Development of a digital intervention for psychedelic preparation (DIPP)

Abstract

Psychedelic substances induce profound alterations in consciousness. Careful preparation is therefore essential to limit adverse reactions, enhance therapeutic benefits, and maintain user safety. This paper describes the development of a self-directed, digital intervention for psychedelic preparation. Drawing on elements from the UK Medical Research Council (MRC) framework for developing complex interventions, the design was informed by a four-factor model of psychedelic preparedness, using a person-centred approach. Our mixed-methods investigation consisted of two studies. The first involved interviews with 19 participants who had previously attended a ‘high-dose’ psilocybin retreat, systematically exploring their preparation behaviours and perspectives on the proposed intervention. The second study engaged 28 attendees of an ongoing psilocybin retreat in co-design workshops, refining the intervention protocol using insights from the initial interviews. The outcome is a co-produced 21-day digital course (Digital Intervention for Psychedelic Preparation (DIPP)), that is organised into four modules: Knowledge–Expectation, Psychophysical–Readiness, Safety–Planning, and Intention–Preparation. Fundamental components of the course include daily meditation practice, supplementary exercises tied to the weekly modules, and mood tracking. DIPP provides a comprehensive and scalable solution to enhance psychedelic preparedness, aligning with the broader shift towards digital mental health interventions.

Coming back together: a qualitative survey study of coping and support strategies used by people to cope with extended difficulties after the use of psychedelic drugs

“…It also fits with Brook’s (2021) finding that, among those who report undergoing ‘spiritual emergencies,’ the most helpful practices were cultivating compassion, acceptance, gratitude and humility. The similarities between these coping methods and the ongoing efforts to include compassion-and meditation-based strategies in psychedelic preparation protocols (e.g., McAlpine et al, 2024 ), as a means to improve the integration process, emphasise the importance of integrating contemplative techniques when addressing extended difficulties following psychedelic experiences. The reported efficacy of distraction techniques, such as engaging in gaming, listening to music, or immersing in work align with findings from other contexts.…”