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Suggested Guidelines for Applying a Systemic Lens to Psychedelic-Assisted Psychotherapy.

Sara N Lappan¹, Sean D Davis¹

¹Alliant International University, Alhambra, California, USA.

Psychedelic Medicine (New Rochelle, N.Y.)

|May 14, 2026

Summary

Psychedelic-assisted therapy shows promise for mental health, but a new systemic approach is needed. This research explores how psychedelic experiences impact relationships and family systems for deeper healing.

Keywords:

psychedelic-assisted psychotherapy relational systemic

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Area of Science:

Psychiatry and Psychology
Family Systems Therapy
Psychedelic Research

Background:

Psychedelic-assisted psychotherapy is effective for individual mental health conditions.
Current research often overlooks relational and systemic factors influencing therapeutic outcomes.
A gap exists in understanding the impact of psychedelics on interpersonal dynamics.

Purpose of the Study:

To propose a systemic approach to psychedelic-assisted psychotherapy and research.
To integrate relational principles into psychedelic therapy models.
To explore the effects of psychedelic experiences on attachment, family systems, and interpersonal dynamics.

Main Methods:

A conceptual article proposing a systemic research design.
A 10-session protocol including preparation, psilocybin administration, and integration.
Involvement of significant relational figures (partners, family members) in sessions.
Utilizing validated psychometric tools to assess relational quality, attachment, communication, intimacy, and intergenerational trauma.

Main Results:

The proposed approach integrates systemic theories (Bowenian, structural, EFT, contextual).
Outcome measures focus on relational and systemic improvements, not just individual symptoms.
The framework aims to assess changes in attachment security, communication, and emotional intimacy.

Conclusions:

Incorporating relational dynamics is crucial for comprehensive psychedelic therapy.
This systemic approach can bridge a critical gap in psychedelic research.
The model promotes long-term, systemic change beyond individual symptom reduction.