Consider the decision
Look at your health, medications and what you hope to gain.
Plan your support
Agree on boundaries, practical needs and when to get help.
Leave time afterward
Rest, reflect and decide whether there is a useful small step.

“When the ego dissolves, so does a bounded conception not only of our self but of our self-interest. What emerges in its place is invariably a broader, more openhearted and altruistic—that is, more spiritual—idea of what matters in life. One in which a new sense of connection, or love, however defined, seems to figure prominently.”
- Michael Pollan
This overview describes preparation, support during the experience and time afterward. Good planning can reduce some risks; it cannot guarantee a safe or ideal experience. You can stop at any stage and decide not to proceed.
Do your research
Begin with curiosity and take time to learn about the particular substance. Consider your health, medications, current stability and the people who could support you. A useful decision includes the possibility of postponing or not proceeding.
Read about risks as well as possible benefits. Bring health and medication questions to your prescriber. Testing may identify some substances or contaminants, but it cannot establish that a product or experience is safe for you. Think through your responsibilities and leave time afterward for rest and support.
Prepare and consider having a trip sitter
Use the Preparation Guidebook to work through your setting, supplies, intentions and support. An intention is a question or purpose you want to explore; it is not an outcome you can require.
If someone will sit with you, make a plan together. Discuss boundaries, what helps when you are anxious, when to get medical help and who will be available afterward. Give them time to read the Sitter Guidebook and ask questions.
Take the journey
On the day, check in with yourself and your support person. Something may have changed since you made the plan. You can postpone.
If you proceed, keep the surroundings familiar and free of avoidable hazards. Have your support plan available. Music, eyeshades or lying down may feel comfortable, but none is a requirement. You can ask for a change. Our Journey Day page and guidebook cover practical preparation and support.
Respond to what you need
If you are having a difficult experience, gentle curiosity or grounding may help. You do not need to force yourself deeper into distress or interpret it as a failure to surrender. Ask for support. Afterward, capture what you remember, speak with someone you trust and take time to consider what the experience means. A compelling insight is something to examine, not a command to act immediately.
If you would like any help with the preparation, the journey day prep or the integration please connect with one of Entheo's Psychedelic coaches.
For the full medication review, including medicines other than SSRIs, see Medication considerations. Do not abruptly stop prescribed medication or increase a psychedelic dose to compensate for reduced effects.
Evidence reviewed: September 27, 2026.
Read the neuroscience overview for the distinction between altered experience and helpful lasting change.
Sources and further reading
This is a practical overview. Research safeguards offer useful background, but cannot guarantee safety outside a study.