Brian Pilecki
Clinical Psychologist
Clinical psychologist at the Portland DBT Institute specializing in psychedelic integration therapy and the intersection of dialectical behavior therapy with psychedelic-assisted treatment.
Biography
Brian Pilecki is a clinical psychologist at the Portland DBT Institute in Oregon whose work sits at the intersection of psychedelic integration therapy and dialectical behavior therapy (DBT). His clinical and research focus on psychedelic integration provides practical support for patients processing experiences with psilocybin and other psychedelic substances, translating insights from altered-state experiences into lasting behavioral and psychological change.
Pilecki's specialization in DBT alongside psychedelic integration is relatively unusual in the field and addresses a gap in the therapeutic landscape: many patients who pursue psychedelic experiences come from backgrounds involving emotional dysregulation, borderline presentations, or OCD, conditions for which DBT has strong evidence. His work explores how psychedelic experiences can be integrated within an evidence-based behavioral framework rather than purely psychodynamic or transpersonal models.
His location in Portland, Oregon, places him at the center of the first state to implement legal psilocybin access under Measure 109, giving his integration practice particular relevance as the Oregon psilocybin service framework develops.
Organizations
Why They Matter to the LearnShrooms Community
Psychedelic integration therapy is the therapeutic work that determines whether a psilocybin experience produces lasting benefit. Pilecki's DBT-informed approach to integration expands the range of patients who can access meaningful therapeutic support after psychedelic experiences, including those with diagnoses not typically treated in psychedelic-focused practices.
Legal Context
For the legal landscape where Brian Pilecki operates, see psilocybin laws in Oregon.