EOL Psyd

 A

Here’s a more detailed protocol table for psychedelic-assisted end-of-life therapy, integrating session timelines, preparation, music/ritual guidance, and integration techniques. This is based on clinical research and therapeutic practice:

Substance	Dose / Administration	Preparation	Dosing Session	Support & Environment	Integration	Typical Timeline
Psilocybin	20–30 mg oral (~0.3–0.5 mg/kg)	1–2 preparatory sessions (1–2 hours each), discuss fears, intentions, prior psychological assessment	6–8 hours; patient lies down with eyeshades, music playlist, optional guided imagery	2 therapists present; safe, comfortable room; supportive communication	1–2 post-session integration sessions (1–2 hours each) to discuss insights, fears, and end-of-life acceptance	Week 1: prep; Week 2: dosing; Week 3–4: integration
Ketamine	0.5–1 mg/kg IV or 50–100 mg IM/sub-lingual	Assessment for cardiac/mental health; intention-setting; brief mindfulness exercise	40–60 minutes; patient monitored in reclining chair or bed	Medical monitoring of BP, HR, O2; therapist present for guidance	Integration session within 1–3 days; journaling, mindfulness, reflection	1–5 sessions over 1–3 weeks depending on response
LSD	100–200 μg oral	1–2 preparatory sessions; psychological assessment; grounding exercises	6–12 hours; eyeshades, music, therapist support; optional guided meditations	Comfortable, private room; at least 2 trained facilitators; emergency protocols in place	Integration session(s) 1–3 days later; discussion of mystical experience, emotional release, acceptance of mortality	Prep: 1–2 weeks; dosing: 1 day; integration: 2–3 days post-session
MDMA	75–125 mg oral	1–2 prep sessions: trauma review, intention setting, coping strategies	6–8 hours; therapist-guided; supportive music; optional gentle touch	Two therapists present; patient encouraged to focus on emotional processing; safe, private setting	Integration session 1–3 days post-dose; reinforce emotional breakthroughs, relational repair	Prep: 1–2 weeks; dosing: 1 day; integration: 1–2 days post-session
Ayahuasca (DMT + MAOI)	2–5 ml/kg decoction, potency varies	Pre-ceremony diet & mental preparation; intention setting; spiritual guidance	4–8 hours; ceremonial space; guided by experienced shaman or facilitator; chanting, singing, ritual tools	Supervised; attention to vomiting/purging; safe environment for introspection	Integration session(s) 1–3 days later; journaling, discussion, spiritual counseling	Prep: 1–3 days; ceremony: overnight; integration: 1–3 days after
Peyote / San Pedro (Mescaline)	200–400 mg mescaline equivalent	Preparatory counseling; spiritual/ancestral intention; fasting or dietary guidance	6–10 hours; ceremonial setting; singing/ritual, guided reflection	Facilitator or shaman present; safe space for emotional release	Integration 1–3 days later; processing visions, ancestral connections, death acceptance	Prep: 1–2 days; dosing: 1 day; integration: 1–3 days after

Additional Protocol Details

1. Music & Ritual Guidance:
   
• Carefully curated playlists help guide emotional peaks and valleys.
• Rituals may include breathwork, chanting, or gentle touch depending on substance and tradition.
2. 
   
3. Integration Techniques:
   
• Journaling, drawing, or storytelling to consolidate insights.
• Mindfulness or meditation exercises to reinforce acceptance and presence.
• Conversations with loved ones to repair relationships or express gratitude.
4. 
   
5. Safety Measures:
   
• Vital signs monitored for ketamine or high-dose psychedelics.
• Emergency medications or protocols in place for rare adverse reactions.
• Psychological support always available during challenging experiences.
6. 
   
7. Customization:
   
• Each patient’s dosage, session length, and integration plan are tailored to health status, mental state, and spiritual beliefs.
8. 
   

If you want, I can create a visual “flowchart-style protocol” showing the full week-by-week sequence from preparation to integration—essentially a ready-to-use clinical roadmap for end-of-life psychedelic therapy.

Do you want me to make that?