Psychedelics and Therapy

Many people are using psychedelics without the right preparation or guidance. Integration of these experiences is crucial to helping the individual make changes and gain insights that affect their daily life and have a lasting effect (Amada, N., & Shane, J.,2022). From the aforementioned study:

Results indicated that perceived benefits to narrative self-functioning is one pathway through which integration of psychedelic experience may promote optimal well-being for both clinical and non-clinical populations.1

 From a harm reduction perspective, using substances like MDMA or psilocybin can be carefully and non-judgementally thought about and discussed with your therapist. This includes looking at minimising the possible risks and maximising the potential benefits, understanding the role of set and setting as well as working with intentions. Managing expectations is another key aspect of harm reduction, as well as discussing aspects of safety and consent. (Gorman et al, 20212).

If an individual is committed to undertaking a psychedelic experience, or has already had one, therapy that incorporates elements of preparation and integration can be valuable, always minimising risks and enhancing potential benefit in service of personal growth.

Various preparation and integration techniques may be offered in therapy, including non-verbal, arts-based approaches, journaling, mindfulness or movement practices and time spent in nature. 

Preparation sessions consist of establishing a trusting relationship with the therapist, getting to know the pieces of the individual’s puzzle, installing practices that lead to a safer psychedelic experience. Gorman et al state “…preparation for a psychedelic experience is guided by a patient’s reasons for using a psychedelic. The therapist must inquire about the nature of the patient’s motivations.” In my experience, many people find enough value in these preparation sessions so as not to consume a psychedelic, but to rather continue with the therapeutic work. 

Integration sessions offer a space for meaning-making and drawing out whatever value and insights can be learned from the psychedelic experience. According to Gorman et al,

“Psychedelic integration is a process in which the patient integrates the insights of their experience into their life, and Psychedelic Harm reduction and Integration is a method of supporting that in the clinical consultation room3.”

Furthermore, PRATI (Psychedelic Training and Research Institute) states that

“Integration provides a space for clients to gain clarity, perspective, and wisdom from their medicine sessions… can help people to understand, contextualize, and make use of their experience in a meaningful and lasting way.”4

Essentially, the approach to working with psychedelics is one of harm reduction – reducing the negative possibilities and optimising positive ones, all in the service of improving the client’s quality of life and keeping them safe and healthy. It is non-judgemental by nature and does not encourage nor discourage the individual, who has the agency to make their own choices.

To find out more contact Melissa.

References

  1. Amada, N., & Shane, J. (2022). Self-Actualization and the Integration of Psychedelic Experience: The Mediating Role of Perceived Benefits to Narrative Self-Functioning. Journal of Humanistic Psychology0(0). https://doi.org/10.1177/00221678221099680 ↩︎ ↩︎
  2. Gorman I, Nielson EM, Molinar A, Cassidy K, Sabbagh J. Psychedelic Harm Reduction and Integration: A Transtheoretical Model for Clinical Practice. Front Psychol. 2021 Mar 15;12:645246. doi: 10.3389/fpsyg.2021.645246. PMID: 33796055; PMCID: PMC8008322. ↩︎
  3. Gorman I, Nielson EM, Molinar A, Cassidy K, Sabbagh J. Psychedelic Harm Reduction and Integration: A Transtheoretical Model for Clinical Practice. Front Psychol. 2021 Mar 15;12:645246. doi: 10.3389/fpsyg.2021.645246. PMID: 33796055; PMCID: PMC8008322 ↩︎
  4. https://pratigroup.org/psychedelic-therapy/methods-and-approaches-for-psychedelic-therapy-integration/ ↩︎

Not all people respond to the same thing

I am an integrative therapist, using various trainings and life experiences that underpin how I hold a non-power dynamic, authentic relationship with my clients.

I draw deeply from parts work, a Jungian approach, as well as Joseph Campbell’s Hero’s Journey. I would lean toward the mystery that is you unfolding or Coming Home To Self. I also work with polyvagal approaches to help re-pattern old stories, roles, ways of thinking and

This is not a traditional talk therapy offering. With my learnings in music therapy and arts therapy, trauma-informed yoga therapy, I incorporate a many different aspects into my work in order for it to suit your individual needs. Some might call this an alternative therapy, but if you do not fit the mould for classic psychotherapy, then it is not so alternative after all.

Using various ways of working and training, I can assist with depression, anxiety and trauma, amongst other issues that may be on your mind.

No matter the issue, the call to adventure begins when you accept that something needs to shift. I offer myself as a guide, a sparring-partner, a therapist, but ultimately, a human.

Are substance-free psychedelic experiences possible?

psychedelic experience guidance cape town south africa spiritual awakening music therapy

Short answer: yes.

Longer answer: I have encountered surprisingly many people (older, younger and from all walks of life) who want to experience something of the the mind-manifesting nature of psychedelics without taking a substance. Some people are averse to the idea of substance-induced altered states of consciousness from pre-conceived ideas about “drugs”, some cannot explore any mind altering substances because of medications or psychological predispositions. Some don’t want to get entangled in something that is not legal. Some simply don’t like the idea of ingesting anything that affects their consciousness so profoundly. Some prefer to be in control. Some are fearful. These are all valid concerns.

Yet still, such individuals seek a transcendent (possibly spiritual) encounter that is different to everyday, waking life and that offers up something deeper, possibly holding more meaning, truth and authenticity than their ‘ordinary’ reality. In my experience, these individuals are usually on a voyage of self-exploration, igniting creativity, navigating a life transition and/or discovering meaning in life. My hope-filled and honest response is always yes, there certainly are ways to enter altered states of consciousness without any substances or plant medicines.

Psychedelic literally means ‘mind-manifesting’ or ‘mind-expanding’, the Greek root is psyche (mind, soul) dêlos (manifest, visible). Meditation is one avenue to such experiences, yet this usually takes a great deal of practice before potentially experiencing anything of a psychedelic nature. Still, I highly recommend a steady meditation practice for many, many reasons which I won’t address here. To get started with a meditation practice, the following apps are very useful: https://wakingup.com/ or https://www.headspace.com/.

I work with music and deep relaxation into an altered state of consciousness, eliciting imagery in the mind’s eye that allows the ‘traveller’ transcendent, even psychedelic-type experiences. However, the ‘traveller’ also retains complete personal control and is able to effortlessly emerge from the experience at any point. No substances or plant medicines are used and they do not need to be in order for the process to be effective. Guided Imagery and Music is a technique developed by Helen Bonny after working alongside the renown psychedelic researcher Stanislov Grof in LSD trials of the sixties. Bonny developed a “non-drug, psychedelic technique of music-listening for psychotherapeutic ends.”

This music-listening technique takes place in a 1.5 hour session, the traveller comfortably lying on a couch in an undisturbed, safe and comfortable setting (such as a therapist’s room). During the session, the guide will talk with the client/traveller and work toward setting an intention for the journey. A specific music program that relates directly to the traveller’s mental set and intention – a music program designed to elicit imagery, emotions, memories and even sensations – is selected by the guide. The traveller is taken through a deepening relaxation induction and reminded of their intention. When the selected music plays, the traveller journeys with the music in this deepened, relaxed and in fact altered state of consciousness.

Imagery, storylines and emotions may appear, sometimes sensations and memories, all emerging from the unconscious mind and guided by the music. During this process, the traveller is always free to ‘come out’ of the experience, should they want to. This is unlike a substance-based psychedelic experience, such as a psilocybin journey, where one is locked into the journey until the substance/medicine wears off. The guide asks questions and helps to deepen and intensify the experience. Afterward, the traveller makes marks on paper (creates a mandala), which is a creative output that helps to solidify and integrate the journey and is used for verbally processing the experience.

Guided Imagery and Music sessions are usually conducted once a week over a period of time, as personal narratives, archetypal material and images from the unconscious are developed and worked with.

If you are interested in exploring your consciousness through an alternative, experiential and substance-free way, click here. Offered in Cape Town, South Africa.

Note: BMGIM guides require extensive and rigorous training. I am currently in advanced training in the Bonny Method of Guided Imagery and Music.