56 Organisations

Practitioner-Led Care Organizations

The diverse workforce delivering psychedelic care — psychiatrists, therapists, nurses, facilitators, coaches, and peer support specialists.

Practitioner-led care organisations sit between medicine, psychotherapy, and regulated facilitation. The simple question is not whether they are ‘psychedelic clinics’, but who leads the service, what legal route they use, and how much of the work is clinical treatment versus preparation, supervision, and integration.

In the United States, the field is still shaped by a patchwork of pathways. FDA and DEA materials make clear that psychedelic medicines remain tightly regulated, ketamine is a controlled substance with known safety risks, and FDA-approved esketamine is distinct from compounded ketamine, while Oregon runs a state-licensed psilocybin services model with licensed facilitators and service centres. Professional groups have also tried to define standards for a field that is moving faster than the evidence base.[1]The result is a market with very different risk profiles, from licensed medical prescribing to state-legal psilocybin services and cross-border retreat-style access.[2]

The evidence is real, but uneven. Systematic reviews suggest psilocybin and other psychedelic-assisted therapies may reduce symptoms for some conditions, especially depression and distress in tightly structured trials, but the certainty of evidence is still low to very low and the therapy models vary a lot. Reviews of adverse events also show that harms are not trivial, and that subjective effects, blinding problems, and underdeveloped long-term safety monitoring remain major issues.[3]In practice, that means the quality of the team, the screening, and the follow-up matter as much as the compound itself.[4]

For readers, the key trade-off is not hype versus scepticism. It is access versus rigour, and innovation versus safety. The strongest organisations tend to be the ones that are explicit about scope, say what they can and cannot treat, refer out when risk is high, and avoid implying that facilitation alone is equivalent to evidence-based psychiatric care.[5]That is the standard Blossom should help readers apply: ask who is legally responsible, what evidence backs the service model, what emergencies they can handle, and how they work with outside clinicians.[6]

Organisations
56
Countries
13
Source-verified
37

Specific Groups

By country

All Organisations

United States

A Nourished Mind

Care delivery organization offering telehealth or hybrid psychedelic-adjacent clinical services.

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United States

Achieve Medical / SokyaHealth

Care delivery organization providing specialty or outpatient psychedelic-adjacent clinical services.

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United States

Advanced Integrative Medical Science Institute

Other

Advanced Integrative Medical Science (AIMS) Institute is a Seattle-based clinic led by Dr. Sunil Aggarwal offering ketamine-assisted psychotherapy, entheogen-assisted therapy, integrative oncology, and palliative care. The institute is notable for a landmark DEA lawsuit seeking right-to-try psilocybin access for patients with serious illness, placing it at the forefront of psychedelic medicine advocacy and clinical practice in the US.

1 trial
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United States

Alex Criddle

Other

US-based philosopher, researcher, and psychedelic integration guide with a Master's degree in philosophy focused on the nature of healing in the psychedelic experience, who has worked as a research assistant at a ketamine clinic and written curriculum for multiple psychedelic therapy certificate programs. Criddle offers a Philosophy and Psychedelics online course and integration coaching, has contributed to Blossom Analysis and Psychedelic Science Review, and co-produced the documentary EntheoMagus exploring the psychedelic origins of Mormonism and the role of entheogens in American occultism.

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United States

American Psychiatric Association

Non-Profit

The American Psychiatric Association is the national medical specialty society for psychiatry in the United States, with headquarters in Washington, DC and a membership base of psychiatric physicians. It serves psychiatrists and the broader mental health field through official position statements, clinical guidance, journals, and public policy communications. Its core activity is to represent psychiatry in clinical, professional, and policy discussions affecting mental health care. APA has an explicit, cautious stance on psychedelics and empathogens in mental health care. Its 2022 position statement says there is not yet adequate scientific evidence to endorse use outside approved investigational studies, while supporting continued research under strong scientific and regulatory standards. In 2024 APA also submitted comments to FDA on MDMA and in 2026 it publicly welcomed federal investment in psychedelic research while reiterating the need for controlled studies and patient protections.

2 trials
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United States

Apollo Neuroscience, Inc.

Private Biotech

Apollo Neuroscience is a US company founded by Dr. David Rabin MD PhD that makes the Apollo Neuro wearable device, which delivers gentle vibrations to modulate the autonomic nervous system, reducing stress and improving sleep and recovery. The company is conducting IRB-approved clinical trials in partnership with MAPS evaluating the device's ability to sustain remission from PTSD following MDMA-assisted therapy, and has published research showing it reduces anxiety and improves integration outcomes in psychedelic-assisted sessions.

1 trial
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Austria

Association for Psychedelic Science and Therapy Austria

Non-Profit

APSTA, the Association for Psychedelic Science and Therapy Austria, is based in Vienna and describes itself as Austria's leading network for experts in psychedelic research and therapy. It serves medical, psychotherapeutic, psychological, and other professional audiences, with a stated focus on connecting professionals and sharing knowledge, best practices, and experience. Its core activities center on networking, setting guidelines and standards, and education and outreach. APSTA presents itself as a professional association focused on safe, responsible, and evidence-based use of psychedelic substances in therapy and research. Its role appears primarily educational and field-building rather than legislative, with emphasis on ethical practice, public information, and interdisciplinary exchange. Documented examples on its site include supporting research projects, promoting standards for therapy and research, and informing the public about opportunities and risks of psychedelic therapies.

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Canada

Atma Journey

Other

ATMA Journey Centers is an Alberta-based Canadian pioneer in psychedelic-assisted therapy, operating clinically supervised locations across Canada while offering comprehensive psychedelic-assisted therapy training programs (ATMA CENA) covering psilocybin, MDMA, and ketamine for healthcare professionals. With 740+ training alumni and 800+ community members, ATMA also operates a clinic network partnership program and Phase II psilocybin clinical trials with Health Canada approval.

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United States

Being True to You

Other

Being True to You (BTTY) is a pioneering Denver-based psychedelic integration and addiction recovery coaching company founded in 2010 by Deanne Adamson, operating the first and most comprehensive Transformational & Integration Coach Training Program with over 500 certified coaches worldwide. The organization offers one-on-one integration coaching, 12-month coach certification, and sitter and retreat staff training, partnering with wellness retreats, ibogaine programs, and psychedelic providers globally.

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Canada

Breakthrough Therapies

Other

Breakthrough Therapies is a Toronto-based ketamine-assisted psychotherapy clinic and training organization founded by Dr. Dawn DeCunha, offering certified KAP training programs (Level 1 and Level 2 mentoring practicum) alongside a clinical KAP retreat program at their Aspenwood location north of Toronto. The organization bridges Trauma Informed and Psychedelically Informed Practice, training clinicians in psychedelic psychotherapy principles while providing patient care.

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United States

Ceiba

Other

Ibogaine preparation, integration, and aftercare coaching platform founded in 2009 by Jonathan Dickinson, former Director of the Global Ibogaine Therapy Alliance. Ceiba provides personalized one-on-one coaching across all phases of the ibogaine experience, grounded in harm reduction, neurodiversity, and spiritual emergence perspectives, and offers a free weekly recovery group for ibogaine treatment alumni.

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United States

Center for Transformational Psychotherapy

Care delivery organization providing specialty or outpatient psychedelic-adjacent clinical services.

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Canada

Centre of the Heart

Other

Calgary-based psychedelic integration therapy practice founded by Charmaine Husum DKATI, RTC, CT, an internationally recognized registered Canadian art therapist and somatic practitioner specializing in ayahuasca, entheogenic, and plant medicine preparation and integration. Drawing on somatic art therapy, Kundalini meditation, dreamwork, and sacred geometry, Centre of the Heart supports trauma recovery and psychological healing, and Husum's forthcoming book Psychedelics & Art Therapy: A Trauma-Informed Manual for Somatic Self-Discovery (Routledge, 2025) is the first of its kind.

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United States

Choose Ketamine

Care delivery organization offering telehealth or hybrid psychedelic-adjacent clinical services.

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United States

Curio

Care delivery organization offering telehealth or hybrid psychedelic-adjacent clinical services.

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Netherlands

Door of Perception

Other

Door of Perception is the practice of Dorien, a Netherlands-based psychedelic guide, coach, and medical anthropologist who co-founded the OPEN Foundation in 2007 and brings over 20 years of experience in harm reduction at festivals such as Kosmicare, Zendo, and Psycare. She offers online courses for safe DIY psychedelic journeys, one-on-one psilocybin truffle sessions in Amsterdam, and training workshops for guides and mental health professionals.

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United States

Enovex Pharmacy

Other

Enovex Pharmacy is a Los Angeles-area compounding pharmacy specializing in ketamine formulations including troches, sublingual tablets, and nasal spray for therapeutic clinic and at-home use. The pharmacy has supplied ketamine products to telehealth providers including Mindbloom for at-home ketamine-assisted therapy programs.

1 trial
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Fireside Project

Nonprofit organization operating the Psychedelic Peer Support Line, providing phone and text support during and after psychedelic experiences with escalation to emergency services where needed.

1 trial
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Estonia

Foundation for Therapeutic Advancement and Innovation with Psychedelics

Non-Profit

TAIP is an Estonian organization advancing science-based approaches to the use of psychedelics in contemporary therapeutic practices.

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Germany

German Society for Psychedelic Research and Therapy

Non-Profit

The Deutsche Gesellschaft für Psychedelische Forschung und Therapie e.V. is a German professional association based in Germany for physicians, psychologists, and other professionals working in psychedelic research and therapy. Its official site describes it as a specialist society that offers information exchange, supports standards and guidelines, and provides expert advice to professional and policy bodies. Membership is intended for professional practitioners rather than the general public. Its field role is centered on the scientific and clinical introduction of psychedelic-assisted therapies in Germany, with explicit attention to evidence, quality assurance, training, and public communication. The organization also says it supports patient- and family-oriented exchange, advises on certification and approval processes, and helps shape structural conditions for possible clinical use. Current site content highlights a 2026 case under Germany's compassionate-use program for psilocybin in depression, an online members' meeting, and planned contributions to the DGPPN congress.

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Guides Collective

Other

Guides Collective is a private community and concierge matching service connecting individuals seeking psychedelic-assisted healing with a vetted network of 600+ practitioners across the US and Canada. All guides undergo in-depth screening, background checks, and must have at least two years of professional experience. The organization also provides business education, marketing support, mentorship programs, and peer community resources to help guides build sustainable practices.

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United States

Harmoniously

Care delivery organization offering telehealth or hybrid psychedelic-adjacent clinical services.

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United States

Innate Path

Other

Innate Path is a Broomfield, Colorado psychedelic therapy clinic and training program specializing in ketamine and cannabis-assisted psychotherapy using a relational, somatic, and Buddhist-informed approach to trauma resolution through non-ordinary states. The center trains psychotherapists in its unique psycholytic model — integrating somatic, psychodynamic, parts work, and attachment modalities — while providing clinical ketamine and cannabis-assisted psychotherapy to patients.

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United States

Innerwell

Care delivery organization offering telehealth or hybrid psychedelic-adjacent clinical services.

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United Kingdom

Institute of Psychedelic Therapy

Non-Profit

The Institute of Psychedelic Therapy (IPT) is a UK-based professional training organization offering a comprehensive two-year psychedelic-assisted therapist training program combining weekly online lectures, in-person meetings, and 5-day experiential residential retreats each year. IPT emphasizes slow, relational skill cultivation, robust ethics, and integration of psychedelic work within long-term therapeutic frameworks, with graduates eligible for professional membership.

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Ireland

Irish Doctors for Psychedelic Assisted Therapy

Non-Profit

IDPAT is an Irish organization of doctors, psychotherapists, researchers, and other healthcare workers advocating for psychedelic-assisted therapy in Ireland. Its patient relevance is real, but it is mediated through clinician advocacy, health-system reform, and public reimbursement arguments. The record should therefore be recast as a multi-role stakeholder rather than a straightforward patient organization. Its public language centers on making psychedelic-assisted therapy publicly available and reimbursed, which is highly relevant to access policy and implementation planning.

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Italy

Italian Society for Psychedelic Medicine - SIMEPSI

Non-Profit

SIMEPSI, the Italian Society for Psychedelic Medicine, is a nonprofit scientific society based in Italy and focused on psychedelic medicine. Its official materials describe it as a multidisciplinary community of doctors, therapists, researchers, and humanists working to advance research and informed discussion on psychedelic compounds and their therapeutic potential. It appears to operate nationally, with a primary focus on the Italian regulatory and clinical context. SIMEPSI presents itself as a field-building organization rather than a patient service provider. Its stated activities include promoting clinical and basic research, sharing knowledge among experts, supporting training and professional development, and collaborating with institutions on regulation and safe access to psychedelic treatments. It also frames part of its role around public education, risk awareness, and discussion of the social and cultural implications of psychedelic practices.

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Journey Clinical

Care-delivery platform for ketamine-assisted psychotherapy enabling licensed therapists to deliver KAP through a coordinated technology and prescriber network model.

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United States

Joyous

Care delivery organization offering telehealth or hybrid psychedelic-adjacent clinical services.

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United States

KetaMD

Care delivery organization offering telehealth or hybrid psychedelic-adjacent clinical services.

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United States

Laura Wiginton LCSW

Care delivery organization providing specialty or outpatient psychedelic-adjacent clinical services.

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United States

Luminous Guide

Other

Denver-based psychedelic education platform founded by Nicole Lilly, a somatic psychologist and healing arts practitioner with over 12 years of experience in entheogenic and psychedelic services, offering courses in the proprietary Luminous Methodology and Philosophy for embodied psycho-spiritual growth. The Luminous Guide specializes in self-guided sacred mushroom journeys, combining somatic psychology, body-centered practices, and sacred technologies for holistic healing and integration.

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United States

Maple Counseling

Non-Profit

Maple Counseling Center is a low-fee nonprofit counseling center in Beverly Hills, California that co-sponsors continuing education courses on psychedelic-assisted psychotherapy for mental health professionals in partnership with the Lifespan Learning Institute. The center promotes evidence-based and emerging therapeutic modalities for the Southern California mental health community.

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United States

Microdosing Healing

Other

Microdosing for Healing is a platform founded by Kayse Gehret that provides coaching, guided microdosing immersions, community support, and professional facilitator training for using plant/earth medicines to support personal, physical, and spiritual healing. It runs courses, a podcast, and certification programs for practitioners and guides.

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United States

Mindbloom

Ketamine therapy platform combining telehealth, digital treatment flow, and app-guided support for depression and related mental health conditions.

1 paper
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Canada

Mindspace

Other

Founded in 2011, Mindspace Wellbeing is a Montreal-based psychology clinic that pioneered psychedelic-assisted therapy in Quebec, becoming the province's first provider of ketamine-assisted psychotherapy for treatment-resistant depression and launching Canada's first psychedelic harm reduction and integration training for clinicians. Acquired by Numinus Wellness in 2021, they continue offering evidence-based psychotherapy alongside ketamine and psilocybin programming.

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Norway

Norwegian Association for Psychedelic Science

Non-Profit

The Norwegian Association for Psychedelic Science advances psychedelic science as a responsible, interdisciplinary, evidence-based field through knowledge dissemination, professional dialogue, and collaboration between research, clinical practice, and society.

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United States

Nue.life

Digital ketamine treatment platform offering app-enabled preparation, guided sessions, and integration support for mental health care.

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United States

Nursing Sacred Medicine

Other

Founded by Dr. Stephanie Van Hope, RN, DNP—a veteran of NYU's psilocybin cancer anxiety study—Nursing & Sacred Medicine offers the only extensive online course platform on psychedelic therapy designed specifically for nurses, blending sacred medicine traditions, current clinical science, and holistic nursing practice. Their self-paced and interactive courses aim to cultivate a psychedelic nursing community and prepare nurses at all practice levels.

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United States

Polaris

Other

Polaris Insight Center is a San Francisco Bay Area ketamine-assisted psychotherapy clinic and APA-approved training center co-founded by MAPS-trained therapist Veronika Gold LMFT, offering a comprehensive KAP training program of online didactic modules, in-person experiential retreats, consultation groups, and a 1–2 year practitioner certificate. The center provides KAP patient care while training clinicians across foundational, advanced, and special topics series in ketamine and psychedelic-assisted therapy.

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United States

Portland Psychotherapy

Other

Portland Psychotherapy is a Portland, Oregon clinic, research, and training center that integrates psychedelic science into evidence-based clinical practice, conducting clinical trials of MDMA-assisted therapy for social anxiety disorder and offering psychedelic integration services. Their distinctive model funds peer-reviewed research through clinical revenue, resulting in exceptionally well-trained therapists in psychedelic-assisted care.

2 trials
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United States

Psychedelic Medicine Association

The Psychedelic Medicine Association (PMA) is a professional association that educates and connects healthcare practitioners about the therapeutic use of psychedelic medicines. It also develops clinical practice guidelines, training accreditation, and related infrastructure to support safe integration of psychedelic therapies into mainstream healthcare.

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Croatia

Psychedelic Society Croatia

Non-Profit

Psychedelic Society Croatia promotes research, education, and ethical application of psychedelics in mental health.

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United States

Psychedelic Support

Other

Psychedelic Support is an online education and therapeutic platform offering accredited continuing education, online courses, and a vetted directory of licensed healthcare providers and community groups focused on psychedelic integration, harm reduction, and clinical referrals. It was founded in March 2018 to advance legal psychedelic-assisted therapies and professional training. ([psychedelic.support](https://psychedelic.support/our-story/))

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United States

Resilience Tucson

Other

Founded in 2019, Resilience Behavioral Health Solutions is a Tucson, Arizona clinic specializing in intramuscular ketamine-assisted psychotherapy (KAP) for treatment-resistant depression, PTSD, and trauma, using approaches modeled on MDMA and psilocybin clinical trial protocols. They also offer AANP-accredited 4-day KAP training programs for licensed clinicians and mental health providers.

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United States

Revitalist

Care delivery organization providing specialty or outpatient psychedelic-adjacent clinical services.

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Royal Australian and New Zealand College of Psychiatrists (RANZCP)

Regional psychiatric college issuing clinical memoranda and implementation guidance on psychedelic-assisted therapy, including MDMA and psilocybin use in regulated psychiatric contexts.

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Netherlands

Sophia & Psykhe

Other

Dutch specialist GGZ practice in Nibbixwoud offering ketamine-assisted psychotherapy for treatment-resistant depression within a psychotherapeutic treatment pathway under psychiatrist and anesthesiologist responsibility.

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United States

SoundMind

Other

SoundMind Institute is a Philadelphia-based psychedelic-assisted psychotherapy training, treatment, and research organization founded by Dr. Hannah McLane, offering a comprehensive year-long Psychedelic Practitioner Training Program and ketamine-assisted psychotherapy treatment. Integrating Indigenous healing traditions with clinical evidence, its nonprofit arm has provided over $280,000 in scholarships to BIPOC and underrepresented psychedelic providers.

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Spain

Spanish Society of Psychedelic Medicine - SEMPsi

Non-Profit

SEMPsi, or the Sociedad Española de Medicina Psicodélica, is a Spanish nonprofit society made up of clinical professionals and mental health researchers. It operates primarily in Spain and appears to serve clinicians, researchers, and other health professionals interested in psychedelic medicine. The group describes its work as promoting therapeutic use and research on psychedelics in an ethical, culturally respectful, evidence-based context. SEMPsi's role is mainly public education, professional formation, and field-building rather than direct patient service delivery. Its manifesto says it produces scientific outreach, training, ethical codes, treatment protocols, and good-practice guidance, and it also aims to advise public and private institutions on clinical use and future legal implementation. Documented current activity includes journal clubs, a university course on psychedelic-assisted psychotherapies, and a parliamentary event in Spain on psychedelic-assisted therapies, as well as coordination with the citizen initiative PsychedeliCare.

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United States

St. Mark'S Place Institute For Mental Health - Unitas

Practitioner-led care organization listed in curated practitioner ecosystem seed data.

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Switzerland

Swiss Medical Association for Psychedelic Therapy (SÄPT)

The Swiss Medical Association for Psychedelic Therapy (SÄPT) is a Switzerland-based professional medical society founded in 1986, with a German-speaking, interdisciplinary membership that includes psychiatry, psychotherapy, neurology, palliative care, and general medicine. It operates nationally in Switzerland and reports roughly 260 members. Its core activities include improving clinical quality in psychedelic-assisted therapy, supporting professional exchange, and providing theoretical and practical training. SÄPT plays a field-building role in Switzerland’s psychedelic medicine ecosystem by promoting research, developing ethical and treatment standards, and supporting practitioners working under Swiss exceptional authorizations. The organization also engages in policy and health-system advocacy on behalf of its members and participates in the IG PAT network, which issues treatment recommendations for psychedelic-assisted therapy. Current documented initiatives include an education calendar, an academy/training offer, research pages, institutional working groups, and an ombud/service function for people seeking information about psychedelic therapy.

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United States

Telos

Other

Founded in 2019 by Dr. Rafael Gonzalez-Vizoso and Scott Ross, Telos is a Mountlake Terrace, Washington practice offering ketamine-assisted psychotherapy through a collaborative model that enables licensed practitioners to integrate psychedelic-assisted therapy into their practices. They also offer training in core competencies of ketamine-assisted therapy for mental health providers.

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United States

The Center for Transformational Psychotherapy

Care delivery organization providing specialty or outpatient psychedelic-adjacent clinical services.

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The Roots to Thrive Society for Psychedelic Therapy

A Canadian nonprofit healthcare organization based in British Columbia offering evidence-informed, community-based psychedelic-assisted group therapy programs. Canada's first organization to receive Health Canada Special Access Program approval for psilocybin group therapy, Roots to Thrive serves patients with PTSD, treatment-resistant depression, and end-of-life distress through Indigenous-informed, trauma-centered care.

1 trial
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United States

Wondermed

Care delivery organization offering telehealth or hybrid psychedelic-adjacent clinical services.

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Frequently asked questions

What does a practitioner-led psychedelic care organisation actually do?

These organisations are defined by the lead profession, not by the building. Some are psychiatry-led or psychotherapy-led clinics, others are nursing-led or pharmacy-led service providers, and some focus on facilitation, medical support, peer support, or professional education.In Oregon’s regulated psilocybin system, for example, licensed facilitators provide preparation, administration, and integration sessions at licensed service centres, which is a different model from ordinary medical prescribing.[1]

How is this different from a conventional mental health clinic?

A conventional clinic usually works within standard medical or psychotherapy pathways, whereas practitioner-led psychedelic organisations may add specialised screening, dosing-session support, and post-session integration. That does not automatically make them better or worse, but it does change the staffing mix, the consent process, and the risk management burden.The FDA has specifically asked researchers to think carefully about subject safety, trial conduct, and data collection in psychedelic drug development, which reflects how operationally different these treatments are from routine care.[1]

Is ketamine the same thing as psychedelic therapy?

No. Ketamine is a dissociative anaesthetic that is sometimes used off label in psychiatric care, while esketamine is an FDA-approved nasal spray for treatment-resistant depression and has a formal safety programme. The FDA says ketamine itself is not FDA approved for any psychiatric disorder, and it has warned about risks including blood pressure increases, respiratory depression, misuse, and bladder problems.That is why the governance and monitoring standards in ketamine-led organisations matter so much.[1]The DEA also classifies ketamine as a controlled substance and notes its approved medical uses in anaesthesia, with esketamine as the depression product.[2]

What evidence should I look for before trusting one of these providers?

Look for a clear explanation of the indication, the treatment model, the screening process, and what outcome data the organisation actually collects. If the provider is making broad claims, especially about multiple diagnoses or guaranteed transformation, that should be treated cautiously.The best available evidence still comes mainly from controlled studies and systematic reviews, which say benefits are plausible but the certainty is low and protocols vary widely.[1]Professional bodies such as the APA say continued research should follow the same scientific and regulatory standards used for other promising treatments.[2]

What are the main safety concerns?

The main issues are acute psychological reactions, cardiovascular effects, misuse risk, and the possibility that a difficult or destabilising experience is not well managed. For ketamine, FDA highlights psychiatric events, blood pressure increases, respiratory depression, and bladder symptoms, while systematic reviews of classic psychedelics show adverse events do occur even in research settings.Safety also depends on setting, staffing, and follow-up, not just the substance itself.[1]Recent reviews of psychedelic trials note that robust long-term monitoring frameworks are still lacking.[2]

Can nurses, pharmacists, or facilitators lead psychedelic services, or must it be a doctor?

That depends on the jurisdiction and the service model. Oregon explicitly regulates psilocybin facilitators and service centres, and the Oregon Medical Board says its licensees may act as facilitators without that being considered practising medicine, although they should not present psilocybin as a medical service within their medical licence.Professional groups for ketamine, nurses, and psychedelic practice have also published standards or ethical frameworks, but these are not the same thing as universal legal permission.[1]There are practitioner associations, such as ASKP3, OPENurses, and the Psychedelic Medicine Association, that try to define best practice and training standards within their own professional lanes.[2]Those standards can be useful, but they do not replace local law or clinical governance.[3]

Why do some services operate across borders or outside traditional medicine?

Because legal access is uneven. Some countries and states allow certain psilocybin or retreat-style services that are not available in ordinary medical practice, while other places restrict psychedelic treatment to research or tightly controlled medical use.That can widen access, but it also creates a weaker safety net, more variable oversight, and a harder question for patients about what happens if complications arise or if their usual clinician is not involved.[1]Oregon’s own public materials emphasise preparation, safety planning, and referral when needed, which shows how much the model depends on good triage rather than on the session alone.[2]