Psilocybin therapy near me: every legal option in 2026

Option 1: Licensed centers in Oregon and Colorado

These are the only places in the U.S. where any adult 21+ can legally book a psilocybin session today, whatever state they live in.

• Oregon service centers. A preparation session at least 24 hours ahead, a supervised administration session on site, and optional integration. A 2026 study found a median cost of about $1,900 and no insurance. Twenty centers are listed in the state directory, eight of them in Portland. Oregon guide.
• Colorado healing centers. Thirty-four were licensed as of January 2026, and 44 are listed in the state directory, mostly in Boulder and the Denver area. Colorado guide.

Strictly speaking, neither state calls this "therapy." Facilitators are trained and licensed, but they aren't required to be clinicians, and sessions aren't medical treatment. Some facilitators are also licensed therapists or physicians; ask.

Option 2: Clinical trials (free, and anywhere)

Researchers across the country are recruiting volunteers for psilocybin studies of depression, PTSD, addiction and other conditions. Participation is usually free and often includes therapy, but you must meet strict criteria, and you may be assigned to a placebo or comparison group.

How to find one near you:

1. Go to ClinicalTrials.gov.
2. Type "psilocybin" in the condition or other terms field and your city or ZIP code in the location field.
3. Filter for studies that are "Recruiting" or "Not yet recruiting."
4. Read the eligibility list, then contact the study team listed on the page.

Veterans: the VA launched PIVOT in August 2026, a randomized psilocybin trial for veterans with treatment-resistant depression at sites in Birmingham and Tuscaloosa, Alabama; Portland, Oregon; Philadelphia; and Puget Sound, Washington. Read more.

Option 3: State pilot programs

• New Jersey: a $6 million, two-year hospital psilocybin therapy pilot at three hospitals, signed in January 2026.
• Utah: a 2024 law lets two health systems, Intermountain Health and University of Utah Health, run psilocybin and MDMA treatment pilots.
• Connecticut: a state-funded psychedelic therapy pilot, expanded in 2026.
• Washington: a University of Washington clinical pilot for veterans and first responders, created by SB 5263 in 2023.

Pilots enroll small numbers of people through the participating institutions; contact them directly to ask about eligibility.

Option 4: New Mexico's medical program

New Mexico residents with qualifying conditions, including treatment-resistant depression and PTSD, will be able to receive psilocybin under medical supervision once the state program opens. The health department is aiming for December 31, 2026. New Mexico guide.

Legal alternatives available now

If you're seeking help for treatment-resistant depression today, ask a psychiatrist about FDA-approved options. Spravato (esketamine nasal spray) is approved for treatment-resistant depression in adults and is given in certified clinics under a safety program (REMS). Compass Pathways plans to deliver its psilocybin drug, if approved, through many of the same interventional psychiatry clinics. See research and FDA status.

Questions to ask before you book

• Is the center or facilitator licensed by the state? (Oregon and Colorado both have online license lookups.)
• What exactly does the price include: preparation, the session, integration, any follow-up?
• How do you screen for medications and health conditions, and what happens if something goes wrong?
• Is the facilitator also a licensed health professional?

Frequently asked questions