In this roundtable discussion from NDNR's Mental Health & Insomnia issue, Dr. Kareem Kendi (Medical Director, NDNR), Dr. Natasha McLay (Medical Editor, NDNR), and Dr. Node Smith (CE Director & Associate Editor, NDNR) explore the rapidly evolving field of psychedelic-assisted psychotherapy and how naturopathic medicine is uniquely positioned to lead within it.
Topics covered:
- Introductions and backgrounds of the three panelists
- Overview of psychedelic-assisted psychotherapy — psilocybin, ketamine, plant medicines, and beyond
- Set and Setting: The foundational framework for safe and effective psychedelic therapy
- What "set" means: mindset, intention, preparation, and psychological groundwork
- What "setting" means: the physical environment, facilitator, cultural/religious neutrality, and home life context
- The critical role of preparation and counseling before a psychedelic session
- Integration: what happens after the experience
- Journaling, breath work, meditation, and giving space for the experience to unfold
- Waiting 24–48 hours before discussing the experience with others
- How breakthroughs can emerge days, weeks, or even months later
- Naturopathic medicine's holistic edge: incorporating nutrition, sleep, breath work, and lifestyle into the psychedelic care framework
- Dr. Node Smith's approach to "psychedelic therapy without a psychedelic" and conscious development work
- Closing reflections on patient selection, limitations of psychedelic therapy, and avoiding the "silver bullet" mindset
Resources mentioned:
- The Witness and the Four Behaviors by Charlie Ley (ND, Boulder, CO)
- NDNR Continuing Education Platform — ndnr.com
- Dr. Waters' article on ketamine history (in the Mental Health issue)
- Erica Zan's work on difficult vs. harmful psychedelic experiences
Connect with NDNR:
- Website: ndnr.com
- Submissions & partnerships: editor@ndnr.com