Program Highlights

  • Learn directly from the clinicians who are defining the emerging modality of Psychedelic Harm Reduction & Integration
  • 150 hours of class and training time
  • Individualized peer and instructor feedback
  • Continuing Education credits available
  • Small group learning environment, with dedicated online classroom and discussion board with your cohort
  • Live online and in-person training
  • 1:1 mentoring
  • Access to our rich community of peer practitioners

Learning Components

Psychedelic Integration: Premise & Promise*

Clinical Consultation Group

Access & Inclusion Series

Integration Essentials

Reading and Study Group


Experiential Retreat


Psychedelic Integration:
Premise & Promise

Our foundational workshop is a pre-requisite for applying to the PHRI program. If you haven’t yet completed or registered for Premise & Promise, start here!

Courses For This Program

See below for courses from our catalog that are part of this certificate program.

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All Certificate Program students are paired with a Mentor from Fluence’s training faculty to support them through their journey. Mentorship is a rich and unique aspect of the program that allows for individualized feedback beyond the scope of individual courses and program components.


Program Director

Alexander Camargo, PsyD
Psychedelic Harm Reduction and Integration Certificate Program Director and Trainer

Dr. Camargo is a psychologist based in New York City and maintains a private practice in Manhattan. His work is heavily influenced by psychoanalytic and attachment theories. In addition, he provides psychedelic harm reduction and integration, helping clients prepare for psychedelic experiences, incorporate insights or cope with challenges post-experience.

Program Trainers

Program Details

Expand the items below to review further details about the program.

Cost & Scholarship

Program Fee: $7450 USD, payable in 12 monthly instalments.

The Program Fee includes Certificate Program enrollment, online classroom and discussion board, individual mentoring meetings, monthly program meetings, Integration Essentials, the Psychedelic Integration Experiential Practice Retreat, one Reading and Study Group elective, one Clinical Consultation Group, the Access and Inclusion in Psychedelic Therapy webinar series, optional program offerings (see below for more details), and final Certification Review which must be within 1 year. Fees for any travel, lodging, meals at retreat programs are not included. At the Program Director’s discretion, if you have taken some of required courses no more than 18 months prior to enrollment you may be granted a corresponding discount and not required to retake the course.

Application Process

Please note that Fluence’s foundational workshop, Psychedelic Integration: Premise & Promise is a prerequisite for applying to this program.

The certificate program begins with an application. The application includes basic information about the applicant, their professional background, and existing experience. It also includes opportunities for applicants to present their intentions for joining the program, their values, goals, and aspirations. Applications are submitted online with a $100 application fee. The application fee covers review of the application and is non-refundable. The application will be reviewed by the Fluence Certificate Program Administrator and Program Director. The Program Director and another staff member will interview the applicant. 

The Program Director will review and come to a decision on the approval and admission of the applicant within 4 weeks of receipt. Additional Fluence training team members may be consulted for input during this process, and any team members’ existing relationship with the applicant may be taken into consideration. Once a decision has been reached the program administrator will provide the applicant with an acceptance, deferral, or refusal letter.

Upcoming Deadlines & Start Dates

 Cohort 23E
Application Deadline: 4/26/23
Program Start Date: 5/3/23
Program End Date: March 2024

Cohort 23F
Application Deadline: 4/26/23
Program Start Date: 5/3/23
Program End Date: March 2024

Cohort 23G
Application Deadline: TBD
Program Start Date: September/October 2023
Program End Date: June 2024

Certification Review

When the trainee has completed all of the courses and mentoring sessions with satisfactory evaluations, they are to submit a formal Certification Review request. Review process will include feedback from the mentor and all Fluence trainers who have had interactions with the Trainee. Upon the Program Director’s determination that program learning objectives, knowledge, competencies, and experience have been successfully met, the Certificate will be issued.

Optional Courses

In addition to the core Learning Components, Certificate Program students may select additional Course Electives to bring their total number of study hours to 150. These options currently include: Mindfulness Based Stress Reduction (MBSR) for Psychedelic Therapists, the Fluence Book Club, Psychotherapeutic Touch.

Program Meetings

All currently enrolled certificate program trainees are invited to attend a monthly online program meeting. The meeting will be conducted by the Program Director. The meeting’s purpose is a general discussion of topics relevant to the trainees and for community building among the trainees. Attendance is not mandatory (due to potential schedule conflicts), but is highly encouraged.

Graduate Expectations

Fluence Postgraduate Certificate programs are structured around three domains of competency necessary for PAT practice. These domains include: 

  • Knowledge
  • Skills
  • Experience

Students will be evaluated on Competencies throughout the training program and will receive summative and formative feedback on these Competencies periodically through program progress reports. By the completion of the Fluence program students will be expected to have met the following performance standards for each of the competencies.


The graduate will:

NumberKnowledge Competency Description
K.1Demonstrate knowledge of how to evaluate and conceptualize a patient’s relationship to psychedelics and the relationship between the patient’s experience with psychedelics and their presenting problem or concerns;
K.2Demonstrate knowledge of how to embed preparation for psychedelic experiences and integration of psychedelic experiences into the existing course of psychotherapy or treatment plan;
K.3Demonstrate knowledge of the effects, risks, and the extremely varied ways psychedelics can be used in treatment;
K.4Know (in their own therapeutic orientation) how to understand (make meaning of) and work with experiences that may be neutral, positive, challenging, traumatic, and ranging from under- to overwhelming intensity that can occur with psychedelics;
K.5Identify and respect a range of motivations patients bring to their psychedelic experiences while screening and identifying appropriate patients for psychedelic administration;
K.6Recognize common signs clinical danger that may be related to psychedelic treatment, and be prepared to consult with other professionals and provide crisis intervention;
K.7Demonstrate knowledge of transference reactions, both those commonly seen in non-psychedelic-assisted treatment, and also those unique to psychedelic work;
K.8Demonstrate knowledge of how to recognize countertransference reactions, how to use them creatively when possible, and seek consultation when difficulties arise;
K.9Demonstrate working knowledge of the legal aspects of psychedelics administration in the US and all local laws and regulations.


The graduate will:

NumberSkill Competencies Description
S.1Establish and maintain a therapeutic alliance as well as skillfully manage termination and referral process for psychedelic harm reduction and integration (PHRI) patients;
S.2Recognizing both verbal and non-verbal communication as they relate to PHRI;
S.3Maintain boundaries and confidentiality, as required by their licensing board as these relate to PHRI;
S.4Understand and integrate a broad range of treatment modalities as these relate the patient’s care;
S.5Identify and understand the range of psychological reactions to psychedelic experiences as these relate to the patient’s care;
S.6Provide psychoeducation regarding psychedelics;
S.7Demonstrate respect for wisdom traditions (indigenous and alternative treatments) that may be part of the patient’s experience.
S.8Possess an ability to access higher meanings, values, and abiding purposes, and to integrate these in living richer and more creative lives, with respect to themselves and their patients.
S.9Maintaining self-care and identifying need for expanded work in self-care domains, with respect to themselves and their patients.
S.10Monitor themselves in clinical work at all times.
S.11Accurately represent themselves and their professional services, including PHRI, to the public in ways that are aligned with all applicable laws and regulations.
S.12Provide professional services, including PHRI, to the public in ways that are aligned with all applicable laws and regulations.


The graduate will:

NumberExperience Competencies
E.1Integrate program lessons into plans to conduct their own PHRI services.
E.2Apply program lessons to NOSC work with peers and/or clients
E.3Demonstrate applied understanding of the relationship between their own NOSC work in any form, setting, and origin—including non-drug NOSC work as part of the Program—to future work as a PHRI Practitioner.
E.4Have close clinical consultation with Fluence trainers regarding the PHRI they have conducted or witnessed with a patient who has undergone PHRI
E.5Have thorough consultation with Fluence trainers regarding their own NOSC work in any form, setting, and origin.

I came to the PHRI program confused about how I could ever integrate psychedelic medicine into my clinical and academic work, but the journey through the classes (especially Dr. Guss!), the wonderful retreats and mentoring has brought me to a useful place of confidence in working with patients around their psychedelic experiences.

John Burton, MD
PHRI Certificate Program Graduate

My Fluence experience has been deep, rich and broad. It included education, but also connection, inspiration, wisdom, and opportunity. I am grateful for the structure, facilitation, diversity and meaningfulness of the material. My heart is full of love and gratitude for every single person within the Fluence community who has been part of my training. The entire experience has exceeded expectations.

Stephanie Barss, PMHNP, FNP
PHRI Certificate Program Graduate

With the many psychedelic training programs emerging, it can be daunting to choose one. I have found the instructors at Fluence warm and welcoming, as well as extremely knowledgeable and passionate about this field. The courses are relevant and practical, providing actionable concepts and skills that be instantly applied in my professional life. I feel supported by the Fluence community and have benefited from the ability to network with others. I am grateful for my experience at Fluence and would not hesitate to choose this program again!

Stephanie Napolitano, LMHC
PHRI Certificate Program Student

My time in Fluence’s Psychedelic Harm Reduction Integration certificate program thus far has been invaluable. The program is both accessible and rigorous, flexible and structured and is already directly applicable to my private practice work. The instructors are actively involved in current, ground-breaking research and have years of experience in the field. I have also enjoyed getting to know my fellow students, who hail from all over the world and also share in the excitement and desire to fold psychedelic integration into their clinical work.

Alison Haar
PHRI Certificate Program Student

I chose Fluence to certify me in Psychedelic Harm Reduction and Integration based on how interactive their program is, the highly sought after instructors that would be training me, and how much they care about communicating with me related to my progress and development in the program.

Loni Lamm, LPC-A
PHRI Certificate Program Student

Frequently Asked Questions

Psychedelic Integration, or Psychedelic Harm Reduction and Integration—also known as PHRI—is a client-centered approach to working with people in a clinical setting who have had or are considering having a psychedelic experience in any context—including therapeutic, spiritual, peer-led, or alone. For a more detailed response on this modality, including Fluence’s role in helping define it, please see this page.

For the Postgraduate Certificates (KAP and PHRI), most of the courses you take for the certificate program are open to non-certificate students. The Psilocybin program includes Psilocybin-Assisted Therapy: Parts 1 & 2, which are only for program participants.

Psychedelic Integration: Premise and Promise, Understanding Ketamine, Reading and Study Groups, on-demand courses, and our experiential practice retreat programs remain open to both those who are and are not licensed clinicians.

Supervision is a legal term denoting a situation in which a trainee works under a supervisor’s license, usually towards hours for independent licensure. We do not offer supervision. We do offer clinical consultation, which includes elements of supervision, but is intended for providers who are already independently licensed.

Certificate program capacity is determined by the number of classes and training events we can run in a given year and the number of trainers available to provide them. Regardless of the total enrollment in a certificate program, class sizes for most weekly classes is capped at 12 participants.

Ready to Apply? Click the button below to start the process. Or contact us if you have more questions and want to speak with someone.