This qualitative study interviewed clinicians working in psychedelic-assisted therapy and found that touch is used sparingly, intentionally, and only with clear consent and pre-established boundaries. Practitioners emphasized that supportive touch—like a hand on the shoulder during distress—is always patient-led, documented, and embedded within strict protocols to prevent misuse. The study highlights areas of ethical concern, the need for ongoing consent throughout a session, and the importance of transparent communication so that touch, when used, enhances safety rather than creating risk.