Key points

Even seasoned therapists need support through consultation and supervision.

Supervision offers a safe space to process complexity and maintain ethical clarity.

In psychedelic therapy, softened boundaries heighten the need for reflection and consultation.

Growth, for both therapists and clients, happens within supportive relationships.

I was consulting with a psychologist recently about a moment that arose in one of her medicine sessions. She described:

“We had talked about touch before the session. We had practiced holding hands, and we discussed that touch would always remain nonsexual. But then, during the ketamine session, he began slowly squeezing my arm. It felt uncomfortable. It felt intimate. It caught me completely off guard.”

These are the kinds of moments that

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