Sabba Praxis: Roleplay simulations for psychedelic-assisted therapy

The Art & Science of Psilocybin-Assisted Therapy

Defusing Paranoia

You are a clinician supporting a patient during a psilocybin-assisted therapy session.

The patient is experiencing symptoms of paranoia.

Re-establish safety and trust, allowing the patient to return to their inner experience when ready.

There is no single "right" path through this scenario. The aim is to practice staying present, grounded, and responsive when things feel uncertain.

Provide concrete factual grounding (names, location, timeline)

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Use physical grounding when appropriate (hand-holding, presence)

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Frame experience as temporary and safe ("everything changes")

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Employ repetition of reassurance when defensive moves persist

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Give permission to feel whatever is present

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Maintain consistent, calm presence without rushing

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Provide space without pressure when patient withdraws

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