Rebecca Otero Smith

Overview

Rebecca Otero Smith is a psychotherapist and trauma-informed psychedelic integration therapist offering preparation, integration and reflective support for people who have had or plan to have psychedelic or non-ordinary state experiences. She draws on her work with clinical research teams exploring MDMA-assisted therapy for trauma, anxiety and depression, and applies trauma-informed and evidence-informed practices to help clients process insights and make changes in everyday life. Integration is described as the work that grounds new self-understandings and weaves insights from psychedelic experiences into daily life.

Her integration approach combines contemplative traditions, modern psychotherapy and meaning-making practices within a safe, ethical clinical context. Rebecca supports clients in clarifying intentions, resourcing the nervous system, exploring somatic, emotional and relational themes and establishing practical habits that help embed psychological shifts. She works with people who have had experiences from clinical trials, retreats or personal experimentation and offers individual integration work online and in person.

Best for

Rebecca’s integration services are best suited to adults who want to make sense of psychedelic or non-ordinary state experiences and incorporate learnings into daily life. Her practice may particularly appeal to people who have participated in clinical trials, personal retreats or spontaneous experiences and seek a trauma-aware, reflective space for processing.

• Adults seeking integration support after psychedelic experiences
• Individuals preparing for non-ordinary state or psychedelic experiences
• People wanting to explore emotional, somatic and relational themes emerging from experiences
• Those looking to translate experiential insights into everyday life

Approach

Rebecca uses a trauma-informed, integrative frame that blends psychodynamic, somatic, parts-work (such as Internal Family Systems), breath practices, contemplative awareness and ritual-informed elements to support clients’ integration work. Her emphasis is on creating a grounded framework where intentions are clarified and the nervous system is resourced to approach non-ordinary states with clarity and self-trust.

Integration sessions focus on five key pillars: emotional processing of feelings and insights, somatic listening to the body’s wisdom, relational exploration of connections with others, anchoring shifts into daily routines and reconnecting with wider contexts such as nature. Work may include exploration of shadows, unconscious themes, looping patterns and meaning-making—not only pleasurable but also challenging aspects of experiences.

Preparation sessions support clients to explore background, intentions, expectations and practical harm-reduction measures, helping them to prepare mind, body and spirit before a psychedelic or non-ordinary experience. Rebecca cultivates a reflective and ethically grounded space that supports deep inquiry and helps clients translate insights into sustainable changes.

Support

Support is delivered through individual sessions—both preparation and integration—and through structured integration therapy programmes. Clients can choose shorter sessions (50 or 90 minutes) or a tailored package of six integration sessions that incorporate ongoing psychotherapy and integrative techniques. Rebecca also hosts monthly online integration circles designed to help participants share experiences in a supportive community context and deepen their understanding through collective reflection.

Her work with clients emphasises safety, trauma awareness, compassionate listening and a respectful therapeutic environment. She provides guidance and strategies to cope when challenging material arises, helping people manage shifts in their sense of self, reality or relationships following intense experiences.

Practical details

Rebecca offers psychedelic preparation and integration therapy online and in person in London and Barcelona. Session formats include shorter preparation or integration sessions and more extended integration therapy packages tailored to individual needs. Fees for specific session lengths are listed, and there are options for ongoing therapy incorporating integrative practices. Monthly online integration circles are available to support community engagement and shared integration work. Contact is typically arranged by email or through the practice’s contact options.

• Formats: in-person and online integration and preparation sessions
• Locations: London and Barcelona
• Session lengths: 50- and 90-minute sessions; six-session integration therapy packages
• Additional support: monthly online integration circle

Training

Rebecca describes herself as trained as a trauma-informed psychedelic-assisted therapist and draws on her work with clinical research teams in MDMA-assisted therapy trials for PTSD, which informs her ethical and trauma-aware integration practice. Her work combines contemplative traditions with modern psychotherapy methods.

Disclaimer:
This description was generated based on information from the official website and other materials provided by the provider.