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Strengthening the Psychedelic Safety Net: A Call for a Coordinated Ecosystem of Post-Psychedelic Care

Jurlando C, Nash K, Masah DJ, Evans J, Rush S

Jul 10, 20260 citationsDOI: 10.31234/osf.io/r5vtx_v1

Abstract

<p>As psychedelic use rises globally, a growing subset of individuals experience extended post-psychedelic difficulties (EPPD): persistent adverse reactions including severe anxiety, depersonalization/derealization, persistent insomnia, HPPD, and PTSD-like features. Although a number of non-profit organizations have developed vital support networks, infrastructure remains fragmented, with peer support, integration services, and clinical care operating without shared definitions, triage protocols, or referral pathways, and clinicians capable of treating EPPDs as psychiatric conditions remaining extraordinarily rare. This Perspective Essay maps the existing ecosystem of post-psychedelic care before proposing a coordinated framework organized around three functions—recognition, routing, and learning. We suggest three working categories of psychedelic difficulty (Acute Psychedelic Crisis, Short-term Integration Difficulties, and Extended Post-Psychedelic Difficulties) alongside four coordination pillars: coordinated public-facing presence, common minimal intake, shared learning, and outcome tracking. We argue that voluntary, decentralized coordination among peer, clinical, and research organizations offers a practical path toward a psychedelic safety net capable of caring for those who struggle, not only those who thrive.</p>

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PsychedelicsPTSDAnxiety

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