A pilot program offered group-based therapy with three ketamine sessions at a psychedelic dose to eight Indigenous participants and two Elders, in partnership between Roots to Thrive and the Snuneymuxw First Nation. Thematic analysis of interviews and feedback revealed that participants experienced significant benefits, including the importance of Indigenous team members, traditional healing approaches, and authentic relationships. Challenges were also noted. The work highlights the need to address colonial legacies and integrate Indigenous Ways of Knowing for culturally safe psychedelic therapies.
Training programs for psychedelic-assisted therapy should include firsthand experience of nonordinary states of consciousness as a core component for developing therapist competence. The argument centers on how direct engagement with altered states provides practitioners with essential insights into the therapeutic process, enhances empathy and understanding of patients' experiences, and improves the effectiveness of therapeutic guidance. This experiential learning is presented as critical for achieving optimal healing outcomes and treatment efficacy, rather than relying solely on theoretical knowledge or observational training.