Psychedelic Therapy Gains Popularity, But Requires Trained Counselors

Psychedelic-assisted therapy can help with PTSD, depression, and more, but working with the right counselor is key to a safe and effective experience.

Published on Feb. 9, 2026

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Psychedelic-assisted therapy (PAT) is emerging as a promising treatment for conditions like PTSD, depression, and addiction. However, it requires working with a properly trained counselor, not just a 'trip sitter.' PAT counselors have specialized training and qualifications to guide clients through psychedelic journeys and help them integrate the insights afterwards. Factors like creating a safe environment, managing challenging experiences, and providing emotional support are all crucial for a successful PAT session.

Why it matters

As psychedelics like ketamine, MDMA, and psilocybin gain acceptance for therapeutic use, it's important for people to understand the difference between working with a qualified PAT counselor versus an untrained 'trip sitter.' The right counselor can make a huge difference in helping clients process trauma and achieve lasting benefits from psychedelic therapy.

The details

PAT counselors typically hold advanced degrees in counseling or social work, are licensed in their state, and have received specialized training from organizations like PRATI, the Mind Foundation, or the California Institute of Integral Studies. Their role is to prepare clients for the psychedelic experience, provide support and guidance during the journey, and help integrate the insights afterwards. This can involve techniques like creating a calming environment, communicating with clients during challenging moments, and using physical touch to provide grounding. Proper training is essential, as psychedelic experiences can be intense, especially for those working through trauma.

  • Psychedelic-assisted therapy has gained momentum in recent years as more states legalize the use of substances like psilocybin.

The players

Gina Gratza

A licensed marriage and family therapist based in Portland, Oregon who facilitates journeys with ketamine, MDMA, and psilocybin.

Betty Warden

A licensed clinical social worker who practices psychedelic facilitation in Bend, Oregon.

Zappy Zapolin

A 'psychedelic concierge' who has worked with notable clients including the retired L.A. Laker Lamar Odom and actor Michelle Rodriguez.

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What they’re saying

“Psychedelics can serve as revealers rather than the ultimate healers. It shows you what needs to be worked on in your waking life and from there the integration work begins.”

— Gina Gratza, Licensed marriage and family therapist (menshealth.com)

“It's important to create an environment for people, especially if you're in a city and there are sirens going by, traffic, or other potential distractions. We're not doing this ceremoniously out in the jungle, and we have to help manage for that.”

— Betty Warden, Licensed clinical social worker (menshealth.com)

“My desire as a facilitator has been to tell a different kind of story so we think of psychedelics in a mainstream way. I want to reduce the stigma and help people understand what it means to use psilocybin for healing.”

— Betty Warden, Licensed clinical social worker (menshealth.com)

What’s next

As more states legalize the therapeutic use of psychedelics like psilocybin, the demand for qualified PAT counselors is expected to grow. Individuals interested in exploring psychedelic-assisted therapy should research licensed practitioners in their area who have received specialized training.

The takeaway

Psychedelic-assisted therapy holds great promise for treating conditions like PTSD, depression, and addiction. However, working with a properly trained and licensed counselor is essential to ensure a safe and effective experience. The right PAT practitioner can guide clients through challenging moments and help them integrate the insights gained from their psychedelic journey.