Considerations Prior to Meeting With a Participant

Abstract

Abstract Chapter 4 provides a comprehensive guide to the considerations and treatment factors that should be attended to prior to initiating psychedelic-assisted therapy (PAT). It discusses the importance of therapists’ credentials, competencies, skills, personal growth, experiential training, personal psychedelic experiences, and personal commitment to receiving supervision, peer supervision, and support as a provider. It discusses the importance of cultivating a therapeutic presence using two illustrative EMBARK acronyms: CUSHION and FRAZZLE. The chapter also discusses the need for thorough screening for medical and psychiatric conditions, contraindications with other medications, and overall suitability. It includes a section on the consideration and controversies regarding the use of touch in psychedelic therapy, exploring both historical and current perspectives. An “enhanced consent” and “double consent” process is recommended. The chapter also addresses the setup of the physical space, the creation of appropriate music playlists, attendance to cultural factors, working in dyads, and considerations when involving other providers and the participant’s family members.