11/14/2025
Psychedelic therapy is evolving faster than our field can keep up withâand many of us are feeling both the promise and the unease.
After years of working in psychedelic research beginning in 2016, and later training in ketamine-assisted psychotherapy, I found myself deeply moved by what these medicines can unlock⌠and equally aware of the psychological, relational, and ethical complexities they amplify.
In altered states, the psyche is wide open. Transference is heightened, projections are intensified, and the therapistâs influence becomes enormous. When this isnât held with a trauma informed lens and a grounded sense of humility, clients can be left overwhelmedâor harmed in ways that are easy to miss until much later.
Thatâs ultimately why I chose not to become a psychedelic therapist, despite believing in the therapeutic potential of these medicines.
Instead, I chose the work that feels most aligned with my training as a depth psychotherapist: psychedelic integration.
Integration is where the real meaning-making happens. Itâs where clients metabolize their experiences, make sense of the symbolic material, and bring insights into their everyday lives with safety and support. Itâs where healing becomes sustainable.
In my latest blog, I share my own journey with this decisionâwhat I witnessed in the field, what concerns me, what inspires me, and why I believe depth-oriented clinicians have such an essential role to play in the future of psychedelic care.
Oakland depth psychotherapist Sara Ouimette reflects on her journey through psychedelic science, ketamine-assisted psychotherapy, and why she chose to focus on integration work. A thoughtful look at both the promise and the shadow of psychedelic therapyâand the wisdom of moving at the pace of the ...