Apr 9, 2026

Attunement, Ethics, and the Inner Directed Approach in Psychedelic Therapy

Sandy Newes
Category: Podcasts
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Eric Sienknecht, PsyD

Eric Sienknecht, PsyD, is the Co-founder and Psychologist at Polaris Insight Center, a ketamine-assisted psychotherapy clinic and training center. As a licensed clinical psychologist, he has experience treating trauma, mood disorders, and chronic pain by integrating psychedelic experiences into therapeutic care. Eric has received advanced training in KAP through the Ketamine Training Center and in MDMA-Assisted Therapy through the LYKOS MDMA Therapy Training Program. 

Here’s a glimpse of what you’ll learn:

  • [2:25] Eric Sienknecht shares how early psychedelic experiences helped him heal from depression and find purpose
  • [6:12] How Eric became involved in MAPS trials and co-founded Polaris Insight Center
  • [10:42] The historical roots of trance and psychedelic healing practices
  • [13:57] What makes a good psychedelic therapist: presence and personal work
  • [17:36] The concept of inner-directed therapy and inner healing intelligence
  • [21:39] How attunement involves listening across multiple levels of client experience
  • [38:55] Simple, open-ended prompts for supporting client experiences
  • [49:50] Common risks in psychedelic therapy, including boundary issues and relational misattunement
  • [58:46] Key elements of effective psychedelic therapy training programs

In this episode…

As psychedelic therapy gains momentum, clinicians are grappling with how to balance structure, safety, and trust in a client’s inner process. How can therapists support deep psychological healing in altered states of consciousness?

According to KAP clinical psychologist Eric Sienknecht, effective therapy begins with trusting the client’s inner healing intelligence. He emphasizes the importance of presence, attunement, and relinquishing the urge to direct or interpret too quickly. Rather than leading, therapists can use simple, open-ended prompts like “What are you noticing?” while staying attuned across verbal, somatic, and emotional levels. Eric also highlights the value of personal therapeutic work and self-awareness to avoid imposing agendas, ultimately supporting a more authentic and client-led healing process.

In this episode of Living Medicine, Dr. Sandy Newes talks with Eric Sienknecht, PsyD, Co-founder and Psychologist at Polaris Insight Center, to discuss supporting clients during psychedelic-assisted psychotherapy. Eric shares his psychedelic healing journey, the role of inner-directed therapy, and how therapists can attune to clients across multiple levels of experience.

Resources mentioned in this episode:

Quotable Moments:

  • “The guiding force of that process is the client’s… inner healing intelligence.”
  • “The therapist’s role is to support that process and try to optimize the conditions for that inner healing intelligence to arise.”
  • “We really want to honor… and support their autonomy in the process.”
  • “I’m more interested in like descriptions of like, what are you noticing… it’s more descriptive than explanatory.”
  • “Permission to not know as a therapist, permission to not… be confused… just allowing that process to happen.”

Action Steps:

  1. Trust the client’s inner healing intelligence: Allowing clients to lead their own process supports deeper, more authentic healing. It reduces the risk of imposing therapist agendas that may interfere with meaningful outcomes.
  2. Practice attunement across multiple levels: Paying attention to verbal, somatic, emotional, and relational cues helps therapists stay aligned with the client’s experience. This enhances safety, connection, and therapeutic effectiveness.
  3. Use open-ended, non-directive prompts: Simple questions like “What are you noticing?” encourage exploration without steering the client. This keeps the process client-centered and allows insights to emerge organically.
  4. Maintain strong therapeutic boundaries and self-awareness: Being mindful of boundaries and personal biases prevents harm and ethical issues. It also ensures the therapist remains grounded and present throughout the process.
  5. Engage in ongoing personal and professional development: Continued training, supervision, and personal work deepen a therapist’s skill and self-awareness. This leads to more effective, ethical, and responsive care for clients.

Sponsor for this episode…

This episode is brought to you by the Living Medicine Institute.

LMI is a training, resource, and membership program educating providers about the legal and safe use of psychedelic-assisted psychotherapy.

To learn more or participate, visit https://livingmedicineinstitute.com.

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