Introduction to the EMBARK Approach

Abstract

AbstractChapter 2 provides a rationale for the EMBARK approach, a therapeutic framework for administering psychedelic medicines. The authors assess previous PAT models, highlighting their strengths and shortcomings. They identify gaps in areas such as attentiveness to the body, attending to the therapeutic relationship, counseling for spiritual experiences, and ethical considerations. The chapter also discusses the challenges associated with prior PAT models, including (a) underdeveloped therapeutic frames and (b) single EBT-based PAT approaches. The EMBARK approach is presented as a solution to these challenges, offering a flexible and adaptable model for psychedelic therapy. EMBARK is an acronym, and its six clinical domains are outlined: Existential–Spiritual, Mindfulness, Body-Aware, Affective–Cognitive, Relational, and Keeping Momentum. EMBARK is also built upon a foundational belief that efficacious treatment is ethical treatment. It is built upon four cornerstones of care: Trauma-Informed Care, Culturally Competent Care, Ethically Rigorous Care, and Collective care.