Psychedelic integration therapy
Talk therapy for an experience you have already had, and for everything that has happened in you since, whether that was three weeks ago or eleven years ago.
Scope of practice
Psychedelic integration therapy is talk therapy. I do not provide, prescribe, administer, sell, or facilitate access to illegal substances. My role is to provide legal psychotherapy, preparation, harm reduction education, and psychedelic integration therapy within the scope of my Florida clinical license.
That line sits at the top of the page because it is the first thing most people want to know and the last thing many sites say clearly. What happens in these sessions is conversation, in an office or over telehealth, about something that has already occurred.
Integration is for experiences a person has already had. It is not planning, and it is not accompaniment. You arrive carrying something that happened, and the work is to make sense of it well enough that it can take an ordinary place in your life rather than sitting outside it.
You do not need to describe the experience as positive, spiritual or healing. A good deal of integration work concerns experiences that were frightening, humiliating, confusing, or simply too large. Some people are not sure what happened at all. Some are embarrassed by how much it has affected them. None of that disqualifies you, and none of it needs to be reframed as a gift before we can begin.
Neither do you have to arrive with a coherent account. Fragmented, contradictory or half-remembered material is normal. Building the account is part of the work rather than a prerequisite for it.
Sometimes we begin with sleep.
When someone is destabilized, meaning can wait. Work can begin with stabilization, grounding and sleep, restoring a floor before anyone tries to build on it. That might mean two weeks of unglamorous attention to routine, eating, contact with steady people, and reducing what is currently overwhelming, before we discuss the experience itself in any depth.
This is not a delay tactic. Interpretation offered to a system with no capacity to hold it tends to become another thing to manage. Ground first, meaning after.
People often seek integration months or years later. The experience recedes, life carries on, and then something, a relationship, a loss, an anniversary, brings it back with unexpected force. Arriving late is extremely common and is not a sign that you have handled it badly. Material waits patiently and surfaces when there is finally room for it.
Preparation and harm reduction.
Preparation work is available: examining intentions honestly, looking at the state your life is currently in, thinking through support, aftercare and the days afterwards, and being frank about risk. Harm reduction education is part of legal clinical practice and is offered in that spirit, informing you, not arranging anything.
It has a clear limit, and the limit matters. Preparation is not medical clearance and does not guarantee that a psychedelic experience will be safe or appropriate. I am not a physician, I do not assess medical suitability, and no conversation with me should be treated as permission or as a green light.
Available across Florida.
The office is in Vero Beach, and integration work is also provided by telehealth to clients elsewhere in the state, Orlando, Melbourne, Port St. Lucie, West Palm Beach, Tampa, Jacksonville, Miami. Integration is a conversation, which makes it well suited to working at a distance.
Alan Romano, LCSW works only with clients who are physically located in Florida at the time of session, and is not licensed to practice in any other state. If you are traveling, the question is where you will be sitting during the session, not where you usually live.
Therapy outcomes vary from person to person. No result is promised or guaranteed.
Book a free consultation