Heather Anne Keyes

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Ethical Psychedelic-Informed Practice

Individual sessions • Online or in-person • English or Spanish

A word before we begin

I have worked with clients who were harmed during psychedelic experiences — people who were in vulnerable states and were not adequately protected by those responsible for holding that space. I've also worked with people who had experiences that were life-changing in the best possible way and needed support to integrate them into their daily lives. I name both realities because they are both common, and because this work deserves honesty.

You had an experience. Now what?

Maybe it was profound. Maybe it was disorienting. Maybe it opened something in you that hasn't closed again — and you're not sure what to do with it.

Psychedelic experiences can be genuinely transformative. They can also be genuinely destabilizing. And whether you're preparing for a therapeutic session, processing what's already happened, or trying to make sense of something difficult, the psychological work — the part that grounds insight into your daily life — doesn't happen automatically.

That's the work I offer here.

What "ethical psychedelic-informed practice" means

I am a licensed Gestalt psychotherapist trained in MDMA-assisted therapy through the MAPS Psychedelic Therapy Training Program. MAPS — the Multidisciplinary Association for Psychedelic Studies — is a clinical research organization focused on psychedelic-assisted therapy.

I work primarily with experiences involving MDMA and psilocybin (the psychoactive compound found in certain mushrooms), including but not exclusively for PTSD and trauma processing. I am also informed about work with other therapeutic substances.

My approach is clinical, present-centred, and relational. It is non-ceremonial and non-ritual.

To be clear: I do not supply, prescribe, or facilitate the use of any substance. My work is entirely within the therapeutic and integration frame — supporting you in processing and grounding experiences you have had or are planning with an external provider. The legal status of psychedelic substances varies by jurisdiction. I do not advise on legality.

What I offer

Preparation

If you are planning a psychedelic experience — with a licensed therapist, a clinical trial, or another provider — preparation sessions can help you clarify your intentions, understand what to expect psychologically, identify material that is likely to surface, and build a framework for integration afterward.

Integration

Integration is the process of making meaning from what happened: grounding insight into your body, your relationships, and your life. In Gestalt therapy, we work with the material of your experience directly — images, sensations, emotions, patterns that surfaced — not at a distance, but in the present moment.

We might engage with a figure or image that appeared during your session. We might follow a physical thread that's been present since the experience. We might notice how a new insight moves — or resists moving — in your relationships and daily patterns. The work is grounded, relational, and unhurried.

Harm reduction & safety

Not all psychedelic experiences go as hoped. Some are difficult, destabilizing, or confusing. Some people arrive here having had an experience they weren't prepared for. I offer a non-judgmental, clinically grounded space to process whatever happened.

I also offer consultations for people considering a psychedelic experience who want to think through it carefully. The quality of your container — the setting, the facilitator, the relational safety of the space — is not a secondary consideration. It is central to whether the experience is therapeutic or harmful. If you have concerns about a provider or setting you're considering, I am happy to talk it through. Not all offerings in the psychedelic tourism and retreat world are ethical, trauma-informed, or safe — and knowing what to look for matters.

This includes a word about indigenous and traditional practices. Psilocybin mushrooms have been used in sacred ceremony by indigenous communities — particularly in Mexico and throughout Latin America — for thousands of years. I hold deep respect for those traditions and their cultural, communal, and ceremonial significance, and I recognize that these substances carry potent impact at physical, emotional, and psychological levels. My own practice does not engage in or encourage the appropriation of cultural ritual or ceremony, nor do I encourage blind or uninformed engagement with any substance, provider, or offering, however it is framed.

Integration intensive

For some people, especially those who have had a particularly significant or complex experience, the integration work is better held in an intensive format: uninterrupted time, a contained space, and sustained therapeutic presence over one to three days.

I offer in-person integration intensives in Durango, Mexico, in English or Spanish. These follow the same format as my 1:1 intensives and include online preparation and integration sessions. See the Intensives page for more on the format.

Online or in-person

Individual preparation and integration sessions are available online via Zoom, wherever you are. In-person sessions are available in Durango, Mexico, or as part of an intensive.

Fees

Intensives involve many variables which we will discuss transparently in the planning process. I have 10+ years of experience planning international therapeutic experiences and am confident I can navigate fee conversations ethically and on a case-by-case basis. Reach out and we can discuss.

Get in touch

The best place to start is a free 10–15 minute intro call on Zoom — a chance to talk through what you're looking for and see whether working together makes sense. Reach out via WhatsApp or email and tell me a little about where you are. I respond personally to every message.