09/07/2026
🎵 Music is more than background in psychedelic therapy.
Music is widely used during psychedelic-assisted psychotherapy, but what role does it actually play in the experience?
This qualitative study explored the music-related experiences of 31 participants taking part in a trial of psilocybin-assisted psychotherapy for anxiety and depression associated with life-threatening illness, similar to CAN PACT. Participants described feeling more intensely connected to music during psilocybin sessions compared with control sessions.
Their experiences suggest music can play several roles:
🎧 GUIDE — Music interacted with participants’ emotions and inner experiences, sometimes helping shape how the psychedelic experience unfolded.
🧠 CONNECT — Music became intertwined with memories, mental imagery, emotions and physical sensations, creating deeply multisensory experiences.
💡 REVEAL — Through these experiences, participants described personal realizations and new ways of understanding themselves and their lives.
🔄 RECONNECT — The role of music didn’t necessarily end when the dosing session did. Encountering the same music afterward could bring back sensations or experiences associated with the psychedelic session and prompt continued reflection and processing.
The findings also highlight an important nuance: music wasn’t always experienced as pleasant or comforting. It could accompany experiences that were revelatory, challenging, fragmenting—or a combination of these. This underscores the importance of thoughtful music selection and therapists who can respond to what is unfolding during the session.
Rather than simply providing a soundtrack, music may be an active component of psychedelic-assisted psychotherapy—one that can play a role across preparation, dosing and integration.
📖 Source:
O’Callaghan C, Kallianis V, Ross M. Participants’ Music Experiences Associated With Psilocybin-Assisted Psychotherapy for Depression and Anxiety Related to Life-Threatening Illness. Journal of Music Therapy. 2026;63(2):1–35. https://academic.oup.com/jmt/article/63/2/thag015/8743985?login=false