The short answer is: it depends. For some clients, it can take multiple ceremonies over time to sustain the outcomes they seek; however, the amount of progress one can make with a single intentional ceremony is quite remarkable.  We always advise our clients to approach this work one ceremony at a time. The most important thing is approaching each ceremony with care and reverence–fully honoring the preparation and integration processes, as this is where so many people fall short. In other words, fully immersing yourself into the preparation and integration process is what allows you to maximize the value and impact of a single ceremony. Many of our clients do elect to come back for additional ceremonies anywhere from 1 to 12+ months after their last journey. It’s important to recognize that healing is a lifelong journey and each ceremony brings us closer and closer to our true nature. Ultimately, our goal is for clients to sustain their desired state of being without requiring psychedelic medicine.