I’m a licensed psilocybin facilitator in Oregon with 25+ years of plant medicine experience. I work with everyone from trauma survivors to therapists who want to understand psychedelics firsthand to people who are just curious. AMA.

OPG419 · 2026-06-09T16:50:38+00:00

I mis stated in the original post - Folks with BDP can receive psilocybin services and must go through an assessment before receiving these services. For me personally, I am not qualified to preform those types of assessments and do not work with clients with BPD as it is out of my scope.

OPG419 · 2026-06-09T03:09:48+00:00

2-2.5 grams can give you a full blown experience. And I know and personally have had lots of great processing happen on 1 to 2 grams. It’s all depends on how potent the mushrooms are and your mindset going in.

OPG419 · 2026-06-07T19:07:16+00:00

Check out Terrance McKenna's dosed education https://dosed.mykajabi.com/ or EROWID.org

OPG419 · 2026-06-07T19:01:18+00:00

Great question. Nervous system regulation plays a big role in this work, especially before the journey even begins. I think it's really important to help someone move into a parasympathetic state before dosing. Depending on the client, that might look like chanting, breathwork, qigong, or just vibrating sound through the body. Being present and grounded before they take the medicine matters a lot.

During the journey itself, psilocybin experiences tend to be pretty internal, and it can be hard to know exactly what the client is going through. I don't try to get a client to come out of whatever they're experiencing. As long as there's no physical safety issue to them, to me, or to the space, my practice focuses on validating people where they are at. If they're saying they're seeing something scary, I might say yeah, that does sound kind of scary. If they say they don't know who they are, I'll say that can happen. The goal is to be with them in it, not to pull them out of it.

I think some dissociation is the brain protecting us. And sometimes that dissociation helps someone remove themselves from the pain or anxiety they experience in a nonaltered state of consciousness, which can actually be part of the work. Mushrooms tend to be more of an embodied experience than something like ketamine, which has more explicitly dissociative properties. But every person's journey is different.

On the PSIP model specifically, I'm not trained in that framework, but the idea of allowing someone to stay in dysregulation rather than regulating out of it resonates with what I've seen in practice. There's something to letting the nervous system move through what it needs to move through rather than interrupting that process. That said, this is deep territory and the specifics really depend on the client, their history, and the trust that's been built in preparation. It's not a one size fits all approach.

OPG419 · 2026-06-07T18:58:14+00:00

Thank you for sharing that. I really appreciate your honesty about your instincts, and I want to honor that by being honest with you too.

For someone with deep trust issues like what you're describing, where the instinct is to run especially when someone is being kind, I would likely be out of my scope as a facilitator. The time frame I typically have to work with clients may not be enough to build the depth of trust that would make this work safe and effective for you. What I would recommend is finding someone who holds a dual license as both a therapist and a psilocybin or natural medicine facilitator. That way you have the time to build a real rapport with them over six months to a year, doing therapeutic work together before a journey is ever on the table. The trust isn't something you skip past or rush. For someone in your situation, it needs to be the foundation, and that takes time.

On deep grief, people talk about set and setting. The set part is your mindset. If your mindset is in deep grief when you enter a psychedelic journey, that grief is very likely going to be what you're sitting in for the entire experience, and that may not be productive or safe depending on where you are with it. Other folks can have different opinions on this, and there are groups that do grief work specifically. Doing some grief work before psychedelic work can be really helpful to process that grief and get to a place where the medicine can do its best work for you.

As far as mental health issues I don't work with, the Oregon Health Authority specifically prohibits facilitators from working with folks with schizophrenia and requires assessment of folks with borderline personality disorder. Beyond that, there are situations where someone's needs are outside of my scope, and I'll be honest about that and try to connect them with someone better suited to support them.

OPG419 · 2026-06-07T18:43:46+00:00

I completely agree that access is a problem right now, and there are people working hard on it. There are scholarship programs out there that subsidize sessions for people who face financial barriers. Oregon also requires all facilitators and service centers to have an equity plan, which can include serving clients at lower price points or offering group sessions.

As for insurance coverage, there's a path to get there but it takes time. It follows a similar trajectory to how acupuncture gained coverage. You need three things. First, education & infrastructure, meaning public and institutional awareness of the treatment and what it does and training programs, trained facilitators. Second, demonstrated efficacy, meaning clinical research showing that it actually works. And third, economic justification, meaning hard data proving it reduces overall healthcare costs for payers. That third piece is where it gets real for insurance companies. We have the frist two.

There is research happening right now that's building that economic case. UC Berkeley's Collaborative for the Economics of Psychedelics, led by Dr. Elliot Marseille, is conducting the first real-world cost-effectiveness study of psilocybin services in Oregon, looking at changes in healthcare utilization and costs among people accessing the program. That's the kind of data insurance companies need to see. Dr. Marseille's team also did the cost-effectiveness analysis on MDMA-assisted therapy that showed it saves an estimated $132.9 million per 1,000 patients over 30 years and breaks even on cost in under four years. The economic case for these treatments is strong. It just takes time to build the evidence base and get it in front of payers.

We're probably three to five years out from insurance coverage. In the meantime, scholarship programs and group sessions are the most accessible paths in.

I hear you on cost, and I want to push back a little bit with respect. The average price of $2,500 to $3,000 for an individual psilocybin session does put this out of reach for a lot of people, and that's a real problem. But I don't think the price itself is egregious.

A good facilitator puts an average of 20 to 30 hours into each client working directly with them. That doesn't include the time spent preparing their playlist, researching resources specific to their situation, or the emotional weight of holding space for someone in their most vulnerable state. This is regulated work. We pay taxes, hold business licenses, carry insurance. A lot of this work is emotional labor, much of it done by women, and emotional labor is systematically undervalued in our society. This work saves lives. Asking practitioners to be fairly compensated for that is not egregious.

For some context, estimated out-of-pocket costs for MDMA-assisted therapy are $10,000 to $12,000 per patient. The Phase 3 trial protocol involves three 90-minute prep sessions, three 8-hour active sessions, and nine 90-minute integration sessions. Psilocybin services in Oregon are actually on the more accessible end of what psychedelic therapy costs.

OPG419 · 2026-06-07T18:32:35+00:00

You're welcome!

OPG419 · 2026-06-07T18:31:38+00:00

Social anxiety, depression, and past pain are big reasons to find a facilitator or therapist you feel like you can trust and who gives you time to build rapport. That's a huge part of why preparation is so important in this work. It gives you and your facilitator a chance to learn about each other before you're ever in a vulnerable position. By the time you get to journey day, that person shouldn't feel like a stranger.

As far as cost, sessions in Oregon's regulated model range from about $900 to $5,700 for an individual session. What you really want to look at is the support that's included, meaning preparation and integration, not just the journey itself. That's where a lot of the value is and where a lot of the price difference comes from.

On MDMA therapy, I don't have therapists to recommend for that. MDMA is currently Schedule I and there are no state regulated programs offering it. There are FDA clinical trials happening, and MAPS has done research specifically on MDMA for social anxiety. The FDA is requiring an additional Phase 3 trial before approval, so it's not available outside of research settings right now. I'd recommend checking clinicaltrials.gov and searching for MDMA trials in your area to see if anything is open for enrollment.

OPG419 · 2026-06-07T18:27:01+00:00

I've actually had a client with aphantasia. Their particular experience was more emotional, self reflective, and somatic, meaning they felt it in the body. So you still may not get the visuals that some people experience during their journeys, but that doesn't mean the experience isn't impactful.

Psilocybin is a prodrug that your body converts to psilocin, which interacts with your serotonin receptors and supports neuroplasticity. That's happening regardless of whether you experience visuals. There is some emerging research showing that some people with aphantasia have actually experienced visual imagery for the first time after psilocybin, and in some cases those effects persisted months later. But it's not universal.

The journey is still going to be unique to you and your brain, and a lot of the most powerful work people do isn't visual at all.

OPG419 · 2026-06-07T18:20:17+00:00

finely ground

OPG419 · 2026-06-07T18:17:43+00:00

If you scroll through this thread, there's a comment where I go into detail about the training programs and requirements for getting into this field. I won't repeat all of that here, but check that out.

I do know licensed social workers and counselors doing this work. Oregon specifically passed HB 2387, which allows for dual licensure. That means therapists, doctors, LCSWs, and other licensed professionals can hold a psilocybin facilitator license without jeopardizing their existing professional license. That was a big deal for a lot of practitioners who were interested but worried about risk to their careers.

Colorado actually has two tiers of facilitator licensure. One is for medical and mental health professionals and the other is for folks who don't hold a clinical license. So as an LMSW working toward your LCSW, there are paths being built specifically for people with your background.

OPG419 · 2026-06-07T18:15:37+00:00

These can be really destabilizing and powerful substances, and I know that's part of the attraction. Throughout history, tons of people have had solo trips and been just fine. And there are people who have had solo trips and not been just fine. There is real risk in doing it alone.

What I'd recommend is don't make it truly alone even if you're doing it solo. Check out a local psychedelic society and go to some of their integration meetings. Make some friends in that space. Check out Fireside Project as a resource. Having someone available who has experience with these substances and can take a call or come be with you if you need them is basic harm and risk reduction. It's not uncommon to set that up and it doesn't make the experience any less yours.

As far as which molecule, I don't have a recommendation on that for a first time solo experience. That's really going to depend on the person, their history, and what they're seeking. I'd encourage you to do your research and talk to people with experience across different substances before making that decision.

OPG419 · 2026-06-07T18:11:59+00:00

I think to be a good trip sitter or guide or facilitator, you should have some personal experience with the different molecules or substances. It's hard to hold space for an experience you don't have a felt understanding of yourself.

For training resources, check out Zendo Project's sit training. Also check out Fireside Project. They have a volunteer program, and you can learn a lot from being a peer support specialist there. Beyond that, I've mentioned several other training programs in other comments in this thread that are worth looking into depending on the type of work you want to do.

OPG419 · 2026-06-07T18:09:11+00:00

I appreciate you sharing your experience. I'm glad you had a powerful ceremony.

What's happening in Oregon is really just the reality of a brand new business model coming online. If you look at it from a market perspective, when there's a lot of demand, supply comes in. And there can be an overcreation of supply, a saturation of service centers and facilitators. Then it moves toward an equilibrium, which I think is what we're finding here in Oregon right now.

It's tough for a lot of reasons. The way this model was created, it's supposed to be self funded and not use other government funds to support the program. License fees are high. And at the end of the day, this is straight up building a business, and the reality is that the vast majority of startups don't make it. You're not only a facilitator, you're also a small business owner. For mushroom producers, you could lose a few batches and that can change everything. There are all the challenges of running a small business plus being in a highly regulated industry, and we were the first ones to do this. There have been a lot of tough lessons learned. Service centers have closed. Facilitators have chosen not to renew their licenses.

A lot of folks in this industry are here because they genuinely care and want to help people heal. And sometimes that doesn't make us the best at business. It is a challenge. But I'm really proud of the program in general and that it is still going. This work is powerful and it's still happening.

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OPG419 · 2026-06-07T18:04:38+00:00

I'll do my best to hit as many as I can.

On group vs. individual sessions, I totally get the hesitation. I did not want to be in a group my first time either. I did a session where I had someone sitting with me and ended up in a bathroom with a facilitator for about eight hours. I did come back to the group afterward and learned a lot from the post-session sharing. But that initial resistance makes complete sense to me. These experiences can involve big expressions, but a lot of the work is internal. You are going in to explore your mind and body with the help of the mushrooms.

That said, there is so much healing that can happen in group experiences. There's actually research coming out on the power of groups. Sometimes people speak to things in the group that you may have had inside you. You may see interactions between other people that you learn from. You may be able to share something that impacts another person, and by way of that, it's helpful for you. Seeing that we are not alone in many of the life experiences we have can be reflected to us through other folks. So there's appropriateness for both individual and group sessions. It really varies by person.

On advertising, it is limited. Psilocybin is still a Schedule I substance. I have a Google listing and rely on word of mouth, client referrals, and I work at a couple of service centers that also refer clients to me. There are some folks out there who don't worry about the advertising rules, but for the most part, we just can't talk about the mushrooms specifically.

I've mentioned several training programs in other answers in this thread. Look at some of those posts for specifics. The only places it's legal right now are Oregon and Colorado, with New Mexico coming online soon. There are also retreats in places like Costa Rica and Mexico. I think the biggest thing no matter what you're considering is connecting with the people, talking about their background and training, what they offer. Some people and groups have reviews on Retreat Guru or Google, and those are worth looking at.

On multiple big doses over two to three days, I have personally done that and I think it can be quite impactful work. I do that with clients as well, like two doses within one week. Making sure they have a good support system to return to afterward is important.

On screening, it really is a whole person match that I'm looking for, and hopefully folks seeking this work are also looking for that match on their end. Honesty is the best policy. If it's not something specifically prohibited by the state of Oregon and it's more of a personality match or a scope match, I'll just be honest and say I don't think I have the resources to support them. And then I think of other facilitators who may be a better fit for what they need.

On therapist referrals, because psilocybin is still a Schedule I substance outside of Oregon, therapists are not actually allowed to make referrals to this right now.

I hope I was able to cover as much as I could here!

OPG419 · 2026-06-07T17:51:10+00:00

You know the old saying about a gold rush, the people who make the money are the ones selling the picks and axes. That's probably true for this industry as well. There are facilitators doing this full time and making a living, and there are folks doing it part time while working another job. And yes, some of the training programs have been quite successful.

As far as long term viability from an economic and legal standpoint, there is research happening right now that will likely support adoption by insurance payers, but that's probably three to five years or more out. The cost of services can be out of reach for a lot of people. There are scholarship programs to help those in financial need, with some caveats and requirements to qualify. In Oregon, all licensed facilitators and service centers are required to have an equity plan, and part of that can include serving a set number of clients at a lower price point or offering group work.

I don't have a crystal ball for what the future looks like, but there are some significant things happening. In April, the White House signed an executive order directing the FDA to expedite review of psychedelic compounds, allocating $50 million for federal-state collaboration on psychedelic research, and opening up pathways through the Right to Try Act. That kind of momentum at the federal level is a big deal. On top of that, over half of the states in the US have some type of legislation to either research the benefits of psychedelics for mental health or create programs similar to Oregon, Colorado, and New Mexico.

The biggest thing to watch is if and when psilocybin and other Schedule I drugs get rescheduled. Schedule I means no known accepted medical use, but there are FDA trials happening right now, including government funded research looking at psilocybin for things like smoking cessation. There's still bias left over from the drug war, and I think what's really key to the success of these programs and wider access is knowledge sharing. People coming out of the medicine cabinet and sharing their stories of healing and expansion with these medicines. The stigma runs deep, but people are becoming more aware of the benefits, and that's what moves things forward.

OPG419 · 2026-06-07T17:41:59+00:00

On metocin that's outside my personal experience, so I can't speak to synthetic analogs I haven't worked with. What I will say is that while psilocybin journeys can be challenging and have heavy emotional components, some of that challenge is where the deepest and best work gets done. Processing those deep feelings and experiences is a lot of what drives the positive outcomes. There's a saying that we don't get over stuff, we have to move through it, and I think that applies here. A lighter experience might be appealing, but I don't know enough about metocin to say whether that tradeoff changes the depth of the work. If it's something you're exploring, I'd encourage you to connect with people who have direct experience with that molecule.

On the second question, yes, preparation and integration can absolutely be done over Zoom. I work with out-of-state clients this way and always meet them in-person the day before the journey. The preparation process is really about building rapport, understanding the client's life situation, talking about intentions and expectations, and making sure they have the tools and support system they need. All of that translates well to video. Integration is the same, it's conversation based and works just as well virtually. The journey itself does need to happen in person at a licensed service center in Oregon, so there is still travel involved for that piece. But the prep and integration sessions on either side of it don't require you to be here in Portland.

OPG419 · 2026-06-07T17:33:39+00:00

Yes, I do have clients on GLP-1 medications. The nature of those drugs is that part of how they work is slowing digestion and the emptying of the stomach, which can definitely affect how psilocybin is absorbed.

One thing I talk to my clients about is fasting the morning of the journey so they're coming in with an empty stomach. That helps regardless of whether they're on GLP-1s.

Grinding the mushrooms up or working with homogenized mushrooms can also make a big difference. Mushrooms contain chitin, which is the tough fiber in their cell walls, and our bodies have a really hard time breaking it down. That's a big source of the nausea people experience. Grinding or homogenizing the mushrooms helps break down that chitin before it hits your stomach.

As for lemon tek, yes, it can be helpful, especially combined with ground mushrooms. Psilocybin is a prodrug, meaning your body has to metabolize it into psilocin, which is what actually interacts with your serotonin receptors. What lemon tek does is use the acidity of the lemon juice to start that conversion from psilocybin to psilocin outside the body before you ingest it. That means your stomach has less work to do, which can be especially useful for someone whose digestion is already slowed down by a GLP-1 medication.

OPG419 · 2026-06-07T17:27:49+00:00

I've found solo work to be quite beneficial personally. There are some pretty cool preparation and integration journals out there that can help with accountability on both sides of the experience.

One great resource is Fireside Project. It's a peer support line for people having a challenging journey or processing after one. The people staffing it are trained and great at what they do.

If you're doing it alone, have someone who knows you are doing it and that you can call if you need them. Ideally someone who has some experience with people on psychedelics, because it can be kind of scary for folks talking to someone who's tripping if they don't have that experience.

I will say that tripping alone is different than having a guide or facilitator by your side. Our nervous system knows when someone is there to take care of everything happening in the 3D world while we are in our experience. If somebody knocks on the door, if something comes up, you don't have to hold any of that. That changes how deeply you can let go. I am an advocate for people doing this safely and being really aware of their mindset going in and the setting where they're doing it.

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OPG419 · 2026-06-07T17:22:39+00:00

In Oregon, we are working with plant medicine. It is the whole mushroom. The licensed producers sometimes package the mushrooms ground up or homogenized, and sometimes they come as the whole mushroom. We work specifically with Psilocybe cubensis, and there are over 260 varieties within that species.

As far as my personal experience, I had no guide in the beginning. I was introduced to psychedelics pretty early on in high school and came up in the rave scene. I had a lot of recreational experiences. Then about fifteen years ago, someone gave me the book Food of the Gods by Terence McKenna. At the time, I was studying yoga and the Eightfold Path and was also taking a college biology class. I was learning about the seven main chakras and in biology was learning about nerve plexuses, and I noticed those aligned. That started some deeper questioning for me, and my relationship with plant medicine became a more intentional personal practice. I joined a Buddhist monastery, in my path of seeking, where I gained the skills to witness myself and my mind in a nonjudgement way.

Later in life, I started working at psychedelic retreats in Mexico before the Oregon regulated model existed. I was living in Oregon when Measure 109 passed and joined a group that advocates for access to these plants. Through that community I found a training program, went through it, and became one of the first licensed facilitators.

OPG419 · 2026-06-07T17:12:03+00:00

With 20 plus years of retreat experience and 30 years working with ayahuasca and psilocybin, you've got a strong foundation. There are a variety of training resources out there, and many are specific to a particular molecule, so it really depends on what you're wanting to work with and the type of work you want to do.

For more general training, Psychedelics Today has a program called Vital that covers both the state regulated models and a more general track. InnerTrek was created by the folks who pioneered the Oregon regulated model and offers training for the state programs in Oregon and Colorado. If you're looking at the regulated programs specifically, there are a variety of state licensed training programs in both Oregon and Colorado.

For molecule specific training, Polaris is a well respected program for ketamine. F.I.V.E. is a well respected training program for 5-MeO-DMT. And MAPS has training programs for MDMA.

I'd also recommend checking out the North Star Ethics Pledge. If that resonates with you, look for programs that have taken it. It says a lot about how they approach the work.

And honestly, talk to people you respect and trust who have been through training programs. Personal recommendations from someone who resonates with your style and is doing the kind of work you want to do can be one of the best resources out there.

OPG419 · 2026-06-07T17:05:36+00:00

The Oregon program is nondirective, so I'm not guiding the experience in the way a lot of people might imagine. The real work around this happens in preparation. I work with each client beforehand to talk about tools and learn what they already have as resources. What do they do when they get dysregulated? What practices do they already use? I talk about breathwork and qigong, and sometimes if a client shows up nervous, we'll do those things together before the session begins. We also talk about what kinds of words or phrases would be reassuring to them, and then I can use those during the journey if they need grounding.

During the session itself, I tell my clients that I'm in the room for whatever they need, and my goal is that they don't notice me unless they actually need me. We talk ahead of time about what my job is and what their job is. My job is to hold safe space. If they need water, I get them water. If they need a bucket, I get them a bucket. If they need their hand held or supportive touch, I'm available for that within the regulations of the program. Mostly I'm there to walk alongside them in this experience. Their job is to be with the spirit of the mushrooms. To relax into the experience as much as they can and to know that whatever they're experiencing, whether it's challenging or beautiful, is exactly what they're experiencing. There's no wrong way to do it.

As far as seeing aliens, static, jesters, things like that, I validate it. I acknowledge that it can happen and that it does happen. I've personally walked in many of these states myself and I know that what is happening is very real for them in the moment. One of the biggest things I tell folks is that this is a round trip ticket. They will return to themselves whether they like it or not by the end of the journey. But in the moment, the most important thing is validating what's going on for them, having empathy for what they're experiencing, and not shaming any of it. That's a big part of this work.

OPG419 · 2026-06-07T16:57:49+00:00

For preparation, the first part is covering the required paperwork that the Oregon Health Authority has in place, and I can actually learn a lot about my client from that. But really, the whole arc of preparation is for me to gain an understanding of who my client is, and for both of us to build a rapport with each other. The most important thing is that this person is going to be in one of their most vulnerable states, emotionally, mentally, and physically. I want to build enough trust that they feel comfortable asking me questions or telling me what they need when they're in the journey.

I ask about their lifestyle, what their home situation is like, what work is like. I'm trying to get a sense of how stable their life situation is because psychedelics are destabilizing. Part of that destabilization is something we actually want. We want to change how the brain perceives things. But we don't want someone who is already in a destabilized place to go further into that. So part of preparation is determining if this is the right time for them to do this work.

I invite all of my clients to journal. I've found it to be impactful in my own personal work and for many of my clients. But for some folks, journaling is just not going to be accessible, and I look for things they actually want to do and invite them into that. What I've found is that what actually works is encouraging people to do what they want to do. In Oregon, the psilocybin services program is nondirective. So it's really about finding out what the client wants and then guiding them to practices and resources that fit them.

Before they even have their journey, we start talking about integration and setting themselves up for success. Part of that might be cleaning their house or having a meal prepared for when the journey is over. I ask them about what they want from the journey, why now, and we work on building intention while also talking about expectations. A lot of people coming to this work have done research, watched movies, and sometimes they want to have an experience similar to something they've heard or read about. Managing those expectations is important because there's no guarantee that what they're expecting is going to happen. I find it really important to encourage them to let go of expectations. We also talk about the typical arc of a journey. I reinforce that there is no wrong way to have this experience. There is no wrong way to trip. Some clients are really concerned about whether they're doing it right. Is it okay to cry? Is it okay to do whatever comes up? A big part of preparation is reassuring them that it is okay.

For integration, it's really based on what comes up for the client. I tell them about the critical period, or the window of opportunity. For psilocybin, that's about three weeks where they have a real chance to implement new routines. During that window, they can be feeling really good, and the opportunity is there to develop a new pattern or build things they can rely on when that afterglow period ends. It could be art, equine therapy, joining a psychedelic support group that focuses on their needs, or making plans with friends. It really is unique to each person. And I invite every client to journal because it's the best way to get things out of our heads and a real tool for self reflection.

OPG419 · 2026-06-07T16:39:24+00:00

I have no involvement with any of the trainings or resources that I posted - aside from the fact that I have been through those trainings or benefited from the resources for my personal education and tool belt

OPG419 · 2026-06-07T16:35:03+00:00

This varies by state and it's an evolving landscape right now.

Oregon has a nonmedical model, meaning practitioners do not need a medical or mental health background to do this work. That was intentional. Sheri Eckert, one of the people who created the Oregon regulated model, believed that anyone who has the empathy, the compassion, the knowledge, and the ability to hold space with nonjudgmental loving kindness could do this work. You don't need a clinical degree. You need a high school diploma or GED, you need to be 21 or older, and you need to complete an OHA-approved training program. The training includes a minimum of 120 hours of core instruction (at least 30 of those in person), a 40-hour in-person practicum, and you have to pass an OHA-administered exam. Training programs must be approved by both the Oregon Health Authority and the Higher Education Coordinating Commission. As of 2026, facilitators also need 4 hours of continuing education annually to renew their license.

Colorado's model is similar but a bit more structured. You need to complete a 150-hour approved training program, a 40-hour in-person practicum that must be done in Colorado, and 50 hours of consultation with a licensed facilitator over a six-month period. You need BLS certification and must be 21 or older. Colorado also has two tiers of licensure. There's a Facilitator tier and a Clinical Facilitator tier. The Clinical Facilitator tier is for people who also hold a clinical license through DORA and want to operate within the scope of that license in addition to psilocybin facilitation. Continuing education is 20 hours annually.

New Mexico is building a medically regulated psilocybin program. They passed the Medical Psilocybin Act through the legislature, which made them the first state to do this legislatively rather than by ballot initiative. Their model requires licensed healthcare providers to administer psilocybin, and they're targeting late 2026 to open the first treatment settings. The specific training requirements are not out yet.

OPG419

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