Roman Palitsky, PhD, is the Director of Research Projects for Emory Spiritual Health and a Research Psychologist for Emory University School of Medicine. His research examines how culture, spirituality, and health interact, focusing on the biological, psychological, and social pathways that shape health outcomes. Dr. Palitsky is also an Assistant Professor of Psychiatry and Behavioral Sciences at Emory University and conducts research to make behavioral and psychedelic therapies more culturally responsive and effective.
Psychedelic therapies are often framed as breakthroughs — but what happens when the experience doesn’t go as expected? As these treatments gain popularity, a more complex reality is emerging: Profound healing can coexist with confusion, distress, or even lasting challenges. How can clinicians and patients navigate the full spectrum of psychedelic experiences?
Roman Palitsky, PhD, a research psychologist specializing in the intersection of spirituality and mental health, emphasizes that both benefits and harms can arise from the same experience — and both deserve careful attention. He encourages clinicians to validate patients’ narratives rather than forcing meaning too quickly, focusing first on stabilization before interpretation. Dr. Palitsky also recommends preparing clients thoroughly, monitoring readiness, and recognizing when difficult reactions signal the need to pause or adjust care. His guidance centers on curiosity, humility, and using a broad clinical toolkit to support recovery and growth.
In this episode of Living Medicine, Dr. Sandy Newes talks with Roman Palitsky, PhD, Director of Research Projects for Emory Spiritual Health and Research Psychologist for the Emory University School of Medicine, about adverse effects in psychedelic therapy. Dr. Palitsky explains how psychedelics reveal key questions about the mind, why adverse experiences must be studied alongside benefits, and how clinicians can support patients through challenging outcomes.
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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