Psychedelic Harm Reduction

Getting the Most out of Every Journey

Creative approaches to supporting the body, psyche, and spirit.

There are times in life where the straight-and-narrow approach is just what the doctor ordered. But at other times we find ourselves seeking opportunities to heal that go beyond the pale of what conventional medicine has to offer.

It’s no secret that psychedelic science is making a comeback. The recent years have seen an explosion of new research demonstrating the effects of substances like MDMA (the active ingredient in the street drug “ecstasy”) in helping individuals with treatment-resistant post-traumatic stress disorder (PTSD). Psilocybin (the active constituent of “magic mushrooms”) has been shown in trials at NYU and Johns Hopkins to help relieve anxiety and depression, with long-lasting benefits. And yet other psychedelic substances like the Amazonian brew Ayahuasca, the Bwiti shrub Iboga, and even the American hippie generation’s LSD-25 may help individuals overcome addictions (including drug addictions) more successfully than the other programs and therapies currently available within the scope of Western medicine. (Fun fact: Bill W, the co-founder of Alcoholics Anonymous credited a psychedelic journey with his successful sobriety and in fact advocated for the use of psychedelics in the treatment of alcoholism.)

While the research is promising and will very likely result in many of these substances becoming legal in the United States within the very near future, the jury is still out. Theses substances are not without their risks, and they are certainly not foolproof.

That’s where chatting with a professional about psychedelic harm reduction may be a wise step in helping you make the smartest choices possible.

Here’s what I can offer you:

  • Help you better understand the risks and benefits of psychedelic healing
  • Summarize my understanding of the latest research on entheogenic substances, doses, and outcomes
  • Discuss the anecdotal evidence and crowd-sourced study results on microdosing and macrodosing
  • Help you create a customized “birthing plan,” considering such elements as set, setting, timing, company, etc.
  • Help you set intentions and goals for what you want to get out of your journey
  • Help you prepare for a more meaningful and safe journey
  • Explore options other than psychedelics to help you accomplish your healing goals
  • Talk about what kinds of conditions and issues psychedelics can aggravate or make worse
  • Have supportive sessions before and after your journey (also known as pre- and post-ceremony counseling) to help you understand and make the most of the lessons learned

Here’s what I CANNOT (and will not) do – with NO EXCEPTIONS:

  • Tell you it’s safe to use these substances, or recommend that you purchase, sell, or take illicit substances
  • Provide you with information on where or how to purchase these substances illegally
  • Refer you to underground therapists offering psychedelic-assisted sessions in places where it is not legal

What’s the difference between recommending psychedelic work and offering psychedelic harm reduction support?

My relationship with psychedelic harm reduction in adults is much like my approach to harm reduction with teenagers. For example: I do not encourage teenagers to have sex, but I feel an ethical obligation to meet my clients where they are. Much like I spare my adolescent clients scare tactics to try and shame them or terrify them out of having sex, I instead understand that they’re likely going to have it regardless of what I say. So instead of sounding like an after school special, I instead ask my teenage clients: What questions do you have about sex? Who do you plan to have sex with? Do you know how to properly put on a condom? How can we make this as safe and meaningful of an experience for you as possible, while still understanding that you’re taking a big risk here? What’s your family’s/religion’s attitude around sex? How do you feel about deviating from that? Are you ready to deal with the consequences?

This is much the spirit with which I approach psychedelic healing. If you’re going to take the leap into the unknown, you might as well have somebody guide you on how to pack your parachute properly – understanding that a parachute is still not a 100% guarantee of safety, but that it’s a much better idea to jump with one than without one.

Private Consultations

I am delighted to offer private consultations via phone or web to clients across the globe.

Media Inquiries

Are you interested in having me present on psychedelic science at your upcoming conference, event, or festival?

Or would you like to interview me for your book, podcast, or summit?

Please send media inquiries to media@ericazelfand.com.

Dr. Z’s Psychedelic C.V.

Overview (More Links Below):

  • Traveled in Central and South America learning about plant medicine
  • Ongoing volunteer with the Zendo Project, an organization that offers psychedelic harm reduction and “trip sitting” services at festivals and special events like Burning Man
  • Co-facilitated several day-long trainings with and for the Zendo Project
  • Completed MTC1 of the Multi Disciplinary Association for Psychedelic Studies (MAPS)’ MDMA-assisted psychotherapy training. This therapy is not yet available in States, however, but hopefully will be legal in the near future. I am among the first and very few clinicians in the country to have undergone this training.
  • Regularly present at medical schools, hospitals, and conferences on the topic of the Clinical Applications of Psychedelic Medicine (see samples below)
  • Regularly attend conferences and trainings on the topics of Integrative Mental Health, counseling skills, and psychedelic healing
  • Shadowed at various ketamine clinics to better understand the use of the drug in the treatment of depression
  • Regularly author pieces for both medical and lay audiences
  • Regularly interviewed for podcast, print, etc. stories on psychedelic healing
  • Regular contributor to psychedelic.support resource site

Published Writing on Entheogenic Healing

Sitting, Not Guiding: The Power of Non-Directive Support
Zelfand E, Crespi T. MAPS Bulletin. Summer 2017. Vol 27, No.2
Ketamine for Depression and Mood Disorders
Townsend Letter. January 2020
Improving Ketamine Mileage
Psychedelic.Support. Aug 2019
Psychedelic Science: Spirituality as Medicine
Naturopathic Doctor News and Review (NDNR). Mar 2017

Presentations on Entheogenic Healing

Calm Amidst the Storm: Natural Mental Health Support
1 Hour Webinar. Allergy Research Group
Science + Spirit: Mechanisms of Psychedelic Medicine
1 Hour. Portland Psychedelic Society Annual Conference
Zendo Project: Psychedelic Harm Reduction
5 Hours. Co-presented with Ryan Beauregard and Timothy Crespi, MA, LPC. Portland, Seattle.
Trauma-Informed Medicine: Training for Healthcare Providers
5 Hours. Co-Presented. The Breathe Network
Clinical Applications of Entheogenic Medicine
2 Hours. NUNM Medical Grand Rounds
Emotional Freedom Technique Workshop for Healthcare Providers
2 Hours. Association for Naturopathic Revitalization, Hosted by Eclectic Institute

Podcast & Radio Interviews Related to Entheogenic Healing

What Does it All Ketamine?
Narcotica Podcast. 04/20
MDMA for PTSD, with Dr. Erica Zelfand
Integrative Psychiatry Review Podcast. 02/20

Print Interviews Related to Entheogenic Healing

Media Inquiries

For media or speaking inquiries please contact media@ericazelfand.com.

Private Consultations

Private web-based consultations are available to individuals across the globe.

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