Audrey Keaney, MA

Psychotherapist
San Francisco CA
I support individuals who are preparing for or integrating psychedelic and plant medicine experiences. I have a deep respect for the profound, sometimes disorienting territory that expanded states of consciousness can open, and the integration that follows. Perhaps you are preparing for an experience and want support in clarifying intentions, exploring what may arise, and approaching it with groundedness and clarity. Or perhaps you have already had a powerful experience that left you with insights that feel just out of reach, feelings that are hard to articulate, or a sense that something has shifted in ways that are difficult to explain to others. Together we work to weave what you encountered into your embodied, everyday life. Integration work often unfolds as part of a larger therapeutic process. Many of my clients come to this work with unnamed longings — for more depth, more meaning, more genuine connection. You may notice patterns repeating in your life, feel disconnected from yourself or your body, or sense deeper layers of your experience waiting to be understood. You might long for deeper relationships with yourself or others, or to inhabit your life more fully. Alongside psychedelic work, I also specialize in working with those navigating trauma, life transitions, sexuality and intimacy, perinatal experiences, grief, spirituality, and relational challenges. I also hold a deep reverence for the initiatory experiences of pregnancy, birth, and early motherhood. My doctoral research explored the experience of awe during childbirth, and I have come to understand birth as a profound threshold state that, like psychedelic experience, can open unexpected access to the depths of the self. The transition into motherhood, or the grief of loss, can be as disorienting and transformative as any expanded state of consciousness. I am honored to accompany women through these tender thresholds.
I am a therapist, researcher, and educator specializing in psychedelic preparation and integration within a depth-oriented somatic framework. I became a therapist because I love supporting people in doing the deep work of exploring their inner world, facing shadow and vulnerability, uncovering patterns, and reconnecting with themselves in meaningful ways. I am a doctoral candidate in Clinical Psychology at Pacifica Graduate Institute, where my dissertation research explores women's experiences of awe during physiological childbirth. This work reflects my broader commitment to understanding initiatory and transformative experiences — whether through altered states, birth, grief, or the thresholds of daily life. I hold a Master's in Clinical Psychology from Pacifica and a Bachelor of Science in Biopsychology, Cognition, and Neuroscience from the University of Michigan. In addition to my clinical practice, I am a certified yoga teacher and research assistant at the Palo Alto VA, where I support clinical trials investigating yoga as a treatment for chronic pain, Alzheimer's disease, and Lyme disease.
Psychedelic Integration and Preparation Microdosing Education, Integration, and Preparation