When the ceremony doesn’t end

What happens when a psychedelic or plant medicine experience doesn’t resolve — and the line between spiritual emergency and psychosis becomes impossible to see clearly? Mariya Garnet convenes indigenous healers, psychiatrists, and those with lived experience to map the terrain no single tradition has fully charted.

“The psychedelic renaissance has opened a door — but it has not yet built a map for what happens when people can’t find their way back. This seminar is that map: indigenous, psychiatric, and personal perspectives held together in the same conversation, because no single framework is sufficient on its own.”

Understand the clinical definition of psychosis and how it overlaps with — and differs from — spiritual emergency in psychedelic contexts

Hear first-hand how indigenous Shipibo healers interpret and respond to states of acute disorientation following plant medicine ceremonies

Explore Lee Kaiser’s lived account of navigating psychosis, hospitalization, and integration across three distinct episodes

Examine Dennis McKenna’s reflections on La Chorrera — the nature of delusion, set and setting, and what the experience ultimately taught him

Identify key screening, harm-reduction, and integration practices for facilitators working at the boundary of medicine and mental health

Participate in a cross-paradigm dialogue between psychiatric and traditional frameworks — and understand why neither alone is enough

  • Introduction
  • Meet the Experts
  • Dennis McKenna Brief Overview of Key Psychedelics
  • Dr. Yarissa Herman Defines Psychosis
  • Lee Kaiser’s Journey: Navigating Psychosis, Healing, and the Path to Integration
  • A Shipibo Healer’s Perspective: Lloyver Yui on Lee’s Psychotic Episode and Plant Medicine Wisdom
  • Bridging Worlds: Dr. Yerissa Herman on Paradigms of Psychosis, Screening, and Integration
  • Wisdom of a Vegetalista: Enrrique Paredes Melendez on Ayahuasca, Healing, and Guiding the Spirit
  • La Chorrera’s Shadow: Dennis McKenna on His Early Psychedelic Experiences and the Nature of Delusion
  • Unlocking Meaning: A Creative Exercise in Word Association and Poetic Expression
  • The Presenters’ Roundtable: Integrating Insights from Psychedelic Journeys and Indigenous Wisdom
  • Questions and Answers
  • The Journey Continues: Closing Remarks and a Call for Ongoing Dialogue and Learning

Dr. Yarissa Herman Defines Psychosis

Dr. Yarissa Herman — clinical psychologist, researcher, and harm-reduction specialist — opens by doing something rare: a psychiatrist who immediately acknowledges that what Western medicine calls “psychosis” is understood entirely differently in Shipibo and Aboriginal traditions. She then walks through the clinical landscape — delusions, hallucinations, substance-induced episodes, and the diagnostic complexity of psychedelic-triggered states — with precision and humility. A clear-eyed, 11-minute entry point into the course’s central question.

Mariya Garnet

Mariya Garnet

Mariya Garnet works at the intersection of psychedelic-assisted practice, integration support, and cross-cultural dialogue. Deeply committed to ethical facilitation and safety in psychedelic spaces, she has been instrumental in building bridges between indigenous healing traditions and contemporary mental health frameworks. This seminar grew out of her work with Lee Kaiser and her wider conviction that the psychedelic community urgently needs honest conversations about crisis, harm, and healing — the kind that don’t flatten complexity into a single paradigm.

This course brings together an unusually broad panel of voices — each speaking from their own domain of knowledge about what it means when a psychedelic experience extends far beyond the ceremony.

Dennis McKenna, PhD

Dr. Ranji Varguese, MD

Dr. Yarissa Herman

Kyle Keller

Lee Kaiser

Enrrique Melendez

Lloyver Yui

This course sits across two pathways inside the Living Library — Psychedelics & Science and Consciousness & Spirituality — because the questions it raises refuse to belong to only one. It pairs naturally with courses that examine what psychedelics do to minds, healing systems, and worldviews. Members who explore this course often go deep on:

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