Why ‘Psychedelic Assisted Therapy’ Isn’t Actually Talk Therapy

Have you ever wondered why certain things are called therapeutic but not labeled a “therapy”? There is a common misnomer when it comes to therapeutic psychedelic use.

An increasing number of people are searching for medicinal, supported ways of engaging with mind-altering substances, likely due to recent developments in psychedelic research proving their benefits for mental health conditions and trauma healing. 

This article unearths the semantic nuances that differentiate our approach here at Psychedelic Passage, and most importantly, address misconceptions between psychedelic therapy, psychedelic facilitation, and talk therapy. 

Our endeavor is to illuminate the intricate interplay between what individuals seek—a path to healing and personal growth—and the implications of regulatory definitions.

It is also important to note that, while the two are entirely distinct services, combining psychedelic therapy and talk therapy can be supportive and necessary companion treatments. 

In this article, we will be covering the misconceptions and discrepancies revolving around the common search for “psychedelic assisted therapy” and the genuine quest for support around engaging with psychedelic medicines. 

The Evolution of the Term “Therapy”

The word “therapy” carries a weight of history, tradition, and transformation. Rooted in the Greek term “therapeia,” meaning “to attend” or “to serve,” its evolution over centuries has shaped our understanding of healing and wellness.

Historically, therapy encompassed a range of practices aimed at alleviating physical and mental ailments. From ancient civilizations to medieval times, therapeutic approaches varied widely, drawing from spiritual rituals, herbs, baths, and massages. 

These methods were deeply intertwined with cultural beliefs and often combined elements of spirituality, mysticism, and medicine.

Fast-forward to the 19th century, and the rise of modern medicine brought about a shift in the concept of therapy. 

With the emergence of psychoanalysis and behavioral psychology, therapy became associated with the treatment of psychological and emotional distress. 

The introduction of talk-based approaches, where individuals engaged in conversations with trained professionals, marked a pivotal moment in therapy’s evolution.

In the early 20th century, the term “therapy” started to find its way into the medical lexicon. Various modalities, such as psychotherapy, occupational therapy, and physical therapy, solidified its place in the realm of healthcare. 

The focus shifted towards structured interventions guided by trained practitioners, leading to the development of standardized methodologies and professional ethics.

The 21st century witnessed a broader recognition of holistic well-being, encompassing not only the physical but also the emotional, mental, and spiritual aspects of health. 

Integrative therapies, which combine conventional medical practices with complementary approaches, gained popularity. 

This shift reflects a growing awareness of the interconnectedness of the mind and body, shaping the contemporary understanding of therapy.

In the context of mental health, the word “therapy” now embraces a wide spectrum of approaches, from cognitive behavioral therapy to art therapy, from dialectical behavior therapy to mindfulness-based therapy. 

Its connotation extends beyond treatment to prevention, personal growth, and enhancing overall quality of life.

However, within the realm of psychedelics, the application of the term “therapy” encounters legal and regulatory complexities. 

The nature of facilitated psychedelic experiences and the distinct skills of guides often diverge from the traditional therapeutic model. 

The label “therapy” may imply a regulated clinical setting that doesn’t align with the current legal landscape. 

As a result, the evolution of therapy takes on new dimensions when juxtaposed with the transformative potential of psychedelic experiences.

While the term may be firmly established within the context of conventional therapy, the nuances of psychedelics challenge us to explore its boundaries and redefine its role in the modern landscape of healing.

Talk Therapy Versus Psychedelic-Assisted Therapy 

Talk therapy, a cornerstone of modern psychology, encompasses a range of approaches that rely on verbal communication as the primary conduit for facilitating healing and self-exploration. 

Practitioners engage in open dialogue with clients, unraveling intricate emotions and thoughts, delving into the past, and engaging with the conscious mind through narrative. 

The crux of talk therapy lies in the exchange of words, where individuals share their thoughts, emotions, and experiences, guided by the skilled hand of the therapist.

In contrast, many non-conventional therapeutic approaches transcend the confines of dialogue alone. It introduces immersive experiences and alternative practices that augment traditional methodologies with transformative encounters. 

Types of Talk Therapy:

• Cognitive Behavioral Therapy (CBT)
• Psychoanalytic Therapy
• Psychodynamic Therapy
• Humanistic Therapy
• Dialectical Behavior Therapy (DBT)
• Gestalt Therapy
• Art Therapy
• Family and Couples Therapy
• Group Therapy

On the other hand, while the term “psychedelic-assisted therapy” seems apt, the legal and regulatory landscape mandates caution in its usage. 

Psychedelic-assisted therapy implies that a licensed therapist will be residing over the ceremony in a clinical, regulated setting, but we know that—with the current legal status of psychedelic substances in most states—this is not feasible.

It’s important to recognize that the talk therapy techniques are not always useful, helpful, or healing during a trip. For example, oftentimes a majority of a journey is spent in silent inner reflection and witnessing. 

In other instances, the journeyer experiences states of nonverbal emotional catharsis, expression, or even engages vocally or verbally, but trying to engage in a rational or methodical way—like in talk therapy—would be pointless. 

Lastly, the skills utilized by a therapist during a talk therapy session are distinct from the skills and expertise used by a facilitator during a psychedelic journey.

The presence of someone who has extensive experience with the inner psychedelic states and landscapes and who has experience sitting for others during such a vulnerable time is far more valuable than a license. 

Most importantly, we encourage you to prioritize thorough preparation in which you understand what qualifications are a priority for you when pairing with a facilitator.