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Clinical competency

Mindfulness, intention-setting, set and setting, and somatic presence

Teaches practices that support preparation and therapeutic presence, including mindfulness, intention-setting, body-aware attention, environmental preparation, mindset awareness, and regulation through somatic presence.

Mixed evidenceModern clinical

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Guidelines

9

Courses

7

Providers

6

Protocols

7

Classification

Source quality

Course pageLab manualProtocol paperSOP / guidebookTrial supplement

Also known as

Mindfulness and contemplative practiceMindfulness and intention-setting preparationMindfulness and somatic presenceSafe therapeutic environment managementSession preparation and intention-settingSet and setting awarenessSet and setting managementSet, setting, and safe sittingSomatic and body-based methodsSomatic and mindfulness-based practitioner presenceSomatic awareness and embodimentSomatic regulation and body-based facilitation

Across the manuals

The manuals converge on the idea that mindfulness, intention-setting, and somatic presence are part of preparing for and holding psychedelic sessions. Across the extracts, the common thread is attention to participant mindset before dosing, with several manuals explicitly referring to set as mindset, expectations, and intention, and recommending review of expectations, concerns, hopes, fears, and session logistics. They also converge on the value of a calm, private, comfortable, low-stimulation environment, plus a reassuring therapeutic presence during the acute phase. They differ in emphasis and degree of specificity. Some manuals focus mainly on environmental preparation, such as room layout, furnishings, bathroom access, light, sound, music, and removal of distractions, while others place more weight on relational preparation, therapeutic alliance, and staff demeanour. The Roots To Thrive model stands out by explicitly foregrounding somatic regulation and body-based facilitation across preparation, dosing, and integration, whereas the other manuals mention body comfort and positioning more as part of set and setting. A few sources also differ in how they frame the environment, from a living room like atmosphere to a clinical research facility with emergency readiness, but all treat the setting as part of therapeutic safety and effectiveness.

In practice

What it looks like on the ground

  • Reviews expectations, hopes, fears, and intentions before dosing
  • Creates a private, calm, comfortable room with minimal interruption
  • Uses body-based awareness or somatic regulation during preparation and integration
  • Maintains a reassuring therapeutic presence during the acute phase

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

Linked sources

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Linked guidelines (9)

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