NEST Harm Reduction: Licensed Clinicians Delivering Psychedelic‑Adjunct Care With Erica Siegal, LCSW
Mon Feb 02 2026
Research on psychedelics has shown that one of the most profound effects of the experience is how it places people in a more vulnerable, highly susceptible state. Along with creating time dilations, this powerful period is also capable of establishing new thought patterns surrounding trauma or addictions. For those who aim to support healing, this moment offers tremendous opportunities to empower individuals and help them reset temporarily or for good. Yet it’s that same openness that can be exploited by individuals attempting to manipulate, control, or indoctrinate.
This tension prompted my guest Erica Siegal, a licensed clinical social worker who facilitates psychedelic sessions, to ask, “How do we as facilitators of psychedelic experiences, not create undue influence…?” Erica enrolled in my clinicians’ course, a
nd we subsequently crossed paths at a Harvard‑hosted psychedelic‑assisted psychotherapy program where I was a speaker. I am honored to have her as a guest on this episode of Cults, Culture & Coercion.
Erica is the founder of NEST Harm Reduction, “an organization focused on psychotherapy, psychedelic-adjacent care, drug education, and consultation for communities and organizations working in high-influence environments.” She has worked for over 15 years in the realm of psychedelic research, behavioral health, community gatherings, and spiritual care settings. She aims to help individuals and organizations reduce harm while preserving autonomy and dignity. Join us for this illuminating interview.
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Research on psychedelics has shown that one of the most profound effects of the experience is how it places people in a more vulnerable, highly susceptible state. Along with creating time dilations, this powerful period is also capable of establishing new thought patterns surrounding trauma or addictions. For those who aim to support healing, this moment offers tremendous opportunities to empower individuals and help them reset temporarily or for good. Yet it’s that same openness that can be exploited by individuals attempting to manipulate, control, or indoctrinate. This tension prompted my guest Erica Siegal, a licensed clinical social worker who facilitates psychedelic sessions, to ask, “How do we as facilitators of psychedelic experiences, not create undue influence…?” Erica enrolled in my clinicians’ course, a nd we subsequently crossed paths at a Harvard‑hosted psychedelic‑assisted psychotherapy program where I was a speaker. I am honored to have her as a guest on this episode of Cults, Culture & Coercion. Erica is the founder of NEST Harm Reduction, “an organization focused on psychotherapy, psychedelic-adjacent care, drug education, and consultation for communities and organizations working in high-influence environments.” She has worked for over 15 years in the realm of psychedelic research, behavioral health, community gatherings, and spiritual care settings. She aims to help individuals and organizations reduce harm while preserving autonomy and dignity. Join us for this illuminating interview. Learn more about your ad choices. Visit megaphone.fm/adchoices