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Alyssa K. Griskiewicz, PhD, is a 2026 graduate of the PhD program in Counselor Education & Supervision, Antioch University, Seattle.

Stephanie Thorson-Olesen, PhD, Committee Chair

Keiko Sano, PhD, Committee Member

Paul Deutsch, EdD, Committee Member

Keywords

psychedelic-assisted therapy, integration, counselor education, supervision, ethics, Delphi

Document Type

Dissertation

Publication Date

2026

Abstract

The purpose of this Delphi study was to establish areas of ethical consensus regarding psychedelic-assisted therapy (PAT) from the perspectives of an expert panel of practitioners, with attention to issues of equity and access. Participants (N = 29) include individuals with two or more years of experience in one or more of the following domains of psychedelic expertise: clinical/professional practice, scholarly/research contributions, or guided community/ceremonial facilitation. In Round 1, qualitative data were collected through open-ended questions and analyzed using thematic analysis to generate Delphi statements. In Round 2, panelists (N = 24) rated these statements using a Likert-type scale to determine consensus, defined a priori. Consensus was achieved across the following domains: core ethical challenges in PAT; Indigenous voice, social justice, and equity; financial ethics and access; legal and regulatory context; documentation practices; informed consent; touch and physical contact; preparation; dosing sessions; therapeutic orientation and practitioner conduct; integration; complementary and integrative approaches; training and education; supervision of PAT trainees; and additional ethical and structural considerations. These findings contribute to the process of developing an ethical framework. This dissertation is available in open access at AURA (https://aura.antioch.edu) and OhioLINK ETD Center (https://etd.ohiolink.edu).

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Alyssa K. Griskiewicz, PhD, 2026
ORCID iD 0009-0008-1229-8875

Dr. Alyssa Griskiewicz is a counselor educator, board certified art therapist and licensed mental health counselor, clinical supervisor and consultant in private practice. Alyssa integrates tenets of cultural humility, liberation psychology, somatic engagement, and a sense of playfulness in her diverse roles and global experiences. Her work and learning is based on experiential creative practice and spans from coast to coast in the United States and in communities around the globe. Alyssa holds multiple certificates in psychedelic assisted psychotherapy, research and integration, is trained in EMDR therapy, and uses sensorimotor art therapy in her teaching and clinical practices.  She develops experiential international programming for clinical counseling programs, with a focus on collaboration, cultural responsiveness and attention to practices that support healing and wellness around the world. Alyssa serves as Teaching Faculty in the Clinical Mental Health Counseling and Art Therapy program at Antioch University. She provides clinical supervision and counseling online an in person in Seattle, Washington.

 

 

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