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Psychedelic-Assisted Groups in the U.S.: A Culturally Responsive Counseling Approach

Isaac Burt

International Journal for the Advancement of Counselling June 14, 2025 Peer reviewed DOI: 10.1007/s10447-025-09610-6 via OpenAlex

Summary

Psychedelic-assisted groups (PAGs) show potential for clients who do not benefit from traditional talk therapy, particularly when connected to Black, Indigenous, and People of Color (BIPOC) ancestral practices. The article reviews historical psychedelic treatments, discusses group dynamics including recruitment and therapeutic processes, and emphasizes the importance of multicultural aspects and facilitator characteristics. It suggests that PAGs can serve as a culturally responsive intervention for diverse clients despite societal hesitations around psychedelics.

Study at a glance

Population clients seeking therapy, particularly BIPOC individuals
Key finding PAGs can be an effective culturally responsive intervention for diverse clients when connected to their BIPOC roots.

Abstract

Abstract Psychedelic-assisted groups (PAGs) indicate promise with clients that do not respond to traditional talk therapy. While encouraging, in the U.S., societal perceptions of psychedelics and concern of practicing outside one’s scope may cause practitioners to hesitate. To illustrate the potential effectiveness of PAGs, this article has three parts. First is a historical overview of psychedelic approaches and treatments highlighting Black, Indigenous, and People of Color (BIPOC) ancestral psychedelic therapeutic group practices and U.S./Westernized methods. I then address group dynamics such as recruitment, screening, selection, and therapeutic processes. Included within this are multicultural/social justice aspects and facilitator characteristics. Concluding the article are sections detailing limitations and implications for groupworkers. The contention is that if connected to its BIPOC roots, PAGs can be a culturally responsive intervention for diverse clients.

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