Application for Intoduction to Psychedelic Therapy

Date: Wednesdays, March 12, Mar 26, Apr 9, Apr 23, Apr 30, May 14, May 21, May 28

(Dates don't follow exact rhythm; please make sure to check them on your calender)

Time: 6pm - 8pm
Location: In-person in Ann Arbor and Online
Facilitator: Julie Barron

Cost: $1800

Class Description:
Our Introduction to Psychedelic Therapy program is designed for healthcare practitioners, healing arts professionals, clergy, and community stewards. Students and others may also be considered for the program.

***This program does not teach any particular healing modality (like therapy or medicine); it is designed to help already existing professionals learn more and maybe eventually incorporate entheogens into their already existing healing/spiritual professional practices.***

This is an educational program. It is not a training program. It does not offer a degree, certification or experiential learning.

Program includes:
-Classes
-Integration Learning groups (included in class days)
-Individual Professional Consultation (1 Hour)

Classes:
Class 1) Introductions; Overview of the Program; Into to Psychedelic Therapy

Class 2) Assessment

Class 3) Preparation

Class 4) Tryptamines: Focus on Psilocybin-Assisted Psychotherapy

Class 5) MDMA-Assisted Psychotherapy and Ketamine-Assisted Psychotherapy

Class 6) Integration

Class 7) Microdosing, Legal status, Activism

Class 8) Harm Reduction and Ethics

(Class topics/schedule may change)

Applications Due: Feb 26, 2025
If accepted, payment is due: Mar 5, 2025

Name*

First NameLast Name

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Are you available on Wednesdays from 6pm - 8pm ET?

YesNoNot sure yet

Do you wish to participate virtually or in-person (choose one)?*

VirtualIn-person in Ann ArborCombination of in-person and online

Please tell us about your education.*

Do you hold any degrees, if so which?*

Do you hold (or have held) any licenses or certifications?*

Have you ever lost a license due to disciplinary action? Or have you ever been convicted of a crime involving sexual misconduct or violence?*

Why are you interested in this program?*

Why do you think this program is a good fit for you?*

What do you hope of accomplishing with this program?*

What role (if any) do you see yourself playing in the psychedelic movement?*

What career or position are you currently working now?*

The best candidates for this program are trained and experienced healthcare practitioners, healing arts professionals, or clergy. This program is a good fit for someone who already has a professional healing or spiritual career and is looking to learn more about psychedelics therapy. Please describe your training and experience and current professional healing or spiritual career.*

(If you are comfortable answering) Do you have personal psychedelic experience? Please share as much as you are comfortable sharing.

(If you are comfortable answering) Do you have any professional psychedelic experience? Please share as much as you are comfortable sharing.

How did you find out about this program?*

I understand that this program is educational in nature. It does not certify me to become psychedelic practitioner. It is not a training program. It is an introductory classroom program for educational purposes only. Complete training for a psychedelic practitioner includes many many more advanced class hours, lots of experiential work (praticum), and ongoing supervision. This program does not offer those things.*

I understand and agreeI do not understand and agree

I agree to stay within my scope of training and practice. I will not offer "therapy", "counseling" or "medicine" (or other titles) unless I am trained and experienced doing so. Those are separate degrees, licenses, etc.*

I agreeI do not agree

You are welcome to include your resume

An Introduction to Psychedelic Therapy for Professionals