Psychedelic Therapy Explained

When we are talking about psychedelic therapy, we are referring to the use of psilocybin. Psilocybin is the main drug researchers are interested in as it carries less cultural baggage than LSD, so participants are more willing to work with it.The FDA has recently approved a small number of clinical trials for Psilocybin.

Although these recent studies are preliminary and small, a 2014 Johns Hopkins study found that 80% of the smokers who participated in psilocybin-assisted therapy remained fully abstinent 6 months after the trial was completed. They compared this with Varenicline (a prescription medication to treat smoking addiction) had a success rate of about 35%.

A study in 2016 found that in cancer-related depression or anxiety, 83% of the 51 participants reported major increases in well-being after a single dose of psilocybin. 67% of those individuals reported it as one of the most meaningful experiences they have ever had.

Typically, a dose of Psilocybin will last somewhere between 4-6 hours. LSD lasts about 12 hours. Psilocybin has been reported to produce enduring decreases indepression and anxiety.

How Psilocybin Works and Why?

Researchers believe that psychedelics will eventually be rescheduled by the FDS and legalized for medical use for its effectiveness in treating anxiety and depression. However, this is far off.

Doctors will get to know you as a person (where you are in life and what your emotional/psychological health looks like) before deciding to try this treatment. The goal is to work with patients to determine what is holding them back in their lives and how they can overcome it. Like any treatment, this form is not for everyone. Specifically, doctors avoid prescribing to people who are on the spectrum of psychosis.

These sessions can be rather intense, and sometimes last all day. To make the session as comfortable as possible, the rooms are decorated appropriately. Typically there are neutral furniture pieces with colorful pillows and accessories. It is important that patients feel as calm as possible. Doctors will sometimes encourage patients to bring personal items with them (letters, or anything that elicits an emotional response). When patients go in feeling at ease and safe, the less likely they will be to have a ‘bad trip’.

Sessions can happen in a variety of ways, depending on the depth of the experience and where the patient is mentally. Most patients will lay on a couch with a sleep mask covering their eyes while a doctor holds their hand and helps them process what they are experiencing and translating what it means. Everyone’s journey is different.

At Johns Hopkins, the institute doing the most research on the topic, the drug experience is only part of the treatment. The therapy that follows is equally important. Participants report that these experiences are so personal and spiritual. That is to say, it is not enough to just let patients have the experience and move on, but rather establish new patterns, habits, and ways of being. Psychedelics are used to start this process, but not to finish it.

How It Works

Robin Carhart-Harris (a psychedelic researcher at Imperial College in London) suggests we should think of the mind as a ski slope. Every ski slope is different and develops grooves as more people make their way down the hill. The deeper these grooves get over time, the more difficult it becomes to ski around. Carhart-Harris is arguing that our minds develop patterns as we navigate the world. These patterns get more solidified as we get older, and when we stop to realize how conditioned we are, we stop responding in predictable ways. Eventually, our brains become obsessed with securing the ego and stuck in an uncontrollable loop that reinforces self-destructive habits and tendencies. 

Carhart-Harris compares taking psychedelics to shaking a snow globe. It disrupts patterns and cognitive barriers. Psychedelics directly interact with the Default

Mode Network (DMN), the part of the brain responsible for mental chatter, memories, emotions, and ego. Whenever you are anxious about something and engage in self-reflection, this is the part of your brain that lights up. When researchers look at images of brain activity on psychedelics, the DMN is shut down almost entirely.

We are all the ‘main character’ of our story. When we spend all day thinking about our experiences and living with ourselves, we become trapped in our own drama. However, when we take time to reflect and relax, you come to realize that you do not have to think this way. Psychedelics can help patients see themselves outside of themselves and have a greater perspective. It can seem complicated, but the chemical process makes it very simple.

Risks and Danger

Psychedelic therapy is generally considered to be safe, but there are some potential risks and adverse effects. The most common psychedelics (LSD and Psilocybin) pose the least risks in terms of developing a dependencies, but some possible risks include:

  • A ‘bad trip’
  • Anxiety
  • Panic attacks
  • Paranoia
  • Changes in personality

Another concern with psychedelic treatments is the possibility of people using it to self-treat. This can be incredibly dangerous and pose a number of risks, such as: experiencing a bad trip, possible drug interactions, and the dangers of street-drugs being mixed with unknown substances. Please do not participate in this practice without the guidance and care of a medical professional.

A Word From Mental Treat

We do not provide, condone, or support the use of illegal substances or any other illegal activities. Psychedelics are not inherently healing substances outside of therapeutic or ceremonial settings. There can be serious negative consequences from illegal and recreational uses of these substances. Working with experienced and qualified medical professionals is the most assured way to minimize the inherent risks of psychedelics. This is especially true for people at risk for/with pre-existing mental health conditions. Remember, this is still a new course of treatment, and much research is needed for it to be widely practiced and accepted. 

If you are looking for a professional who works with psychedelics and could help you integrate a psychedelic experience, Mental Treat has certified professionals that fit your needs. 

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