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Integrative Psychiatry

Lost in Transition: How Reviving Rites of Passage Might Support Mental Health- Part 1 of 2

By December 23, 2024December 25th, 2024No Comments

The need for ceremony is embedded into our DNA. As humans, we are evolutionarily wired to create meaning through art- such as symbols, metaphors, and body movement. Rites of passages are events that mark significant life transitions. They are like thresholds over which we can pass, where there is a defined “before” and “after.” In essence, rites of passage offer an embodied experience that gives meaningful experiences a place to go, letting thoughts, emotions, and spirit move in our bodies. 

Transitions are part of the birth/death cycle of biology. Birth is the life-producing energy of creation, and death is the life-force behind endings. We can work with rites of passages to support us through the achievements and losses that are important to us. Honoring the meaning of transitions allows us to slow down, notice how we feel, and respect big changes in our lives. In community, transitional ceremonies offer strength through support and witnessing/being witnessed- interconnectedness.

Rites of Passage and the Modern World

Rites of passage ceremonies are present in cultures around the world, offering a sense of identity, belonging, and emotional resilience. In many cultures, rites of passage are not optional but essential. They serve to mark critical milestones such as coming of age, marriage, childbirth, and death. These rituals are often deeply embedded in the social structure, fostering an understanding of one’s purpose and place in society. Cross-culturally, these experiences nurture identity, pride, accomplishment, and direction. In modern Western society, these important rituals have largely faded into the background, leaving a gap that is increasingly felt. The absence of such structures can leave individuals feeling lost and alienated.

While certain life events, such as graduations or weddings, still exist, they often lack the depth of more ancient rituals. This shift may be due in part to the increasing emphasis of individuation and the fast-paced nature of modern Western life that rewards efficiency and productivity over presence and community.

Without slowing down to give our transitions the sacred attention and respect they deserve, individuals may be challenged to find meaning in their life transitions. The lack of such rituals can lead to feelings of disconnection from self and others, anxiety, and even existential crisis. For example, transitioning from childhood to adulthood is recognized through ritual in Indigenous cultures around the world. The Jewish bar mitzvah and bat mitzvah are coming of age ceremonies intended to do the same. However, many young adults in the West aren’t familiar with these formal ceremonies and might informally celebrate common milestones like graduations; yet these changes are often met without collective recognition or mentorship to guide them. The result is a population struggling to enter adulthood. Many young adults find themselves grappling with feelings of inadequacy, loneliness, and stress as they seek to define themselves in a world that moves at lightning speed. 

The absence of rites of passage can also impact how individuals deal with loss, whether that means grieving a loved one or coping with changes in their own physical and mental capacities as they age. Without structured rituals to honor the significance of transitions, people may feel they are navigating them alone.

Curious about the role of rites of passage in mental health communities? Stay tuned for part 2 next week!

Sara Reed, MS, LMFT

Sara Reed is a Licensed Marriage and Family Therapist and CEO of Mind’s iHealth Solutions, a digital health company that provides evidence based and culturally responsible mental health services for underserved groups. As a mental health futurist and clinical researcher, Sara examines the ways culture informs the way we diagnose and treat mental illness. Sara’s prior research work includes participation as a study therapist in psychedelic therapy research at Yale University and the University of Connecticut’s Health Center. Sara was the first Black therapist to provide MDMA-assisted psychotherapy in a clinical trial and continues to engage in ongoing advocacy work around health equity in psychedelic medicine.

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Jeffrey Guss, MD is a psychiatrist, psychoanalyst, and researcher with specializations in psychoanalytic therapy and the treatment of substance use disorders. He was Co-Principal Investigator and Director of Psychedelic Therapy Training for the NYU School of Medicine’s study on psychedelic-assisted psychotherapy in the treatment of cancer-related existential distress, which was published in Journal of Psychopharmacology, 2016. He currently is a study therapist in the NYU study on Psychedelic-Assisted therapy in the treatment of Alcoholism, a collaborator with Yale University’s study on psychedelic-assisted therapy for Major Depressive Disorder and a study therapist with the MAPS (Multidisciplinary Association for Psychedelic Studies) study on treatment of Post Traumatic Stress Disorder with Psychedelic-Assisted Psychotherapy. 

Dr. Guss is interested in the integration of psychedelic therapies with contemporary psychoanalytic theory and has published in Studies in Gender and Sexuality and Psychoanalysis, Culture and Society. He has published (with Elizabeth Nielson, PhD) a paper on “the influence of therapists’ first had experience with psychedelics on psychedelic-assisted psychotherapy research and therapist training” in The Journal of Psychedelic Studies, August, 2018. He is an Instructor and Mentor with the California Institute of Integral Studies’ Center for Psychedelic Therapies and Supervisor in NYU’s Fellowship in Addiction Psychiatry. 

Dr. Guss maintains a private practice in New York City.

Will Van Derveer, MD

Will Van Derveer, MD is Co-Founder of Integrative Psychiatry Institute and Integrative Psychiatry Centers. Dr. Van Derveer was co-investigator on a phase 2 MAPS study of Psychedelic-assisted psychotherapy for treatment-resistant PTSD, and co-authored the publication of this study in 2018. He has also provided Psychedelic-assisted psychotherapy in two MAPS training studies. An active provider of KAP at his clinic in Boulder, CO, he has been teaching others KAP therapy for several years. Dr. Van Derveer contributed a chapter on mescaline in the 2021 "Handbook of Medical Hallucinogens" (edited by Charles Grob and Jim Grigsby). He is co-host of the Higher Practice Podcast.

Dr. Van Derveer regards unresolved emotional trauma as the most significant under-recognized root cause of psychiatric symptoms in integrative psychiatry practice, along with gut issues, hormone imbalances, inflammation, mitochondrial dysfunction, and other functional medicine challenges. He is trained in Somatic Experiencing, EMDR, Internal Family Systems, and other psychotherapy techniques. His current clinical passion is psychedelic-assisted psychotherapy, which he mentors interested doctors in providing. An avid meditator, he has been a meditation instructor since 2004.

For the past several years Dr. Van Derveer has taught psychiatrists and other psychiatric providers integrative psychiatry in a number of settings, including course directing the CU psychiatry residents’ course as well as with Scott Shannon and Janet Settle at the Psychiatry MasterClass.


Scott has been a student of consciousness since his honors thesis on that topic at the University of Arizona in the 1970s under the tutelage of Dr. Andrew Weil. Following medical school, Scott studied Jungian therapy and acupuncture while working as a primary care physician in a rural area for four years. Psychedelic-assisted psychotherapy became a facet of his practice before this medicine was scheduled in 1985. He then completed a psychiatry residency at Columbia program in New York. Scott studied cross-cultural psychiatry and completed a child/adolescent psychiatry fellowship at the University of New Mexico.

In 2010 he founded Wholeness Center in Fort Collins. This innovative clinic provides cross-disciplinary evaluation and care for all mental health concerns. Scott serves as a site Principal Investigator and therapist for the Phase III trial of psychedelic-assisted psychotherapy for PTSD sponsored by (MAPS). He has also published numerous articles about his research on (CBD) in mental health. Currently, Scott works extensively with psychedelic-assisted-psychotherapy. He lectures all over the world to professional groups interested in a deeper look at mental health issues, safer tools, and a paradigm-shifting perspective about transformative care.

Will Van Derveer, MD is co-founder of Integrative Psychiatry Institute (IPI), along with friend and colleague Keith Kurlander, MA. He co-created IPI as an expression of what he stands for. First, that anyone can heal, and second that we medical providers must embrace our own healing journeys in order to fully command our potency as healers.

Dr. Van Derveer spent the last 20 years innovating and testing a comprehensive approach to addressing psychiatric challenges which transcends the conventional model he learned in medical school at Vanderbilt University and residency at University of Colorado, while deeply engaging his own healing path.

He founded the Integrative Psychiatric Healing Center in in 2001 in Boulder, CO, where he currently practices. Dr. Van Derveer regards unresolved emotional trauma as the most significant root cause of psychiatric symptoms in integrative psychiatry practice, along with gut issues, hormone imbalances, inflammation, mitochondrial dysfunction, and other functional medicine challenges. He is trained in Somatic Experiencing, EMDR, Internal Family Systems, and other psychotherapy techniques. His current clinical passion is psychedelic-assisted psychotherapy, which he mentors interested doctors in providing. An avid meditator, he has been a meditation instructor since 2004.

For the past several years Dr. Van Derveer has taught psychiatrists and other psychiatric providers integrative psychiatry in a number of settings, including course directing the CU psychiatry residents’ course as well as with Scott Shannon and Janet Settle at the Psychiatry MasterClass. In addition to his clinical work and teaching, he was co-investigator in 2016 a Phase II randomized clinical trial, sponsored by the Multidisciplinary Association for Psychedelic Studies (MAPS). He continues to support this protocol, now in a Phase III clinical trial under break-through designation by FDA.

Dr. Van Derveer is a diplomate of the American Board of Integrative and Holistic Medicine (ABoIHM) since 2013, and he was board certified in the first wave of diplomates of the new American Board of Integrative Medicine (ABIM) in 2016.