Dying well is not a document. It is a person who stays.
Tap your loudest fear. The letter shows the one place that helps.
Why a person, and how to find one.
- Dying well is not a document. It is a person who stays.
- The work nobody else is paid to do. The long conversations. The vigil. The family that cannot agree.
- Medicare pays doulas nothing. So most doula work is cash. We say so plainly.
- Find a doula near you today. Field directories, and questions to ask each doula.
- Quality Death. Find an end-of-life doula, or become one. qualitydeath.com
When the moment asks for a person, a doula is working near you today.
Find an end-of-life doula today
Most end-of-life doulas work independently, and the field keeps its own directories. Search where you live, and ask each doula about their training, what they charge, and what they do and don’t do.
- INELDA directory Open →
- National End-of-Life Doula Alliance Open →
- Colorado End-of-Life Collaborative directory Open →
Three things to ask each doula
- Their training
- What they charge
- What they do, and don’t do
Do this work
Training, the Colorado rules for doulas, and the doula list.
Join the doula list →For existential anxiety in terminal illness, the evidence is remarkable.
Two rigorous clinical trials at Johns Hopkins and NYU, with sustained follow-up, showed that a single session of psilocybin-assisted therapy produced substantial and enduring reductions in cancer-related depression and anxiety. That's not a fringe finding. That's 2016 peer-reviewed psychiatry, replicated independently.
Clinically significant reductions in depression and anxiety
A single high-dose psilocybin session produced substantial decreases in depressed mood and anxiety, along with increases in quality of life, life meaning, and optimism in patients with life-threatening cancer.
Griffiths et al., J Psychopharmacol, 2016.
Sustained improvement at 6.5 months
Independent trial replicating the Hopkins findings: psilocybin combined with psychotherapy produced rapid and sustained anxiolytic and antidepressant effects in cancer patients.
Ross et al., J Psychopharmacol, 2016.
Benefits persisted long-term
Long-term follow-up of the NYU cohort showed that the reductions in anxiety, depression, hopelessness, and demoralization were largely maintained years after a single dosing session.
Agin-Liebes et al., J Psychopharmacol, 2020.
Before you decide. These were small trials — the Johns Hopkins study had 51 people. The studies screened people out for a history of psychosis, some heart conditions, and some medications. A body that is frail, or on many medications, is exactly why it matters to work with a Clinical Facilitator — a facilitator who is also a licensed clinician.
Colorado is the front seat.
The Natural Medicine Health Act (Proposition 122, 2022) established a regulated framework for psilocybin-assisted therapy in licensed healing centers, with facilitators trained and credentialed under state rules. Colorado healing centers began opening in 2025, and most sessions happen there. Colorado’s rules also let a licensed facilitator hold the session at home, or in a hospice or care facility, for someone who receives or qualifies for palliative care, is in hospice, is homebound, or lives with a disability — with added safeguards. Not every facilitator offers this, so ask. (Rules as of September 2026.)
Quality Death helps you understand whether this path might fit and prepare the questions to bring to a licensed facilitator. Under Colorado’s rules, preparation, the session itself, and integration are the facilitator’s work. For doulas: where you fit, and the licensed path →
Where it’s available now: the state’s map of licensed healing centers, and a clinical trial recruiting at CU Anschutz for people with stage 3 or 4 cancer.