Introduction Despite the rapid advance of psychedelic science and possible translation of psychedelic therapy into the psychiatric clinic, very little is known about mental health service user attitudes. Objectives To explore mental health service user attitudes to psychedelics and psilocybin therapy. Methods A questionnaire capturing demographics, diagnoses, previous psychedelic and other drug use, and attitudes to psychedelics and psilocybin therapy was distributed to mental health service users. Results Ninety-nine participants completed the survey (52% female, mean age 42 years). The majority (72%) supported further research, with 59% supporting psilocybin as a medical treatment. A total of 27% previously used recreational psilocybin, with a male preponderance (p = 0.01). Younger age groups, those with previous psychedelic experience, and those with non-religious beliefs were more likely to have favourable attitudes towards psilocybin. A total of 55% of the total sample would accept as a treatment if doctor recommended, whereas 20% would not. Fewer people with depression/anxiety had used recreational psychedelics (p = 0.03) but were more likely to support government funded studies (p = 0.02). A minority (5%) of people with conditions (psychosis and bipolar disorder) that could be exacerbated by psilocybin thought it would be useful for them. One fifth of the total sample viewed psychedelics as addictive and unsafe even under medical supervision. Concerns included fear of adverse effects, lack of knowledge, insufficient research, illegality, and relapse if medications were discontinued. Conclusions The majority supported further research into psilocybin therapy. Younger people, those with previous recreational psychedelic experience, and those with non-religious beliefs were more likely to have favourable attitudes towards psilocybin therapy.

Background Audio‐ or video‐recording of client sessions is often used in psychotherapy training to develop practitioner skills and improve client services. However, opinion on the value and ethics of this practice is divided, with limited empirical research and no published research in an Irish context. This study aimed to add to the literature, asking two main questions: To what extent are client sessions recorded during psychotherapy training in the Republic of Ireland, and what are Irish psychotherapists’ experiences and attitudes regarding this practice? Methodology An online survey was distributed to members of the Irish Association of Humanistic and Integrative Psychotherapy (IAHIP) who subscribe to IAHIP web adverts (30% response rate; N = 120). Data were analysed using SPSS and thematic analysis. Findings Just under half these Irish psychotherapists reported recording client sessions during training; this practice being significantly less common amongst recent graduates. While a small majority agreed with recording during training, a sizeable one‐third disagreed, with others uncertain. Those with regular experience of recording were most supportive of the practice. Positive themes regarding recording were as follows: “strongly enables learning,” “captures reality,” “invaluable opportunity for trainees to have a witness,” and “accountability and protection for clients,” while negative themes were as follows: “an anxious, inhibiting experience,” “distorts/misses reality,” “trainees’ needs impinging on the therapeutic relationship” and “a breach of confidentiality.” Conclusion Irish psychotherapists have strong yet mixed views about recording, reflecting the power of this practice and its ethical complexity. A recommended training protocol for recording client sessions is offered.