Understand
What this competency means
Help the patient identify personally meaningful, positive intentions to guide the session and future change. Intentions should be active, concrete, and framed toward desired gains rather than avoidance.
This page is a Blossom synthesis of professional and study materials. It supports orientation and comparison; it does not replace local protocols, supervision, professional scope, or clinical judgment.
Apply
What it looks like in practice
Observable behaviours have not yet been reviewed for this competency. The page intentionally avoids inventing a proficiency ladder from sparse source material.
Verify
Across the manuals
Where sources converge
The manuals converge on the idea that intention setting is a preparatory part of the work, used to orient the participant before dosing or ceremony. Across the extracts, intentions are described as something to be clarified in advance, with support for making them personally meaningful, concise, and easy to return to during the session. They also agree that intentions are not meant to function as rigid controls over the experience, but as a guide that can coexist with flexibility and, in the 5-MeO-DMT manual, surrender. The sources also align in preferring intentions that are active and positively framed. The psilocybin trial manual explicitly recommends goals focused on what the patient wants to change, gain, or do, and warns against passive or negation-based wording. The Yale manual similarly links intentions to values and meaningful life change rather than symptom control alone, while the 5-MeO-DMT manual recommends a clear personal or group intention that can be written succinctly if helpful. The main differences are in emphasis and process. The Yale manual places more weight on revisiting and refining intentions over time, including between preparation and later dosing sessions, and describes intention as a compass during challenging or expansive experiences. The psilocybin trial manual is more explicit about wording, recommending one to three sentences that can be read aloud before administration and using open-ended questioning to refine understanding.
Legacy Blossom synthesis, reorganised for readability. It does not imply formal professional consensus.
Representative evidence
Public provenance is a deterministic sample of the sources behind this synthesis. Pro readers receive the complete ledger when additional sources exist.
Guidelines and manuals
- Ketamine-assisted psychotherapy treatment of chronic pain and comorbid depression: a pilot study of two approachesKetamine · 90
Spravato et al., 2023
- Psilocybin in alcohol use disorder and comorbid depressive symptoms: Results from a feasibility randomized clinical trialPsilocybin · 90
Luquiens, A. et al., 2025
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The public sample shows how the synthesis is grounded. Blossom Pro adds the complete evidence ledger and framework depth.