE IS FOR BIOLOGY AND MEDICINE OR THE TELESCOPE IS FOR ASTRONOMY."

- Stanislav Grov