This open-label trial (n=84) will evaluate the efficacy of ayahuasca-assisted constructivist therapy in reducing the severity of grief.
Non-randomised, parallel-group trial (n=84) comparing ayahuasca-assisted constructivist therapy, constructivist psychotherapy alone, and no treatment with assessments at baseline, posttest and 3-month follow-up to prevent prolonged or persistent complex bereavement.
Experimental arm receives 9 online psychotherapeutic sessions with one preparation session, two integration sessions and two oral ayahuasca administrations (0.75 mg/kg DMT) after sessions 3 and 6; control arms receive psychotherapy alone or no treatment with option for ayahuasca after follow-up.
Two ayahuasca administrations (0.75 mg/kg DMT) combined with 9-session constructivist psychotherapy; includes one preparation and two integration sessions.
Administered after sessions 3 and 6; psychotherapy: 9 online sessions with 1 prep and 2 integration sessions.
9 online constructivist psychotherapy sessions; option to receive ayahuasca after follow-up if severity remains high.
Constructivist Psychotherapy delivered over 9 online sessions; option for two ayahuasca administrations after 3-month follow-up if indicated.
No treatment during the 9-week control period; option to receive ayahuasca after follow-up if severity high.
No treatment during control period; optional ayahuasca after 3-month follow-up if indicated.