Practitioner Directory — Challenging Psychedelic Experiences Project

§ 01

Identity & Contact

Full name *

Country *

City / Region

Timezone *

Languages spoken *

Email *

Website URL

Psychology Today URL (or equivalent profile)

I consent to having my profile listed publicly in the directory. *

§ 02

Role & Credentials

I am completing this form as a *

Credential type *

Licensing body *

Licence number

Year licensed *

Years in practice *

Additional Psychiatrist Fields

Qualification (MD / DO / MBChB) *

Medical licence number *

Prescribing authority? *

Yes No

Prescribing jurisdictions

Hospital affiliation

Can provide formal diagnosis Manage medication interactions related to psychedelic use Experience with ketamine / esketamine treatment Experience with psychedelic-assisted therapy

§ 03

Training & Approach

Therapeutic modalities

Psychedelic training programmes attended

Harm reduction training attended

Brief description of your approach to post-psychedelic difficulties

§ 04

Psychedelic-Specific Experience

Experience treating post-psychedelic difficulties *

Yes No

Experience with integration support for milder difficulties

Yes No

Problems or difficulties treated — select all that apply

Substance specialties — select all that apply

Do you see clients who are currently using psychedelics? *

Yes — happy to work with active users Abstinence preferred but not required Abstinence required Case by case

Personal psychedelic experience?

Yes No Rather not say

Approach to recovered memories of childhood abuse

Usually real Usually false Agnostic on whether real or false Varies case by case — no fixed position

Approach to negative entity encounters

Usually real Usually false Agnostic on whether real or false Varies case by case — no fixed position

§ 05

General Clinical Specialties

Diagnoses treated (free list)

Populations served — select all that apply

Session formats — select all that apply

Individual Group Couples / relationship Family

§ 06

Access & Availability

See clients online * See clients in person Currently accepting new clients * Referral required * Will coordinate with GP/psychiatrist

Estimated wait time (weeks)

Referral notes

§ 07

Cost & Insurance

Cost per session — min

Cost per session — max

Sliding scale available Pro bono available Free introductory session Insurance accepted Medicaid / Medicare accepted

Insurance providers accepted

Insurance countries

§ 08

Your Feedback

This directory is still in development. Before we go live, we'd like to hear from practitioners about whether the form works for you. We are particularly interested in:

Fields that are missing

Fields that seem unnecessary or too intrusive

Credential / licensing categories that don't fit your country's context

Wording that is unclear or could be improved

Privacy or ethical concerns

Would you consider listing yourself in this directory?

Yes Maybe — depends on changes to the form No Not sure yet

Anything else you'd like us to know

Practitioner Directory Therapists, counsellors & psychiatrists supporting recovery from post-psychedelic difficulties

Identity & Contact

Role & Credentials

Training & Approach

Psychedelic-Specific Experience

General Clinical Specialties

Access & Availability

Cost & Insurance

Stay in touch

Your Feedback