Integration

What is your interest or need for contacting the Support Center? * Mark the option that best describes your situation.

To receive guidance in preparation for an experience with psychoactive plants. To integrate an experience related to psychoactive plants. (e.g., needing to better understand the content of the experience, clarify feelings of confusion, etc.) To receive support for managing a crisis related to psychoactive plants. (e.g., needing to stabilize intense physical and/or emotional distress, navigate daily life, etc.)

What are/were your interests or expectations for participating in a ceremony or taking psychoactive plants? You can choose several

Curiosity, experiencing something new or different Communion, sense of belonging to a like-minded group or community Self-knowledge, deepening the understanding of my emotions, thoughts, behaviours Spiritual quest, orientation on the meaning of life Finding new perspectives or tools to address a personal doubt or question Improving my physical well-being (getting relief from some physical symptoms/discomfort) Improving my psychological wellbeing (getting relief from some psychological symptoms/discomfort) Other

Please briefly summarize any questions or difficulties you are experiencing related to your situation, or include any details you consider relevant: * Max. 300 words

Which plant and/or substance is related to your inquiry? *

Ayahuasca Iboga Mushrooms Sonoran Desert Toad ("bufo," 5-MeO-DMT) San Pedro Cannabis MDMA LSD Other

How long have you been experiencing the state or situation for which you are seeking help? * This question refers to the time you've been dealing with the psychological, or physical condition that has led you to seek guidance or support. If you are seeking guidance before participating in an experience, select the last option.

Days Weeks Months Years I am seeking guidance before participating in an experience with psychoactive plants.

The experience with psychoactive plants you are referring to occurred: *

Alone In a group where I didn't know anyone In a group where I knew some people In a group where I knew most people

In what type of context did your experience with psychoactive plants take place? * Select the option that best describes the setting of your experience.
(With this question we are referring to the kind of rituals and dynamics between participants and facilitators that characterized the experience)

Indigenous - (The experience took place in a indigenous community and was lead by an indigenous representative, in a country where these ceremonies are of traditional use). Religious - (The ceremony was held in religious group or church in which psychoactive plants are used as a sacrament, like Santo Daime, UDV, etc) Neo-shamanic / Neo-traditional - (The experience is lead by facilitators that are not indigenous, and they combine a diversity of rituals coming from different spiritual and self-care practices) Psychedelic therapy - (Participating in a clinical trial or doing one-on-one psychotherapy with a psychologist that includes psychedelics) Recreative or social - (In a festival or private space) Other

To what extent did you feel safe during the experience? *

I felt completely safe I felt safe I felt unsafe I felt completely unsafe

Have you ever been diagnosed with a psychological disorder? *

No Yes. If yes, which one?

Are you currently under any psychiatric treatment or therapy? * You can choose several

Yes, psychiatric treatment (By pharmacological or psychiatric treatment, we mean the use of medications prescribed by a psychiatrist) Yes, psychological therapy (By psychological therapy we mean processes such as psychotherapy, psychological counselling, sessions with a professional therapist or any kind of psychological support) No, neither of the two

What country do you reside in? *

In what country did the experience you are referring to take place? *

Gender *

Age *

Please provide your email address * Confirm the email address *

Please provide the phone number of a contact person that the Center may reach in case of need. * As specified in the agreements you accept when submitting this form, in case of necessity and for safety reasons for yourself or others the integrator attending to you may contact a third party.

We need you to understand the limits of this service and for that we need you to accept the following terms and conditions:

This is a support service for people experiencing difficult processes with psychoactive plants. This service is not and cannot replace a psychological, psychotherapeutic or psychiatric service.

This service does not encourage the use of psychoactive plants. It is highly recommended to review the legislation of your country of residence as it may consider its use illegal or restrict the permitted causes to its use.

ICEERS excludes any liability for damages of any kind that may be due or derived from the use or direct or indirect application of any of the contents provided by the service.

ICEERS will process this personal data, including data relating to health and/or data relating to legal and/or criminal proceedings in order to provide you with the service and for this purpose, we ask for your prior and explicit consent. You accept the data protection policy.

Integration

Service Limitations

Legal Considerations

Liability Disclaimer

Thank you!