California · psychedelic safety and consent tool

The room can be soft. The questions should stay hard.

Use this before a trial screen, clinic deposit, retreat payment or facilitator agreement. It does not declare an offer safe. It helps you find the person, document and emergency plan that must carry the claim.

Regulatory and safety sources checked August 28, 2026. Licensed-prescriber and California legal review are pending; no review badge is claimed.

First: classify the offer

What is the seller calling this?

The answer changes which proof matters. Your choice stays on this page and is not saved.

No category selected.If none fits, choose “I still cannot tell.” Confusion should slow the purchase, not speed it up.
A useful comparison—not California law

Research has written safety duties. Marketing often has adjectives.

FDA’s 2026 guidance recommends two session monitors for psychedelic drug trials, a qualified lead, rapid physician availability, informed consent about prolonged changes in judgment and suggestibility, and plans for monitoring and safe discharge. Those are federal research recommendations. They are not a California consumer-service licence or proof that a non-research offer is lawful.

Oregon separately requires preparation, informed consent, a bill of rights, transportation and safety planning in its licensed psilocybin system. Oregon’s rules are a useful list of questions. They are not California rules.

Private in this browser

Twenty-six answers before consent or payment.

Nothing you check or type is sent to TherapyCalifornia or placed in site storage. Print a blank copy, or work on the page while the tab remains open.

0 of 26 answers in hand
01 · Name the lane

What is this, exactly?

The first protection is ordinary language. Write down the answer before the sales call becomes a story.

02 · Bring the whole medical picture

Screening is not a mood questionnaire.

The person responsible for medical safety needs the medicines, health history and psychiatric history that could change the plan.

03 · Inspect the room

Who stays responsible after the dose?

A nearby emergency room is not an onsite plan. Ask about people, observation, equipment and the point when you are considered ready to leave.

04 · Protect consent

Altered judgment makes boundaries more important, not less.

FDA’s research guidance names increased vulnerability and suggestibility. Consent must survive the moment when saying no becomes harder.

05 · Price the whole decision

The dose is rarely the whole cost.

Put research costs, clinical charges and optional services on separate lines. A promise of transformation is not an invoice.

06 · Plan the return

The session ends before the responsibility does.

Leaving, driving, sleep, symptom change and follow-up belong in the plan before the drug is given.

Pause the offer

Eight answers that need daylight.

  • “The exact drug does not matter.”
  • “A clinical-trial listing means the government approved us.”
  • “Stop your medication before you speak with your prescriber.”
  • “Our training certificate is the only licence you need to see.”
  • “Touch is part of surrendering to the process.”
  • “There is no need to discuss psychosis, mania, heart history or current suicidal thoughts.”
  • “Buy the package today; consent comes later.”
  • “Integration makes the drug session legal.”

A pause is not a remote verdict that a person or program is unsafe. It is a reason to get a specific written answer before pressure, money or an altered state makes the question harder to ask.

Different compounds, different questions

“Psychedelic” is too large a safety category.

Psilocybin, LSD, DMT, 5-MeO-DMT, ayahuasca or mescaline

Ask

Who reviews psychiatric history, medicines, blood pressure, expected duration, observation and driving—and what evidence applies to this exact compound and condition?

Boundary

None has an FDA-approved mental-health use. This August 28, 2026 official-source review identified no statewide California licensed-treatment system for these substances.

MDMA or methylone

Ask

Who reviews heart and blood-pressure risk, temperature, hydration and medicines—including MAO inhibitors—and who manages an acute reaction?

Boundary

Both remain investigational. Methylone is not MDMA by another name.

Ibogaine or noribogaine

Ask

What ECG, QT, electrolyte, medication and delayed cardiac-monitoring protocol is used, and where is the regulated study record?

Boundary

California’s recruiting ibogaine record is observational and does not provide ibogaine.

Ketamine or esketamine

Ask

Which product and route, which indication, approved or off-label, compounded or manufactured, how are blood pressure, sedation, breathing and discharge handled?

Boundary

Spravato has specific FDA-approved psychiatric uses. Psychiatric use of FDA-approved ketamine injection is off-label; a compounded ketamine product is not FDA-approved.

This tool is not emergency care

If the danger is happening now, leave the checklist.

If you may act on suicidal thoughts, call or text 988. For chest pain, trouble breathing, seizure, loss of consciousness, extreme agitation, dangerous confusion or immediate danger after taking a substance, call 911.

A trial contact, facilitator or integration appointment is not an emergency service.

What happens next

Take the unanswered lines to someone accountable.

For research, ask the study team and the independent participant-rights contact named in consent. For medication, use your own prescriber and verify the treating professional’s California licence. For psychotherapy before or after an experience, verify the therapist’s licence and ask what care they provide without supplying or administering a drug.

Sources and limits

Questions built from written standards—not testimonials.

  1. U.S. Food and Drug Administration, Psychedelic Drugs: Considerations for Clinical Investigations, final guidance, July 2026: drug interactions, trial design, monitoring, vulnerability, suggestibility and discharge.
  2. U.S. Department of Health and Human Services, Office for Human Research Protections, Questions to Ask About Volunteering for a Research Study: purpose, procedures, alternatives, risk, privacy, cost, injury and withdrawal.
  3. ClinicalTrials.gov, Learn About Studies and registry disclaimer: informed consent, sponsor-entered records and limits of registry review.
  4. U.S. Food and Drug Administration, Spravato prescribing information, revised 2025; FDA, compounded-ketamine risk alert.
  5. Oregon Health Authority, licensed psilocybin-services access and required client forms: preparation, safety, transportation, touch, recording, privacy and follow-up. Oregon’s program is not California law.
  6. Johnson, Richards and Griffiths, Human hallucinogen research: guidelines for safety, Journal of Psychopharmacology, 2008: screening, preparation, supervision and follow-up in research.
  7. Oña et al., adverse events of ibogaine in humans, systematic review, 2022; Brunt, ibogaine and cardiovascular complications, 2026.
  8. California Legislature, Health and Safety Code §11054; Governor of California, SB 58 veto message, October 7, 2023.
  9. Medical Board of California, physician licence verification; California Department of Consumer Affairs, health-professional licence search.

Educational decision support, not medical advice, legal advice, individualized screening, a safety clearance, research recruitment or a determination about a particular business. Do not start, stop or taper medicine from this page. Sources checked August 28, 2026. Licensed-prescriber and California legal review pending. Paid for by participating therapists. Inclusion is computed, never purchased. No ads. No data sold.