
with Mary Cosimano, Bill Richards & Brian Richards
Free Defusing Paranoid Processes module with sign up
For over two decades, Mary Cosimano, Bill Richards, and Brian Richards have been at the forefront of the clinical psilocybin-assisted therapy paradigm at Johns Hopkins University, helping spark the 21st century psychedelic renaissance and define the gold standard for therapeutic care.
Now, for the first time, these master clinicians invite you into their practice. Through cinematic roleplay vignettes and candid perspectives, witness their wisdom in action as they demonstrate how to hold space through terror, ego dissolution, paranoia, and transcendence.
The Art & Science of Psilocybin-Assisted Therapy launches Sabba's educational anthology "Multiple Lenses, One Unified Field: Perspectives & Practices of Psychedelic Healing"—a series dedicated to honoring the diversity, nuance, and contradictions that enrich and evolve our field.



Mary Cosimano, Bill Richards, and Brian Richards share their insights on the art and science of psilocybin-assisted therapy.
Words of wisdom for new practitioners of psilocybin-assisted therapy from Mary, Bill and Brian.
Video
3:49
Starting the Day: Ingestion
Video
4:31
Anxiety
Video
5:49
Paranoia
Video
3:56
Extreme Paranoia
Video
5:09
Diffusing Paranoid Processes

Simulation
Defusing Paranoid Processes
Video
4:37
Terror
Video
1:33
Death Encounter
Video
4:31
Encountering Ego Dissolution
Video
4:31
Anxiety
Video
2:55
Intellectualization
Video
4:57
Stopping the World
Video
3:49
Exhaustion
Video
3:06
Working with Resistance & Intellectualization

Simulation
Working with Resistance & Intellectualization
Video
4:37
Terror
Video
1:47
Anger
Video
3:56
Extreme Paranoia
Video
5:25
Confrontation
Video
1:44
Entity Hallucination
Video
3:23
Holding Space for Extreme Emotions

Simulation
Holding Space for Extreme Emotions
Video
4:37
Terror
Video
5:25
Confrontation
Video
1:33
Death Encounter
Video
1:44
Entity Hallucination
Video
5:21
Confronting Fear

Simulation
Confronting Fear
Video
1:42
Allowing Experiences to Unfold
Video
3:41
The Unfolding Rose
Video
1:44
Gratitude & Awe Beyond Words
Video
3:49
Exhaustion
Video
1:33
Death Encounter

Simulation
Allowing Experiences to Unfold
Video
1:49
Emesis
Video
1:37
Responding to Nausea & Emesis
Video
5:15
Disappointment
Video
4:27
Engaging with Disappointment, Boredom or Placebo Experiences
Video
1:34
Checking In
Video
1:09
Checking In
Video
2:19
Form & Formlessness
Video
5:25
Confrontation
Video
7:05
Supporting Somatic Expression

Simulation
Supporting Somatic Expression
The videos in this series are for educational and training purposes only. They are designed to briefly illustrate selected concepts and interactions in psychedelic-assisted therapy, as understood within a specific clinical paradigm of psilocybin-assisted therapy, and do not offer a comprehensive or definitive account of practice, nor do they capture the full range of experiences that may arise. The approaches and responses depicted reflect the personal experience and professional judgment of the practitioners involved. They represent just one of many possible ways to engage with the complex realities of psychedelic care and are intended to invite critical reflection, dialogue, and ongoing learning within our shared field.