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The clinical protocol for this is being mapped out meticulously. Lappan’s suggested guidelines propose a 10-session systemic research protocol involving preparation, psilocybin administration, and integration, with sessions that include significant relational figures (partners or family members) . This is not about a single trippy weekend with the in-laws; it is a rigorous therapeutic process guided by Bowenian family systems theory, structural family therapy, and emotionally focused therapy .

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As one couples and family therapist trained in psychedelic assisted therapy notes, witnessing these transformations is breathtaking. When systemic therapy is combined with the neuroplasticity induced by psilocybin, doors open that were previously locked tight by resentment and misunderstanding.