Across palliative care settings, existential distress, fear, loss of meaning, spiritual pain, demoralisation, and end-of-life anxiety, can be profound, complex, and difficult to relieve.

Interest in psilocybin-assisted therapy has grown as research suggests it may support psychological and spiritual wellbeing when delivered within a structured clinical model and appropriate safeguards.

In Australia, regulatory pathways are evolving. End Wise has submitted a Therapeutic Goods Administration (TGA) application focused on access for people with life-limiting illness experiencing severe existential distress. If regulatory settings shift in 2026, palliative teams will require shared frameworks for:

• Screening and readiness assessment

• Preparation and consent processes

• Therapeutic presence and session support

• Safety and risk management

• Integration and continuity of care

Clinician capability matters now.

This training prepares multidisciplinary teams to develop shared language, competencies, and governance-aligned approaches, grounded in evidence, ethics, and scope-appropriate care.

End Wise exists to improve quality of life at end of life.

This training integrates:

• Clinical psychedelic-assisted therapy frameworks
  Preparation, session support, and integration models

• Palliative care principles
  Symptom burden, goals of care, family systems, grief, legacy, and interdisciplinary collaboration

• Trauma-informed psychotherapy
  Choice, pacing, stabilisation, relational safety, and clinician attunement

• Ethics, governance and scope clarity
  Documentation, consent, risk pathways, and multidisciplinary accountability

Our goal is not to promote a modality, but to strengthen clinical literacy, shared frameworks, and ethical decision-making within real healthcare systems.

This training honours cultural context, professional boundaries, and the realities of serious illness.

By the end of this training, you will:

• Understand the research, evidence base, and clinical indications for psilocybin-assisted therapy in the context of existential distress

• Adopt a multidimensional lens that includes biological, psychological, relational, spiritual, cultural, and ecological perspectives

• Conduct safety screening and readiness assessment using relational, trauma-informed, and culturally responsive approaches

• Prepare patients in ways that honour ritual, intention, somatic awareness, and emotional safety

• Hold psychedelic sessions with presence and discernment, allowing inner processes to unfold without unnecessary interference (inner-directed approach)

• Support emotional intensity, peak or mystical-type experiences, identity dissolution, and surrender

• Understand special considerations of working with those toward end of life — including family systems, caregivers, anticipatory grief, spiritual pain, and legacy

• Facilitate integration and meaning-making, individually and in groups

• Navigate relational dynamics including transference, projection, and countertransference with empathy and boundaries

• Sustain your practice through supervision, reflective work, and peer support

• Work with humility, cultural awareness, and Indigenous-informed understandings of death, community, healing, and connection to land

• Serve patients across the full palliative journey — not only the final phase

This program is designed for clinicians and allied health professionals working in serious illness and end-of-life care, including:

• Palliative care consultants, physicians, and GPs

• Psychiatrists, clinical psychologists, psychotherapists, and PAT facilitators

• End-of-life doulas, grief counsellors, and hospice workers

• Spiritual care providers, chaplains, and allied health professionals

• Oncology and palliative nursing staff

• Any clinicians interested in psychedelic-informed end-of-life care

• Practitioners who have completed a PAT programme and want to deepen into end-of-life work

• Any healthcare providers being asked about PAT by their clients and are seeking a foundational understanding

Participants are expected to practise within their professional registration and scope.

Hybrid Delivery: Online Foundations + In-Person Immersive

The training is delivered over six weeks online in a live group format, followed by a three-day in-person immersive weekend centred on applied skills, relational dynamics, and experiential learning.

The interdisciplinary curriculum draws from palliative medicine, psychedelic science, somatic psychology, spiritual care, grief studies, group process, and Indigenous wisdom. Emphasis throughout is on relational safety, cultural humility, and embodied presence. Indigenous-informed perspectives will be shared through invited Indigenous teachers and cultural knowledge holders.