A psychedelic or ketamine experience can be powerful, emotional, and deeply meaningful, but the real transformation often happens after the experience.

Many people receive a powerful insight, feel a temporary emotional opening, or access parts of themselves that were previously difficult to reach. But without the right support, those insights can fade, feel confusing, or become difficult to translate into real life.

Psychedelic Integration Therapy helps you turn the experience into lasting change.

As clinical Psychologist, offer specialized Psychedelic Integration Therapy for clients who want to process, understand, and integrate experiences related to psychedelics, microdosing, or ketamine-assisted treatment. My work is informed by training in Psychedelic Integration, Ketamine-Assisted Therapy, and EMDR-informed Psychedelic Integration.

This service is especially helpful if your experience brought up intense emotions, trauma material, body sensations, grief, fear, shame, confusion, relationship patterns, spiritual or existential insights, or a desire to make meaningful changes in your life.

Many services focus mainly on the psychedelic or ketamine experience itself. But the deeper question is:

What do you do with what you discovered afterward?

Integration therapy gives you a safe, structured, and trauma-informed space to work with what emerged, so the experience does not remain just an intense moment, but becomes part of a meaningful healing process.

Ketamine, psilocybin, and MDMA-assisted therapies are being studied for their potential to support emotional openness, psychological flexibility, trauma processing, and relief from treatment-resistant symptoms. These experiences may open temporary windows of neuroplasticity, emotional sensitivity, and new perspective. However, insight alone is often not enough. Integration helps you work with those windows so the experience can become part of real psychological, relational, and behavioral change.

When appropriate, I may use EMDR and DBR — Deep Brain Reorienting or other therapies to help process memories, beliefs, emotional triggers, attachment wounds, or survival responses that may become activated after these experiences. EMDR can support the processing of traumatic memories, negative beliefs, and emotional triggers. DBR can support deeper body-based processing related to shock, threat, attachment wounds, and survival responses.

My approach is grounded in harm reduction, emotional safety, and clinical care. This is a non-judgmental space that respects each person’s right to seek well-being in the way they believe is best for them, while also prioritizing their physical and mental health.

I do not provide, prescribe, recommend, or guide the use of substances. Instead, I offer a safe, structured, and trauma-informed space for people who want to integrate these experiences responsibly, meaningfully, and with professional support.

For Clients in Costa Rica

For clients in Costa Rica, medically supervised ketamine treatment is available through our medical clinic, either through intravenous ketamine infusions or Spravato®, when clinically appropriate and after a careful prior medical and psychological evaluation. Individual or group work is available.

This service is provided by our qualified professionals in Psychiatry and Anesthesiology, who are responsible for medical screening, prescription, administration, and monitoring.

Alongside the medical treatment, we provide psychological preparation and integration therapy to help clients process what emerges from the experience, support nervous system regulation, and translate insights into meaningful and sustainable change.

For International Clients

For international clients, ketamine treatment must be prescribed and supervised by a licensed medical provider in their country of residence.

Our role is not to prescribe, provide, administer, or supervise the medical use of ketamine. Our work is to support the psychological preparation and integration process before and after medically supervised ketamine treatment.

This includes helping clients process what emerges from the experience, support emotional regulation, integrate insights, and translate them into meaningful and sustainable change.

The experience may open the door. Integration helps you walk through it safely.

 

Schedule an Appointment with Psychologist Makeilyn

If you are ready to begin your healing process, complete the following online form and request an appointment with Psychologist Makeilyn Chaviano.

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