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Clinical competency

Preparation and integration support

Cluster covering 31 related competencies including: Integration support, Integration therapy, Integration coaching.

Mixed evidenceModern clinical

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Guidelines

43

Courses

18

Providers

14

Protocols

8

Classification

Source quality

Course pageLab manualProtocol paperSOP / guidebookTrial supplement

Also known as

Conduct preparatory and integrative psychotherapyDay-after and follow-up integration discussionsFacilitate emotional and cognitive integrationFacilitate experiential processing and integrationFacilitate integration after MDMA sessionsFacilitate integration and meaning-makingIntegration and follow-up supportIntegration and meaning-makingIntegration coachingIntegration facilitationIntegration of intention and experiential processingIntegration of ketamine experience into treatment goalsIntegration of psilocybin sessions with CBTIntegration planning and follow-upIntegration planning and supportIntegration psychotherapyIntegration session facilitationIntegration supportIntegration support and groundingIntegration support and planningIntegration therapyIntegration therapy facilitationIntegration-focused aftercareIntegration-focused follow-up therapyIntegration-focused post-dose psychotherapyIntegration-focused psychotherapyIntegration-focused psychotherapy follow-upIntegration-oriented psychotherapyIntegration-oriented therapeutic supportIntegration-phase facilitationIntegration-session facilitationIntegrative psychotherapy and meaning-makingIntegrative psychotherapy supportNon-drug psychotherapy supportParticipant education on session expectationsPatient education for informed psychedelic carePatient preparation and psychoeducationPost-dose integrationPost-session integration follow-upPost-session integration psychotherapyPreparation and integration workPreparation and psychoeducationPreparation and set/settingPreparation and skills rehearsalPreparation for altered statesPreparation for field entryPsychedelic integrationPsychedelic integration facilitationPsychedelic preparationPsychedelic-session preparationReinforce ongoing integration practicesSet and expectation preparationSet and setting facilitationSupport integration after non-ordinary statesSupport post-session integration and follow-up

Across the manuals

The manuals converge on integration as a core part of psychedelic-assisted therapy, not an optional add-on. Across MDMA, psilocybin, ketamine, LSD, 5-MeO-DMT, ayahuasca, and related protocols, the common pattern is post-dose sessions that help participants process thoughts, feelings, memories, insights, and difficult material, then connect those experiences to daily life, relationships, coping, recovery goals, or symptom change. Many sources also frame integration as meaning-making, emotional support, and consolidation of therapeutic gains, often with follow-up contact after the acute session. Sources differ mainly in structure and emphasis. Some manuals specify tightly timed schedules, such as next-day, Day 1, Day 7, or multiple sessions over one to two weeks, while others describe more flexible follow-up or additional contact when needed. The content focus also varies, with some protocols emphasising relapse prevention, CBT targets, or recovery planning, while others stress grounding after intense states, narrative exploration, or support for trauma, shame, confusion, or reactivations. A few sources explicitly note remote or video integration, and some distinguish integration from interpretation by stressing reflective, participant-led discussion rather than directive treatment.

In practice

What it looks like on the ground

  • Leads a post-dose discussion of thoughts, feelings, memories, and session meaning
  • Links session material to daily life, coping, relationships, or recovery goals
  • Uses a supportive, participant-led reflective stance rather than directive interpretation
  • Provides follow-up contact or additional integration sessions when distress or confusion persists

Synthesised from the linked source documents; refreshed as the library updates.

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Linked guidelines (43)

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