Ayahuasca is Not for Everyone. These are Some of the People Who Shouldn’t Work with Her.
Yes, the miraculous Ayahuasca healing stories bursting throughout the interwebs speak truth. While she is in no way a cure-all, Ayahuasca has a way of unlocking the unlimited potential we all have to heal ourselves. As a twenty year veteran of this medicine, I always encourage people to be realistic in the understanding that we must do our own spiritual work (the plants definitely won’t do it for us), but to also hold possible the most mind-blowing miracles.
That said, these days Ayahuasca is often passed off as some kind of wonder drug, hawked by amateur new agers posing as shamans and promising everything from addiction cures to sexual awakening, unlocking one’s purpose, finding a soulmate, and every manner of physical healing. While all of these things are possible, those that don’t know better often sell Ayahuasca as if she were a magic pill.
I once worked at a retreat in Costa Rica that touts a “come get your miracle” marketing hook, and it entices the innocent desire in so many of us that something could cure what ails us. This is a blatant lie, and a reckless one at that, as the fragile ones among us that don’t feel our issues are eradicated by this process are likely to go home and spiral even further in darkness. Suicides happen as a result of this fallacy. And that is quite simply not ok.
The hard truth is that Ayahuasca is not for everyone. Despite her magic and global awareness, she’s a potent, fiery, wildly intense experience, and she is simply not suitable for all beings. Like other psychedelic drugs, Ayahuasca can have severe side effects, such as nausea and cardiovascular issues, and is particularly risky for individuals with mental health conditions or those taking other medications.
First and foremost, if you are drawn to her because you’re falling for the idea that a plant could “fix” you, this process is not for you. Please don’t fall for slick marketing. Come because you’re ready to take ownership for the challenges you are experiencing, and because you desire to discover the amazing way spirit teaches us to heal ourselves.
If you tick that box and are clear there are no cure-alls, there are several other criteria that must be met in order to safely meet the medicine. Below is a list of ailments and issues that don’t mix well with Ayahuasca. This is not a complete list of course, but let’s be as honest as we can about who this medicine does not align with.
What is Ayahuasca?
Ayahuasca is a plant-based psychedelic brew that has been used for centuries in traditional medicine and spiritual practices in the Amazon region. This potent concoction is typically made from the Banisteriopsis caapi vine and the Psychotria viridis leaf, which together create a powerful synergy. The vine contains harmala alkaloids, while the leaf is rich in DMT, a psychoactive compound known for its profound effects on consciousness.
In the context of shamanic rituals and healing ceremonies, Ayahuasca is revered for its ability to unlock deep layers of the psyche, promoting mental health, addiction recovery, and personal growth. These ceremonies are not just about the brew itself but also about the sacred space and the intention behind its use. When approached with respect and preparation, Ayahuasca can be a transformative tool for those seeking to heal and expand their consciousness.
Physical Issues That Don’t Work Well with Ayahuasca
Because of the intensity of the Ayahuasca experience, there are multiple existing physical conditions that typically prevent someone from sitting with her. They include:
A history of seizures that are not induced by head trauma
This is more about the potential to purge while having a seizure; if you sit with a group that can have someone with medical training stand watch, it is still possible to work with her.
Women new to Ayahuasca who are pregnant (most especially the first trimester).
Severe heart issues or very high blood pressure
Addictions to cocaine/methamphetamines
Glaucoma or detached retinas
Recent surgeries
Serious liver/gallbladder/kidney issues/kidney stones, ulcers, and those who have a hard time vomiting.
Please also do not work with Ayahuasca if you’ve recently (in the last few weeks) had a session with Bufo or other forms of 5MEO-DMT.
Ayahuasca contains monoamine oxidase inhibitors (MAOIs), which can interact dangerously with certain medications and health conditions.
Here’s a perfect rule of thumb: If your health is such that it will be ill advised to hop on a wild roller coaster, you’re not ready to drink Ayahuasca. She has the same experience of thrills and chills and intensity physical and emotional reactions; your body has to be strong enough to withstand her potent g-forces.
Emotional and Mental Issues That Do Not Mix with Ayahuasca
This is where opinions start to clash and the available information can feel really contradictory. On the one hand, Ayahuasca is touted far and wide as a massive healer of mental illness/injury, but a lot of retreat centers and circles will not accept folks with a wide variety of previous related diagnoses. The reasons are complex: First, most antidepressant and antipsychotic medications are dangerous in combination with her. Secondly, those with a history of mental and emotional instability may actually get worse post-Ayahuasca, at least for a duration, and that can create a very precarious state for the individual and those that love them.
Ayahuasca unravels the blockages we have to our traumas and emotions; people with a history of things like emotional instability, psychosis, and schizophrenia are often in these states because they do not feel safe experiencing their very strong, intense emotions, and their minds have repressed, denied, or otherwise done anything to NOT feel, which manifests as illness and erratic behavior.
So the truth of it is, there is no definitive agreement that someone with a diagnosis of bipolar, borderline, and other mood + personality disorders either should or should not work with Ayahuasca. This has to be determined on a case by case basis with both clinical experts and shamanic guides.
I myself healed bipolar tendencies, bulimia, and alcoholism with Ayahuasca, so I know it’s possible to move through these mental injuries and unravel the wounding the creates this kind of self-destruction. Yet I’m the first to admit it was/is a hell of a journey, and in the beginning, things got far darker at times in order for me to gain full awareness around the reasons I had to experience these rites of passage. So know that healing is possible, but Ayahuasca is not a magic pill, and most of us need a tremendous amount of support through the highs and lows before we reach a state of foundational healing.
That said, there are some mental + emotional diagnoses that are pretty unequivocal in not mixing well with the medicine. They are:
Currently dealing with a disconnect from reality, unstable emotions, and/or mental injuries like schizophrenia
Past history with these is not a deal breaker for all facilitators; if you are in the process of healing and have stability and new tools to work with, you might still be a candidate
Currently on SSRIs/MAOIs/Anti-psychotics
Combining Ayahuasca with other drugs, especially those affecting serotonin levels, can be extremely dangerous.
Any medication that works with neurotransmitters (especially serotonin) are dangerous in conjunction with Ayahuasca – they can cause a potentially fatal reaction called Serotonin Syndrome. You’ll need a minimum of 30 days to clear your system of these medications, and must work in tandem with your medical professional to ween off safely.
Most individuals on the spectrum with an Autism diagnosis are also not typically candidates; these beings are already so cracked open and sensitive the medicine can be traumatic, not healing.
Attitudes, Expectations, and Sensitivities That Do Not Go Well with Ayahuasca Experience
In addition to prerequisites around medical and emotional conditions, it’s equally important to emphasize that taking Ayahuasca requires careful consideration of one's mental and emotional state. Our attitudes and expectations around working with Ayahuasca are absolutely paramount to the overall experience. Below is a list of perspectives that do not mix well with MamaAya; we would be very wise to work with alchemizing these viewpoints, or to become adept at spiritual protection and self-awareness, before we dive into a journey with her potent, divine reflections:
Highly sensitive beings who are very empathic and prone to picking up other peoples’ energies and emotions and DO NOT have a good practice of self-protection often have a very rough time. If you are super sensitive but have learned the art of sovereignty, this does not apply.
People who want to receive validation that their world views are correct and are narrow minded; this is a massive danger because Ayahuasca almost never validates our perspectives in their entirety, so if we don’t have malleability and the willingness to see things differently, this medicine can be horrifically difficult. If you’re not ready to be humbled and to go face-first into what you DON’T know, this isn’t your medicine.
People looking for fun times on drugs, or those that just want to see cool visions. Ayahuasca doesn’t take kindly to people who want to bypass the work of healing and are just looking to “trip”. She’s not that kind of medicine.
Individuals coming because someone else encouraged them to do so – a spouse, relative, friend, or partner. Don’t accompany someone as a tagalong – you have to want this for yourself or it will be painful at best.
Finally, those looking for a quick fix or those carrying the expectation that Ayahuasca will do the work of healing for them are in for a rude awakening, as described above. This is not a cure-all or a panacea–Ayahuasca is a powerful expander of consciousness, but she does not do the work for us. We must make our way through the darkness ourselves.
The Importance of Set and Setting in Ayahuasca Ceremonies
The set and setting of an Ayahuasca ceremony are crucial elements that can significantly influence the outcome of the experience. “Set” refers to the individual’s mindset and intentions going into the ceremony. It’s essential to approach Ayahuasca with a clear and focused intention, whether it’s for healing, personal growth, or spiritual insight. Your mental state can shape the journey, so coming in with an open heart and mind is vital.
“Setting,” on the other hand, pertains to the physical and social environment where the ceremony takes place. A safe, supportive, and serene environment is paramount. This includes being in a space that feels secure, surrounded by people who are respectful and understanding of the process. An experienced shaman or facilitator is also a key component, as their guidance can help navigate the intense emotional and psychological experiences that often arise.
Together, a well-prepared set and setting create a foundation that allows individuals to fully engage with the Ayahuasca experience, facilitating deeper insights and more profound healing.
Long-term Effects and Considerations
While Ayahuasca has shown promise in therapeutic settings, particularly for mental health conditions, it’s important to be aware of potential long-term effects and considerations. Some individuals may experience persistent changes in perception, such as frequent flashbacks or vivid memories of their Ayahuasca journeys. In rare cases, there is a risk of psychosis or prolonged hallucinations, especially for those with a predisposition to mental illness.
Individuals with a history of mental illness or substance abuse should exercise caution when considering Ayahuasca use. The brew can exacerbate underlying conditions, leading to destabilizing experiences. Additionally, Ayahuasca can increase heart rate and blood pressure, posing risks for those with cardiovascular issues. It’s crucial to prioritize your physical and mental health status and consult with healthcare professionals before participating in an Ayahuasca ceremony.
Approaching Ayahuasca with respect, caution, and a well-informed perspective is essential. This powerful plant medicine demands a high level of responsibility and self-awareness to ensure a safe and beneficial experience.
Final Words About the Honor and Privilege of Working with Ayahuasca
This glorious and mysterious brew is so utterly intelligent that she blows our minds, and she deserves more respect that any of us could ever give words to. Come to her altar with tremendous humility and curiosity, and please, follow the diet that your retreat center recommends closely. In order to be ready/worthy to receive things like the secrets of the universe and miraculous healing, we have to give something in return. Let commitment and reciprocity be as essential as your list of intentions; be ready to honor Ayahuasca as much as she honors you. More, if you can dig deep and find that in you. The move you give, the more you can receive. The journey with Ayahuasca can shape one's entire life, requiring ongoing commitment and respect.
I wish each of the most magical, empowering, and illuminating ceremonies with beloved Ayahuasca. If you’d ever like to join my company for a deep dive into her embrace, we’d love to welcome you – check out the latest list of retreats here.
Much love, and journey well!
About the Author
Tina “Kat” Courtney is an 18 year veteran of Plant Medicines, and a traditionally trained Ayahuasquera and Huachumera, and the author of Plant Medicine Mystery School Vol 1: The Superhero Healing Powers of Psychotropic Plants. Kat is a pioneer in the Psychedelic Integration space. Her coaching expertise includes existential and spiritual crises, interpretation of plant communications, navigating the darkness and a dark night of the soul, and the integration of all major Plant Medicines and psychedelics. Kat is also a certified Death Doula honored to help people make peace with the inevitable and beautiful transition into the afterlife. She has spent her adult life cultivating a bonded and trusting relationship with Plant Consciousness, and she’d love to help you do the same.
