
Psychedelic & Non-Ordinary State Integration · Manhattan, NYC
The experience was only the beginning. The work is what comes after.
For high-achieving professionals in New York and California who have had a significant non-ordinary experience — and need a clinician who can help them understand what it actually means.

THE EXPERIENCE
This Is What It Feels Like.
Something happened.
Maybe it was a psychedelic experience — psilocybin, ketamine, MDMA, ayahuasca. Maybe it was a spontaneous state of ego dissolution that arrived without any substance at all. Maybe it was a near-death experience, an extreme meditation retreat, a period of profound grief that broke something open.
Whatever it was, it showed you something you cannot unfeel.
The self you thought you were turned out to be less solid than you believed. The boundaries you took for granted dissolved. Something underneath the constructed identity became briefly, overwhelmingly visible — and then the experience ended, and you were left trying to integrate what you saw into a life and a self that were built on entirely different premises.
You may feel disoriented. Destabilized. Uncertain whether what you experienced was a glimpse of something real or a neurological event to be explained away. You may have tried to talk about it with people who did not have the framework to hold it. You may have tried to return to normal and found that normal no longer fits.
The experience is not the problem. The absence of a proper integration framework is.

"The journey dismantles the map. Integration is the work of learning to navigate without one — or building a more honest one."
WHAT'S ACTUALLY HAPPENING
The Reality Of Non-Ordinary States
Non-ordinary states of consciousness — whether substance-induced or spontaneous — do not produce insight automatically.
They produce material. Raw, unstructured, often overwhelming material that the ordinary mind has spent years organizing itself specifically to avoid encountering. The dissolution of ego boundaries, the confrontation with mortality, the experience of unity or void — these are not destinations. They are the beginning of a process that requires significant structure, clinical expertise, and philosophical sophistication to complete.
Without that structure, the material does not integrate. It circulates. It produces what is sometimes called a spiritual emergency — a state of genuine psychological destabilization that looks like psychosis to the uninformed clinician, and is frequently misdiagnosed and mistreated as such.
The psychiatric system is almost entirely unprepared for this.
Most clinicians have no training in non-ordinary states, no framework for distinguishing genuine integration challenges from acute psychiatric illness, and no capacity to engage with the philosophical content of what was experienced without pathologizing it.
This practice does.

WHO THIS IS FOR
The Right Patient
This work is specifically designed for high-achieving professionals who have had a significant non-ordinary experience and need a clinician who can hold both the medical and the philosophical dimensions of what happened.
This is for you if:
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You have had a psychedelic, dissociative, or spontaneous non-ordinary experience that has left you disoriented or destabilized
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You are struggling to integrate what you experienced into your ordinary life and self-understanding
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You have encountered clinicians who pathologized your experience rather than engaging with it
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You are uncertain whether what you experienced was psychologically significant or neurologically dismissible — and you need someone with the sophistication to help you determine that
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You are on a deliberate path of consciousness exploration and want medical oversight and philosophical integration support
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You have had a spiritual emergency — a spontaneous and overwhelming opening — that arrived without warning
This is not for you if:
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You are in acute psychosis requiring immediate inpatient stabilization
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You are looking for a clinician to endorse or facilitate illegal substance use
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You want the experience explained away rather than genuinely integrated
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You are not prepared to engage seriously with what the experience revealed
THE APPROACH
How We Address It.
Psychedelic and non-ordinary state integration requires a clinician who can simultaneously hold three things — medical safety, psychological depth, and philosophical sophistication.
Most clinicians can hold one. Some can hold two. This practice holds all three.
PHASE 01
HARDWARE
The first priority is always medical safety and biological stabilization.
Non-ordinary states — particularly those that have been destabilizing — produce measurable neurological and physiological effects. The autonomic nervous system may be in a state of dysregulation. Sleep, appetite, and basic physiological function may be disrupted. Metabolic and somatic stabilization creates the biological foundation from which genuine integration work becomes possible.
A full psychiatric assessment is conducted to distinguish integration challenges from acute psychiatric illness — a distinction that requires clinical expertise and cannot be made without it.
PHASE 02
SOFTWARE
With biological stability established, we engage the content of the experience directly.
Drawing on analytical psychology, existential philosophy, attachment theory, and six years of formal practice in Zen Buddhism and Direct Inquiry — a method specifically designed for the direct investigation of consciousness and self — we work with what the experience revealed. Not to explain it away. Not to pathologize it. To understand what it was pointing toward and how to let it complete its work in the ordinary life it interrupted.
The goal is not to recreate the experience. It is to live differently because of it.
"The experience opened a door. Integration is the work of actually walking through it — and building a life on the other side."
Metin Cayiroglu, MD
WHAT MAKES THIS DIFFERENT
Not Standard Intergration Support
Psychedelic integration support as offered in the broader wellness and therapy space is frequently philosophical without being clinical — or clinical without being philosophical. Rarely equipped to handle genuine psychiatric complexity.
This practice offers something structurally different:
A board-certified psychiatrist who can hold the medical, psychological, and philosophical dimensions simultaneously
Clinical expertise to distinguish integration challenges from acute psychiatric illness — and treat both
Six years of formal practice in Zen Buddhism and Direct Inquiry — a method built for the direct investigation of consciousness and self
No pathologizing of non-ordinary experience — genuine engagement with what the experience revealed
Complete confidentiality — private pay, out-of-network, no insurance involvement of any kind
Strictly private pay — accountable to you, not an insurance panel

Begin
If the experience opened something you are not sure how to close —
The first step is a two-hour conversation. Completely confidential. A genuine assessment of what happened and what it actually requires.
Private pay only · Out-of-network · New York & California · Telehealth