This report is best viewed on a desktop computer. But we welcome all visitors!

Happy 5th Birthday, Fireside!

Five Years
of Light

What began as a phone number became a
movement built on connection, community,
co-creation, and care.

We are honored to share five years of impact with you.

Truly, beloved community, our impact is your impact.

To our callers & clients, you trusted us with your most vulnerable moments.
To our volunteers, you honored us by dedicating a year of your lives.
To our staff, you created the safest and most enriching containers.
To our partners, you informed your communities about our services.
To our donors, you believed in our vision. You breathed life into our work.

To you all, we bow and offer our deepest gratitude.

We are honored to share with you 5 years of impact.
Truly, beloved community, our impact is your impact.

To our callers & clients,
you trusted us with your most vulnerable moments.
To our volunteers,
you honored us by dedicating a year of your lives.
To our staff,
you created the safest and most enriching containers.
To our partners,
you informed your communities about our services.
To our donors, you believed in our vision.
You breathed life into our work.

To you all, we bow and offer our deepest gratitude.

In Partnership,

Joshua White

Founder | Executive Director

Table of Contents

Click any section to jump there

“It was exactly what I needed. It was perfect. He saved me. It was better than most therapy sessions I’ve ever had.”
— support-line caller
Chapter One

Our Ecosystem of Care

What started as a phone line has grown into an interconnected network of care — because you helped us dream bigger.

📞
Psychedelic Support Line
Free, confidential support for anyone during & after trips. By phone, SMS, or mobile app.
35,000
calls
1,000
calls/month
🧭
Psychedelic Coaching
Scheduled, long-term preparation and integration support by video from coaches trained through a rigorous 30-step, 300-hour process.
1.1k sessions
One study underway
🪞
Lucy, Psychedelic Flight Simulator
An emotionally intelligent, voice-to-voice simulation tool to train the next generation of psychedelic practitioners.
500
practitioners signed up
Mount Sinai
partnership
📊
Research Program
Partnerships with Mount Sinai, Harvard Medical School, and UCSF — generating the first evidence base for psychedelic support and coaching.
One study published
Three more studies forthcoming
Our services work together in a continuous cycle.
“What I believed to be the worst day of my life and the stupidest mistake I had ever made transformed into one of the most meaningful and beautiful days of my life.”
— support-line caller
Psychedelic Support Line

We offer every person in the United States

free, confidential support

during & after trips,

by phone, text message, and mobile app,

every day, from 11:00 a.m. to 11:00 p.m. Pacific Time.

We are the safety net for the psychedelic field.

We’ve been there for you
1,825 days in a row.
0Hours
0+Conversations

Our monthly call volume has increased tenfold since our launch in April 2021

April 2021 100 calls per month
April 2026 1,000+ calls per month
0%of our callers felt
heard and understood
based on our post-call survey responses
35,000

Every conversation is a person with a story.. A story.

Every caller took a leap of faith.

We invite you to witness their experiences, in their own words.

Support Line Caller
“I didn’t know where else to turn. Just having someone pick up the phone changed everything.”
— Anonymous caller
Support Line Caller
“The person who answered was so calm. That calmness moved through the phone into me.”
— Anonymous caller
Support Line Caller
“I was terrified I was losing my mind. They helped me realize I was just going through something profound.”
— Anonymous caller
Support Line Caller
“I called three times that year. Each time felt like a lifeline.”
— Anonymous caller
0
911 calls and ER visits averted
Based on our peer-reviewed study with Dr. Rachel Yehuda.

3,500 people. Think about that.

Imagine being loaded into the back of an ambulance,

or going into an emergency room on psychedelics.

Imagine, instead, reaching out to Fireside Project

and hearing a kind, gentle soul answer the phone,

and hold space until you feel safe and grounded,

so you can stay in the comfort of your home.

$39,725,000
saved in ambulance rides,
ER visits,
and& hospital admissions

ER visits and ambulance rides aren’t just
traumatizing.
They’re expensive.

Your bill — psychedelic crisis if you hadn’t called us
Ambulance ride average cost $1,350
ER visit average cost $2,500
Hospital admission ~50% of ER visits result in admission $15,000
If you called Fireside instead $0
Potential per-person total $18,850
0
may have been physically or emotionally harmed*
based on our post-call survey responses
0
people are aware of our services

Even if they never call, just knowing we exist helps people feel safer and less alone.

Overall figure has been reduced by 50% to account for
some people learning about Fireside from more than one channel.

Our Reach: How the World Found Fireside

~15 million impressions across 14 channels

Want to do a deep dive into our data?
Head to Appendix A.

Who are the bright lights
answering the phone?
0
practitioners trained

That’s more than two jumbo jets of volunteers.2 full jumbo jets.

Over halfMost have been from marginalized communities.

Many have gone on to careers
in the psychedelic field.

“My volunteer showed me that I am important and that my life has value. They showed me that there is someone out there who cares, someone who believed in me and my ability to make it to the other side of my experience.”
— support-line caller

Our volunteers dedicate a year
of their lives in psychedelic service.

Here’s what ten of them have to say about it:

— Zoe, volunteer
Volunteer
— Steve, volunteer
Volunteer
— Alexander, volunteer
Volunteer
— Christine, volunteer
Volunteer
— Jeane, volunteer
Volunteer
— Perry, volunteer
Volunteer
— Jasmine, volunteer
Volunteer
— Alphonso, volunteer
Volunteer
— Caroline, volunteer
Volunteer
— Yvette, volunteer
Volunteer
— Merryn, volunteer
Volunteer

Each volunteer works four hours per week for a full year.

0
hours of experience
and training provided
200
hours of supervision per volunteer

Including feedback, emotional support, and education.

Our supervisors create the container for our volunteers.

200
hours of supervision per volunteer

This includes feedback, emotional support,
and education.

Our supervisors create the container
for our volunteers.

“I can honestly say I don’t think I’ve ever felt so heard, understood, supported, and, to me, most importantly, accepted by somebody else.”
— support-line caller
Fireside-Certified Psychedelic Coaching

Long-term support.
Human presence.

The relationship

Our coaches provide long-term, scheduled support by video to people preparing for and integrating psychedelic experiences.

Continuity

Many of our clients have been meeting regularly with their coach since the launch of our program in October 2024.

Rigor

Each coach is a paid employee who completes a 30-step, 300-hour certification process that includes a full year of volunteering on the support line.

Supervision

Our coaches receive bi-weekly group supervision from our Coaching Director, Dr. Jacob Ham — Associate Clinical Professor at Mount Sinai. To date, coaches have received 110 hours of supervision.

0
coaching sessions
Dr. Jacob Ham
Director of Coaching
Dina Percia
Coaching Manager
Second video placeholder
Lindley Reynolds
Coach
110
hours of supervision

Our coaches receive regular group supervision from our Director of Coaching, Dr. Jacob Ham — Associate Clinical Professor in Psychiatry and Director of the Center for Child Trauma and Resilience at Mount Sinai.

Research Partnership

Joint Study with Harvard Medical SchoolMed. School
and Massachusetts General Hospital

We have an ongoing pilot study exploring the effectiveness of our coaching program for ketamine patients with depression.

Ongoing 20 patients 12-week program
“You saved my life. Literally.”
— support-line caller
The Problem

The field is expanding.
The training hasn’t kept up.

18
weeks avg. program
$$$$$
thousands in cost
0
evidence-based voice simulations

Most training programs rely on lectures, readings, and static role-plays that don’t reflect the emotional intensity and unpredictability of real-world psychedelic experiences. This training gap threatens client safety, practitioner confidence, and the field’s credibility.

Our Solution

Pilots use flight simulators.
Now, psychedelic practitioners can, too.

Practice the moments that matter before they're real.

Lucy is an interactive, voice-based simulation tool
that helps practitioners strengthen their therapeutic skills
through realistic, emotionally intelligent roleplay.

Pick a skill. Practice it. Get feedback.

01
Learn
Practitioners pick the skill they'd like to cultivate. Learn all about it — what it is, when to use it, common mistakes and how to address them.
02
Practice
Practitioners step into a live voice conversation. Lucy plays a client in a psychedelic experience — anxious, overwhelmed, breaking through. Practitioners respond in real time.
04
CE Credit & Certification Coming soon
Practitioners receive CE credit and certification for each module or course that they complete.
03
Receive Feedback
After each session, practitioners get specific, personalized feedback on what they did well and where to grow. Then they do it again.
10,000
real-world psychedelic support conversations
The only dataset of its kind in psychedelic science

Already the largest corpus of anonymized psychedelic support interactions in existence, this dataset grows by 1,000 conversations every month — continuously deepening Lucy’s advantage as the field’s only training tool grounded in real-world data.

over 1,000 calls per month, growing every month

Trusted by leaders in the field

PMHA Alliance · Univ. of New Mexico

Psilocybin Facilitator Training

Partnering to train New Mexico facilitators in supporting group psilocybin experiences, with Lucy providing simulation-based practice.

First training: May 20–22, 2026
Board & Advisors

World-Class Science Team

Built by a team of scientists with expertise in machine learning, vocal biomarkers, psychology, and neuroscience. Advisors include researchers who have been affiliated with UCSF, Mount Sinai, University of Wisconsin-Madison, and Usona Institute.

Experience Lucy for yourself

Try a 15-minute prototype session where Lucy plays the role of a person experiencing anxiety during a high-dose mushroom experience.

Request a Demo
“My conversation changed the course of my night. And quite possibly my LIFE.”
— support-line caller
Our World-Class Research Program

Where the rubber
meets the road.

Because of the tens of thousands of conversations we’ve had on our Psychedelic Support Line, we are uniquely positioned to learn about how psychedelics are actually being used — across every context, substance, background, and lived experience.

We have the largest and richest dataset of psychedelic conversations in history. And it grows every day.

Every context Every substance Every background Every lived experience 25,419 conversations 220 volunteers 2,777 surveys
Study 01
Published

Reducing the Harms of Nonclinical Psychedelics Use Through a Peer-Support Telephone Helpline

In collaboration with Dr. Rachel Yehuda (Mount Sinai) ·
Drs. Mollie Pleetanino & Joseph Zamaria (UCSF)

Published in Psychedelic Medicine, this study explored whether the Fireside support line helps reduce harm during psychedelic experiences — drawing from our post-call surveys and volunteer call logs.

66%
felt less distressed after their call
30%
felt they may have been physically or psychologically harmed but for us
12%
said they might have called 911
11%
said they might have gone to the emergency room
Dr. Mollie Pleetanino
Lead Researcher, Study 01
Study 02

The Fireside Database: Large-Scale Evidence from 25,419 Psychedelic Support Interactions

Fireside Project Research Team

The Fireside Database is the first systematic dataset on real-world psychedelic support, comprising 25,419 peer support interactions conducted by 220 trained volunteers between 2021 and 2026 — integrated with volunteer-coded metadata and 2,777 caller satisfaction surveys. This resource enables groundbreaking research into psychedelic epidemiology, evidence-based training, and what actually makes psychedelic psychological support effective.

Study 03
Completed

Patient Interest in Psychedelic Coaching During Ketamine Treatment

In collaboration with Harvard Medical School · Massachusetts General Hospital

This study explores whether patients receiving ketamine treatment for depression at the Massachusetts General Hospital (MGH) Ketamine Clinic are interested in receiving psychedelic coaching as a form of emotional support to help them process their ketamine experiences.

Study 04
Ongoing

Assessing the Efficacy of Our Psychedelic Coaching Program

In collaboration with Harvard Medical School · Massachusetts General Hospital

This pilot study explores whether psychedelic coaching can prolong and enhance the antidepressant effects of ketamine in patients with Treatment-Resistant Depression receiving care at MGH’s Ketamine Clinic for Depression. Twenty patients will each receive 12 weeks of coaching from Fireside-Certified coaches.

Study 05
Ongoing

Challenging Psychedelic Experiences and How to Integrate Them

In collaboration with Emory University

We support Emory University’s research into challenging psychedelic experiences by informing all callers about the study through our post-call survey — helping expand the evidence base around safe psychedelic use.

“I felt so touched hearing a total stranger see such light in me! I felt so seen that I broke down in tears.”
— support-line caller
Chapter Two

A Constellation
of Allies

Here are some of the stars who light our way, inspire us to keep going, and support us in ways too numerous to count.

— Hanifa Nayo Washington
Founding Team Member, Fireside Project
— Dr. Rachel Yehuda
Neuroscientist | Mt. Sinai | Research Partner
— Dr. Robin Carhart-Harris
Psychedelic Neuroscientist
— Kristin Nash
Advocate | Ally | Donor
— Madison Margolin
Co-Founder, DoubleBlind
— Shelby Hartman
Co-Founder, DoubleBlind
— Rick Doblin
Founder, MAPS
“What you all are doing is sacred work, and it is not an exaggeration to say that I was saved by it.”
— support-line caller
Chapter Three

Timeline of Our Growth

Five years of showing up, every single day.

“This project is a guiding light for this psychedelic movement.”
— support-line caller
Chapter Four

A Deep Bow to Our Supporters

Our hearts overflow with gratitude for our donors, many of whom have been supporting us as far back as 2020, before the line even launched. Thank you for believing in us, our work, and our mission.

$1,000,000+
$500,000 – $999,999
Unlikely Collaborators
Libra Foundation
$250,000 – $499,999
Joe & Sandy Samberg Foundation
Tamara Hall
The Jurvetson Foundation
$125,000 – $249,999
Founding DonorDr. Bronner’s
Austin & Gabriela Hearst Foundation
Michael & Lisa Cotton
$50,000 – $124,999
James Bailey · Silicon Valley Community Foundation · Saisei Foundation · Joshua Mattefy · Laura Keller · The Wild Gifting Project · River Styx Foundation · Jeff Walker · Jeff Greenberg
$10,000 – $49,999
Mordechai Walder · Circadian Lab · Parsons Foundation · Alan Fournier · Otsuka Pharmaceuticals · The Educational Foundation of America · Will Sterling · Rachel Yehuda & Mitch Rothschild · Council on Spiritual Practices · BeckleyPsytech · Evolve Foundation · Kareem Kouddos · Psychedelic Spotlight · Greg Kieser · Alan K Davis · JLS Fund · Kate Bednarski
Under $10,000
495
people have given under $10,000
Corporate Sponsors
Behold Retreats
Psychedelic Spotlight
Synthesis
Return to Nature
Gwella
Otsuka Pharmaceuticals
Behold Retreats · Psychedelic Spotlight · Synthesis · Return to Nature · Gwella · Otsuka Pharmaceuticals
In-Kind Supporters
Be Serene · Holland & Knight · Integration Communications · IHPR · Kush Queen · Slack · Wokeface
“My volunteer kept me afloat. I’ll never forget how much he helped me during the call and I don’t know what I would have done without him. If you see this somehow, thank you.”
— support-line caller
Chapter Five

Our Next Five Years…
and Beyond

We'll remain resolute in our commitment to community, co-creation, compassionate care, and innovation.

Click a ring to see what the next five years hold

“I am so deeply grateful and appreciative for the beautiful people who work at Fireside. They are heroes and deserve all the praise in the world.”
— support-line caller
Chapter Six

Join Us
by the Fireside

We invite you to join our ecosystem of care

Appendix A

A Deep Dive into Our Data

01Calls Over Time
How callers reach us

Phone vs. Text Message

70%
by phone
30%
by text message
How long we talk

Average Duration of Conversations

SMS conversations run significantly longer — people feel more comfortable opening up over text.

Active trip
📞 Phone
34 min
Active trip
💬 SMS
50 min
Integration
📞 Phone
34 min
Integration
💬 SMS
56 min
015 min30 min45 min60 min
★ SMS conversations run 47% longer on average than phone calls for active trip support
02Types of Calls
Why people call

Calls Broken Down by Type

Tripping
31.2%
Integrating
25.2%
Beyond scope*
9.6%
Seeking info
8.3%
Tripsitting
1.3%
Microdosing
0.4%
*Calls that do not involve psychedelic substances or are seeking pre-trip advice.
Caller experience
only 9.7%
of callers were first-time psychedelic users

From this statistic, we deduce that our marketing efforts are working well within the psychedelic community, and that we need to re-double our efforts to reach first-time users before they try psychedelics.

03Who Is Calling
Caller demographics

Race / Ethnicity

White
35.7%
Asian
14.9%
Latinx
13.6%
Multi-racial
10.5%
Black
8.3%
Other
17%
Caller demographics

Sexual Orientation

Straight
54.9%
Queer
16%
Gay
12.6%
Bisexual
7.3%
Other
9.2%
Caller demographics

Age Distribution

23–30
29.3%
31–40
25.3%
18–22
18.7%
41–50
9.9%
51–60
6.3%
Under 18
4.3%
61+
6.3%
04Substances
What callers are using

Substances on Our Support Line*

Psilocybin accounts for the majority — but distress rates tell a more nuanced story.

57.5%
Psilocybin
13.8%
LSD
9.5%
Cannabis
6.9%
Ketamine
3.3%
MDMA
2.9%
Ayahuasca
1%
5-MeO-DMT
5.1%
Other
* Distress rates and emergency services escalations for each substance are shared below
Co-use patterns

Most Common Substance Pairings

Psilocybin + Cannabis
25.4%
Psilocybin + Other
16.2%
LSD + Psilocybin
15.8%
LSD + Other
15.6%
LSD + Cannabis
11.3%
Psilocybin + MDMA
9.8%
05Context & Setting
Where callers are

Physical Setting

Inside a home
80.9%
In nature
7%
Outdoor event
2.9%
Other
9.2%
Social context

Social Environment

Alone
66.5%
With one or a few others
26.1%
Ceremonial group
2.8%
Large group of people
2.3%
Other
2.3%
06Safety Picture
Caller-reported

Distress Rate by Substance

A surprising finding: cannabis has the highest distress rate — higher than psilocybin.

Cannabis
47.2%
Psilocybin
42.2%
LSD
41.8%
Ketamine
40.9%
MDMA
40.7%
Emergency escalation

Emergency Escalation Rate by Substance

Across all substances, emergency escalation is rare. Our support line helps keep it that way.

Cannabis
0.65% (n=13/2004)
MDMA
0.44% (n=3/682)
LSD
0.36% (n=8/2247)
Psilocybin
0.28% (n=26/9348)
Ketamine
0.08% (n=1/1194)
07What Comes Up
Presenting concerns

Trip Content Themes

Anxiety and overwhelm dominate — together accounting for over 8,000 interactions.

Anxiety
4,566
Overwhelm
3,562
Relationship
2,805
Fear
2,780
Identity
2,349
Confusion
1,826
Loneliness
1,724
Spiritual
1,666
Somatic
1,664
Processing Trauma
1,645
08What Volunteers Provide
Support techniques used

Type of Support Provided

Reflective listening, validation, and normalization are the most common tools.

Reflective listening
~4,500
Validation
~4,000
Normalization
~3,700
Reassurance
~2,000
Self-disclosure
~1,600
Education
~1,400
Breathing techniques
~700
09Mental Health Context
Self-reported diagnoses

Psychiatric Diagnoses Mentioned by Callers

Many callers use psychedelics specifically to address mental health conditions.

PTSD
1,449
Major Depression
1,308
GAD
692
OCD
386
BPD
200
Schizophrenia
185
ADHD
120
Social Anxiety
113
10Outcomes
From our post-call survey

I would recommend Fireside Project to others

Sent to all callers the day after their conversation.

Strongly Agree or Agree
95.1%
Unsure
3.2%
Disagree
0.6%
Strongly Disagree
1.1%
From our post-call survey

I felt heard, understood, and supported during my conversation.

Strongly Agree or Agree
93.8%
Unsure
3%
Disagree
1.7%
Strongly Disagree
1.5%
From our post-call survey

How would you rate the quality of support you received?

Excellent or Good
93.8%
Fair
4%
Poor
2.2%
Appendix B

Our Callers, in Their Own Words

Over 200 voices. Every one a leap of faith.

Voice 1 of 206
Appendix C

Notable Press Coverage

From a phone line to a movement — the world took notice.

Articles 22 pieces
STAT
Apr 2026
Can a psychedelic ‘coach’ make ketamine therapy even more effective?
Double Blind
2025
The First AI Psychedelic Patient Has Arrived
Reality Sandwich
Feb 2026
As 10 Million Americans Trip, Who’s There When It Goes Sideways?
Joe Dolce Substack
Nov 2025
Fireside Project Launches “Trip Check,” A Free Service That Fills A Gap That Has Been Hiding In Plain Sight
Lucid News
Aug 2023
Study Examines Fireside Hotline Services
WIRED
Jun 2023
Meet the Psychedelic Boom’s First Responders
Featured
Filter Magazine
Jun 2023
Psychedelic Support Hotline Shows Promising Harm Reduction Outcomes
Forbes
Jul 2022
The Psychedelic Support Line Matching Callers With BIPOC, Trans, And Veteran Volunteers
TechCrunch
Mar 2022
Fireside Project manifests a $200K fund to improve access to careers in psychedelic health
Lucid News
Mar 2022
Fireside Project’s New Equity Initiative Expands Psychedelic Support Services
Mad In America
Jan 2022
Fireside Project: Peer Support for Psychedelic Experiences
Forbes
Sep 2021
How Effective Is Fireside Project’s Psychedelic Hotline? New Study Aims To Find Out
Psychedelic Times
Sep 2021
Free Psychedelic Help is Just a Call or Text Away
Mashable
Aug 2021
Having a ‘bad trip’? There’s an app for that
Featured
Lucid News
Aug 2021
Fireside Project Expands Psychedelic Support Service with App Launch
Rolling Stone
Jul 2021
How a Psychedelics Call-In Line is Helping People Trip Better
Featured
Free Think
May 2021
Fireside Project Is a Support Line for Your Bad Trip
Trippingly
Apr 2021
The Fireside Project: Peer Support Is Available Now
Esquire
Apr 2021
Fireside Project Is a New Psychedelic Support Line Working to Ensure You Have a Good Trip
Featured
Forbes
Apr 2021
Country’s First Psychedelics Hotline Offers Counseling For People ‘On A Trip’
Lucid News
Apr 2021
Fireside Project: The 21st Century’s First Psychedelic Peer Support Hotline
SF Gate
Apr 2021
Having a bad trip? SF organization to launch world’s first psychedelic peer support line
Double Blind
Nov 2020
This “Psychedelic Peer Support Line” Will Help You Through Your Next Trip

Parting words

Fireside's Founder and Executive Director, Joshua White

Table of Contents
↑ Return to Top
Chapter 1
Our Ecosystem of Care Psychedelic Support Line Coaching Program Lucy — Psychedelic Flight Simulator Research Program
Chapter 2
Voices from Our Community
Chapter 3
Timeline of Our Growth
Chapter 4
A Deep Bow to Our Supporters
Chapter 5
Our Next Five Years… and Beyond
Chapter 6
Join Us by the Fireside
Appendices
Data Testimonials Press Parting Words