The Psychedelic Podcast

Truth Medicine: Zen, Psychedelics, and the Healing Heart - Michael Ryoshin Sapiro, Psy.D

Dec 1, 2025
Dr. Michael Ryoshin Sapiro, an ordained Zen Buddhist monk and psychedelic psychotherapist, dives into the intersection of spirituality and healing. He discusses how Zen practice grounds his clinical approach and the differences between psychedelic-assisted therapies and deeper psychotherapy. Michael shares insights on tailoring treatments for first responders, emphasizing the importance of nervous-system regulation before medicine is introduced. He also explores how ketamine can evoke profound emotional experiences, fostering genuine connections to the heart.
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ANECDOTE

Monastic Ordination Shaped His Practice

  • Michael Ryoshin Sapiro recounted ordaining first in the Thai forest tradition and later reordaining in Zen to renew vows and ethics.
  • He said that ordination anchors his clinical work and keeps ethics and heart-awareness central to practice.
INSIGHT

Zen's Simplicity Grounds Complex Work

  • Zen's core for Michael is simplicity: nature, poems, and plain living that bring him back from complexity.
  • He described Zen as a poetic simplicity that grounds him amid heavy trauma work with first responders.
INSIGHT

Active Navigation Vs. Passive Facilitation

  • Psychedelic psychotherapy differs from assisted models by having the therapist actively navigate the psychedelic material in real time.
  • Michael positions himself to help translate images, ancestors, and symbols toward clients' therapeutic goals while they're on medicine.
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