Perspectives of Psychotherapists Regarding Psychedelic Assisted Therapy
Seán Kinahan, Elizabeth Wilson
Counselling and Psychotherapy Research 2025 DOI: 10.1002/capr.12881 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Qualitative study Peer reviewed |
|---|---|
| Population | Trainee, recently qualified, and experienced psychotherapists |
| Topics | Psychedelic-assisted therapy |
| Keywords | Therapist perspectives Mental health professionalization Ethical considerations |
| Citations | 3 |
| Key findings | Therapists perceive PAT as an inevitable professional development in psychotherapy, with key themes including therapeutic relationship, safety, ownership, and professionalization. |
Abstract
Background: This study explored the perspectives of trainees, recently qualified and experienced psychotherapists regarding psychedelic assisted therapy (PAT).
Aims: The aim was to capture meaning, concerns and opportunities of PAT and understand what it means for the field of psychotherapy and to contribute to the growing body of literature on its development and inform subsequent research. Material and Methods The study was based on qualitative research capturing the perspectives of a range of counsellors via a questionnaire, two interviews and a focus group comprised of five people, with the dataset being analysed using reflexive thematic analysis (TA; Thematic Analysis—A Practical Guide, Sage, Thousand Oaks, CA, 2022) to capture meaning, experiences and perceptions and to identify descriptive and interpretive themes.
Results: Themes relating to therapeutic relationship, safety, ownership and professionalisation were identified within the dataset.
Discussion: The findings from this study reveal a complex and multi-layered understanding of PAT, where a range of factors, such as the therapist's experience, the therapeutic relationship, safety concerns and issues of ownership and professionalisation, are all central. The themes demonstrated how counsellors are already aware of, interested in and curious about development in PAT and indicated a sense of inevitability of PAT becoming a professionalised part of the field of psychotherapy.
Conclusion: The study concludes that while there are understandable and relevant concerns about safety, there is also a growing body of quality research and recommendations for safe and harm reducing processes and opportunities for psychotherapy bodies to lead the way and ensure the approach of PAT is a professional one underpinned by research, harm reduction, ethical standards and a sensitivity towards its Indigenous roots
Comparable studies
Other qualitative studies on psychedelic-assisted therapy, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Patients’ Accounts of Increased “Connectedness” and “Acceptance” After Psilocybin for Treatment-Resistant Depression Patients with treatment-resistant depression enrolled in an open-label trial of psilocybin | 2017 | Qualitative study | n = 20 |
| LSD-assisted psychotherapy for anxiety associated with a life-threatening disease: A qualitative study of acute and sustained subjective effects Patients with anxiety associated with life-threatening diseases | 2014 | Prospective follow-up with qualitative content analysis | n = 10 |
| Patient Experiences of Psilocybin-Assisted Psychotherapy: An Interpretative Phenomenological Analysis Adults aged 22 to 69 with clinically elevated anxiety associated with a cancer diagnosis | 2017 | Qualitative study | n = 13 |
| Psychedelic therapy for smoking cessation: Qualitative analysis of participant accounts Participants who completed a psilocybin-facilitated smoking cessation pilot study | 2018 | Qualitative follow-up study using semi-structured interviews and thematic analysis | n = 12 |
| The hidden therapist: evidence for a central role of music in psychedelic therapy Patients undergoing psychedelic therapy with psilocybin for treatment-resistant depression | 2018 | Qualitative study | n = 19 |
Citations in the library
Cited by 4
- Exploring the Therapeutic Effects of Psychedelics Administered to Military Veterans in Naturalistic Retreat Settings Brain and Behavior July 1, 2025
- Stepping back into life: How Psychedelic Assisted Psychotherapy transforms the way of life of the terminally ill General Hospital Psychiatry December 10, 2025
- Drug-centered or drug-assisted? Epistemic perspectives and methodological tensions in psychedelic psychotherapy European Journal for Philosophy of Science October 25, 2025
- Therapists’ Perspectives on the Psychotherapeutic Support in Psilocybin Treatment for Major Depressive Disorder: Insights from a Randomized Controlled Trial Research Square October 5, 2026
Cites 34
- Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer: A randomized double-blind trial Journal of Psychopharmacology November 30, 2016
- Psilocybin with psychological support for treatment-resistant depression: an open-label feasibility study. The Lancet Psychiatry May 17, 2016
- Psilocybin with psychological support for treatment-resistant depression: six-month follow-up. Psychopharmacology November 8, 2017
- MDMA-assisted therapy for severe PTSD: a randomized, double-blind, placebo-controlled phase 3 study. Nature Medicine June 1, 2021
- Safety, Tolerability, and Efficacy of Psilocybin in 9 Patients With Obsessive-Compulsive Disorder The Journal of Clinical Psychiatry November 15, 2006
and 29 more in the library