In this conversation, Michael Ryoshin Sapiro explores the emerging landscape of psychedelic healing from the vantage of a clinical psychologist, psychedelic psychotherapist, and Buddhist teacher. He speaks to the treatment of trauma, the work with veterans and others carrying deep wounds, and his conviction that it is not the substances themselves — ketamine, psilocybin, ayahuasca — but love, truth, and relationship that do the real healing. Drawing together contemplative practice and clinical care, he reflects on what it means to meet suffering with presence and to hold these powerful medicines within a genuinely sacred frame.