Safety & Screening

Safety in this work starts long before ceremony day. 5-MeO-DMT is one of the most powerful psychedelics known, and certain medications and health conditions can make it genuinely dangerous. So each person I work with goes through careful screening first, and I'd rather say "not yet" than take a risk with your wellbeing.

Nothing on this page is medical advice. Please talk with a qualified healthcare provider about your own health and medications.

The short version

5-MeO-DMT isn't safe for everyone. The biggest risks are MAOIs (including ayahuasca and Syrian rue), lithium, heart conditions, pregnancy, and a history of psychosis or mania. Everyone goes through screening before any ceremony, nothing is taken without your yes, and I stay sober and beside you from the moment you arrive until you leave.

Who this isn't safe for

This is the list I screen against. It's not exhaustive, and your intake covers more.

Medications and supplements

• MAOIs, including harmala-containing plants like ayahuasca or Syrian rue. Combined with 5-MeO-DMT, these can be dangerous, and the combination has been linked to a death.
• Lithium
• Certain antidepressants and other serotonergic medications (we'll go through these individually; an early trial of 5-MeO-DMT alongside antidepressants is summarized here)

Physical health

• Heart disease or serious cardiovascular issues
• Uncontrolled high blood pressure
• History of stroke or seizures
• Serious respiratory conditions
• Serious liver or kidney issues
• Pregnancy or breastfeeding

Mental health

• Active psychosis, schizophrenia, or bipolar disorder in a manic phase
• A personal or family history of psychosis or bipolar disorder, which we'll discuss carefully
• Severe personality disorders without stable therapeutic support
• Any mental health condition that isn't currently being managed

Having had hard times, including suicidal thoughts in the past, doesn't rule you out on its own. We talk about it honestly, and if now isn't the right time, I'll say so and point you toward support.

How screening works

1. Consultation call: a free 20-minute conversation to feel into whether this is a good fit, in both directions.
2. Health, history and intentions intake: a detailed questionnaire covering your physical health, mental health history, medications and supplements, past psychedelic experience, and support systems.
3. Review: I read your intake carefully and follow up on anything that needs a closer look.
4. Healthcare consultation, if needed: in some cases I'll ask you to check with your doctor or a healthcare provider before we go ahead.
5. Preparation call: we address anything that surfaced in your intake and walk through ceremony day in detail.
6. Ceremony day check-in: before any medicine, we check how you're arriving, physically and emotionally.

About your medications

Please don't stop or change any medication on your own to become eligible. Some medications need careful tapering, and that's a conversation for your prescriber, never for me. If anything changes with your health or medications between intake and ceremony, let me know right away.

If it isn't the right time

If 5-MeO-DMT isn't the right fit right now, I'll tell you clearly and compassionately. It isn't a judgment, it's a commitment to your safety. Where it helps, I'll suggest other practitioners or approaches, and what might need to stabilize before revisiting this work. You're always welcome to reconnect later.

In the room

• The medicine: pure, synthesized, lab-tested 5-MeO-DMT only, never toad secretion. Every dose is weighed.
• Pacing: we start low and build gradually, titrating each round to your nervous system rather than a standard protocol. We decide together between rounds, and you can pause or stop at any point.
• Presence: I stay with you, fully sober and attentive, from arrival until you leave. I watch your breath and your body, keep you physically safe if you move suddenly, and offer a hand or a few grounding words if we've agreed on that.
• The space: mats and cushions on the floor, nothing hard nearby, water and warmth within reach.

Consent and touch

In a 5-MeO-DMT journey you can be completely without words for a time. That's why consent is agreed before the medicine comes out, never during.

Before your first dose we go through what support you'd like: whether grounding touch, like a hand on your shoulder or holding your hand, is welcome; the signals you'll use if you want more support or want to be left alone; and anything that's off limits. You can change your mind at any time, and a no never needs explaining. Touch for your safety, like steadying you if you move suddenly or helping you onto your side, is the one exception, and we talk about that too.

If it gets hard

Some journeys include fear, grief or struggle, often right before the deepest letting go. A hard moment isn't a sign that something has gone wrong, and you won't be alone in it. I stay beside you, with my voice, my breath, and touch if you've asked for it. The intense part passes within minutes. Afterwards we take time to talk about what came up, and you decide what happens next: another round, a smaller one, or stopping for the day. There's no pressure to go further, ever.

If there's a medical emergency

I hold a current first aid and CPR certification (renewed in 2026), and the ceremony space is less than five minutes from a major hospital.

After ceremony

You'll leave with integration guidance for the days ahead, followed by two integration calls, and I remain reachable between and beyond them. If something unexpected surfaces, you won't be navigating it alone. More on what helps afterward: Integration.

Your privacy

Everything you share in your intake and our calls stays between us. I don't share client details with anyone, and I never discuss who I've worked with.

If you have questions about whether this work is safe for you, the free consultation is the place to start, or you can send me a message.