Foundations of Psychedelic Psychotherapy

Psychedelic Psychotherapy

Foundations of Psychedelic Psychotherapy:
at a glance

Credential(s) Earned: Certificate of Completion


Program Length: 15 weeks; Approximately 100 hours


Start Date: September 7, 2022


Tuition: $2,500


Application Deadline: June 30, 2022


Description

Psychedelic psychotherapy is poised to be an important breakthrough in the treatment of mental illness in this generation. Phase III trials for MDMA-assisted psychotherapy are close to completion and government regulation of MDMA and psilocybin are expected within the coming years. Just around the corner, physicians will be able to prescribe these medication-assisted therapies for a variety of indications and Canada needs trained therapists who can deliver this treatment.

This Foundations Course will provide a broad introduction to the knowledge, skills and attitudes required to provide effective and ethical psychedelic psychotherapy. Candidates for this course will be registered health professionals whose scope of practice includes psychotherapy, who possess a passion for the field of psychedelic therapy and have an interest in developing a pathway to practice in this area.

Hosted in conjunction with the Nikean Psychedelic Psychotherapy Research Centre and guided by the Nikean Centre’s values of humanity, collaboration, diversity/equity/inclusion and interconnectedness we seek to cultivate and support a community of learners who will work together to shape the future of Canadian psychedelic psychotherapy.

The program features evidence-based knowledge, experiential learning, teachings from multiple perspectives with a strong emphasis on safe and ethical practice. The foundations course is our first offering and will open up access to later more advanced trainings that are in development.

 

Applications Now Closed!

Please note: International applications will not be considered this cycle

 

 

Objectives / Outcomes

By the end of the Foundations Course, trainees will:

Knowledge

  • Discuss the history of psychedelics including Indigenous and Canadian histories.
  • Understand the Indigenous use of plants and fungi in the service of healing and beyond, and identify how to weave an Indigenous worldview into modern psychedelic therapy practice.
  • Understand the pharmacology, neuroscience, mechanism of action and research evidence of the major psychedelic compounds, with a focus on psilocybin, MDMA and ketamine.
  • Understand how psychedelic therapy is being applied to a wide range of indications including posttraumatic stress disorder, major depressive disorder, end-of-life distress, and others.
  • Understand the legal and regulatory context of psychedelics in Canada, discuss the risks and potentials of commercialization and describe future post-prohibition models.
  • Recognize and understand non-ordinary states of consciousness (NOSCs) and point to the wide range of material that can arise in a psychedelic session using Dr. Stansilav Grof’s cartography of the mind, along with other theories.
  • Bridge scientific and spiritual knowledge and develop an understanding of transpersonal states and mystical experiences.
  • Appreciate the somatic components of psychedelic healing and how to work with the body in NOSCs.

Skills

  • Demonstrate how to screen and assess patients for psychedelic therapy, including knowledge of indications, contraindications and other safety considerations.
  • Learn how to prepare patients for psychedelic work in a skilled and sensitive manner.
  • Show the ability to safely and effectively guide patients in dosing sessions including:
    • How to use an inner-directive approach
    • How to create a safe container for medicine sessions including the use of music and the safe and ethical use of touch and bodywork
  • Understand and facilitate integration of the experience for the patient including how to recognize and work with integration challenges and spiritual emergencies.
  • Work as part of a dyad as per the standard in the field.
  • Engage in a harm reduction approach to support patients who choose to use psychedelics outside of the clinical settings.

Attitudes

  • Exhibit trust in the medicines, in the inner healing intelligence of the patient and in themselves.
  • Understand the unique ethical challenges of working in NOSC and maintain a commitment to practicing with the highest ethical standards.
  • Understand the principles and tools of the InnerEthics™ Model (Kylea Taylor, 2020) including the importance of self-reflection, how to maintain right relationship with clients and how to repair ruptures when missteps occur.
  • Explore how to build diversity, equity and inclusion in psychedelic communities.
  • Engage in their own experience in NOSCs through breathwork and demonstrate a commitment to their own process of healing, self-actualization and consciousness expansion.

Who Is This Program Intended For?

The program is designed for healthcare professionals whose scope of practice includes psychotherapy. Candidates for the Foundations Course will be individuals who possess a passion for the field of psychedelic psychotherapy and demonstrate a strong interest in developing a pathway to an enduring practice.

The program is geared specifically for the those trained and practicing in one of the following disciplines:

  • Clinical Psychology
  • Social Work
  • Psychotherapy (including clergy/spiritual care providers and music therapists who are regulated psychotherapists)
  • Family Medicine
  • Medicine (with ability to provide psychotherapy)
  • Psychiatry
  • Nursing (including Registered Practical Nursing, Registered Nurses and Nurse Practitioners)
  • Occupational Therapy
  • Trainees in Psychiatry (at the PGY4 or PGY5 level)
  • Trainees in Clinical Psychology (who have completed at least two years of their PhD program)

Content and Format

The Foundations of Psychedelic Psychotherapy Course will be delivered in a hybrid/blended learning structure including both in-person and virtual learning.

The course includes:

  • Weekly pre-recorded lectures that learners can watch at their own pace (2 hours per week) taught by experts in the field.
  • Weekly live virtual sessions every Wednesday from 6-8 pm EST facilitated by expert teachers and course directors, allowing for deeper exploration of the material through Q and A, breakout groups, role plays, experiential exercises and other interactive methods of learning.
  • Two in-person weekends retreats, centered around a breathwork experience led by certified Holotropic Breathwork(TM) facilitators.
  • One live, virtual weekend covering the InnerEthics(TM) Model taught by Kylea Taylor, psychedelics and the body, and the patient perspective.

Participants will have access to online content, including various tools and resources. They will be expected to participate in online discussion forums and regular reflective exercises.

Content areas include:

  1. Science and Law (pharmacotherapy, neuroscience, research evidence base, regulatory practices in Canada, history of psychedelics).
  2. Culture and Spirituality (justice, equity, diversity, and inclusion; mystical experiences, Indigenous cosmology, traditions for expansion of consciousness).
  3. Therapeutic Skills (assessment including contraindications; de-prescribing; dosing sessions; preparation; sound and music, bodywork, integration).
  4. Ethics and Self Care (integrity; boundaries; communication; peer supervision; harm reduction).
  5. Experiential Learning (somatic awareness, mindfulness, group sharing, breathwork).

Course Dates

Wednesdays

Live lectures and discussion from 6:00 – 8:00 pm EST each week from September 7th, 2022 to December 14th, 2022

Weekends

Friday, September 30th, 2022 to Sunday, October 1st, 2022

  • Holotropic Breathwork Weekend 1
  • In person at Lotus Heart Retreat Centre near Brighton, Ontario (approximately 2 hours east of Toronto)

Friday, November 4th, 2022 to Sunday, November 6th, 2022

  • Holotropic Breathwork Weekend 2
  • In person at Lotus Heart Retreat Centre

Friday, December 2nd, 2022 to Sunday, December 4th, 2022

  • Virtual weekend

 

Important Notice re In-Person Meetings:

To ensure that the breathwork experiential retreats are safe for all trainees and teachers, we will require a negative PCR test 72 hours prior to the retreat weekends (or proof of a positive COVID infection in the past 90 days) and all participants and staff will also be rapid tested on arrival at the retreat centre.

Confirmed Faculty and Instructors

Educators for the certificate program will be a cross-section of academic experts, experienced clinicians, community builders and Indigenous healers who, using a variety of methods and media, will engage candidates to learn about the work of psychedelic-assisted psychotherapy and develop professional and ethical excellence with a commitment to lifelong learning.

Course Directors

Emma Hapke, MD, FRCPC
Daniel Rosembaum, MD, FRCPC
Yarissa Herman, DPsych, CPsych

Confirmed Faculty 

Erika Dyck, BA, MA, PhD
Sean O’Sullivan, MD
Donna Rosenthal, BA
Ronald Shore, MPA, PhD (candidate)
Mark Cornfield, MD, FRCPC
Susan McBride, RN, MTS, MSW
Anthony Bossis, PhD
Kylea Taylor, MS, LMFT
Emily Zarb, RP
Kenneth Tupper, PhD
Ido Siemion, PhD
Todd Haspect, BA, MEd, RCC

More faculty will be announced shortly. Detailed faculty profiles coming soon! 

Tuition

The tuition for this program is $2,500. This includes all program components, including online programming and two in-person weekends. The first iteration of this program is a pilot and we have substantially reduced the cost for the first cohort. We will encourage our first cohort to support the program’s development through participation in evaluation of the course.

Breathwork in the Foundations of Psychedelic Psychotherapy Course

Breathwork is a method of intentionally altering the pattern of one’s breathing under supportive conditions. This practice can induce a non-ordinary state of consciousness (NOSC) which resembles the psychedelic-occasioned NOSC – including altered sensory perceptions, intense and varied emotions, emergence of unconscious material and even transpersonal or mystical-type experiences. Breathwork involves a combination of voluntary hyperventilation (i.e., a period of sustained, deep, and rapid breathing), music (which is carefully curated by the facilitators and plays throughout the experience), and contextual factors (i.e., “set and setting”). Breathwork does not involve the ingestion of a psychedelic substance.

During the Foundations Course, breathwork will be offered over two separate, in-person weekend retreats. These will be conducted in a group setting and led by Dr. Sean O’Sullivan, Donna Rosenthal and Susan McBride who are certified in holotropic breathwork and highly experienced facilitators. The course directors and teaching assistants will also be present during the breathwork sessions to provide additional support to the facilitators and participants as needed. On these breathwork weekends, participants will take on the role of both “breather” (i.e., engaging in the focused, sustained breathing that can bring about alterations in consciousness) and “sitter” (i.e., directly supervising an individual “breather” during their experience). In this way, workshop participants will have the opportunity to inhabit the “patient role” and have their own experience of a NOSC. They will also get to practice the principles and techniques of attentive, non-directive support that will apply to future practice with patients in psychedelic-assisted psychotherapy. Each session lasts up to 3 hours, with breathers laying on floor mats throughout. Emotionally-evocative music is curated by the facilitators and plays over speakers at a high volume during the session; music is considered a core component of breathwork as it complements the sustained changes in breathing which can bring about a NOSC.

Another component of breathwork involves the option of receiving therapeutic touch. There are two types of touch that may be offered during a breathwork session if the participant consents in advance. The first is reassuring touch such as holding hands, and this may be offered by the sitter as appropriate or by the facilitators. The second type of therapeutic touch is a form of bodywork called focused energy release which includes putting pressure on certain areas of the body where energy may be stuck to aid in somatic processing. In this training only the facilitators will be offering focused energy release to participants who have consented in advance with sitters providing assistance as needed. Finally, there are occasions when participants may need containment for safety which may involve the use of pillows for gentle restraint to keep the breather and fellow participants safe. Detailed discussion of consent, safe boundaries and the procedures for therapeutic touch will be conducted in advance of the breathwork sessions.

Breathwork facilitators attend to all elements and stages of breathwork, including:

  • Comprehensive screening assessments with participants (see further information below)
  • Careful preparation of all participants, including detailed instructions for both “breathers” and “sitters” and an orientation to the variety of potential experiences that might come up during breathwork sessions
  • Discussion about the use of therapeutic touch, including informed consent, clear communication about the “STOP” word, and the fact that there is never any sexual touch
  • Monitoring and providing support to sitters and breathers alike as needed during breathwork sessions
  • Therapeutic touch as needed for breathers during the breathwork sessions
  • Integration work, which includes discussion of the experience in a group setting as well as exploration and encouragement of ongoing activities to continue reflecting on the experience and integrating it into daily life
  • Ensuring safety of participants throughout each stage of the process

The Foundations of Psychedelic Psychotherapy Course does not intend to train therapists to be breathwork practitioners. While there are obvious differences between the practices and experiences of breathwork and those of psychedelic-assisted psychotherapy, there are also common elements which we anticipate will provide a valuable learning opportunity for trainees in our certificate program. For example:

  • Both practices involve inner-directed experiences intended to bring about a NOSC
  • A curated playlist of music runs throughout the experiential session
  • Emphasis is placed on contextual factors (i.e., “set and setting”) as key determinants of participant experience
  • The stance of therapists during both practices is one of mindful presence, safety, and allowing the participant’s process to unfold with the least interference possible while providing direct support as needed
  • Therapeutic touch is provided with consent
  • Preparatory and integration sessions are considered key for both safety and therapeutic value of the experience

Risks to participants:

Breathwork such as this has been practiced for at least several decades, with thousands of participants having attended workshops throughout the world. However, there are no high-quality scientific studies evaluating the safety, potential benefits, or potential harms of this practice among people with or without pre-existing mental or physical health.

Breathwork can bring about intense experiences including powerful emotions, vivid memories (including past traumas, of which participants may or may not be previously aware), and/or unusual states of consciousness which may be bizarre or frightening. There is thus a risk that participants may be “destabilized” to some degree as a result of their experiences with breathwork. While participants will be supported throughout their breathwork experiences by the workshop facilitators, including during the integration phase at weekend workshops and afterwards, additional support may be helpful or indeed required. We therefore advise participants to be mindful of their own care needs and supports outside the certificate program (e.g., personal psychotherapy or other professional supports, trusted friends and family, spiritual practices or communities, etc.).

Screening Safety Assessment for Breathwork

To ensure participant safety prior to engaging in breathwork, applicants who are accepted to the Foundations Course will be required to undergo a screening assessment (up to 90 minutes) with the breathwork facilitators (one of whom is a medical doctor). This assessment will involve questions about your personal history including your childhood, previous trauma, psychiatric history and medical history. The content of this screening assessment will remain confidential between participants and breathwork facilitators and will not be shared with course directors. The outcome of the screening assessment (suitable to breathe or not) will be shared with course directors and the next steps will be determined on a case-by-base basis. Applicants may be offered a refund on any payments processed to that point aside from the non-refundable application fee. If it is deemed safe, the applicant may be invited to participate in the breathwork as a sitter only.

Note: Breathwork facilitators are not NPPRC faculty members or Certificate Program course directors and will not play a role in the evaluation of trainees.

The following conditions are generally considered by breathwork facilitators to be contraindications to this practice:

  1. Unstable cardiovascular disease, including a recent history of myocardial infarction (MI) within the past 3 months
  2. Aortic or cerebral artery aneurysm
  3. Epilepsy and history of seizures
  4. Poorly controlled hypertension
  5. Recent stroke or transient ischemic attack in the past 3 months
  6. Glaucoma
  7. Retinal detachment
  8. Severe asthma (requiring regular use of rescue inhaler, systemic steroids, lifetime ICU admission or intubation)
  9. Pregnancy
  10. Severe unstable Mental illness including:
    • Primary psychotic disorder
    • Bipolar disorder
    • Complex PTSD
    • Personality disorders
    • Dissociative identity disorder
    • Recent psychiatric hospitalization within the past 1 year

If the above listed conditions are present it does not automatically preclude participation in this program. Your unique situation will be evaluated by the breathwork facilitators and you may be asked to provide additional medical documentation. As described above, if it is determined you are not suitable to breathe a full refund minus the application fee will be provided or if it is deemed safe, you may be able to participate in the breathwork as a sitter only and not breathe. If you have questions about whether or not breathwork is something you should participate in, please email ce@michener.ca, and we will direct your inquiry to the Course Director.

Confidentiality

The Foundations Course is an experiential training and participants will be invited to share their own experiences, emotions, memories, triggers and more in the virtual sessions as they feel comfortable. During the two in-person weekend breathwork retreats, participants will also be invited to share their own experiences in group preparation and integration sessions led by the breathwork facilitators where course directors and teaching assistants will also be present. Participants should be aware that the powerful experiences which can arise during breathwork may involve uncontrolled or unconscious expression of emotional or other sensitive material. All participants, facilitators, teachers, teaching assistants and the course directors will be asked to agree to honour the confidentiality of every person present and of any material that is shared, volitionally or otherwise, during the duration of the program. Honouring this confidentiality agreement is essential to creating a safe container for all participants taking part.

Application Dates

For the September 7th cohort:

  • Applications Open On: May 11th, 2022.- Closed
    • Please note: International applications will not be considered this cycle
  • Application Deadline: June 30th, 2022.

Late applications will not be accepted.

Is there a difference between the application deadline and registration deadline?

Yes. The application deadline is the date and time by which applications for admission to the Psychedelics-Assisted Psychotherapy Program must be received by Michener’s Registrar’s Office.

The registration deadline is the date and time by which successful applicants must officially enroll in the program and pay the relevant course fees. You will be advised of the registration deadline in your offer of admission.

When will I gain access to the program?

Log-in information for Blackboard (the learning platform used for this course) will be emailed within three (3) business days of registration.

Admission Requirements

  • Degree or diploma in one of the following regulated health professions:
    • Clinical Psychology
    • Social Work
    • Psychotherapy or Clinical Counselling (can include clergy/spiritual care providers and music therapists who are regulated psychotherapists)
    • GP-Psychotherapy
    • Medicine (who provide psychotherapy as part of their practice)
    • Psychiatry
    • Nursing (including Registered Nurses and Nurse Practitioners); AND
    • Trainees in psychiatry in PGY4 or PGY5
    • Trainees in clinical psychology who have completed two years of a PhD program
  • Registered in good standing and licensed with a regulatory body in Canada as one of the above regulated health professions; AND
  • A minimum of two years of psychotherapy experience; AND
  • Computer access and literacy
    • Students must have access to a computer that meets the minimum system requirements, access to the Internet, and an e-mail account
    • Access to and basic proficiency with a PDF reader, Microsoft Word, and Microsoft PowerPoint are also required as they are used to access course material and submit evaluation items

Application Process

Applications Open May 11, 2022!-Now closed

  1. Complete the online application form using Michener’s self-service portal. The application opens officially on May11th. The deadline is June 30th, 2022. You will receive an automated acknowledgement of receipt.
  2. Applications will be reviewed on a rolling basis.
  3. Shortlisted candidates will be selected for a 30 minute interview to take place the week of July 18th, 2022. You will receive an invitation from the course directors the week of July 8th, 2022.

Required Documents for Application

  • Proof of diploma or degree of graduation/official transcript
  • Proof of certification/licensure in one of the disciplines named above.
  • Resume or CV
  • Supplemental Application Form

COVID Vaccine Requirement:

Effective September 7th all learners, faculty and staff must provide proof of at least one-dose of approved COVID-19 vaccine to participate in any in-person learning or on-site activities. Proof of full vaccination will be required as of October 8th, 2021.

Instructions to upload proof of COVID vaccination to Self Service