Anxiety, including generalized anxiety disorder, social anxiety, and panic disorder, is not an automatic contraindication for ayahuasca. Many people with anxiety-based conditions attend ceremony and benefit from it. The ceremony can surface anxiety acutely, which requires a skilled facilitation team to support. The relevant questions are: how severe and how managed is the anxiety; whether any medications being taken for anxiety carry interaction risk; and whether the person has the psychological stability to navigate a challenging experience. These are questions for an honest conversation with your facilitator and, where relevant, your treating clinician.