Preparing for a psychedelic journey is arguably more important than the experience itself. While psychedelics can catalyze profound healing and transformation, poor preparation can lead to difficult experiences that undermine therapeutic potential. This comprehensive guide draws from harm reduction principles, clinical research, and traditional wisdom to help you prepare safely and intentionally.
Why Preparation Matters
The psychedelic experience is highly influenced by what researchers call "set and setting"—your mindset going in and the environment where you journey. Proper preparation optimizes both factors, creating conditions for meaningful, manageable experiences rather than overwhelming or frightening ones.
Research from Johns Hopkins and Imperial College London consistently shows that preparation significantly impacts outcomes. Participants who receive thorough preparation report more positive experiences, fewer adverse effects, and greater long-term benefits compared to those who journey unprepared.
The Timeline: When to Start Preparing
6-8 Weeks Before: Begin this early if you're new to psychedelics, working with trauma, or planning a high-dose journey. This allows time for intention-setting, lifestyle adjustments, and building psychological readiness.
2-4 Weeks Before: Minimum preparation time for experienced journeyers taking moderate doses in familiar settings.
1 Week Before: Start finalizing practical details—confirming your sitter, preparing your space, and reducing obligations for integration time afterward.
24-48 Hours Before: Enter a more contemplative state. Reduce stimulation, avoid alcohol, eat clean foods, and begin mentally transitioning into the experience.
Medical and Safety Screening
Before any psychedelic journey, conduct a thorough safety assessment:
Contraindicated Conditions:
- Active psychosis or family history of schizophrenia
- Severe cardiovascular conditions (especially with stimulating psychedelics)
- Pregnancy or breastfeeding
- Current manic episode in bipolar disorder
Medication Interactions: Never combine psychedelics with:
- MAOIs (unless specifically microdosing with medical guidance)
- SSRIs/SNRIs (can significantly reduce effects or cause serotonin syndrome)
- Lithium (dangerous interaction with most psychedelics)
- Tramadol or other medications affecting serotonin
If you take psychiatric medications, research specific interactions thoroughly. Many people successfully journey while on medications, but timing, dosage adjustments, or avoiding certain combinations may be necessary. Never adjust psychiatric medications without medical supervision.
Drug Testing: If possible, test your substance using reagent kits or send samples to labs like DrugsData.org. Adulterated or mislabeled substances cause many adverse reactions.
Clarifying Your Intention
Intention provides a compass for your journey without rigidly controlling the experience. The most effective intentions balance specificity with openness.
How to Set an Intention:
Start with honest reflection on why you're called to this experience. Common categories include:
- Healing specific trauma or emotional patterns
- Gaining clarity on life direction or relationships
- Exploring consciousness and spirituality
- Breaking through creative blocks
- Processing grief or loss
- Deepening self-compassion
Write your intention down. A well-formed intention might be: "I'm open to understanding the roots of my anxiety and receiving insights about living with more ease" rather than demanding "I will cure my anxiety."
Avoid intentions that:
- Seek to control the experience rigidly ("I will meet my spirit guide")
- Focus entirely on recreation without any personal growth element
- Attempt to solve someone else's problems
- Come from desperation rather than readiness
Return to your intention periodically during preparation, but hold it lightly. The medicine often has its own agenda, which may be exactly what you need even if it differs from your plan.
Psychological Preparation
Building Internal Resources:
Spend preparation time strengthening your capacity to navigate challenging emotions. Practices that help include:
Daily meditation: Even 10-15 minutes builds the skill of observing thoughts and sensations without immediately reacting—invaluable during intense psychedelic moments.
Breathwork: Practice techniques like box breathing (4-4-4-4) or extended exhales. During difficult moments in a journey, returning to breath provides an anchor.
Body awareness: Psychedelics amplify bodily sensations. Develop comfort with your somatic experience through yoga, progressive muscle relaxation, or simply sitting with physical sensations during meditation.
Shadow work: Journal about aspects of yourself you typically avoid—shame, anger, fear, desires. Psychedelics often bring these to the surface; preliminary exploration reduces shock and resistance.
Working with Fear:
It's normal to feel anxious before a journey, especially your first or after a previous challenging experience. Fear isn't a reason to cancel; it's an invitation to prepare more thoroughly.
Acknowledge specific fears: What exactly worries you? Common fears include losing control, having a bad trip, confronting painful truths, or the physical intensity. For each fear, develop a response:
- Loss of control: Remind yourself the experience is temporary, you have a sitter, and "letting go" often reduces difficulty more than fighting for control.
- Bad trip: Understand that challenging experiences often yield the most growth and that you have tools to work through difficulty.
- Physical intensity: Prepare comfort items, practice breathing techniques, and trust your body's wisdom to process the experience.
If fear feels overwhelming, consider starting with a lower dose, ensuring excellent set and setting, or waiting until you feel more ready.
Lifestyle Adjustments
Diet and Substances:
The week before your journey:
- Reduce or eliminate alcohol, cannabis, and other substances
- Eat whole, unprocessed foods
- Stay well-hydrated
- Avoid heavy meals the day before
- Some traditions recommend avoiding fermented foods, aged cheeses, and processed meats before journeying (especially relevant with MAOIs)
Fast for 4-6 hours before journeying (except water). This reduces nausea and allows the substance to absorb more effectively. For longer journeys, have light, simple foods available for later.
Sleep and Energy:
Ensure you're well-rested going in. Sleep deprivation increases vulnerability to difficult experiences and reduces your capacity to integrate insights. If you've been burning the candle at both ends, postpone your journey until you've recovered.
Social and Environmental Preparation:
Clear your schedule for the journey day and at least 1-2 days afterward. You'll want zero obligations, no pressure to be "functional," and space to process the experience.
Inform trusted people (who aren't your sitter) that you'll be unavailable. You don't need to explain why, but having others know not to expect responses reduces anxiety about external demands.
Preparing Your Space
Your journey space profoundly impacts the experience. Dedicate time to creating an environment that feels safe, comfortable, and intentional.
Essential Elements:
Physical comfort: Arrange cushions, blankets, and a comfortable place to lie down. Temperature control matters—have blankets available even if it's warm, as temperature regulation can fluctuate.
Minimal stimulation: Remove clutter and unnecessary items. A clean, uncluttered space reduces visual confusion during peak effects.
Lighting: Have multiple options—complete darkness, soft warm light, natural daylight. Different phases of the journey may call for different lighting.
Music: Prepare a carefully curated playlist (6-8 hours to be safe). Instrumental music without lyrics generally works best. Johns Hopkins has published their psychedelic research playlists—these are excellent starting points.
Bathroom access: Ensure easy, clear access to the bathroom. Mark the path if necessary, especially if journeying at night.
Sacred objects: Items with personal meaning—photos, crystals, sacred texts, art—can provide grounding and comfort. Include objects representing your intention.
Safety Considerations:
Remove potential hazards:
- Secure sharp objects, medications, and anything you could injure yourself with
- Turn off stoves and other appliances
- Let pets stay with trusted friends (unless your pet is a specific part of your intentional setup)
- Lock doors if privacy and security matter for your sense of safety
- Ensure phones are charged but on do-not-disturb
Have a "landing pad" prepared—a designated comfortable area where you'll spend most of the journey.
Choosing and Preparing Your Sitter
A skilled sitter (or trip sitter) dramatically increases safety and can help navigate challenging moments. Even experienced journeyers benefit from having someone present for higher doses.
Qualities of a Good Sitter:
- Calm, grounded presence
- Prior psychedelic experience (ideally)
- Ability to be present without trying to "fix" or control your experience
- Trustworthy and able to maintain confidentiality
- Comfortable with silence and intense emotions
- Available for the entire journey duration plus several hours
Preparing Your Sitter:
Have a detailed conversation beforehand covering:
Your intention and any specific areas you're working with: This helps them understand the context if difficult material arises.
How you want them to interact: Some people want active guidance and reassurance; others prefer minimal interaction unless they request help. Clarify your preferences.
Physical touch boundaries: Decide if you're comfortable with hand-holding, shoulder touches, or prefer no physical contact unless you initiate.
Agreed-upon signals: A simple system like raising your hand if you need attention or saying "I'm okay" to indicate you're working through something but don't need intervention.
When to intervene: Clear guidelines about when they should be concerned (self-harm, intentions to leave the space unsafely, prolonged severe distress) versus when to allow you to work through challenge.
Practical details: Where they'll be during the journey, bathroom logistics, meal planning for them, expectations about phone use.
Provide your sitter with emergency contacts, any relevant medical information, and the substance/dose you're taking.
Solo Journeying:
Experienced journeyers sometimes choose to journey alone, especially at lower doses. If you do this:
- Have someone on-call who knows your timeline and can check in
- Use dose levels you've safely navigated before
- Ensure your physical environment is exceptionally safe
- Consider having a video call connection available
- Accept that solo journeying increases both risk and self-reliance
Preparing Your Integration Practice
Integration begins before the journey. Set up structures that will support you afterward:
Journaling setup: Have a dedicated journal and pen ready for immediately after the journey and the following days. Digital works too, but handwriting can access different processing modes.
Integration support: Arrange a session with a psychedelic integration therapist, or at minimum, schedule time with a trusted friend to talk through your experience within a few days.
Creative outlets: Have art supplies, musical instruments, or other creative tools available for non-verbal processing.
Reduced obligations: Clear your calendar for at least 2-3 days post-journey. You'll want time for rest, reflection, and allowing insights to settle without immediately returning to normal demands.
The Day Before and Day Of
24 Hours Before:
Enter a more mindful state. Reduce screen time, avoid news and social media, spend time in nature if possible. Re-read your intention. Do something physically grounding—walk, stretch, take a bath.
Prepare all practical elements so nothing needs attention the day of. Charge devices, set out clothes, prepare your space, confirm timing with your sitter.
Get good sleep. If you're too anxious to sleep well, practice breathing exercises and rest as deeply as possible.
Morning Of:
Begin with a practice that centers you—meditation, journaling, gentle movement. Eat a light, clean breakfast if your journey is later in the day, remembering to fast 4-6 hours before.
Avoid stimulating activities and difficult conversations. This is a day of retreat and preparation, even before the substance.
Review your intention one final time, then consciously release it. You've done the preparation; now it's time to trust the process.
Final Preparations (1-2 hours before):
- Use the bathroom
- Set up your space exactly how you want it
- Turn on your music playlist at low volume
- Put phones on do-not-disturb (sitter's phone remains accessible)
- Brief your sitter on any last-minute details
- Take a few minutes for centering practice
- Speak your intention aloud or silently affirm your readiness
Dosage Considerations
Proper dosing balances effectiveness with safety and manageability:
First-Time Guidance: Start with a moderate dose, not a microdose or a heroic dose. You want enough to meaningfully engage with the psychedelic state but not so much that you're overwhelmed. Specific dosing depends on the substance, but generally:
- LSD: 75-100μg for first experience
- Psilocybin: 2-2.5g dried mushrooms
- MDMA: 100-125mg (note: MDMA requires additional safety considerations)
Experienced Journeyers: You likely know your sweet spot. Remember that intentions, set, and setting matter more than continually increasing dose. Higher doses aren't inherently "better" or more therapeutic.
Set Realistic Expectations:
Psychedelics aren't magic pills that instantly resolve all difficulties. They're tools that can reveal, catalyze, and shift—but integration of insights into daily life determines long-term outcomes.
You might have a beautiful, blissful journey. You might have a difficult, confronting one. Both can be equally valuable. The preparation you've done means you're ready for whatever unfolds.
Final Thoughts
Thorough preparation demonstrates respect—for the substance, for your own psyche, and for the transformative potential of the experience. The time you invest in preparation isn't separate from the journey; it's the beginning of it.
Every element of this guide serves one purpose: creating conditions where you can safely explore, heal, and grow. Some aspects will resonate more than others. Adapt these suggestions to your unique needs, circumstances, and intuition.
The fact that you're reading this guide and taking preparation seriously suggests you're approaching this work with appropriate intention and care. Trust that your preparation has been enough. Now it's time to begin.