Psychedelic Therapy in Colorado: What You Need to Know About Psilocybin, Ketamine & Mental Health Treatment (2026 Guide)

Magic Mushroom Therapy

Something strange is happening in the world of mental health treatment. After decades of saying "just take your antidepressants," doctors and researchers are now talking about mushrooms. Not the kind you put in your salad—the kind that can change how your brain works.

If you've tried therapy, tried medication, and still feel stuck, you're not alone. About 30% of people with depression don't get better with standard treatments. That's millions of people searching for something that actually works.

The good news? Colorado is now one of the first places in the country where you can legally receive psilocybin therapy. And ketamine therapy has been available here for years.

But before you get too excited (or too worried), let's talk about what these treatments really are, who they can help, and what the science actually says.

What Is Psychedelic Therapy?

Psychedelic therapy combines a psychedelic substance with traditional talk therapy. You don't just take a pill and go home. Instead, you work with a trained therapist before, during, and after your experience.

Psilocyin therapy magic mushrooms

Psilocybin - Magic Mushrooms

Think of it like this: the psychedelic opens a door in your mind. The therapy helps you walk through it safely and make sense of what you find.

The main psychedelics used in therapy include:

  • Psilocybin (from "magic mushrooms") — Now legal in Colorado healing centers

  • Ketamine — FDA-approved and widely available in Colorado

  • MDMA — Still in clinical trials for PTSD treatment

  • LSD — Being studied but not yet legal for therapy

Each substance works a little differently, but they share something in common: they can help you see yourself and your life from a completely new angle.

🍄 Psychedelic Therapy Options in Colorado

Comparing legal treatment options for 2026

Treatment Legal Status Best For Cost Range Availability
🍄 Psilocybin Legal in CO Depression, anxiety, existential distress $500-$3,500 Licensed healing centers
💉 Ketamine FDA Approved Treatment-resistant depression, chronic pain $400-$800 Clinics statewide
💊 Spravato FDA Approved Treatment-resistant depression with suicidal thoughts $600-$900* Certified clinics
❤️ MDMA Clinical Trials PTSD (especially treatment-resistant) Research only FDA decision pending

*Some insurance plans cover Spravato. Always verify coverage with your provider.

Colorado's Psilocybin Laws: What You Need to Know

Colorado voters passed Proposition 122 in November 2022. After two years of building regulations, licensed psilocybin healing centers opened their doors on January 1, 2025. Now in 2026, the program is expanding across the state.

Here's what you need to know:

What's Legal Now:

  • Adults 21+ can receive psilocybin at licensed "healing centers"

  • Licensed facilitators guide you through the experience

  • Personal possession of psilocybin is decriminalized (but not sales)

What's Still Illegal:

  • Buying or selling psilocybin

  • Using psilocybin without a licensed facilitator (in regulated settings)

  • Any psilocybin use for people under 21

Other Psychedelics Coming Soon: Starting June 2026, Colorado may also allow DMT, ibogaine, and mescaline in healing centers—pending approval from the Natural Medicine Advisory Board.

This makes Colorado one of only two states (along with Oregon) where you can legally receive psychedelic therapy outside of a clinical trial.

🗳️ Colorado Psychedelic Timeline

From ballot initiative to legal therapy

November 2022
Proposition 122 Passes
Colorado voters approve Natural Medicine Health Act with 52% support
January 2024
Facilitator Rules Established
State adopts requirements for licensing psilocybin facilitators
December 2024
License Applications Open
State begins accepting applications for healing centers and facilitators
January 2025 ✓
Healing Centers Open
Psilocybin therapy legally available to adults 21+
2026 — We Are Here
Program Expanding Statewide
More healing centers opening, facilitator training expanding
June 2026 (Potential)
Expanded Substances
DMT, ibogaine, and mescaline may be added pending advisory board approval

The Science: What Does Research Actually Show?

Let's look at the numbers. These aren't just feel-good stories—they're results from rigorous clinical trials at places like Johns Hopkins, NYU, and UCLA.

Psilocybin for Depression

  • 58% of patients achieved depression remission that lasted 12+ months after psilocybin therapy

  • In one Johns Hopkins study, 67% of participants showed a 50% or greater reduction in depression symptoms at the one-year mark

  • A single dose can produce lasting improvements—something no daily antidepressant can claim

MDMA for PTSD

  • 71% of veterans and first responders with PTSD experienced lasting relief at 12 months

  • 83% of participants in clinical trials no longer met the criteria for PTSD after treatment

  • Traditional PTSD treatments help about 30-40% of patients by comparison

Ketamine for Treatment-Resistant Depression

  • 86% abstinence rate for alcohol use disorder at 6 months post-treatment

  • About 50% of patients see rapid improvement—sometimes within hours, not weeks

  • Works through a completely different brain pathway than traditional antidepressants

Who Could Benefit?

A 2024 Emory University study found that more than 5 million Americans would be eligible for psilocybin therapy. That includes people with:

  • Treatment-resistant depression (tried 2+ medications without relief)

  • Severe anxiety

  • PTSD

  • End-of-life anxiety and depression

  • Addiction

📊 What the Research Shows

Clinical trial results from Johns Hopkins, NYU, and UCLA

71%
PTSD Relief with MDMA
Veterans & first responders at 12 months
58%
Depression Remission
Psilocybin therapy at 12 months
86%
Alcohol Abstinence
Ketamine therapy at 6 months
5M+
Americans Eligible
For psilocybin therapy (Emory study)

Sources: Johns Hopkins Medicine, MAPS Clinical Trials, Emory University 2024

How Psychedelic Therapy Actually Works

Your brain has patterns. Thoughts you think over and over. Feelings that loop endlessly. These patterns become like grooves worn into a record—the needle just keeps falling into the same place.

Psychedelics appear to temporarily "reset" these patterns. Brain imaging studies show that psychedelics disrupt the "default mode network"—the part of your brain responsible for your sense of self and your habitual thinking patterns.

Here's what researchers believe happens:

  1. Neural flexibility increases — Your brain becomes more "plastic," able to form new connections

  2. Default patterns quiet down — The negative thought loops that usually run on autopilot take a break

  3. New perspectives emerge — You can see your life, your trauma, and your patterns from outside them

  4. Integration happens — With a therapist's help, you turn insights into lasting change

One researcher described it as "shaking a snow globe"—all the pieces of your mind get rearranged, and when they settle, they can fall into healthier patterns.

🧠 How Psychedelic Therapy Changes the Brain

The science behind lasting mental health improvements

1
Default Mode Network Quiets Down
The part of your brain responsible for your "inner critic" and repetitive thoughts takes a temporary break. Those loops of self-judgment and negative thinking pause.
2
Neural Flexibility Increases
Your brain becomes more "plastic"—able to form new connections. Brain regions that don't usually talk to each other start communicating.
3
New Perspectives Emerge
With rigid patterns disrupted, you can see your life, trauma, and relationships from entirely new angles—often with less fear and more compassion.
4
Integration Creates Lasting Change
With a therapist's help, insights from the experience become new patterns of thinking and behavior. This is why therapy + psychedelics work better together.
Key insight: One researcher describes it as "shaking a snow globe"—all the pieces of your mind get rearranged, and with proper support, they can settle into healthier patterns.

Ketamine Therapy: What's Available Right Now in Colorado

While psilocybin healing centers are still expanding, ketamine therapy has been available in Colorado for years. It's the only psychedelic currently approved by the FDA (as an anesthetic), though its use for depression is "off-label."

Types of Ketamine Treatment

IV Ketamine Infusions

  • Administered in a clinic

  • Takes 40-60 minutes

  • Often used for severe, treatment-resistant cases

Ketamine Lozenges (Sublingual)

  • Taken at home or in a therapist's office

  • Can be combined with therapy sessions

  • More affordable than infusions

Spravato (Esketamine) Nasal Spray

  • FDA-approved for treatment-resistant depression

  • Must be administered in a certified clinic

  • Covered by some insurance plans

Psilocybin for depression

What to Expect

A typical ketamine therapy protocol includes:

  1. Assessment — Medical and psychological screening

  2. Preparation sessions — Setting intentions with your therapist

  3. Dosing sessions — Usually 3-6 sessions over 2-3 weeks

  4. Integration sessions — Processing your experiences and creating lasting change

Many people report feeling relief within hours or days—a stark contrast to the 4-6 weeks typical antidepressants require.

💊 Ketamine vs. Psilocybin: Which Is Right for You?

💉

Ketamine Therapy

Availability Widely available now
Session Duration 45-90 minutes
Typical Course 4-6 sessions
Cost per Session $400-$800
Insurance Some coverage (Spravato)
Best For Treatment-resistant depression
🍄

Psilocybin Therapy

Availability Legal in CO (2025+)
Session Duration 6-8 hours
Typical Course 1-3 sessions
Cost per Session $500-$3,500
Insurance Not covered yet
Best For Depression, existential anxiety

Psilocybin Healing Centers: What to Expect in Colorado

Colorado's psilocybin program is designed to be therapeutic, not recreational. Here's what the experience looks like:

Before Your Session

  • Screening — Medical history, mental health assessment

  • Preparation sessions — 1-2 sessions with a licensed facilitator to set intentions and prepare mentally

During Your Session

  • Setting — A comfortable, private room designed to feel safe

  • Duration — 6-8 hours (psilocybin effects last 4-6 hours, plus preparation and comedown)

  • Support — A licensed facilitator stays with you the entire time

  • Music — Most sessions include a curated playlist to guide the experience

After Your Session

  • Integration sessions — Working with your facilitator (or therapist) to process insights

  • Ongoing support — Connecting what you learned to your daily life

Cost Considerations

Psilocybin therapy in healing centers typically costs $500-$3,500 per session. Most insurance does not cover it yet. Ketamine therapy is more affordable, ranging from $400-$800 per session, with some insurance covering Spravato.

🗺️ What to Expect: The Psychedelic Therapy Journey

The complete process from start to finish

BEFORE
1. Screening
Medical & mental health evaluation to ensure safety
2. Preparation
1-2 sessions setting intentions & building trust
DURING
3. Medicine Session
Supported experience in a safe, comfortable setting with trained facilitator present
4-8 hrs
typical session
AFTER
4. Integration
Processing insights with therapist support
5. Ongoing Care
Continued therapy to maintain changes
Psilocybin Therapy

Is Psychedelic Therapy Right for You?

Psychedelic therapy isn't for everyone. Here's how to know if it might be worth exploring:

You Might Be a Good Candidate If:

  • Traditional therapy and medication haven't worked well

  • You have depression, anxiety, or PTSD that feels "stuck"

  • You're open to new approaches

  • You're willing to do the emotional work before and after

  • You have stable housing and support systems

You Should Proceed With Caution If:

  • You have a personal or family history of psychosis or schizophrenia

  • You have bipolar disorder (some protocols exclude this)

  • You're currently in crisis

  • You have certain heart conditions

  • You're taking medications that interact (especially MAOIs)

You Should Probably Wait If:

  • You're looking for a "quick fix" without doing therapy

  • You want to use psychedelics recreationally (this isn't that)

  • You're not ready to face difficult emotions

  • You don't have support at home during integration

Important: Always consult with a healthcare provider before pursuing psychedelic therapy. A thorough screening process is essential for safety.

🎯 Is Psychedelic Therapy Right for You?

A quick screening guide (not a substitute for professional evaluation)

Potentially Good Fit
  • Tried 2+ medications without relief
  • Depression or anxiety feels "stuck"
  • Willing to do therapy work
  • Open to new experiences
  • Have stable support systems
  • No history of psychosis
⚠️ Needs Careful Screening
  • Family history of psychosis
  • Bipolar disorder diagnosis
  • Certain heart conditions
  • Taking MAOIs or SSRIs
  • Active substance use issues
  • Recent major life crisis
May Not Be Appropriate
  • Personal history of psychosis
  • Schizophrenia diagnosis
  • Looking for a "quick fix"
  • Not willing to do therapy
  • Under 21 years old
  • Currently in active crisis

Important: This is for general information only. Always consult with a qualified healthcare provider for personalized medical advice.

Traditional Therapy: Still the Foundation

Here's something the headlines don't always mention: psychedelics work best when combined with good therapy.

The substances create an opening. They don't do the healing by themselves. You still need:

  • A safe space to process what comes up

  • Skills to integrate insights into daily life

  • Ongoing support as you make changes

  • Traditional therapy tools for long-term maintenance

That's why at South Denver Therapy, we focus on evidence-based approaches like EMDR, couples therapy, and individual therapy. These remain the foundation of mental health treatment—and for many people, they're all that's needed.

If you're curious about psychedelic therapy, the best first step is often starting with a skilled therapist who can help you:

  1. Determine if psychedelics might be appropriate for you

  2. Prepare for the experience if you pursue it

  3. Integrate what you learn afterward

  4. Continue your healing journey with ongoing support

"
Kayla Crane, LMFT

"Whether you're exploring emerging treatments like psychedelic therapy or seeking traditional evidence-based approaches, the most important thing is finding support that fits your unique needs. The goal isn't a quick fix—it's building lasting skills and insights that transform how you relate to yourself and others."

Kayla Crane, LMFT
Licensed Marriage & Family Therapist, EMDR Trained
South Denver Therapy • Castle Rock, CO

What's Next for Psychedelic Medicine?

The field is moving fast. Here's what's on the horizon:

2026:

  • Colorado psilocybin healing centers expanding across the state

  • DMT, ibogaine, and mescaline may be added (June 2026)

  • More ketamine therapy options becoming available

Coming Soon:

  • Psilocybin may be rescheduled from Schedule I (no medical use) to Schedule IV (prescription available)

  • Insurance coverage for psychedelic therapy may begin

  • Training programs for therapists expanding rapidly

What Researchers Are Watching:

  • Non-hallucinogenic versions of psychedelics (maintaining benefits without the trip)

  • Micro-dosing research and protocols

  • Combining psychedelics with other therapies like EMDR

Finding Mental Health Support in Castle Rock & South Denver

Whether you're exploring cutting-edge treatments or looking for proven therapy approaches, the most important step is reaching out for help.

At South Denver Therapy, we specialize in:

We can help you understand your options, prepare for whatever treatment path you choose, and provide ongoing support as you heal.

You don't have to figure this out alone. Mental health treatment has more options than ever before—the key is finding the right fit for you.

❓ Frequently Asked Questions

Is psilocybin therapy legal in Colorado?
Yes, as of January 2025. Colorado voters passed Proposition 122 in 2022, and licensed healing centers are now open across the state. Adults 21+ can receive psilocybin therapy from licensed facilitators. Personal possession is also decriminalized, but sales remain illegal. You must go through a licensed healing center to receive legal psilocybin therapy.
How much does psychedelic therapy cost?
Costs vary by treatment type. Psilocybin therapy at healing centers typically costs $500-$3,500 per session (including preparation and integration). Ketamine therapy ranges from $400-$800 per session. Spravato (prescription esketamine) may be partially covered by insurance. Most psilocybin therapy is not covered by insurance yet, though this is expected to change as FDA approvals progress.
Can psychedelics replace regular therapy?
No—psychedelic therapy works best when combined with traditional therapy. The substances create an opening for change by disrupting rigid brain patterns, but you still need therapy to prepare for the experience, process what comes up during it, and integrate the insights into lasting behavioral changes. Think of it as therapy + psychedelics, not psychedelics instead of therapy.
Is ketamine therapy safe?
When administered by licensed professionals in appropriate settings, ketamine has a strong safety record. It's been used as an anesthetic since the 1960s and is on the WHO's list of essential medicines. Temporary side effects can include dissociation, increased blood pressure, and nausea. Medical supervision during sessions helps manage these effects. Not everyone is a candidate—proper screening is essential.
Who should NOT try psychedelic therapy?
Psychedelic therapy is not appropriate for everyone. It's generally not recommended for people with a personal or family history of psychosis or schizophrenia, uncontrolled bipolar disorder, certain heart conditions, or those currently in acute crisis. Certain medications (especially MAOIs) can also interact dangerously with psychedelics. Anyone under 21 is not eligible in Colorado. A thorough screening with a healthcare provider is essential.
How do I find a psychedelic therapist in Colorado?
For psilocybin therapy, you'll need to find a licensed healing center with licensed facilitators—the Colorado Department of Regulatory Agencies (DORA) maintains a list of licensed providers. For ketamine therapy, many clinics are available across the Denver metro area. A good first step is talking with a traditional therapist who can help you evaluate your options, prepare for treatment, and provide integration support afterward.
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