For Therapists and Practitioners
Referring a Client for Psilocybin Therapy in Oregon
What Ayeterra’s facilitators do and do not do, how coordination works with your consent and your client’s, and how to refer.
Ayeterra’s licensed facilitators work alongside therapists, not instead of them. Oregon’s program is supervised adult use, not treatment: facilitators do not diagnose, treat, or interpret, and the session stays inside a licensed service center. What we can do is screen carefully, prepare your client well beyond the state minimum, hold the session, and, with your client’s written consent, coordinate with you before and after. Your care relationship stays yours.
From Ayeterra’s Oregon-licensed facilitators. Last updated September 16, 2026.
What does a licensed facilitator do, and not do?
Oregon’s rules draw the line clearly, and it is a line that protects your work as much as the client.
What we do
- Screen under Oregon’s rules: the standardized client information form, the three exclusions, a private conversation
- Prepare: more than the one session Oregon requires, individualized, with practical tools
- Hold the session at a licensed service center, present and continuously monitoring the whole time
- Follow up within 72 hours and provide integration support, included in every price
- Coordinate with you, with your client’s written consent
What we do not do
- Diagnose, treat, or provide psychotherapy; Oregon requires a non-directive approach (OAR 333-333-5120)
- Interpret the experience for the client or steer it toward a conclusion
- Advise on medications. Any change is between the client and their prescriber; we will never suggest stopping a medication
- Replace ongoing care. A session is a catalyst; the work around it is where you are essential
- Promise outcomes
Several of Ayeterra’s facilitators hold clinical credentials of their own: a registered nurse, a social worker with an MSW, a certified recovery coach. When they facilitate they work within the facilitator scope, and they understand yours. That makes the conversation easier, not blurrier.
How does coordination with a therapist work?
Only with the client’s written consent, and at whatever level the client and you want. Here is the shape most people choose.
- Client signs a release naming you; you and the facilitator have a short call or exchange
- You share what you think matters for safety and preparation; we share what screening surfaced
- Preparation can pick up themes you are already working on, without turning the session into an agenda
- You know the date. Some therapists schedule a session in the week before and the week after
- The session itself is the facilitator’s; you are not present, and the client’s experience is not reported to you in detail unless the client chooses to share it
- The 72-hour check-in is ours; the integration session is ours; the months of work that follow are largely yours
- With consent, a brief note on how the session went and anything relevant to safety
- If something difficult surfaced, you hear about it promptly, not at the next appointment
Some clients want a lighter version: a single release so we can confirm you are aware, and nothing more. That is fine too. The client sets the level.
Which clients are a good fit, and which are not?
Often a good fit
- Adults 21 and over who are stable enough to prepare, sit with a hard experience, and do the work after
- People already in your care who are curious and have asked you about it
- People who have plateaued in talk therapy and want a different angle, with you still in the picture
- Clients facing serious illness or end-of-life distress, where the evidence base is strongest
Not a fit, or not yet
- Lithium within 30 days, any history of active psychosis, or current ideation of harm (Oregon’s three exclusions)
- Bipolar I or a history of mania: most facilitators decline; we will talk it through with you rather than decide by form
- Acute crisis, recent hospitalization, or an unstable living situation: slow down first
- Someone looking to replace therapy rather than add to it
The full screening criteria, medication considerations, and Oregon’s own adverse-event data are on the safety page.
Read the safety and screening page →How do I refer a client?
Three routes, none of them a form.
Three routes
- The client books the free consultation themselves and mentions you. That is the most common route and it keeps the choice with them.
- You book a professional intro call with a facilitator first, fifteen minutes, to ask what you want to ask before you mention it to a client.
- Email or call with a question about a specific situation, no names needed. 503-713-5644.
- Either way, nothing happens without the client’s own consultation, their own screening, and their own consent to coordinate.
Talk to a facilitator first
A fifteen-minute call, facilitator to practitioner. Ask how screening works, what preparation involves, what we would and would not do with your client, and what you would hear back.
Book a professional intro call Or call 503-713-5644 · Adults 21+What should you and your client expect?
- Timeline: two to six weeks from consultation to session, set by screening and readiness, not the calendar
- Cost: published on the site, including the psilocybin. One-on-one from $2,000 plus medicine; group from $750. Every price includes preparation beyond the state minimum, the room, and integration
- Access: Price should never be the reason someone does not have a session. Sliding-scale access is real and handled on the consultation, with no forms and no proof of hardship.
- The facilitator: one person, matched to the client, from preparation through integration; the client can meet them first
- Where: licensed service centers in Portland and Ashland; the client must be in Oregon for the session, and many travel in
- What you will not get: a clinical report, a diagnosis, or a treatment plan. What you will get, with consent, is a straight account of what happened and what might matter for your work
Every price includes preparation beyond Oregon’s one required session, the session room, and integration support.
See every price and what it includes →Questions therapists ask
Is this legal for me to recommend?
Oregon’s program is state law (ORS 475A). Referring a client to a licensed facilitator is no different in kind from referring to any other licensed provider, and many Oregon therapists do. Psilocybin remains federally scheduled; that has not been an issue for referring clinicians, but it is worth knowing where your board stands, and we are glad to share what other therapists have told us.
Can I be in the room during the session?
Not as a therapist. Oregon allows a client support person during a session under specific rules, and a therapist acting in that role would be an unusual arrangement worth discussing with the facilitator and the service center in advance. The default is that the session is the facilitator’s, and you are part of before and after.
Will my client be told to stop their medication?
No. Facilitators are not prescribers and will not suggest it. Lithium is an Oregon exclusion and the client will be told that plainly. For SSRIs and other medications that may blunt the effect, the facilitator will explain what is known and send the decision back to the client and their prescriber.
What if the session brings up something serious?
You hear about it promptly, with the client’s consent, and the facilitator’s 72-hour check-in and integration session are designed for exactly that. If a client is in crisis, the facilitator will say so and point to crisis care; psilocybin services are not a substitute for it.
Do you offer anything for clinicians who want to learn more?
Ayeterra co-hosts educational events in Portland, including a workshop with continuing education credit. Details are on the events page, and the professional intro call is open to any practitioner.
How do you handle records and confidentiality?
Oregon’s rules require facilitators to keep client records and treat them confidentially, and nothing is shared with you without a written release naming you. Ask on the intro call for the specifics.
Start the conversation
A free, confidential intro call for practitioners. No client names needed. Ask what you want to know before you ever mention it to someone in your care.
Book a professional intro call Or call 503-713-5644 · Adults 21+ORS 475A (Oregon Psilocybin Services Act, 2020); OAR 333-333-5120 (Facilitator Conduct: non-directive approach, no misrepresentation, duty to place client interests first); OAR 333-333-5070 (Client Support Persons).
Oregon Health Authority, Oregon Psilocybin Services. Access Psilocybin Services: eligibility criteria (lithium within 30 days, active psychosis, ideation of harm), preparation, administration, and integration sessions, 72-hour follow-up. oregon.gov/oha/ph/preventionwellness/pages/psilocybin-access-psilocybin-services.aspx
OAR 333-333-5000 (Preparation Session Requirements), 333-333-5050 (Client Information Form), 333-333-5120 (Facilitator Conduct), 333-333-5220 (Administration Session Requirements, continuous monitoring), 333-333-5250 (Duration of Administration Session), 333-333-2015 (Psilocybe cubensis only). Oregon Health Authority.
Ayeterra provides legal psilocybin facilitation in Oregon through facilitators licensed by the State of Oregon, under Oregon’s regulated psilocybin program. These services are not medical care, psychotherapy, or a substitute for diagnosis or treatment by a licensed medical or mental health professional, and anything we share is general education, not medical advice. Psilocybin is not right for everyone: participation is limited to adults 21 and over and involves screening. We do not promise specific outcomes, and experiences vary. If you are in crisis or thinking about harming yourself, call or text 988. Psilocybin services are not a substitute for crisis care or treatment.
Last updated September 16, 2026