For those standing at the threshold-You don't have to face this sacred transition alone.
The Last Journey
What if preparing for death could also be a way of coming more fully into life?
Facing mortality can bring us into some of life's deepest questions—questions about love, loss, identity, meaning, and what it means to let go.
While end-of-life care often focuses on the physical body, there is another part of dying that deserves just as much tenderness: the inner experience of being human at the edge of life.
At Sun & Moon Counseling, end-of-life psychotherapy offers a compassionate space to explore this inner landscape through therapeutic support, mindfulness, somatic awareness, and, when medically appropriate, psychedelic-assisted experiences. Together, we may make room for grief, unfinished emotions, spiritual questions, and the possibility of deeper presence, connection, and meaning.
This work is not about overcoming fear, forcing acceptance, or finding the “right” way to die. It is about creating enough safety and compassion to be with what is, honoring your unique experience, beliefs, and uncertainties along the way.
There is no right way to approach death. There is room for all of it.
Who Is This For?
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Those Facing Life Limiting Illness
Illness and mortality can change how we see ourselves. Therapy offers space for grief, forgiveness, boundaries, relationships, and the question of who we are as familiar roles and identities change.
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Those Exploring Mortality
Fear does not need to disappear for us to experience love, connection, and presence. Together, we may explore fears surrounding suffering, losing independence, leaving loved ones, unfinished relationships, and the unknown.
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Those Seeking Meaning & Connection
Reflecting on identity, relationships, unfinished experiences, and what matters most. There is no required spiritual belief for this work.
Your spirituality may be rooted in Christianity, another faith tradition, nature, meditation, a sense of interconnectedness, or simply an openness to mystery. You may have strong beliefs, uncertain beliefs, changing beliefs, or no spiritual beliefs at all. There is no required spiritual belief or tradition, this is a space for your own questions and sense of meaning.
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Those Supporting A Loved One
Loved ones may find themselves navigating anticipatory grief, changing roles, difficult conversations, emotional exhaustion, and the uncertainty of saying goodbye.
Therapy offers a space to process these experiences while exploring how to remain connected, care for yourself, and support someone you love.
Sometimes the most meaningful thing we can offer is not another solution, but our presence.
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Learning to Live, Even as We Let Go
Perhaps preparing for death is also an invitation to participate more fully in life.
To practice presence. To receive love. To release what no longer needs to be carried.
And perhaps, in learning how to meet death, we discover something about how we want to live.
What Might We Explore Together?
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Making room for fears surrounding death, suffering, loss of control, and the unknown without needing to eliminate them.
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Exploring life's deeper questions, personal beliefs, gratitude, purpose, and what may remain when familiar identities begin to change.
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Creating space for grief, forgiveness, unresolved relationships, unspoken words, and the many forms of letting go.
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Using conversation, mindfulness, somatic awareness, and gentle experiential practices to connect with what is happening in the present moment.
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This work does not force acceptance, promise spiritual experiences, eliminate grief, or replace medical and hospice care. You are welcome to feel peaceful, afraid, angry, grateful, uncertain, or many things at once.
Psychedelic Preparation & Integration
For those who are medically appropriate and interested in psychedelic-assisted psychotherapy, preparation and integration may become part of the therapeutic process.
Psychedelic experiences may offer opportunities to explore fear, identity, relationships, spirituality, and one's relationship with mortality. Our work emphasizes thoughtful preparation, emotional safety, and integration of whatever emerges—without expectations of a particular outcome.
The medicine is not the entirety of the experience. The meaning we make of it matters, too.
Psychedelic medication requires appropriate medical screening, prescribing, and oversight by a licensed medical provider. This work does not replace hospice, palliative care, or other medical treatment.
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You will meet with your physician and therapist to:
• Complete a medical evaluation
• Review the program and informed consent
• Discuss your goals, concerns, and intentions
• Complete questionnaires that help us understand how you are feeling before beginning care
Two preparation visits help build trust and ensure the program is appropriate for your needs.
Preparation Questions to Consider:
-What you hope to understand, process, or experience
-Fears or expectations surrounding the psychedelic experience
-Your relationship with control, surrender, and uncertainty
-Spiritual or existential questions
-Relationships and unfinished emotional experiences
-How you would like to approach difficult emotions if they arise
-What support you may need before and after the experience
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Participants receive supervised ketamine sessions in their home, hospital, nursing facility, etc. typically about one week apart if doing multiple medicine sessions.
During each session:
• Ketamine is administered
• Vital signs are monitored throughout the experience.
• The therapist remains present to provide emotional and spiritual support.
• Comfort measures and medications are available if needed with Medical oversite and support
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Healing continues after each session.
24-72 hours after the medicine session, you will meet with your therapist to reflect on your experience and explore any insights, questions, or emotions that arise.
Your physician will also complete a medical follow-up after each session. Additional spiritual support remains available.
The psychedelic experience itself is only one part of the process. The meaning we make of it can be transformative.
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Your safety is our highest priority. Every participant receives:
• A comprehensive medical evaluation
• Physician supervision during every ketamine session
• Ongoing monitoring before, during, and after treatment
• Care delivered by licensed medical and behavioral health professionals.
Because ketamine is not appropriate for everyone, some medical or psychiatric conditions may prevent participation, including active psychosis, uncontrolled hypertension, recent stroke or seizure, severe liver or kidney disease, or cognitive impairment that prevents informed consent.
