CANNABIS-ASSISTED SOMATIC PSYCHOTHERAPY

The emerging field of psychedelic-assisted therapy is opening new pathways for trauma healing, self-exploration, and personal growth. Cannabis-Assisted Somatic Psychotherapy (CASP) offers a unique approach, combining the intentional use of cannabis with Mindfulness-Based Somatic Therapy.

I offer CASP sessions in-person at my office in NW Portland. This work is also available online (by Zoom) for clients located anywhere in Oregon or California. I offer CASP in two ways:

  • As part of an ongoing therapy relationship with my long-term clients.

  • As an adjunct for individuals who are already working with another therapist. If you are currently in therapy and believe this work could support your process, I can coordinate with your therapist to incorporate CASP within your existing therapeutic journey.

WHY WORK WITH CANNABIS IN THERAPY?

Cannabis has been used for thousands of years as a sacred plant medicine, revered for its ability to expand awareness, support inner exploration, and open the heart to spiritual experience. While often overlooked in the modern psychedelic therapy movement, cannabis is one of the most accessible and versatile entheogens, offering a uniquely gentle yet profound pathway into altered states of consciousness.

Compared with other psychedelics, cannabis allows for greater flexibility and agency, meaning clients can often move fluidly between deep internal states and real-time therapeutic processing during a CASP session. In this way, cannabis can open the door to profound insights and experiences that are personally meaningful and transformative.

CASP is not considered an approved or evidence-based treatment for any mental health conditions. However, when used with mindful intention and therapeutic guidance, cannabis can support self-exploration and personal growth as:

  • A Gateway to Expanded Awareness – Heightening sensory perception, creativity, and deep states of meditation.

  • A Mirror for Self-Inquiry – Illuminating unconscious patterns, emotional blockages, and insights into personal growth.

  • A Nervous System Regulator – Supporting relaxation, embodiment, and the release of stored tension or trauma.

  • A Connector – Strengthening relationships with oneself, others, and the natural world.

  • A Teacher – Providing wisdom when approached with humility, patience, and an open heart.

WHO IS THIS WORK FOR?

CASP may be a good fit for you if:

  • You feel stuck in traditional talk therapy and are looking for a different way to access emotions and gain insight.

  • You have a sense that your body holds unprocessed emotions or trauma that are difficult to access through words alone.

  • You are interested in exploring non-ordinary states of consciousness in a safe, therapeutic setting.

  • You have experience with cannabis and want to engage with it mindfully for growth and healing.

  • You are navigating life transitions, grief, trauma, or deep self-exploration and want a structured yet intuitive approach to processing your experience.

HOW DOES CASP WORK?

CASP follows a structured yet flexible process designed to help you prepare, explore, and integrate your experience in a way that feels grounded and intentional. A typical cycle includes:

  1. Intake and Preparation Sessions – Before engaging in cannabis-assisted work, we will meet for an intake session to discuss safety and logistics, and at least one preparation session (possibly more) to build safety and trust, clarify your intentions, and develop mindfulness skills for navigating non-ordinary states of consciousness.

  2. Medical Evaluation – During the intake and preparation phase, you will also meet with a medical doctor to evaluate whether there are any medical contraindications for participating in CASP.

  3. Cannabis-Assisted Sessions – Each CASP session is designed to provide a safe, supportive, and meaningful experience. CASP sessions typically include:

    • Arrival and Intention Setting – Guiding into present-moment awareness and setting an intention for the session.

    • Imbibing Meditation – Option for ingesting cannabis mindfully with respect, a clear intention, and connection to resources.

    • Guided Meditation & Body Scan – Exploring your intention through mindfulness and body awareness.

    • Inner Journeywork — Alternating between periods of internal reflection and real-time therapeutic processing, often accompanied by music. It’s not about trying to escape or "fix" yourself—it’s about listening inward, being with what’s present, and cultivating a relationship with your inner landscape. You can read more about journeywork below and find more information on my therapeutic approach here.

    • Closing & Integration — Taking time for reflection, grounding, and self-care before bringing the session to a close.

  4. Integration Session – Within one week of a CASP session, we will meet for an integration session to reflect on the experience, process insights, and explore how to apply them to daily life.

Inner journeywork refers to the intentional practice of turning inward with mindfulness to explore your thoughts, emotions, memories, beliefs, body sensations, and other aspects of self. It’s a process of self-inquiry and healing that often involves altered states of consciousness—whether through meditation, breathwork, psychedelics, or somatic awareness—to access deeper layers of your inner world. It’s called “journeywork” because it’s not just passive reflection—it’s an active, unfolding experience that requires presence, courage, and a willingness to engage with what arises internally.

TYPES OF CASP SESSIONS

CASP sessions typically fall into two categories, depending on the level of depth and processing desired:

  • Psycholytic Sessions (2 hours) – Consciousness is lightly altered, allowing for more active, real-time therapeutic processing while still benefiting from the expanded awareness that cannabis offers.

  • Psychedelic Sessions (3 hours) – Consciousness is more significantly altered, with deeper immersion into emotions, sensations, and unconscious material. Much of the processing occurs during the integration session afterward.

Sessions are designed to be safe, supportive, and tailored to your needs.

THE IMPORTANCE OF INTEGRATION

The true power of CASP lies not just in the experience itself, but in what comes after. Integration is the process of making sense of what arose, incorporating insights, and applying them to your life. Cannabis can open doors, but integration is what allows true transformation to take root. This is why post-session reflection and continued therapeutic support are essential.

  • Mindfulness & Self-Reflection – Continuing to track emotions, sensations, and thoughts in daily life.

  • Embodiment Practices – Finding ways to stay grounded and present in your body as new patterns emerge.

  • Exploring New Possibilities – Using insights to shift behaviors, relationships, and self-perception.

FEES AND INSURANCE

Intake, Preparation, and Integration Sessions are standard 50-minute individual therapy sessions. Clients may be able to use HSA/FSA benefits or seek insurance reimbursement for out-of-network mental health services.

Cannabis-Assisted Somatic Psychotherapy Sessions are longer, lasting either 2 or 3 hours. Clients pay an hourly rate based on their base rate for a standard therapy session. Clients will not be able to use HSA/FSA benefits or seek insurance reimbursement for these sessions.

Before participating in a CASP session, clients are required to participate in a medical evaluation with a doctor to ensure safety. This service incurs a separate fee, which is managed by the doctor’s office.

You can read more about fees and insurance here.

HARM REDUCTION PHILOSOPHY

CASP integrates somatic, mindfulness-based, transpersonal, and trauma-sensitive orientations to the therapeutic process and operates within a harm reduction philosophy. As a harm reduction program, With the Flow Psychotherapy, LLC, acknowledges the prevalence of cannabis and psychedelic use in our society and educates its clients in safe and responsible use practices. CASP is designed to reduce the potential for psychedelic harm and maximize potential benefits through education and guided experiences. Clients will learn mindfulness-based skills that support them in turning towards difficult experiences or emotions, rather than using cannabis to numb or turn away from them.

LAND, CULTURE, AND LINEAGE

I live and work in Portland on the traditional lands of the Multnomah, Wasco, Cowlitz, Kathlamet, Clackamas, Bands of Chinook, Tualatin, Kalapuya, Molalla, and many other tribes who made their homes along the Columbia River. As a practitioner in the emerging field of psychedelic-assisted therapy, my approach integrates modern principles of ethical and trauma-sensitive care with ancestral and sacred traditions. I practice with gratitude for the Indigenous wisdom upon which many therapeutic techniques are based.

SET YOUR INTENTION AND BEGIN THE JOURNEY

If you are curious about Cannabis-Assisted Somatic Psychotherapy, I invite you to reach out for a consultation. We can discuss your interests, answer any questions, and determine if this approach feels aligned with your needs.

DISCLAIMER: The information on this page is provided to support individuals in making educated choices about their care. I comply with all local and state laws (Oregon and California) in providing these services. I do not promote illegal activities or provide resources for obtaining illegal substances or services.