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The Underground Guide to Psilocybin-Assisted Therapy

The Underground Guide to Psilocybin-Assisted Therapy

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Disclaimer

This guide is an educational overview only. It is not a substitute for professional training, medical advice, or legal guidance. Psilocybin remains a controlled substance in many regions, and working with it carries medical, psychological, ethical, and legal risks. Anyone considering psychedelic work should seek professional training, understand the laws where they live, and prioritize participant safety above all.

1) Philosophy of Underground Guiding

2) Preparation: Setting the Stage

Intake and screening

Building trust

Shaping set and setting

3) The Environment

4) The Guide’s Role During the Journey

Presence above intervention

Touch

Navigation of difficulty

5) Integration: Making It Real

6) Skills and Qualities of an Underground Guide

7) Ethical Compass Underground

8) Self-Care for the Guide

9) The Flow at a Glance

✨ The essence of underground guiding is not found in techniques or tools but in presence, integrity, and trust. The medicine and the participant’s inner process do the real work. The guide provides the container, the steady ground, and the bridge back to everyday life.


Sources

Hopkins Hallucinogen Safety, 2008

Blossom Protocol v0.3

Professional Practice Guidelines for Psychedelic-Assisted Therapy, 2023

Yale Manual for Psilocybin-Assisted Therapy of Depression, 2020