Expanded states guide, Northern California

Guidance in expanded states, for people ready to stop managing their pain and start moving through it.

One-on-one sessions, preparation and integration, and four-day Universal Awareness Fellowship retreats. Serving Marin, San Francisco, the East Bay, and Northern California.

I went to Michael after having tried so many different medical interventions for my feelings of worthlessness and hopelessness… I can now say that I feel lighter than I have in decades.

Female in her 40s
Michael Tierno seated on stone steps

My approach

Something in you already knows that what you’ve been doing isn’t working. The therapy, the medication, the meditation apps, the willpower… and yet here you are, still carrying the same weight.

Expanded states work is one of the most powerful tools for healing and self-discovery known to human civilization. Every culture across time has used these techniques to break through the armor of the self to reach the truth that ordinary consciousness keeps just out of reach.

Using a range of evidence-based and time-honored methodologies, I work with people who are ready to stop managing their pain and start actually moving through it. My work supports you in breaking out of automatic reaction patterns, releasing what your body has been holding, and building a life that reflects who you actually are, not who your wounds taught you to be.

My work is aimed at one thing: helping you see the patterns that have been running your life beneath your awareness, so you can finally choose something different. I measure my success by one thing only: your life satisfaction after our work together, compared to before.

Some expanded states modalities have demonstrated remarkable results with treatment-resistant depression, trauma, PTSD, anxiety, addiction, and end-of-life anxiety. They are also known to reconnect us with something deeper: a sense of meaning, presence, and wholeness that many of us have never felt, or have long forgotten.

My work is built around integration: the sustained process that turns a powerful experience into an actual change in how you live. A powerful experience is not the same thing as a changed life. What matters is what you understand, what you practice, and what you change afterward.

One-on-one work is offered at a set program rate. A limited number of supported-rate spaces are available each season. Details are discussed in your initial conversation.

This process was like doing 10 years of therapy in one afternoon.

Female in her 30s

Michael Tierno services

A blue ceramic copalero with rising smoke beside candles

Guidance in expanded states

A deeply personalized container for you to step outside the noise of modern life and encounter yourself at a deeper level, using guided meditation, shamanic drumming, and journeys with entheogenic substances.

About one-on-one guidance
A white glass bowl with pink flowers beside candles

Universal Awareness Retreats

A four-day, deeply supported experience designed to produce specific, observable change in how you live, relate, and show up in the world, with a surrounding seven-week arc of preparation and integration.

About the retreats
A woven textile satchel with bright fringe

Preparation and integration sessions

An expanded states journey doesn’t begin when you close your eyes, and it doesn’t end when you open them. These sessions exist to ensure that your experience becomes a genuine turning point, not just a powerful afternoon.

About preparation and integration

What are some things to look for when vetting an expanded states guide?

Finding the right guide is a crucial step toward healing and self-discovery. A short essay on what to ask about safety protocols, references, training, preparation and integration, set and setting, and touch.

Read the short essay

In their words

My first one-on-one session with Michael was the single most empowering therapeutic experience of my life.

Male in his 30s

I literally spring out of bed with excitement for new possibilities now.

Male in his 20s

From the moment I met Michael, I knew I was in great hands. There is something about his presence that is so comforting and safe.

Female in her 50s

As someone somewhere said, “10 years of talk therapy reduced to 4 days.” I now understand that.

Man in his 50s, retreat participant

Read all testimonials

Not sure if this is for you? Let’s talk.

A free 20-minute conversation costs nothing and changes everything about how clearly you see your options.

Schedule a free 20-minute conversation