Integration Services: For Psychedelic Therapies and Beyond

In the past year, I have been in a nine-month training program for ketamine-assisted psychotherapy (KAP). I have previously written on the topic of psychedelic therapy here, and have been offering integration services for clients since early 2020.

For those of you who aren’t familiar with what integration therapy is, here is a brief description: when a person knows ahead of time they will be undergoing ketamine-assisted therapy (the only legal form of medicine-assisted therapy available), it is recommended they connect with a therapist to help prepare them for the sessions. These preparation sessions can help to process the goals of seeking KAP or other forms of plant medicine therapy. While I can help a client to set their intentions and plan for aftercare, I can not recommend clients seek to use illegal substances. Since I practice a harm-reduction model to substance abuse, clients are encouraged to discuss their plans while not expecting me to give direct feedback to use of illegal substances.

There are other indications for potential clients to utilize integration services. I have had several clients who either knowingly or unknowingly injested a psychedelic substance, and had a very challenging experience with ongoing symptoms long after the substance has exited their system. Integration services can help a client process these challenging experiences, much like in trauma therapy. Other instances where integration work can be helpful are: after any type of psychotic episode, prolonged depersonalization or derealization, or deep existential crisis.

Very often, KAP is done in a series of sessions for the most effective, symptom reducing treatment possible. It is recommended that clients have regular integration sessions after their KAP sessions in order to process and make sense of what they have experienced into their every day life. Clients often find these sessions to be very useful, especially when they experience great relief in symptoms, but don’t always remember what to work on. Most types of psychedelic sessions, if done well, provide an opening in a client’s life to make more significant, long-lasting changes in therapy they might have previously struggled to implement.

To demonstrate this point, behavior change is one of the hardest things to consistently implement for clients. After several of my plant medicine experiences, I received clarity in the areas where I wanted and needed to make changes. Most of these changes come in the way of lifestyle medicine, otherwise known as biohacking. The simplest example of implementing lifestyle medicine is with consistent nutrition and exercise that will support my ongoing healing process. One of my main areas of lifestyle medicine is using nature: the sun, water, ground, and fire sources to help balance my body and mind.

This morning I wasn’t feeling well. In order to aide in my bodies immune response, I drove to my nearby freshwater spring. I have made lifestyle changes to live in an area where I can access natural elements year round. Taking a morning plunge in the 68 degree water, swimming around, and then sunning off, was medicine for my body, mind and spirit.

If you are curious about ketamine-assisted therapy—which I don’t provide directly—integration services for previous or upcoming plant medicine journeys, or want to know more about working with me, please fill out my online application here, see my provider listing in psychedelic support here, and read more about my personal experience with plant medicine here. I wish you well in your journeys!

After a morning soak in the freshwater springs.

Nervous System Health: For Ourselves, Our Families, and Our World

A few months ago, I had the privilege of presenting a webinar on nervous system health to a group of employees at Self Esteem Brands.

Being a wellness company, their mission is to have learning that supports their vision of helping their employees navigate the transitions we are all experiencing in today’s world.

Jessica Schneider, who spearheads the organization of this learning series, did an amazing job of moderating, and provided structure to the formatting for the topic to engage the participants.

In this recording, you will learn the basics of:

• The autonomic nervous system, along with the sympathetic and parasympathetic branches that help regulate our feelings of safety or danger,

• How Polyvagal Theory is a framework that helps us understand our nervous systems three-tiered response to stress,

• What is the vagus nerve, and how does it affect our gut and our overall nervous system health

• What is trauma, acute stress disorder, and post-traumatic stress disorder in relation to nervous system health

• How to use cueing such as self-attunement to help regulate your own nervous system and teach your kids to do the same

• What other tools are available for us to stay regulated in a time where resources and movement can be limited.

If this webinar inspires you, please share it with your family and friends. If you have feedback or questions for me, I’d love to hear about it! Send me an email or contact me via my online application if you’re interested in working with me.

Video Credit: Self Esteem Brands, Inc.
Presentation: All images and theories are given credit

For more info: Send me a message or contact me via my online application!

Acute and Chronic Stress during COVID-19: An Interview

Last week I had the wonderful opportunity to speak to Christa Rymal, founder of The Point Retreats in northern Minnesota. Christa’s background in nursing and healthcare administration immediately sprung into action with starting a “Facts and Feedback from Frontline Healthcare Professionals.”

My interview focuses on the signs and symptoms of acute and chronic stress during our global pandemic, along with discussing how we can help each other together through this unusual time. Please watch, listen, and share with your loved ones. Enjoy!

We asked Chronic Stress expert and Trauma|PTSD Therapist Amy Pico, for help understanding the unhealthy feelings popping up as we're social distancing, how t...

Quarantine Hacks: Giving

Last Friday, before our statewide “shelter in place,” I attended my own therapy session. Sitting in my car, a man approached my door. After instructing him to stay a few feet away from my window, I rolled it down and we began to chat. 💴

He asked for some money for some food. I gave him $5, and we began to talk about the virus. He gave me his theories, while telling me a story of when the power was out over several states and he and some friends drove down to where there was power and light. 💰

After I told him I had to go inside, he thanked me, and I wished him well. I would love to say that this is something I did before all of “this.” That would be a lie. My kindness had more limits before the virus. I’m noticing now that it’s expanding to encompass the needs presented before me. 💵

I am in a position of extreme privilege where I have an education and career that allows me to continue to make money during this global pandemic. Therefore, my last quarantine hack comes from a place where I have the capacity to give, where I know many are physically, financially, and emotionally tapped out. This is my disclaimer.

Quarantine Hack 5: Giving

Giving doesn’t have to be monetary. Many of my clients have huge hearts and have asked “What do I do about all the people in need?” Here’s a few ideas:

1. Looking for the natural opportunities: while donating is wonderful and worthwhile, it can sometimes feel impersonal. Looking for natural ways to give, like getting groceries delivered for a family member, or calling your elderly family who are more shut in.

2. Taking extra care: I’m enjoying the opportunity to mail things to others and including a nice handwritten note. Giving can simply be sending a card and writing an update about your life. I find this mode of communication so heartfelt. 

3. Time: how many of us have more time? How about giving some of ti to others? As we warm up for spring, who needs help with their yard? What can I give myself in way of quiet time or time just sitting under a tree?

Remember I still have CO-PAY FRIDAY in effect as a way to give back. 30-minute sessions for the price of a copay. Please email me or share with friends who you think are in need. Perhaps even gift someone a session? 

Quarantine Hacks: Laughter

Today was filled with meetings and client calls. I am feeling the collective tension of our joint isolation. I am also choosing to laugh.

Does this make you laugh? I hope so!!

Laughter is medicine, they say. Laughter heals, they say. And yet…I don’t remember having much of a sense of humor as a child. My younger sister was the clown of the family. My humor began to develop as a form of self-deprecation along with a hint of macabre. Definitely NSFW material as I’ve gotten older. 

Our sense of humor is great and diverse. Humor in the States is different than other countries. It is cultural, regional, and local. How can we use this universal emotion for our good during these times of uncertainty? 

1. Rely on familiar: What gives you a good belly laugh? What stand up comic gets you going every time? What meme account is your go-to for a good chuckle? Watch, visit, or listen to these sources regularly. 

2. Let yourself go all out: With so many of us in isolation, now is the time to let yourself laugh at the things that may make others cringe. With our senses being on high alert, being able to have freedom to laugh at our own humor style can be relieving and refreshing. 

3. Find the commonality in a laugh: I am learning to laugh at myself and the more universal ways we can connect. Watching my cousin’s baby feed himself yogurt? Funny and adorable. Seeing how my dog throws me her toy for fetch? Funny. Seeing myself trip on an imaginary bump on my floor? Priceless. 

When we use laughter as a healthy outlet, we can see the benefits of release. Laughing reduces tensions, massages our organs (ala Tiffany Haddish), and we can learn to reset from these moments of levity. Let’s all continue to laugh friends. We all need it, even in the midst of suffering, sadness, and confusion. 

Quarantine Hacks: Quality Connections

Me and my girlfriends having our “wine night” via Zoom last week :)

What have your connections been like with others since the virus/quarantine? If you’re like me, they have ranged from weird, amazing, uplifting, stressful, tense, and all over the place. We may not be able to control how our loved ones are responding, but we can focus on giving ourselves the best chance of feeling better when we do connect. The third quarantine hack is learning how to utilize and have the best quality connections. 

Quarantine Hack #3: Quality Connection

As a result of hiring a therapist turned business coach almost six years ago, I learned what it would take to transition my business to online coaching. During this time, I began to meet like-minded women who were also looking to live a different way.  I began to see what it was like to develop a “tribe” (I don’t particularly like this word, but it gets the point across). 

As the years passed, I attended retreats with some of these women. I took other online classes, and went on more retreats to connect with people all over the world who wanted their lives to be a natural way to generate heart-centered business. In meeting and making friends with so many people through this exploration, my connections span the globe. 

During this uncertain time, I see this momentum of connecting through online spaces gaining even further traction. In finding so many friends through online spaces of learning, here is what I have gained from the value of connection: 

1. Connections don’t have to be organic: Most of the people I would consider friends now, are ones I have met through an online program.  I still have friends in my town, but I value the diversity of my support as a result of moving in online spaces for like-minded connection. 

2. Connections don’t have to be frequent: Being a hard-core introvert, I don’t need constant contact with people to feel fulfilled. In fact, having connections in the online world means I can pick up a conversation with someone I haven’t talked to in years. I can also send a brief message to someone, knowing that we speak the same “language,” and don’t need to have a long conversation. 

3. Connections don’t have to be stressful:  The biggest lesson I have learned in developing connections through like-minded interests is this: the quality of the connection/conversation is much more important that the amount. Having just one quality connection on a regular basis is water to my soul.  If I do find myself in a stressful conversation, I can enact my ability to extend compassion or exert boundaries when needed.

How are you connecting or reconnecting with others? We are being asked to reach out in different ways, and I hope you are enjoying having FaceTime, Zoom, or phone conversations with old and new friends alike! Stay connected, friends. It is what will keep us sane and grounded.