Optimizing music for psychedelic-assisted therapy: Examining contemporary practices, traditional entheogenic rituals, and musically-induced peak experiences
Journal of Psychedelic Studies June 2, 2026 Brandon Reynante, Jack Buchanan
Music has been integral to psychedelic experiences across history, from shamanic rituals to modern psychedelic-assisted therapy (PAT), yet standardized protocols for its use are lacking. This interdisciplinary review compared musical features in three contexts: modern PAT, traditional entheogenic rituals, and musically-induced peak experiences. Conflicting features emerged: PAT music peaks with simplicity, consistency, and slow tempo; ritual music uses simple forms with rhythmic complexity, subtle variations, and fast tempo; peak-experience music is complex, surprising with large dynamic changes, and fast. These differences likely stem from music's assumed role and the associated non-ordinary state of consciousness.