Legal psilocybin therapy for depression and anxiety
You have probably done the work already. Medications, changes, sometimes years of therapy. Some of it helped. None of it moved the thing underneath.
What I usually hear
People come to me able to describe their depression with a kind of exhausted precision. They know the shape of it. They know which mornings are worse. They have a list of what they have tried, and they can recite it without emotion because they have recited it to so many people already.
With anxiety it is often the opposite. Nothing is visibly wrong. The job is fine, the family is fine, and there is a constant low current running underneath the day that no one else can see.
What both have in common is a narrowing. The world gets smaller. Fewer things feel worth reaching for. Many people tell me the hardest part is not the sadness or the fear, it is the flatness that came after they stopped expecting anything to change.
What tends to arise in this work
For people carrying long-standing depression, the medicine day often loosens the story before it lifts the mood. The narrative you have been living inside — that you are broken, or a burden, or beyond help — briefly stops feeling like a fact and starts feeling like a thought. That gap is small, and it is the part that matters.
For anxiety, the more common experience is meeting the fear directly rather than managing it. That can be difficult. It can also be the first time in years that someone is not bracing.
Grief shows up frequently and unexpectedly in both — grief for the years lost to the condition itself. I have learned to expect it and not to rush past it.
The research here is genuinely promising and still early. Psilocybin has received FDA breakthrough therapy designation for treatment-resistant depression, which means trials are ongoing, not that outcomes are established. What the evidence does and does not show.
How I adapt the arc
Preparation is longer. When someone has been let down by treatment before, the most useful preparation is not technique, it is rebuilding a working relationship with hope that is not naive. We talk about what a good day would actually look like, in concrete terms.
Medication is a real conversation. SSRIs, SNRIs, and several other psychiatric medications interact with psilocybin. Any taper is a decision made with your prescriber, not with me. I will not ask you to stop anything, and I will not proceed if stopping would be unsafe.
Integration carries most of the weight. The lift after a session, when it comes, is usually temporary unless something changes in how the weeks are lived. That is the work we do afterward, and it is the part I take most seriously.
Honest limits
This is not a cure and it is not a replacement for ongoing care. Most people who do well here also keep a therapist, a prescriber, or both.
If you have a personal or family history of psychosis, bipolar I, or schizophrenia, this work carries real risk and I will likely say no. If you are in acute crisis or having thoughts of ending your life, this is not the right next step — please contact the 988 Suicide and Crisis Lifeline, and let us talk later.
Some people feel worse before they feel better. Some people feel very little. I cannot tell you in advance which you will be, and anyone who tells you otherwise is selling something.
Sometimes the right answer is not now. Stability first, support in place first, a therapist first. I would rather say that to you than take your money.
If you want to talk it through
The first conversation is free and it is a conversation, not an application. You can bring the list of everything you have already tried. Part of my job is helping you decide whether this belongs on it.