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"Honoring Beautiful Connections": LGBTQA+ Perspectives on Providing Safe and Inclusive Psychedelic-Assisted Therapy
Riccardo Miceli Mcmillan1,2, James A Fowler3,4,5, Tamara Erbacher4,5
1Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Journal of Homosexuality
|July 8, 2025
Summary
Psychedelic-Assisted Therapy (PAT) requires healthcare providers to address LGBTQA+ needs. Key considerations include provider bias, affirming identity exploration, and mindful presence during psychedelic experiences.
Area of Science:
- Psychiatry
- Psychology
- Clinical Research
Background:
- Psychedelic-Assisted Therapy (PAT) is emerging but often overlooks LGBTQA+ specific needs.
- Limited research exists on tailoring PAT for diverse populations.
Purpose of the Study:
- To explore LGBTQA+ individuals' perspectives on essential considerations for healthcare providers (HCPs) in PAT.
- To identify key factors for culturally sensitive and effective PAT delivery for LGBTQA+ clients.
Main Methods:
- Online survey distributed globally to LGBTQA+ individuals (18+) with prior classic psychedelic experience (non-microdose).
- Qualitative data from 43 participants analyzed using inductive reflexive thematic analysis.
- Three core themes identified regarding HCPs' roles and approaches.
Main Results:
- Theme 1: HCPs must address biases and use inclusive language to build trust and safety.
- Theme 2: A flexible, client-led approach is crucial for supporting identity exploration during PAT.
- Theme 3: HCPs need to thoughtfully modulate their presence to support clients' psychedelic experiences.
Conclusions:
- Findings highlight the need for specialized PAT protocols that acknowledge the diverse experiences of LGBTQA+ individuals.
- Emphasizes culturally competent care to enhance PAT efficacy and safety for this population.
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