Medical Doctor and Psychedelic Therapist. Certified Alternative Therapist in Andean Medicine and Gestalt Therapy. Master’s Degree in Holistic Psychology. Medical graduate from the Pontificia Universidad Católica del Ecuador. Founder and Co-director of the Psychedelic Society of Ecuador. Advocate for the conscious use of psychoactive substances. Psychonaut.

Psychedelic Harm Reduction and Integration (PHRI) needs to become a crucial framework in Latin America, especially given the increasing use of psychedelics like ayahuasca in ceremonial settings. The region’s rich cultural history, intertwined with the use of traditional plant/fungal/animal medicines, offers unique insights into the therapeutic potential of psychedelics. However, it also highlights the need for structured approaches to ensure safe and beneficial experiences.

From my research on people drinking ayahuasca in ceremonial environments, the importance of creating a secure, supportive space is paramount. Safety in such ceremonies is often cultivated through a combination of ancestral practices and modern medical and psychological oversight. Indigenous traditions possess invaluable knowledge on the ceremonial use of ayahuasca, passed down through generations. However, the growing number of non-indigenous participants requires integrating these practices with contemporary harm reduction strategies—such as pre-screening for mental and physical health, medical supervision, and psychological support.
This fusion of approaches allows for a safer, more inclusive environment. Modern research brings academic rigor to the evaluation of potential risks and benefits, while ancestral practices ensure the spiritual, communal, and holistic aspects of the experience are respected. Balancing these two worlds offers a way to navigate the complexities of psychedelic experiences, mitigating risks such as psychological distress or inappropriate integration.

Thus, a PHRI framework that combines ancestral wisdom with modern medical and psychological practices is essential in Latin America. This approach not only enhances the safety and efficacy of psychedelic ceremonies but also respects the profound cultural heritage of indigenous communities who have been stewards of these practices for centuries.