End of Life & Existential Distress Psychedelic-Assisted Therapy Training
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End of Life & Existential Distress PAT Training Program
PRATI’s End-of-Life & Existential Distress Psychedelic-Assisted Therapy (PAT) Training builds on our Foundations in Psychedelic Medicine course by providing practitioners with the clinical skills they need to support end of life (EOL), existential distress, and palliative care patients and their families. Our program incorporates practical skills, clinical research, and supported medicine experiences to inform and empower you in this emerging field. This unique training provides a grounding in the use of PAT to support clients through palliative and hospice care frameworks and existential distress more broadly in the context of grief, loss, anxiety, and demoralization around death and dying at any stage in life.
2026 End of life PAT Training Dates
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April 9–12
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July 23–26
*Registration for the 2026 trainings will launch at the beginning of the year.
Please make sure you are on our mailing list to receive updates about upcoming trainings.
What You Will Learn
PRATI’s immersive training approach combines didactic presentations with experiential components in a retreat-style setting. The training experience involves working in dyads as well as large and small groups, offering a variety of opportunities for connection and learning. Over the four days, we will co-create a container for deep personal and professional growth supported by PRATI’s expert training team and catalyzed by your own exploration of psychedelic medicine in the context of death and existential distress. As group cohesion and safety are vital components of the training, we require all participants to stay on-site at the venue throughout the duration of the course.
This unique program will build on and add to participants’ foundational knowledge of psychedelic-assisted therapy.
You will gain practical skills and hands-on knowledge including:
- Two optional ketamine experiences (contingent upon medical approval) supported by fellow participants in 1:1 and small group formats
- Existential and EOL concerns in mental health and medical practice
- Theory and practice of working with grief and loss
- Review of research on EOL and psychedelics and existential distress/demoralization/anxiety
- Guiding patients and their families through the EOL journey
- Preparation and integration in end-of-life work
- Personal and professional explorations of grief
- Curation of the death experience
- Exploration of belief systems around loss and death
- Discussion of death rituals and ceremonial practices
- Understanding clinical care and family support systems at EOL and in the palliative care setting
- Role of spirituality in the exploration of impermanence and non-attachment for caregivers, patients, families, and clinicians
- Skills in facing death as a gateway to end-of-life planning
- Community building and networking opportunities
EOL PAT Trainers
Christine Pateros, MA, RN EOL PAT Training Director
Darren Fisher, RN, BSN
German Ascani, MD, Lead Psychiatric Consultant
Meghan Fagundes, Ph.D.
Mary Cosimano, LMSW
Arsalan Azam, MD
Wilhelmina De Castro, LCSW, Executive Director
Carmen Amezcua, MD
Charlotte Charfen, MD
Eligibility
PRATI’s End-of-Life and Existential Distress Psychedelic-Assisted Therapy Training Program is designed for professionals working in clinical, mental health, or spiritual care settings. This includes nurses, medical professionals, palliative and hospice practitioners, social workers, counselors, chaplains, spiritual guides, acupuncturists (L.Ac.) or East Asian medicine practitioners, chiropractors, end-of-life doulas, naturopathic doctors, and physical therapists with psychedelic-assisted therapy experience.
Eligibility Requirements:
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Active professional license and/or certification in a medical, mental health, or spiritual field (including provisional licenses, chaplains, and end-of-life doulas).
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Completion of an established experiential KAP/PAT program (e.g., PRATI, Polaris, Ketamine Training Center, IPI) is required.
PRATI recognizes that practitioners come from a variety of backgrounds and orientations. If you are unsure about your eligibility, please contact Christine.Pateros@PRATIGroup.org
Duration
This PAT Training course is held in person over four consecutive days. Training dates, times, and locations are specific to each course. Please scroll up to the Upcoming EOL PAT Training dates section of this page for more information.
Tuition
2025 Tuition*
- $3,300 – Professionals (RN, LPC, LCSW, LMFT, PhD, APN, NP, PA, etc.)
- $4,750 – Physicians (MD, DO)
*Subject to change.
Cancellation Policy
- If you cancel more than 60 days prior to the training start date, you will receive a full refund of tuition fees, minus deposit.
- If you cancel after the full payment deadline up to 2 weeks from the training start date, you will be refunded 50% of tuition fees, minus deposit.
- Cancellations 2 weeks or less from the training start date forfeit all of the tuition fees.
Scholarships
PRATI is pleased to offer partial scholarships in five categories to promote diversity, inclusion, and accessibility within our community:
- Person of the Global Majority (historically/systemically excluded individuals)
- LGBTQIA2S+
- Person with a disability
- Veteran
- Person with financial need
We take into account various socioeconomic factors when granting scholarship awards, including household size, number of dependents, expendable income, access to generational wealth, and debt-to-income ratio.
Scholarships are available across three registration fee tiers and are limited based on available resources. To apply, please purchase a Scholarship Ticket with a $500 deposit, after which you will receive a link to complete the application. You’ll indicate the registration fee tier amount you can afford within the application. Please note that scholarships do not cover food or lodging fees, which are paid separately to the event venue.
Applicants will be notified once scholarship decisions are made. Those not selected will receive a full refund of their deposit. Please apply for only one training scholarship at a time. If awarded a scholarship, your deposit will be applied to any remaining registration fees.
The Application Process
- The scholarship application form is not a “test” of need.
- Questions about personal identities, education, and licensure are not definitive reflections of your lived or professional experience.
- Within the application, you will select the total registration fee amount you can afford from the following tiers:
- $500
- $1,650
- $2,475
Decisions and Notifications
- We currently have limited resources and a small team reviewing applications; your patience is greatly appreciated.
- Unfortunately, we cannot approve all applications or provide status updates or individual feedback on decisions.
- Scholarship decisions are based on a variety of factors and involve multiple reviewers to ensure fairness.
Location
The majority of our training programs are held in Loveland, Colorado at Sunrise Ranch. Please review accommodation details on the check-out page specific to each training. **Tuition price does not include accommodations or meals.
In addition to making tuition payment to PRATI, all participants must register with Sunrise Ranch separately, as they charge by the bed, not by the room. This payment will also include all of the meals you will be receiving during the training. Accommodation options include shared and private rooms. We require all trainees to stay onsite for the duration of the training course to ensure safety and support group cohesion. Additionally, we do not allow family and friends to stay with trainees at Sunrise Ranch during the training experience, as this is disruptive to the container.
Frequently Asked Questions (FAQ)
Endorsements
I have participated in a variety of KAP trainings through different organizations over the last year and have learned a lot along the way and had lots of good experiences. PRATI’s training, however, was above and beyond any expectations I have for quality of information delivered, skillfulness in group facilitation, and the safety of the holding environment for the experiential part of the training. I highly recommend training through PRATI.
The PRATI organization is powerful, embodied, extremely inclusive and well organized. Highly recommend any training they offer. The staff is so experienced and knowledgeable and a very welcoming community. I can’t wait to do more trainings with them!
PRATI provides an exceptional training in ketamine and psychedelic-assisted therapy. The training included a well-rounded body of information on all aspects of psychedelic work. PRATI holds an obviously high standard of ethics, integrity, knowledge and research, and the facilitators created a safe, fun, and connected learning environment that supported both intellectual knowledge and embodied experience. I left feeling competent and ready to bring this work into my practice.