In the past decade, there has been a quiet revolution happening in women’s health. Perhaps you have heard whispers of mothers using magic mushrooms to manage their moods or about psychedelics relieving symptoms of menopause, and wondered, "Could psychedelics help me?"
While this may appear to be a new frontier, recent surveys show that psychedelic use has reached historic highs among older adults. Increasingly, women over fifty are seeking retreat experiences as they navigate shifting family roles, retirement, and significant biological transitions. These therapies may not only offer physical support, but help address the big questions that come with this stage of life: What’s next? Who am I now? How do I stay grounded in myself during these midlife transitions?
Psychedelic retreats, when done safely and thoughtfully, offer a structured environment for women in their second act to explore these questions and embrace new perspectives.
Midlife brings with it a set of major transitions that Western culture rarely prepares women for. Historically, women were largely left out of the research shaping modern medicine, leaving major gaps in our understanding of the hormonal and emotional shifts associated with menopause. These changes have long been treated as taboo, even among women themselves, leaving those going through menopause feeling isolated. But psychedelic therapies are helping women reclaim this stage of life, offering tools for connection, healing, and beyond.
As children leave home, careers wind down, relationships change, and external roles that once defined daily life shift. Feelings of relief, grief, disorientation, and possibility can emerge. It can feel like the culmination of what researcher Brene Brown calls the “midlife unraveling,” a reckoning or invitation to examine long-held patterns and who you are at your core.
Psychedelic experiences can offer a way to engage with this unraveling. By facilitating a profound internal connection, these substances can rapidly shift one's outlook and potentially open up new insights that conventional therapy might not reach as quickly.
As one middle-aged woman described it to Women's Health, “I wanted to plug into the wisdom that I felt I was carrying deep within me but wasn’t tapping into for some reason. [Within one psychedelic session] I had a sequence of deep understandings and clarity about things I’d known all along but hadn’t let myself realize.”
When estrogen levels fluctuate, they affect the serotonin system, which plays a central role in mood regulation, sleep, and cognitive clarity. As estrogen declines in perimenopause and beyond, the downstream effects, like hot flashes and mood swings, can be disorienting. Some of the therapies used to address these symptoms can also feel inadequate.
But researchers have begun examining whether psilocybin, which acts on serotonin receptors (particularly the 5-HT2A receptor), may overlap with estrogen-influenced serotonin pathways. While this research is still in early stages, it suggests that psilocybin can ease the hormonal changes that can cause anxiety, inflammation, low mood, and even “brain fog” during menopause.
Dr. Grace Blest-Hopley, a leading voice in this area of research, has argued, “Both psychedelic therapy and estrogen have shown neuroprotective effects. Used together, they could offer innovative strategies to preserve brain health and reduce cognitive decline, while also alleviating mood symptoms of menopause.”
For women over 50 choosing a retreat program, safety protocols are especially important given the unique psychological and biological needs that come with maturity. The screening process, facilitators, setting, and follow-up care of the retreat you choose should all inspire confidence in the experience before you embark.
For many women, safety is found in the presence of female facilitators and the privacy of women-only settings. Femme-centered retreats can offer a level of comfort that allows for deeper vulnerability than mixed-gender retreats. This can be especially true for mature women who are often working with gender and age-specific issues, such as:
Comfort and safety are also essential in the psychedelic state, where psychological defenses dissolve. Experiences that have been carefully managed for years can surface with unexpected intensity. The presence of a skilled, trauma-informed female facilitator who understands this territory can provide a sense of safety that allows women to go places they would not otherwise go.
Female-only retreats can also foster a sense of connection, community, and celebration. Research suggests that for some, the bonding that occurs through the collective retreat journey is as beneficial, if not more so, than the psychedelic experience itself.
These femme-centered spaces may also offer retreats specific to gay, trans, or nonbinary people, women over 50, BIPOC women, or women with specific traumas to enhance safety and connection. Look for a supportive, inclusive program that fits your specific needs and offers you the most transformative experience possible.
Any reputable retreat center will conduct thorough medical and psychological screening before accepting a participant. For women over 50, several considerations deserve particular attention:
The landscape of psychedelic retreats is rapidly expanding, but quality and integrity vary enormously. The following centers have distinguished themselves through their commitment to safety, female-centered care, and rigorous therapeutic frameworks. All operate in jurisdictions where their practices are legal or specifically permitted.
The Buena Vida has developed a reputation for combining beautiful accommodations with deeply intentional therapeutic work. The organization was founded by a woman and offers women-only retreat options led by experienced female facilitators. The retreats in Mexico provide a luxury, jungle experience, while the retreats in California take place on an expansive ranch in the desert.
Founded and led by Heather A. Lee, a psychotherapist with over 30 years of clinical practice, Medicine Woman Retreats and its sister program Wellness and Wisdom Journeys represent the integration of professional psychotherapeutic training with ceremonial expertise. Some programs focus on microdosing small amounts of psilocybin, while others offer a deeper dive with the mushroom. All retreats are conducted internationally in jurisdictions that permit them.
Odyssey and Beckley Retreats also offer women-only options alongside other programming. Oregon-based Odyssey was the first psilocybin retreat center to legally open in the United States, while Beckley Retreats is an established and reputable name in psychedelics. As an extension of the Beckley Foundation, they have been at the forefront of global drug policy reform and scientific research in psychedelics.
Several other programs with women-only options exist and can be found through search tools such as Retreat Guru. If a retreat not listed here calls to you, use the checklist at the bottom of this article to help you assess the program's quality and whether it’s right for you.
Legal status is evolving, and it’s important to verify current regulations regarding the substance you will be using before you travel. Most psilocybin retreats operate in these jurisdictions:
One of the greatest barriers for women considering this work is not knowing what to expect. Programs will vary in the details, but reputable psychedelic retreats typically follow a similar framework: medical screening, preparation, the retreat experience, and integration. These steps are designed to bring you through the entire process with ease.
Preparation can begin weeks in advance and often includes one or more pre-retreat calls with a facilitator or therapist, during which you will discuss your intentions, your history, your current medications, and any specific areas of your life you hope the experience will address. This step also helps build rapport with your facilitators so you can more confidently engage with and surrender to the ceremony.
Preparation may also include:
The purpose is to arrive with a quieter nervous system and a clearer understanding of the process. Research shows this type of enrichment can enhance the depth and quality of the psychedelic experience.
The psychedelic experience itself - sometimes called a ceremony, a journey, or a session - is typically conducted lying down, with an eye mask, music, and other ceremonial elements curated by the facilitators. The physical setting is designed to feel safe, comfortable, and conducive to turning inward. A facilitator is present throughout, available for support but generally allowing the experience to unfold in its own direction.
The retreats listed above typically work with psilocybin (though some programs use other substances). You can expect a psilocybin session to last four to six hours and have three phases: onset, peak, and comedown. There may be beautiful moments of expansion and insight, as well as uncomfortable memories or sensations. The most important thing a woman can bring into the ceremony space is curiosity and openness towards whatever arises.
In the days and weeks following the experience, studies show that the brain experiences new neuronal growth and becomes more interconnected. Researchers believe this “window of heightened neuroplasticity” makes the brain receptive to new patterns and ways of relating to the self.
Integration is the process of capitalizing on this receptivity by creating a necessary bridge between the retreat experience and lasting, embodied change. Research consistently identifies integration as one of the strongest predictors of long-term positive outcomes. Yet, it is often where many retreat providers fail to give sufficient support. A good retreat provider will offer a combination of:
Participants should leave their retreat with structured integration tools, access to continued therapeutic support, and/or a connection to a community of women navigating similar journeys.