I've been reading a book called "How to Change Your Mind"[1] which contains a collection of history, anecdotes, trip reports, and some of the science behind these types of drugs. The book mostly discusses psilocybin and LSD, but it also touches on some of the other related drugs. If you're curious and want to learn more, it's worth a read.
The one thing I'll say is that it seems like these drugs affect the brain in a way that's more akin to a super-placebo, rather than being therapeutic on their own. In other words, you would need to use the drugs in combination with therapy to obtain good results.
Super placebo is a scientifically incorrect description. These drugs suppress activity of the default mode network of the brain, which is a sort of "conductor" of the brain, which chooses which "instruments" to prioritize and how to allocate the train of thought. All of the different parts of your mind are able to sing out more creatively and independently, forging new paths that they are not accustomed to taking -- this is why it's great for mental illnesses like depression, anxiety, alcoholism, smoking -- it allows your mind an incredible flexibility.
In my personal experiences with psychedelics, these drugs remove mental heuristics, allowing the mind to think unimpeded by usual thought patterns, simply accepting raw data as it comes in. This was striking in sensory information, if you closed your eyes or just stared at something long enough, you observed incredibly different visual input, geometric patterns, greatly strengthened colors (a strawberry was INCREDIBLY beautiful, I almost felt bad eating such a beautiful entity). There was also an incredible inter-disciplinary thought process, I felt the musical, mathematical, computational, logical, natural, all these parts of my mind mixed together wonderfully.
LSD was much longer lasting, around 12 hours, whereas psilocybin was around 6 hours. Psilocybin enhanced my connection with nature, the flying bugs, a handful of berries, and the plants all around me caused an effusion of love and connection. Whereas with LSD, I felt an extremely powerful visual stimulation, the changing fall leaves were extremely vibrant and beautiful, it was akin to 12 hour, mentally-clear cannabis high. I didn't experience any "flashbacks" per se, there was a positive glow in my mood and thoughts for around 5 days, and the day after LSD I still had lingering effects...I also wonder if I will evermore look at the surface of ponds and lakes differently, they have an incredible dynamism and vitality that I appreciated even more on first trip.
For anyone considering psychedelics, do it thoughtfully and methodically. Read the book mentioned in the parent, practice meditation, explore your mind, and really ensure your mindset ("set") is positive and open. Further, plan to occupy a peaceful, quiet place, hopefully lacking too many strangers/social interaction ("setting"). If set and setting are good, you're in for a wonderful time.
I took a strong psychedelic once, and a high dose at that. I tripped for over 12 hours, and by the end of the trip I was seriously considering changing my life in significant ways. For days after the trip I was considering making these changes. My thought patterns and assumptions had made a complete jump from one train of thought to another.
This experience made me realize how much of our outlook on things is dominated by whatever mode of thinking we happen to be in, and that mode is more shaped by custom and habit than anything approaching logic and reason.
> My thought patterns and assumptions had made a complete jump from one train of thought to another.
William James uses the analogy that our set of habits are like an irregular polyhedron resting on one of its faces. Everyday experiences may rock it up onto an edge, but it will usually come to rest where it was, or perhaps on a neighboring face.
A more singular, meaningful experience has more “push” to it, overcoming the force of habit in a way that no amount of daily prodding would, rolling the whole thing onto a new face that would take ages to land on otherwise. He was writing about religious conversions at the time, but there seems to be a lot of overlap with the effects of a psychedelic experience.
Agree here. The heaviest experience of my life ..well above guns pointed at me a couple times, almost drowning, cliff mistakes on snowboards. . .was the first time I did LSD. I was probably 15 and took enough for 4+ confident people (a heavy guess... 3 and a quarter sugar cubes each with a drop "or so" from a visine bottle (typical sale vehicle)).
I gave up on it doing anything about an hour after eating the first cube. Got dropped off at home .. had to go skiing with best and his mom. Vaguely remember running through my neighborhood at 3am, waking up a different friend, and leaving minutes later.. being in the bathroom at my house, and being in my friends mom's car the next morning.
Later in life I returned to mature versions of this activity and found incomprehensibly beautiful visuals, patterns, self realizations about state of mind, perspective, the meaninglessness of "cool", purpose of building things(socially, as a species, not regarding myself). For me lsd is about the thoughts that result from the general "high".
While I have only done it 6 or so times and may never again. . I believe it has amazing properties for some people and not so good for others. Some old pals are from last I saw them ...quite literally fried, but perhaps due to other activities.
> For me lsd is about the thoughts that result from the general "high".
100%. It has a reputation as a thing that weirdos do to have fun or see cool things.
If you "do it like an adult" I've found that it invokes a deeply introspective and thoughtful mode of thinking that can give you new perspective on different areas, both major and minor, in your life.
But like good advice that you might get from a wiser person, it's only useful if you use your insights to better yourself.
I've made immense progress in the areas of personal development and management due to such insights. It wasn't overnight - it inspired small changes in behavior that only years later, I can see the dramatic effects of. If it inspired even a 1 degree correction to a better direction, 10 years later the difference can be immense.
Jesus...
When you put it this way ...lsd kind of... Sort of saved my life (quite a reach but I was 100% no idea what or why anything was and just trying to have fun and have friends to avoid painful self truths). Finding a a way to detach yet still seeing yourself. .. it is beyond. I want it again but don't want to be so...
There is a also an iffy side to LSD which I only discovered the last time I did it 2 years ago. Never had a similar feeling ever. Vaguely felt like I wasnt seeing and thinking from the same brain / identity I'm used to. So I approximately said no more.
Anyway... I deeply appreciate the reply here too. Had no idea what to expect here. Thank you.
Cheers to this. When I took it I prepared for weeks. I fasted. I kept a journal during the experience. I had a plan. It wasn't just to "see stuff". I also always spaced experiences out 6 months, and I actually never took more than a single tab at once.
It’s kind of hard to convey just how much this particular aspect of LSD changed my outlook. I too was quite young at the time I tried it. It made me rethink my media diet, which at 15 was filled with MTV and trash TV. That has stayed with me ever since.
There is a spectrum of retrospectives. Re trip description. Most people tend to just say it's cool, you see stuff/colors brighter and emotionally impactful etc.
My key story for last is laying in a bed in close proximity to a freeway. I could not choose to unhear/see with my eyes closed as a car drove down the freeway cylinders/rods and combustion. .
I on extremely rare occasion hear this type of story from other peeps.
Long lasting effect ... In the immediately following week I had the most significant behavior shift I can think of... Had been smoking since 11 years old... The LSD was approx 9th grade ..solidly solidly stopped for about a year. Pot. Everything. I'm back. I'm an idiot at heart give or take.. but what a beautiful year.
This is what I fear most. I might abandon my livelihood and passion for technology after a rather earth-shattering trip that makes me question everything I believe in.
What I've found is that in the short term you may question everything, but in the long term you settle back down and only continue questioning what you should have been questioning in the first place.
> It was akin to 12 hour, mentally-clear cannabis high.
This is the best way to describe reasonable (small) doses of LSD. It's like the purest sativa possible; as if somebody removed all of the earthiness and stoniness and then amplified the psychoactive.
Does it cause any of the anxiety that marijuana can when taken at a small dose? I mean the LSD.
Sometimes if I get too high I get a decent amount of anxiety. Always wanted to try LSD or Shrooms but worried something like that may happen. Generally it comes from me feeling a strange sensation in my body which leads to a slight bit of panic. Or if I get really high I just don’t feel there entirely.
Always thought about taking LSD or Shrooms with some CBD incase I get a bit of anxiety.
I get very anxious from marijuana. Somewhat manic even. I hate the feeling. I’m generally not a stranger to anxiety in life.
I don’t get anxious from LSD. I _have_ felt anxiety on it that I had been repressing, felt it kind of wash over, but it was ... useful. Not difficult. I knew what it was. I wasn’t lost in it. It wasn’t like being swallowed by the uncomfortable anxiety from marijuana that kind of takes over or drives.
And, well, I think a low LSD dose actually helped me resolve a thread of anxiety I had had since I was a child. An permanent and obsessive safety-seeking walk down an endless tree of decisions and judgement. Kind of a background thread. I kind of ... found it again? Had forgotten it was there? And could revisit it and ... know to stop. “Just stop judging”, i.e. judging the situation. And it felt like I could. It still feels like something was let go of. But idk!; Anecdotal!
There are studies that show that when starting with low doses, then very few people get anxious. Other studies show that when people _do_ get anxious, there are still lasting benefits to well being. As I understand it. There’s a decent seeming summary of this on http://tripsafe.org
There is no comparison between paranoia from weed and a bad trip from mushrooms/lsd.
One can leave you permanently mentally scarred and the other will make you paranoid for a few hours.
I have stoner friends and lsd/mushroom friends. Some of the latter are still dealing with issues today from a single bad experience from a trip they had years ago. I cannot say the same of my stoner friends.
I never had a _really_ bad trip, but I some some things which felt quite evil to me up to the point of pure existential crisis which stayed for some time.
I also get (mild) anxiety from weed but LSD gives me a nice, relaxed, "everything is great" feeling. Shrooms are very similar, though I get more introspective and depressed unless I'm somewhere nice. I don't like doing LSD/shrooms in my flat or in crowded places, because they bring me down. I'll need to try on a beach or in a forest next time.
Not the poster, but I had to stop smoking weed because of anxiety and paranoia. I have also taken magic mushrooms in a variety of doses, up to 7g dried, and have not experienced any anxiety or paranoia like I did with weed. I had one magic mushroom experience that started out as a really bad trip, but I was able to manage the anxiety and ride it out until halfway through, when it became a wonderful, uplifting, euphoric experience. Contrast that to that one time I did a dab and had a panic attack and couldn't do anything about it.
I have to disagree. While weed certainly can and does induce anxiety on occasion it is no where near as intense as magic mushroom trips. It’s not on the same level.
A mushroom trip can leave you feeling refreshed regardless but if you have a bad trip it may expose you to your deepest and darkest fears and become a terrifying nightmarish experience that weed couldnt induce if you tried.
The horror of a bad a trip didn’t necessarily teach me anything other than to respect mushrooms much more than weed.
I have had friends say the same. There is no comparison of the paranoia from weed vs the absolute horror of a bad trip.
I feel that people who say there is havent really done a lot of either to know the difference.
"At a dosage of 1.6 grams in a therapeutic clinical environment, we might expect 0% of people to experience some extreme fear, for an average of around 1 minute of strong anxiety, and we might expect around ~45% to report a persisting positive increase in mood from this dosage assuming they had first tried 0.8 grams, and then 1.6 grams5"
> I feel that people who say there is havent really done a lot of either to know the difference.
I don't know why you are dismissing my experience like that, or why you think that I do not have a lot of experience. Have you ever had a panic attack? Anxiety and paranoia are something I would get consistently from weed. I never felt the same anxiety, and never felt paranoia, on mushrooms. I never had a panic attack from mushrooms. Almost every psychedelic trip I take (between 50-60 so far) has a range of negative aspects, but I am able to better control myself, something that is not the case with marijuana. I have experienced terror on both mushrooms and LSD, and I was able to keep it together and turn it around every time. FWIW, I also prefer to do relatively large doses (3-5 grams mushrooms, 2-7 hits of LSD).
I have, and they don't have any similar anxiety-inducing effects on me. On the contrary mushrooms reduce anxiety for me.
A friend did have a very anxious trip - it's possible. However it was topical for him. An introspection into deep issues of security and control, and probably a too high dose for that occasion in his life, with not much experience. But he's fine after!
The psilocybin family's effect is imo a bit more "fantastically bewildering" than LSD. In a sense like old fairytales are sometimes curiously and bewildering to a child. (Comfortably bewildering!) It's hard to put into words. It's a place of beauty. It can be scary if you're an anxious type (like I am myself) and go in a bit fast. (Haven't had an anxious experience myself though.) BUT it doesn't have to be scary or uncomfortable even if bewildering - and usually isn't except in exceptional cases - and doesn't occur with low starting doses afaik, there are still lasting benefits even if you get anxious (iow it is processing), it passes, and the interesting thing is that you're somehow always fine if you let go. A kind and insightful tripsitter is all the insurance I would need I think.
It's really interesting and really hard to explain. Maybe check out the studies and study protocols. Plenty of stuff on http://maps.org – As an example, I believe it has been shown that psilocybin mushrooms strongly reduce anxiety in terminal cancer patients. In a lasting way. I cannot imagine a more trapped and anxious state than terminal cancer. So even id there is anxiety while under the influence, it seems to mean something.
Marijuana can cause feelings of anxiety because it increases your heart rate and the sensitivity to the feeling of your heat beating, which many people's brains interpret as anxiety.
LSD doesn't have this physiological effect though. It's more accurate to say that LSD will amplify whatever you're already feeling or thinking. If you take acid and feel anxious, it can spiral out of control and feel much more intense. On the flip side, if you're feeling peaceful then it will be a calm, happy journey with no feelings of anxiety whatsoever.
LSD does cause anxiety for many, often at the beginning of the trip. I know when it's kicked in because I get a big rush of anxiety that slowly fades over time. So I wouldn't recommend it to people with an uncontrolled anxiety disorder. (If you can control your anxiety, it can be great and quite therapeutic.)
A friend of mine kept an escape hatch dose of Valium in order to stop the action of things became too intense. I don’t believe the safety net was ever employed, and perhaps simply having the option helped keep some of those feelings at bay.
While I don't think I would confuse the sensation with anxiety, it kind of breeds anxiety. I always feel my heart beat, both from the chest, blood vessels and by small "muscle spasms" throughout my body, is there any substance, preferably legal, that can subdue this to some degree?
I'm not having high pressure or high resting pulse and it's so severe that, while not externally visible, causes for example a squeaky bed to squeak in rhythm with my heart beat.
I've had a prescription for Atomoxetin and it had some "body calming" effect but in some sense amplified the aforementioned effect.
Have you tried meditation? It sounds like something neutral is happening to you and you interpret it as being bad. If you meditate regularly it will change how you relate to it and many other things in positive transformative ways.
If someone winds up in the ER for a bad trip, a benzodiazepine is often used. That’s not legal to obtain without a prescription, but well, neither are mushrooms.
Yeah generally what happens is if I get some tightness in my chest, or a muscle cramp in my back, or pressure from like a bed or a couch pushing against me, if I smoke too much I have a tendency to interpret that as something wrong with me, not that I just have a cramp cause I’m sitting funny and a muscle got tight.
Do shrooms not have this physiological effect as well? Or just LSD that lacks it?
I have always gotten anywhere between no and way-to-much anxiety when using pot, just depends on quantity, setting, etc. I prefer doing it alone, in small amounts. If I'm going to get stoned it's almost definitely alone.
Psychedelics are the same, for me, times like ten. Fortunately I handle it relatively well, and I just let it ride as "part of the experience" when I trip. Usually the uncomfortable parts go away after the peak, and then it's just awesome for hours. The peak is amazing in its own ways too, but there is (for me) no doubt a have anxiety/body buzz that is just uncomfortable as all get-out.
Depends largely on set and setting.
Set - your mental state going into the trip and your personality type.
Setting - the surroundings and people around you. You want to have someone to take care of you in case you have a bad trip.
Absolutely, sativa, that was how I described it to friends. It's just remarkable to have that same positive feel of THC that lasts for 12 hours without the downsides of THC....plus the sensory + imaginative + dissociating qualities mentioned above, very good experience for me.
I guess. Versus comparing it to alcohol, anyway. However, in my experience, psilocybin is closer to THC than to LSD.
But they're really very different experiences.
Alcohol does accentuate psilocybin, acceptably.
But combining marijuana with either, especially LSD, can be frightening. Your short term memory drops to a few seconds, so you can forget who (or even what) you are, where you are, etc. Some people panic, and fear that they'll never be sober again.
I had an experience of total amnesia on LSD once. After a few minutes (objective, by a wall clock) of time-dilation experience (felt like 8 or 10 hours passing), I wandered upstairs and laid down on the bed. Again, a few minutes of closed-eye visuals that felt like hours passed, and when I opened my eyes, I had absolutely no idea who I was, even down to my name, where I lived, nothing. The only thing I could say was "I exist," without being able to qualify that in any way at all, and by staring at the room around me, "I'm in a room, seems to be in a city." Very, very strange experience. Suddenly, no more visuals, but it took the next few hours for details about myself, my hobbies, my work, etc., to start filtering back in.
I had this on alcohol + an unhealthy dose of psilocybin, apart from the difference where the only thing I could think was "I don't even know what 'exist' means". Scary but luckily I had some close friends that were comforting me throughout the experience.
For the most part though, my small experiments (LSD, mushrooms, DMT) have had a very positive and borderline revolutional effect on my outlook on life. Only time I've had negative experiences have been on mushrooms, both LSD and DMT have always been positive.
I've had modern anesthesia for surgery twice in my life, and that seems to operate mostly by temporarily eliminating your ability to form memories. I found that "scary af" even though it certainly worked as expected.
Is it a good idea to take any of these - alcohol, Marijuana, LSD, mushrooms - with antidepressants? That is, if you're on medication, should you stay away from all recreational drug use?
It is imperative that you do not combine psychedelics with antidepressants! This can lead to dangerous side effects / behaviors! If you take a combination of drugs this is even more important to heed.
The proper path is to wean yourself off of the antidepressants for the experience, and then only undertake the experience with an experienced sitter or guide.
Psilocybins effect is enhanced by MAOI and decreaces by SSRIs. LSD effects are decreased by both. With other other psychedelics you have to be a bit carefull.
You probably think of MDMA and MAOIs, this would be a dangerous combination.
It is worth investigating with caution the option of using recreational drugs alongside antidepressant medication.
I take the SSRI Fluoxetine (Prozac) and have tried numerous psychedelic drugs while on that prescription drug. Before doing so I checked with my psychiatrist who did not believe there would be a great risk.
My experience has generally been that psychedelics work (with the exception of MDMA) and there are no drawbacks to using them while on an SSRI. Of course, psychedelics do have risks and educated, responsible use is appropriate.
I'm not sure I would describe an LSD high as having mental clarity... trying to solve simple problems while on LSD can be very hard. There is a lot of clarity after the high though - the next several days.
I'm referring to a single 1cm^2 paper tab; of course the contents can vary due to the unregulated effects of prohibition. This is just not enough to induce strong visual hallucinations and Hunter S. Thompson type experiences. There has also been a recent interest in micro-dosing (https://www.nytimes.com/2017/01/07/style/microdosing-lsd-aye...) though this seems extremely difficult to procure in ways that I'd trust, I keep my eyes open.
To me, the most stunning hallucination, during LSD, was the total confusion of my senses. A specific flower was in bloom at the time, and my mind confused it’s smell with the colour purple. It was the strangest experience. Smelling colour... There is no way to describe it in words.
Even though this episode was decades ago, I still, kind of, experience the scent of that flower as the colour purple.
There is also the fact that many things we perceive as senses are actually knowledge. We may think we see a red door when in fact we just know the door is red.
It’s possible your OP was noticing that a certain smell makes him know a thing is purple. Under normal circumstances he would just perceive PURPLE and think he was seeing. But on drugs he might perceive that his nose was also alerting him of PURPLE in the flower.
I haven't tried to meditate in a long time, but my understanding of the process was, setting aside mysticism and tradition, you just take a mental concept and you focus on it and every time your mind starts drifting you return to it.
So, I've heard that people make a big deal about choosing a mantra, but my thinking was it can be anything, and somehow I got into the habit of visualizing a blank field of a particular color. The nice thing about focusing on a color was that if my visual imagination distracted me, I could concentrate on "seeing" the color, while if I was imagining words or sounds, I could focus on the name of the color too. So it was like having an object to focus on that had all the different angles available.
I'm not sure I've never experienced synaesthesia, but I'm pretty sure I haven't been perceiving smells or sounds as having color recently.
Set and setting are paramount. A depressant can behave as a stimulant in a particular setting and vice versa (for example alcohol at a sporting event).
In certain settings psychedelic experiences are even possible without any chemical ingestion. For example on meditation retreats and ultramarathons.
So I don't think it's incorrect to call psychedelics a super placebo. The mental states they bring you to are entirely achievable without their use, albeit with far greater effort.
I'm not sure that's alcohol acting as a stimulant so much as alcohol removing mental barriers that prevent people from acting in a certain way. The depressant effect in fact helps to moderate the worst impulses for most people. Which is why drinks like Four Loco that combine a stimulant with alcohol end up being more dangerous than expected. Not only do you lose your "that's a dumb idea, I shouldn't do it" part of your brain, but you also have the energy to act on the impulse.
This is not to downplay the effects of psychadelics - I've taken plenty and of course the psychoactive effects are undeniable. But the effects are from far more than just the chemicals. For example smoked DMT hallucinations are very different than Ayahuasca, despite the two being the same chemical.
Hmm, I see what you are saying. I'd like to see a comparison between the effects of established placebos on the brain versus psilocybin. My hunch is that the mechanisms are quite different, but maybe there are some interesting similarities.
> In my personal experiences with psychedelics, these drugs remove mental heuristics, they allow the mind to think unimpeded by usual thought patterns, and simply accept raw data as it comes in.
I like "removing mental heuristics" as a good way of describing what is happening at the physical level. Articulating (or, communicating with high fidelity) what happens at the experiential and emotional levels is much more tricky.
An analogy I would draw is, imagine or recall how you may have felt during a major event (usually negative), say the death of a loved one, or the ending of an important romantic relationship, or imagine how you might feel if you are on your death bed, reviewing your choices and actions throughout your life....do you have any regrets, would you have done anything different if you had it to do all over again, etc. Imagine the feeling of clarity of thought, and deep intellectual and emotional appreciation of the gravity of the situation involved in such experiences.
This is how (but only in part) I would describe my experiences with psychedelics. Of course each person experiences these things in different ways, but despite such differences, extremely deep profoundness is an extremely common takeaway.
A simpler explanation, I would say that it kind of "shocks me into reality". And you may think you know what that means, but if you haven't experienced it, you really don't. Even I don't fully appreciate the meaning of what I'm saying at this very moment; I am largely going on faith, based on a very low fidelity memory of the experiences - such is the strange, ineffable nature of these medicines.
Luckily, while it seems difficult to see into (remember) one's experiences in that world, the opposite is not true - when under the influence of psychedelics, my experience is that I can experience kind of a simultaneous existence of two states of mind: that of clarity of thought (normal biases due to heuristics largely removed), but also clear (if not clearer) memory of thoughts and emotions related to specific scenarios in the normal world. This seems to facilitate for a very productive self-help scneario, the so-called "five years of therapy or psychoanalysis in a few hours" effect that some people speak of.
I should also note that I am speaking of experimentation in the medium dose range of psilocybin. While there are other things to be discovered at the higher doses, for my purposes medium dose trips seem to be much more beneficial. YMMV.
Your comment really resonates with me and wholeheartedly mirrors my own experiences with psychedelics. Of the lysergamides, I've taken LSD, 1P-LSD, LSA, AL-LAD, and my favorite: ALD-52--IMHO, the Cadillac of psychedelic drugs. It's a close analog of LSD with fewer "body load" effects, almost zero nausea, and a less scatterbrained headspace--sparkling clear with beautiful visuals and an uncanny tool for productive introspection.
Set has so much to do with the experience--though I've had fun with it out with friends at a bar in dark of winter, its true power is sorely wasted unless I'm in nature, especially when my wife and I are taking it together.
I know with zero uncertainty that it acts as almost a forceful, powerful therapy with even a modest amount of mental input--it's as if your brain is forced into a state of deep meditation where you can't help but improve your mental station (barring the notably rare "bad trip"--though I've taken it with so many people, I do believe it happens less frequently with ALD-52 on account of its mental clarity).
Some of the best days of my life have been while tripping on ALD-52, wandering wild goat trails, exploring the vibrant innards of canyons, weaving among mountain pines.
RE your experiences with water, I've had the same experiences. One of the most memorable moments of my life was returning from a short high desert hike, to sink to the bottom of a salt water pool, look skyward, and watch the desert sun dance and play with colors on the water's surface. I've never looked at water the same since. I'm cheerfully captivated with its beauty in a way I probably haven't since I was a child.
Which brings me to my final observation. The effects of psychedelics, perhaps owning to their serotonergic effects or their disabling of the default mode network re-imbue you with a wonder in the world around you that has slowly, inconspicuously eroded little-by-ever-so-little each year into adulthood. Year by year, the world becomes more bland, less exciting, less, well, full of wonder. Remember those magical memories of childhood? Perhaps running towards the ocean, arriving at summer camp, having a picnic in the park, diving to the bottom of the pool, playing with a new toy on Christmas, the excited anticipation before a sleepover, your first crush? The magnitude of those feelings are often so muted or jaded as an adult. The right psychedelics can bring those feelings rushing back, unfettered, unadulterated, pure. Suddenly you realize how much of that you've lost, while simultaneously getting to feel them again in full force. Some of that stays with you during sober times, which is lovely. Dosing periodically keeps that magic alive in you--what a joy, a gift.
Humans have taken psychedelics as part of daily lives for tens (if not hundreds) of thousands of years. The shaman is little more than an elder trip-sitter and therapist. Our highly complex brains have evolved alongside such chemicals and experiences to help define meaning and seek happiness and it's a crying shame that waves of prohibition have stifled that nigh fundamental human experience. It makes me happy to watch that damage slowly be undone with news like this.
When Albert Hoffman was put on trial in the late 1960s for LSD manufacture, his defense was that he was actually caught with ALD-52 (his discovery). He lost on account that he synthesized LSD first as a precursor.
Urban lore has it that some of the "really good acid" in the '60s under the moniker "Orange Sunshine" was actually ALD-52. This is heavily debated and we'll probably never know for sure how much, if any, ALD-52 was circulating.
Most interesting is that even though he was incarcerated, for whatever reason, the DEA never got around to scheduling ALD-52. It's technically still legal.
In order to combat designer drugs, the government put in place the Federal Analog Act which means you could be thrown in jail if you're caught with a previously-undocumented or never-scheduled drug that the courts find is similar enough to a scheduled one. However, this has only been invoked a handful of times (only 2 I can find) and would likely only ever been used against distributors. Bottom line, a recreational user is extremely, extremely unlikely to be nailed on this law.
Lucky for you, there's this massive, above-ground lab in Europe called Lizard Labs https://lizardlabs.eu/ and produce lab grade products. They might as well be the Eli Lily of gray market psychedelic drugs. You can't buy from them directly but they openly list retailers selling their products. If you live in Canada, Europe, or the US, there's a retailer that will ship to you super discretely through the mail. No tor required.
I've never had an order seized, lost, or scammed. I mean, it's paper--nearly impossible to detect. People that have lost shipments have generally just had the item quietly seized by customs with no further repercussions. I've used theindoleshop.com multiple times.
Hoffman was never arrested, I think you are thinking of Owsley. Hoffman was never a US citizen and I don't recall him ever getting into trouble.
As for the Analog Act, the UK's version is presumably watertight (it effectively bans smelling flowers, but not poppers because gay MPs objected to that being banned), but has not been tested AFAIK.
Apparently Hoffman also did invented ALD-25, but the failed defense strategy was from Tim Scully, who operated a lab and distributed orange sunshine for california ..
The website notes that what they have are "NOT for human consumption". Is it safe or is it different than what one would use for recreational purposes?
"NOT for human consumption" is a CYA clause so the seller can maintain some level of plausible deniability if the feds ever do try to come down on them. Rest assured, this is lab-grade, high quality stuff. I think they release lab results.
DEA: "This fancy new drug looks like another scheduled drug."
Seller: "It's not a drug; it's just a compound that we sell as a curiosity so get fucked."
This may hold at least some water in court.
It's akin to the age-old headshop rule of calling bongs "tobacco pipes" and kicking anyone out that calls them bongs.
Your personal experiences sound very interesting and I don't mean to detract at all from the effect they've had on you and many other people. However, I was a neuro Phd student and did many 'default mode network' studies using fMRI and it is -very- early to be making claims about the nature and/or purpose of this network, or how it's perturbed by any experience: psychedelic or not. The level of temporal and spatial resolution of data gathering of this and other brain networks is entirely too coarse to make legitimate inferences. At this point in the literature it is a very good story with a few compelling examples but not nearly complete enough to make real claims.
Everyone is saying meditation etc, I would disagree. A major part is the ability to put this experience in motion/action which I find counterintuitive to meditation. Quite frankly no, I do not think it is replicable to be able to turn off the filters in which are responsible for keeping the raw data to a manageable level, that is much different than increasing your sensitivity through deprivation. Alteration of brain chemistry may be simulated in the future, but there is no replacement today.
I just did a 10 day silent meditation retreat and there were points where the feeling had definite similarities to psychedelics. Hard work but worth it. I have a feeling that the meditation retreat went deeper than psychedelics did for me personally.
Some years ago I wanted to give it a shot so I tried one of those meditation exercises, where the goal is to have your mind calm to the point of not having any conscious thoughts and only experiencing sensations. Was stubborn about it and did it for maybe 3? hours continuously until I actually started having some success.
I can definitely report reaching an altered-state experience afterward that mirrors some of the things described here. The intensity of everything was dialed way, way up, in a way I had kind of forgotten was possible but I'm pretty sure I experienced as a kid. I don't think there's a way to put it in words that's comparable to experiencing it but it was not a subtle effect at all.
Abstractly, say everything has an "interestingness" value, and certain things would be near the top like a great movie or book. It was like there was a dial for this value that just scaled everything, and it was dialed up high enough where just the way light & shadow interacted on some things was as interesting as a great movie. Everything was super interesting. Kind of like a reverse burnout state, where maybe nothing is interesting. The effect lasted the rest of the day.
Anyway it wasn't easy at all to get in that state and I don't think I made a serious effort again. But I'd definitely recommend giving it a shot to anyone who's curious. It wasn't like there was any complex technique, it was basically just close your eyes, focus attention on breath and let go of all conscious thoughts. Personally the last part was the hard part.
I wonder if it gets easier with time so you can reach that state in 30 min or something instead of struggling hard for 3 hours. If that's the case maybe I should try seriously practicing it since having control of that dial would be pretty useful.
all thing yoga or meditation related adviced above are mainly focused on breathing basically, so any advice in that sense require at least breathing in some specific ways.
Maybe electroinduction in the brain can achieve similar conditions.
You aid to brain phisiological alterations, so it's quite difficult play with it without touching the ways it works from external eg with drugs, sugar levels, oxygen levels, electromagnetic induction (I'd consider co2 levels a drug for example)
Sam Harris states that you can achieve this enhanced selflessness via meditation (where we think of the "self" or "the ego" as that sort of "conductor" that the psychedelics turn off). However, while meditation is like a sailboat, psychedelics are like a rocket: both will take you places, but one much more quickly and with much more risk.
In my limited experience (2 trips) there was no negative aspect to psychedelics. There were things that were already negatively valenced, like riding in a car or visiting a friend's messy house briefly, however I had no inkling of a bad trip or any scary/demonic/overwhelming sensations.
Sam Harris & Yuval Noah Harari answer a question about "peak" meditative experiences, and set them in context with psychedelic experiences in the segment starting at 1:27:20:
"These drugs suppress activity of the default mode network of the brain, which is a sort of "conductor" of the brain, which chooses which "instruments" to prioritize and how to allocate the train of thought"
That's interesting, but it sounds like a plausible description of how schizophrenia works too, maybe even one that I've read before, and yet my impression is that "natural" psychosis is different.
Meditation also affects the activity of the default mode network. This is a fundamental network that plays a huge role is much of our brain's activities, so saying 2 different things have an affect on the network doesn't mean that those impacts are necessarily similar.
It's pretty common to have one or two episodes of psychosis and then not again. Selection bias and all that. Anyone that doesn't have a severe chronic problem, you're not going to be aware of, but it's reasonable to assume there are more mild cases than severe cases of almost any condition. For that matter, it's a definitional issue - people can appear crazy temporarily for almost infinite reasons, and if it doesn't reoccur, even doctors aren't going to call it schizophrenia. You go into a hospital appearing to be stark raving mad, they are going to test you for drugs and call it "schizophreniform" if they can't find any.
The point is they do something, but for that something to be most likely good/positive, you also need therapy, which if you want, you can interpret as a "trip sitter" or whatever the phrase is.
> but for that something to be most likely good/positive, you also need therapy
I hear ideas like this (and "In other words, you would need to use the drugs in combination with therapy to obtain good results") repeated all the time, but I'm curious where they come from.
If one spends any time whatsoever in enthusiast communities, the overwhelming sentiment is that these compounds are incredibly helpful even when used alone. This is not to say that individual results wouldn't be even better with therapy, or that there aren't some people who have negative experiences, but these being true also in no ways logically implies that significant benefits cannot be realized by independent usage.
The precise answer to these and other questions, at this current point in time, is: we don't know, with extremely high certainty. But this doesn't mean we don't know anything. Reality is independent of man's understanding (peer reviewed studies) of it - a tree falling in the forest does not require the presence of a scientist.
While it's always a good idea to exercise caution, I suspect advice like "do not use these substances except under professional guidance" is likely more harmful than helpful. It will be years if not decades before formal treatments are available, for many people that may be too late, not to mention the exorbitant price tags these treatments come at. I am more of the mind that people educate themselves on the topic, proceed with caution, work with those who have experience, and proceed slowly and with caution, starting with low dosages and working your way up over time. There is very little trustworthy evidence that I know of indicating there is any kind of substantial risk, and even then that has to be weighed against not just the benefits, but also the risk of doing nothing.
Of course, but be careful not to make the mistake of assuming that members in those communities are homogeneous. There's certainly no shortage of woo-woo style thinking, but there are also enthusiasts who think about it very seriously and analytically. These same people will also tell you that anything they say should be taken with a grain of salt. These are the people who should be mainly listened to.
Regardless, I fail to see any evidence that supports the assertion that you also need therapy, that you cannot benefit substantially without it. Those who have literally no first hand experience with psychedelics are not exactly objective either, but it sure doesn't stop them from confidently passing out advice.
My emphasis is on the word "risk" (captured in the literal words "most likely"). It's risky to go without a guide, though it's not "needed" in the sense of a 100% failure rate.
Honestly, the fact that you assumed others were talking about "have a guide or 100% failure" is disingenuous on your part.
> and really ensure your mindset ("set") is positive and open
Everyone says this and it's little more than bro science. So if you have a bad experience from the drugs, it was because you weren't in a positive headspace? Sounds like No True Scotsman.
>So if you have a bad experience from the drugs, it was because you weren't in a positive headspace?
You can always test out this hypothesis by doing a tab of LSD from the same batch twice while controlling for your headspace. One day, you do it with a positive headspace, and another day you do it with a negative one. If you had a great experience the first time and a bad experience the second time, clearly the headspace alignment made the difference.
Yes, this kind of testing isn't as rigorous as it would have been for a legitimate scientific trial (which I bet we will see in the future as the research into the area accelerates), but imo it is more than just a No True Scotsman backed by broscience.
And of course, no one says that a negative headspace is the only reason for someone to have a bad experience, there are others for sure. For example, certain people with predisposition for schizophrenia probably should abstain as well. AFAIK psychedelics won't cause a schizophrenia in an otherwise healthy person, but I heard it might kick off an early onset if you were going to get a schizophrenia in a few years without any psychedelics anyways.
You're just being pedantic and grasping at straws. Whether or not we're using the scientific term for an individual's mindset (which is not quantifiable to a high degree of precision but that doesn't meant it's not quantifiable at all, you can at least reduce most 'measurements' to a binary range) is irrelevant to its significance. The comment you replied to specifically said it would be hard to do a rigorous study of.
ok, you can replace that word with "mood and the general train of thoughts at the moment". Happier now?
Everyone knows what it means, and it is way shorter than what I have in the quotes. Pretending it isn't a legitimate word (despite it having an actual entry in the dictionary) doesn't make you look more impressive.
Genuinely, there is a reason why it is called a "trip". You either need enough experience to guide yourself or you need a tour guide to make sure you have a good experience.
One of the first times we did LSD with my friends in college, in the end we all were thinking "this is why they call it a trip. we all went somewhere together and came back".
Set and setting matter a lot and it isn't bro-science. You're talking about drugs that take your mental chatter and external stimuli and allow them to flow freely. Anything bad or anxiety producing will get amplified and without the proper experience, it might spiral out of control.
The thing about that is it's hard to not have anecdotal evidence about a phenomenon when the item of study is an illegal drug. That doesn't mean there is no effect though and this one seems very logical. Also not exactly the same but you don't need to try it with schedule one psychedelics this can be noticed with things like alcohol
Mood, Affect, setting... I think these are well defined terms. That is what's meant by headspace. However it's not legal to test this in conjunction with illegal drugs, even scientifically they can't get approval in many cases.
Another vote for this book - I deal with OCD, and thus my brain is always thrusting all sorts of wild and crazy fears through my consciousness.
I'm not sure I have the stomach to try a psychedelic to try and treat it, as I've seen some success with exposure therapy, but the curiosity is there. I also had some pretty bad experiences with marijuana when I was younger (college), that have kind of scarred my ability to relax before taking any drugs.
There's a part in the book where it was either him on one of his experimental trips or maybe it was someone he interviewed, but while tripping, they were faced with some terribly scary images.
The person tripping said to their therapist guide that they were scared of whatever they were seeing and wanted to run away. The therapist suggested instead that they turn around and face head on whatever it was that they were seeing that scared them. Stare at it, observe it, take it in.
After they did so, the thing they thought they were so afraid of ended up not being so bad, and they sort of peacefully coexisted with it for a bit longer in the trip until the thing went away.
This is how I try and frame the scary things that run through my brain, it's normal to be afraid of bad thoughts, but also learning how to peacefully coexist with them is pretty healthy.
I honestly thought I wrote this as I was reading.
I’ve had the exact same bad experiences, essentially everytime I tried it. First time being the one that started it all where I accidentally ate two full brownies. That scarred me. Second time I almost lost all motor skills for a few minutes. The last time it happened I decided to change the experience when I felt it start. This time, instead of fighting it, I just let go and basically tricked myself into enjoying it and boy was it great. I know the feeling of a bad experience, but tell your mind to take in it and you’ll enjoy it; worked for me at least.
My advice for people like you is to try a super small dose (e.g. 1/8th of a "normal dose"). This will hopefully take the fear away as it will have minimal (if any) noticeable effects and is a baseline to work up from. The people who have bad experiences are the ones that take a large dose the first time they try something.
Yes they need to be used in conjunction with therapy... but kind of like a surgeon's tools need to be used in conjunction with a surgeon.
There's absolutely nothing placebo-like whatsoever about psilocybin, any more than a surgeon's tools are placebos. It's an extremely powerful tool that can be applied in a therapeutic context.
I definitely would not consider them to be in the class of drugs as a traditional placebo, in the sense that they drastically alter your sense of consciousness and reality, but you are getting at important component which is that these drugs should be coupled with pre-trip planning therapy and post-trip integration therapy in clinical settings.
Great book btw. I highly recommend it anyone who is curious about the subject.
Why did you delete your comment? I really appreciated it and actually bookmarked it specifically. I know it probably wasn't popular among consumers, buy I liked it and agreed with it. I actually have witnessed exactly what you describe in people I know.
Thanks. You’re right. It was stupid for me to delete it. I will repost it here with the caveat that I wrote it on impulse. It’s an oversimplification of a really complicated subject.
> The way I think of these drugs is just that they flood your brain with toxins. That in itself will make it not work properly. But the scary part is that the more time your brain spend intoxicated the more likely you start loosing or weakening connections. If you weaken connections only for the bad memories, that would be a good thing. But what if you weaken the connections for other important things in your life ? Like self control, moral values, family love, etc.
No, its not just an oversimplification. It's entirely incorrect. Most psychedelic drugs are very low in toxicity, to the extent that they can accurately be called non toxic.
For LSD and Psilocybin I'm not sure if Toxin is the right word. From my layman understanding, LSD and Psilocybin mimic naturally occurring proteins that bind to certain receptors in your brain triggering release of chemicals like serotonin, dopamine and etc. Your brains natural processes will "clean-up" the LSD and psilocybin just like it would for your body's natural analogs.
Consider expanding your definition of what a "therapist" could be and what a "clinical setting" could look like. Michael Pollan's interactions with the therapists (they're called "guides") in "How to Change Your Mind" are not clinical at all in the sense of sterility, beige-walled offices etc.
So some goofy guy whose parents paid for an online masters degree in trip therapy gets to bill my insurance $200 an hour? Meh, I'll take my chances on the black market.
Pollan actually does go on the black market (still probably $200/hour though). You can't legally get a psychedelic trip guide in the US right now.
The point is that the exact people who are well-known and respected as black-market guides would become therapists in a world where such a profession were legal!
> You can't legally get a psychedelic trip guide in the US right now.
Not entirely true, although only a few, there have been and continue to be legal studies involving psilocybin (also MDMA) in addition to the one in the OP.
In running there is an expression, "you have to run your own race". The same is true here.
But specifically in this context psychedelics are generally introduced to individuals who haven't had prior experience with them, and may need additional support that therapists can help with (e.g. survivors of sexual assault, deep depression, anxiety regarding terminal diagnosis, PTSD, etc) and the therapist have been trained specifically in guiding these individuals in psychedelic trips. So they are like the best trip sitters you can have if you are trying to get out of rut.
what does that even mean? There is absolutely zero chance that there is a placebo effect in psychedelics. It’s a mind shattering experience. Obviously the hallucinations are illusory but the fact that you are having them is not.
To nitpick: it's accurate to say that there is zero chance that the effect of psychedelics is just a placebo effect.
This does not mean that there is zero placebo effect involved with taking psychedelics. The latter statement would mean your experience is identical between actively taking a psychedelic and someone slipping some in your drink. I'd say this is unlikely, no?
We know for lots of other drugs, both therapeutic and recreational, that there is always a placebo component as well as a "real" one.
This is why people do placebo-controlled trials. You take 100 people and give them ibuprofen against joint pain, then you give another 100 people sugar pills against joint pain. Then you record their pain reduction on some scale, and the placebo scores 2 +/- 1 points, and the ibuprofen scores 7 +/- 1 points. So you say ibuprofen has a significantly better effect than placebo, but (probably) 2/7th of the ibuprofen effect is due to placebo.
Yeah, i understand that, but the point of a placebo is that you don't know whether you got the medicine being tested or not. I can assure you that you will be left with zero doubt about whether you received a psychedelic or not, unless it's a very small dose.
You're thinking of a blind study, strictly speaking a placebo is simply any pharmaceutically inert substance. You can take a placebo knowingly and in fact knowing that it's not medicine doesn't stop you from getting the benefits of the placebo effect.
It's actually a change in perception and perspective. Since consciousness and reality are subjective results of individual perception and perspective, there is an altering of consciousness and experienced reality. Perception being perceiving and mapping out the external world outside of the individual mind. And perspective then deriving a meaningful relationship between "I" and external Abstract or Concrete Things X.
It is an illusion, but at the same time it's not. It's 100% real to the person perceiving the shift, and in the case of treating mental illness that's all that really counts.
It's not so much about how it works or why it works, it's mostly about the result.
> more akin to a super-placebo, rather than being therapeutic on their own.
As far as I can tell, from my own experience, lsd kind of make you see your own actions/thoughts as an observer[0], it's a very useful tool if you're into introspection. If you're not used to introspection it can be quite unsettling though.
[0] >50ug <400ug, after that you just look a the ceiling and enjoy the lights
Ah yeah definitely don't go for 400u for your first time. I assume no one would think "that random dude on HN recommended 400ug" and go for it without more research though. 50-150 is more manageable for a beginner.
The 150 end of the range as a first time can be manageable for some and can be quite intense for others.
Some research suggests a “30-40 microgram trip first, then a 60-80 microgram before anything larger, then a 120-140 microgram before anything larger, then either stopping there (this was the dosage that resulted in the highest increase in well-being) or doing a 170-240 microgram trip.” — https://tripsafe.org/how-to-take-lsd/#start-small
Another issue is the, albeit anecdotal, inaccuracy of LSD concentration in black market products. If you are aiming for a 100 ug dose, and blotters marketed as 100 ug can range from 50-150 ug, its quite hard to do proper dosage. Darknet markets have however probably improved the situation with accountability and reviews from customer.
Also, the pharmaceutical effect of any given amount depends on body weight and various other factors. So the exact amount needed for a particular trip level is different from person to person.
75-125 is an actual trip. Anything less than that you're not going to get the full psychedelic experience. We can debate the effects of microdosing, but 100-150ug has been a gold standard for decades for a reason.
I don’t disagree! :) I think you’d find the graphs in the tripsafe link interesting - they show a relationship of starting dose size and rampup vs. lasting benefits. Also some statistics of how many participants felt high anxiety per starting dose. The most significant lasting benefits seemed to come from initially low and then escalating doses. iow it seems like a small dose allows people to process better. Open more up? Be swept less away by the experience and work more within their personal selves’ substance and experience?
Just wanted to mention that 50ug of LSD tartrate is very noticeable. A 100ug tab is a surprisingly strong tab.
Source: have worked directly with LSD crystal in the past. (Unfortunately anecdotes are king when it comes to illicit drugs otherwise I’d be able to cite an actual external source)
lsd kind of make you see your own actions/thoughts as an observer
This is probably the best way to describe the therapeutic value in this situation. Hallucinogens (not just LSD), give you some distance from your headspace. It's not to the degree you feel depersonalized or have an out of body experience, but it allows you to examine your own thoughts without all those underlying assumptions that you hold yourself to subconsciously, every day.
I won't pretend to understand the neuroscience, but consider: Today's antidepressants work by affecting your serotonin. Another serotonin-affecting drug comes along, and it's assumed to be "placebo"?
Personally I tried it. A very low dose completely wipes out any depression or negative thought for weeks at a time. Way better than zoloft.
I'm surprised by the focus on large psychedelic trip doses and placebos in this thread. It's basically two opposing extremes.
I too have observed incredible effects of taking small below-threshold doses of psilocybin, with absolutely no negative effect whatsoever. It's tempting to incorporate half a stem into my regular morning routine like a vitamin.
I've posted about this before but I went to see Robin Carhart-Harris [0] talk about this in London recently. He said that the research was suggesting that the under psychedelics, the brain enters a state where it becomes more malleable and open to reconfiguration (and it actually undergoes a permanent physical change). The same thing happens under extreme trauma. While in this state, the experiences can then almost be structurally hardcoded into the mind.
So the chemicals trigger the mechanics, but the experience dictates the lasting effects.
I’ve done many trips on LSD and Psylocybin. A classic line you read about these experiences is they rank up as the most significant events in people’s lives such as the birth of a child.
However if you trip 100 times or more, how can all of those times be so incredibly meaningful? They can’t. and they won’t retain their power. and that’s a common feeing of a trip is it feels important and significant and intense in the moment, but a lot of the time you aren’t doing much on a trip. maybe you had a day at the beach. maybe you took it at a music festival. maybe you took it with friends you rarely see.
will some of those experiences have more lasting effects than others? yes. will they all feel significant at the time you’re on it? yes. but i don’t agree they don’t count as “good results” if there’s no professional therapy involved. a lot of what you get out of these trips depends on what you put into it. it’s entirely possible to go to a clinical trip and get little out of it. and as many people know you can trip without professional help and see impactful outcomes
No. There are plenty of medications that have measurable effects on average. That doesn't mean it's a one-shot solution for everyone's depression. You need to find the right medication, get therapy, sleep well, and exercise if you have major depressive disorder. But to say that medication has no effect on its own is misleading.
Not sure what you mean by “super placebo”? Doesn’t seem right at all. The reason why these drugs are more effective in combination with therapy is because they, speaking from personal experience, “unlock” your mind in a way that can be conducive to objective self-examination.
Super placebo isn't a thing. There is a bounty of research on how psychedelics affect the brain both physiologically and psychologically. They are effectively a suggestive (vs a stimulant or a depressant)
I think what they might be trying to get at is the concept of an “active placebo.” That is, a treatment that does something, but can’t treat the condition that’s being studied.
I disagree that psilocybin is any sort of placebo, but I think this captures the intent of the grandparent comment.
> In other words, you would need to use the drugs in combination with therapy to obtain good results.
For optimal results, not good results. The compounds are fairly therapeutic on their own and can and have produced plenty of good results, in the same way that chewing on willow bark still helped with headaches before we concentrated into the convenient form of aspirin.
Having known several people in the past who used LSD and shrooms, I never noticed anything outstanding about their psychology as attributed by this article or that their mind was any less/more anxious or depressed than say relatively straight edge people like me who've never done any drug other than socially inspired alcohol sessions.
With the right set and setting you don’t need absolutely need therapy in order to get good results. Writing down some intentions/questions can be enough. Eye shades + music, such as the Johns Hopkins playlist is HIGHLY recommended.
This is a superficial perspective. Indigenous people have been using entheogenic plants for centuries, and understand that these are living entities, spirits here to help humanity - meant to be used in a ceremonial setting, not "drugs" and definitely not "placebo."
While this is a great step forward, it's still going to take years for this to be even remotely accessible. I've been in therapy and taking various medications for years and haven't found anything that really works, at least for more than a brief period.
Don't forget esketamine was also granted breakthrough treatment status recently, but I have yet to find a doctor willing to try it because it's "so new". On top of that, it's still outrageously expensive even with insurance, if insurance will even cover it at all because it's "so new" and I haven't yet exhausted every compound that's ever existed. Sigh.
This is a ridiculous question, the answer is because they are illegal, of course.
Most of us aren't willing to risk a criminal record.
I wouldn't know where I could obtain such items even if I wanted to buy them. If I can't buy something off the shelf at a retail store I'm simply not going to bother.
Sketchy/unknown supply chain.
Tons of us have jobs (or whole careers!) that we could lose for using illegal drugs, many of those jobs include random drug tests. I'm not risking my entire fucking livelihood without a damn good reason.
What a world. It feels like this is one of those topics where one side of the tracks has a vastly different worldview to the other.
During the UK conservative party leadership contest earlier this year I thought it was pretty telling that all or most of the main candidates admitted to using illegal drugs at some point.
But sometimes I forget that there are people out there who are significantly more risk-averse or perhaps more generally obedient and who see the world very differently.
I guess my point is that I didn't think it was a ridiculous question.
I'd also point out that your use of "most" here might be unwarranted. There are surveys which demonstrate more than half of respondents admitting to the use of illicit drugs [1].
> But sometimes I forget that there are people out there who are significantly more risk-averse or perhaps more generally obedient and who see the world very differently.
The criminal justice system treats people very differently, depending on who you are.
In my lived experience, for middle class white kids, using cocaine, heroin, LSD, etc. was just a right of passage, that for the most part, didn’t effect their future prospects for college or a career.
Meanwhile, black and brown kids caught with a dime bag ended up going to jail.
Possibly controversial view, but I think that these differences are largely socioeconomic in nature. The US justice system does not treat poor people kindly, regardless of their skin color or ethnicity. "Justice for all who can afford it" and whatnot.
(Of course there's also the odd case of a racist judge, but my impression is that it's by far the exception.)
Edit: The paper you linked does raise some very interesting questions about the motivations behind various government policies, however.
>The US justice system does not treat poor people kindly, regardless of their skin color or ethnicity. "Justice for all who can afford it" and whatnot.
Yes, income is a factor, but that still doesn't explain why blacks are 13% of the population but the prison population is nearly 40% black.
Nobody seriously disputes the clear racial bias in the criminal justice system.
I guess my reaction to your post is the closest I'll ever come to the feeling of envy.
IRL, I don't know a single drug user or way how to get them. I looked it up online several times in different countries. Result always the same, a good likelihood of your delivery getting intercepted and you getting fucked as a result.
Everyting about this annoys me.
Try considering the notion that some of us value our mental well-being greater than we value our careers, and that what we do in the privacy of our own dwellings is our business and no one else's.
I'm sorry but "why does something being illegal prevent you from doing it?" is a ridiculous question.
Even if you start with the premise nobody is going to jail (which is blatantly untrue - I personally know people with possession charges), getting caught with small amounts of drugs can ruin the careers of some people, including my own career. Think people who must hold a professional licence, people who are subject to background checks (including coders who work at medium to large companies), people who work with children, people who work in certain safety critical industries, people who hold security clearances, etc. There was an FBI agent who was fired recently for testing positive for thc from using CBD oil, the federal government's position is there's no legitimate reason to test positive for thc.
You're referring to your own risk tolerance that is unfounded in most modern workplaces. If you work in tech absolutely no employer does drug tests for employment. People talk about microdosing LSD openly.
Michael Pollen wrote a best selling book about his experience with psychedelics earlier this year. Tim Ferris funded a research institute at John Hopkins and talks about it on his podcast all the time.
Unless you work for the federal gov't you're catastrophizing the risk.
I don't know where you get this, maybe start-up land. I have been a dev since the early '90's and all kinds of enterprises do drug testing. Most utilities, health-related organizations, defense contractors, transportation businesses and even many large manufacturers routinely drug test potential employees. Most only test for pre-employment screening, but random testing is still used in many places.
Most recently, three years ago, I was tested for a contracting gig at a Wisconsin power company for a web dev job.
Sometimes I think startup land is a different planet, around here pretty much every company who would hire a software developer drug tests AND background checks unless maybe it's a really, really small company. Some even do the hair drug test instead of the piss test.
I've ALWAYS been drug tested before starting a software job. I've been drug tested working for the most benign of industries. I actually had a friend who quit weed so she could get a better paying job.
That sounds like a different planet to me. I don't know of any big tech company, let alone startups, that drug test. I wouldn't be surprised if this was the case for dev jobs in older industries but it doesn't seem to be the norm any more.
There is still some risk. I think you're forgetting that (1) illegal drugs are hard to obtainn--no walking into CVS--and (2) illegal drugs are not reliably sourced--I trust mass manufactured marijuana far more than I do from the sketchy guy on the corner.
> An estimated 137,000 people are in prison today on a basic drug-possession charge. Approximately 65% of them sit in local jails, and most of them have yet to actually be accused of a crime. These unfortunate individuals may have to wait months to get their day in court because of their inability to post bail.
https://www.marijuanabreak.com/going-to-prison-for-marijuana...
I’ve been to jail for a small amount of MJ. The chain of custody and the purity/contamination of a plant is much easier to track, then something like a powder a pill or liquid. There is literally no circumstance where I would trust something that wasn’t a plant on the black market
Ehrlich's reagent will tell you if you have something in at least the same chemical family as LSD, which rules out almost all of the dangerous substances that are sometimes sold as "LSD."
That's obnoxiously ignorant. Even in high school one of my friends had their house raided and electronics, other valuables consfiscated. A dealer scapegoated him, and he had been searched and found with a pipe with resin in it. He carried the pipe to be cool. He had smoked weed less than 5 times at that point. I have other friends with criminal records for minute quantitites of personal use marijuana.
I consider myself extremely risk averse, and would probably agree with you on most things.
But with unbeatable Major Depression you are dealing with a significant suicide risk, and the risk to your legal status may be worth the benefit to your overall happiness.
People who want to replace a little Prozac with Psilocybin can afford to wait 10-15 years for treatments to become standardized, legal and affordable.
I spent 15 years assuming that I would kill myself someday, and basically all of life was a delaying action to put suicide off as long as possible. So for me taking the plunge into illegal self treatment was worth it. A yearly Ayahusca session for me does more to combat depression that years of therapy and legal medications.
> People who want to replace a little Prozac with Psilocybin can afford to wait 10-15 years for treatments to become standardized, legal and affordable.
Be very careful making that transition, you can get serotonin shock.
Supply chain is a definite concern with LSD, and other synthetic drugs. They are often incorrectly dosed and sometimes laced with other chemicals.
Naturally grown drugs like marijuana, mushrooms, even peyote and it's cousins are easy to identify, easy to dose safely and there is almost no risk of supply chain tampering.
"there is almost no risk of supply chain tampering"
Hell no. There are sadly a million ways to increase the weight of hash with neutral to very harmful chemicals.
Also just the buds of marijuhana can be poisened. Low quality ganja mixed with artifical thc(or something else for example happened quite a lot in recent times)
> Tons of us have jobs (or whole careers!) that we could lose for using illegal drugs, many of those jobs include random drug tests. I'm not risking my entire fucking livelihood without a damn good reason.
It is ridiculous how "square" things have gotten in 2019 when you read things like this on a forum called "Hacker News." Have you ever heard of Mondo 2000? Or that time The San Francisco Examiner sent a reporter to SIGGRAPH because they could not believe the claims that so many people in computer graphics were doing LSD? Things were different in the Valley in the early 1990s.
Seriously, the responses in this thread are just embarrassing. It's like listening to purity-ring wearing adolescent virgins talk about sex.
Most of the people I know wouldn't think twice about dropping some l or shrooms on a weekend with some ketamine and a hit of DMT, and we all have respectable jobs and families. It's just not that big of a deal.
"It's like listening to purity-ring wearing adolescent virgins talk about sex."
You're an ignorant jerk. Anyone who hasn't been caught won't think it's a big deal. Anyone sitting in jail because of it would disagree. Seriously, fuck off with your holier-than-though "adolescent virgins" schtick because some people don't want to just have a bender with illicit substances that aren't standardized.
This has absolutely nothing whatsoever to do with people who want to do shrooms or acid on a weekend, it's about people looking for therapeutic relief! I can't fathom the ignorance that leads to someone like you conflating medical treatment with nonchalant recreational drug use. They aren't the same, and I'm not looking to get high and have a fun weekend. I'm looking to relieve mental illness you ignorant ass.
A buddy of mine, who rarely drinks and dislikes marijuana, grows his own psilocybin mushrooms. It wasn't difficult for him to learn, and he bought kits online. The legal risk is minimal to non existent unless you are dumb enough to sell them.
The health risks aren't bad either. Psilocybin mushrooms have distinct properties which can be tested for with a white sheet of paper in a super simple test.
You realize that drug tests don't detect psychedelics. And it's ridiculously easy to grow your own psilocybin mushrooms (the spores for which are legal to purchase in all states except California, Georgia, and Idaho) if you're worried about the supply chain.
That’s so interesting because it is so different from my experience. I find it incredibly easy to find access to these items and if I move to a new city all I end up doing is going to a local bar and chat up people to find new sources.
This is not a ridiculous question. If you are just willing to suffer without exploring illegal alternatives, so be it. But it is not ridiculous to take a small risk to explore a compound that can alleviate suffering.
I would imagine a lot of people don't want to take LSD because of difficulty guaranteeing that it is actually real LSD-25 and not some other derivative. I think the American CIA was responsible for spiking the LSD supply with more dangerous alternatives at one point. And now, there are plenty of variants that are either mixed in and then sold, or sold directly as LSD, when they are actually not.
Testing is difficult because the common tests only test for the presence of LSD-25, not the purity, and not for the presence of substitutes. Someone who mixed the pure substance with some more dangerous derivative would be impossible to detect without lab grade tools.
This has stopped me from trying LSD for my whole life. I assume there are many others that don't want to take mind altering substances with unknown purity.
I've read that street lsd-25 is vanishingly rare. it doesn't keep (degrades under UV), and it's hard to make (why make lsd when you can make meth instead?). I'm told much street lsd is other stuff. Dunno if true.
Fentanyl is active in a range very similar to LSD, it's the biggest concern.
25i-NBOMe is a drug similar in effect to LSD, but with a somewhat worse track record for safety. It's not likely to harm you, and unless you're fairly familiar with LSD, you might not notice the difference, but it has caused deaths due to severe vasoconstriction, which hasn't happened with LSD, even though many more people have used the latter. It's requires larger doses than LSD does, but it's still active at doses well under a milligram, and is usually sold on blotter paper just like LSD is.
Strychnine is also active in the LSD dose range. There was definitely some propaganda about strychnine-tainted LSD in the 70s, so it's hard to know if this has ever happened, or if it's just urban legend. But it's chemically plausible.
Fortunately, you don't have to just pray that your blotter doesn't have fentanyl in it. You can buy chemical test kits on the clear market and rule out all the culprits that should be cause for concern, and test that your blotter contains LSD (or at least a compound containing an indole group...). See https://www.reddit.com/r/ReagentTesting/ for links to vendors and more information.
>Fentanyl is active in a range very similar to LSD, it's the biggest concern.
Not orally, the BA of actual fentanyl is abysmal orally (although some fentanyl analogs are definitely comparable). LSD is never contaminated with fentanyl to begin with. Some fentnayl analogs have been distributed in paper tab form by research chemical vendors, but LSD is never 'contaminated' with fentanyl. A test kit, or even just ingesting the tab slowly in pieces, eliminates this (non)risk entirely.
>25i-NBOMe is a drug similar in effect to LSD, but with a somewhat worse track record for safety
Thankfully this risk has decreased over the past few years, as real LSD is cheaper, and easier to find, than phenthylamine-based RCs being sold as LSD. You might encounter ALD-52, 1P-lSD, ETH-LAD, etc being sold as LSD, but these are just LSD analogs and have pretty much identical safety/effect profiles.
Also, swallowing the tabs make some of the more common RC LSD imitators completely inactive, whereas LSD will still be absorbed perfectly. At the end of the day, if you're concerned about this, you can buy a $10 test kit.
>Strychnine is also active in the LSD dose range. There was definitely some propaganda about strychnine-tainted LSD in the 70s, so it's hard to know if this has ever happened, or if it's just urban legend. But it's chemically plausible.
This doesn't happen. Also, no it is not chemically possible. The amount of strychine required to seriously hurt somebody would be extremely obvious on LSD tabs. Like it actually isn't even possible to fit enough strychine to seriously hurt somebody on a lsd tab in a discreet manner . The choice of strychine here as a poison shows that whoever originally spread this nonsense has zero understanding of chemistry.
>Fortunately, you don't have to just pray that your blotter doesn't have fentanyl in it.
Once again, this isn't a serious risk. It's extremely rare to find fentanyl in this form now anyway, as most research chemical vendors no longer stock fentanyl analogs. And, again, just consuming the tab slowly or testing it makes this a non-risk.
Also generally there is a very little overlap in dealers who sell both fentnanyl and lsd, these drugs attract very different crowds.
At least for shrooms, you can (legally) source the spores and grow your own (illegally). No worries about street drug impurities unless you don't trust your own tap water and fertilizer.
Psilocybin mushrooms are not street drugs. These organisms grow wild in the southeastern United States, as well as other parts of the country, including the pacific northwest. You can purchase spores legally and grow your own easily and at low cost, if you have the mind and time.
Ultimately this is the answer. On top of that though, I have no guarantee that these are real compounds and not cut with something. The last thing I need while in search of mental health is brain damage or poisoning.
Brain damage or poisoning are much, much less likely than simply having a bad trip, which can have PTSD-like symptoms. But if set and setting are carefully controlled, bad trips are much less likely to occur, as you have no overly negative stimuli to induce a bad trip.
It’s rare with LSD but occasionally they’ll substitute a research chemical with similar effects. You’re more likely to have that happen with “MDMA” that is actually methamphetamine or one of the analogues. Both are horrible.
There are places that sell home testing kits which are very useful since you don’t know what you’re getting by looking at it. People used to test for each other at raves until the police said it was a form of condoning drug use and shut it down. So now people still buy but it’s more dangerous.
It's ludicrously expensive (I think I paid $3,000 for six sessions), but I've done a round at a local IV ketamine infusion center here in Chicago to great effect.
there are test kits you can buy - buying on the darknet is similar to ebay - there are reviews and seller ratings etc
if you are really struggling, cost is prohibitive, and you think this might be an option then trying it once or twice at home is reasonable risk reward tradeoff, speaking from personal experience.
All of those are illegal in the US. And living there, you really, really, REALLY want to avoid the criminal justice system. Especially if you have anxiety/depression, which will trigger that system's "abnormal" profiling.
No regulatory body watching the production is one thing. You are buying from criminals. I'm all-in on the legalization of all drugs if only for the consumer protections it would introduce. Then there's the issue of harm-reduction for those that truly have a dependency/addiction problem AND generally freedom for freedoms sake.
The psilocybin treatment is also reported as way more effective when administered as part of therapy. You are supposed to trip under the guidance of a professional.
”You are supposed to trip under the guidance of a professional”
I don’t think that this statement is technically accurate - fortunately. Studies have shown that following a certain protocol or setting will increase the effectiveness. That framework is published science.
I'm speaking within the framework of what is sensible, given the science. If you want the trip to have more lasting effect then according to the research you should have someone guiding you along. It kinda makes sense too. You can spend a trip looking at butterflies and admiring them taking with you from the experience a certain wonder for the beauty of nature. It might even help you with your depression somewhat but will not substitute professional guidance that will help you confront what is an underlying psychological issue actually causing the depression.
Update: A downvoted post asked how to find that protocol or framework. I’d advise looking at MAPS’ site at http://maps.org/ - there are manuals and protocols there - as well as tracking back to the source studies that the FDA is basing its decisions on and searching on Google Scholar for papers.
The substance is only part of the equation, there's a lot of value in the skill and wisdom in an individual therapist's attention and work. And no licensed therapist is going to risk working with street pharm.
You mistakenly assume I mean strictly from a moral perspective. Assume a cost:benefit analysis, where the factors are, depending on the person, some combination of morality, desire to not face consequences (legal system, job, family), and perceived risk:reward ratio.
Yeah, but after a few minutes of searching I can't find anything about where that "mycomeditations" place is physical located, which is sketchy enough for me to steer clear. Thanks though. But yeah I don't have thousands of dollars lying around
A quick google search finds "100 Great Bay Rd, Treasure Beach, Jamaica". Given that the retreat is in Jamaica listing the specific address seems pretty meaningless, you aren't going to be able to streetview it.
What worked for me was finding a doctor who specializes in treatment resistant depression, rather than a regular psychiatrist - they will be comfortable and open to prescribing many more 'difficult' medications such as strong MAOIs, transcranial stimulation, and ketamine.
Taking ketamine as a suppository (if you get powdered ketamine, you can just dissolve it in water) is much more pleasant than snorting it, and you get better control over the dosage. 5ml hobby syringes work well. If the price of prescribed IV ketamine treatment is a concern, this is well worth trying.
I believe it's important to realize that the "magic" is not in the mushroom.
> "Of course, the drug dose does not produce the transcendent experience. It merely acts as a chemical key — it opens the mind, frees the nervous system of its ordinary patterns and structures. The nature of the experience depends almost entirely on set and setting. Set denotes the preparation of the individual, including his personality structure and his mood at the time. Setting is physical — the weather, the room's atmosphere; social — feelings of persons present towards one another; and cultural — prevailing views as to what is real. It is for this reason that manuals or guide-books are necessary. Their purpose is to enable a person to understand the new realities of the expanded consciousness, to serve as road maps for new interior territories which modern science has made accessible."
~ Timothy Leary, The Psychedelic Experience: A Manual Based on the Tibetan Book of the Dead
Drugs like LSD and psilocybin are the chemical equivalent of banging on the side of the box to make the TV work.
With proper set and setting you can get profound effects from e.g. a sweat lodge, or even just hyperventilation (I'm referring to Leonard Orr's Rebirthing breathwork. I would normally link to the wikipedia article on it but that's been defaced by capital-S Skeptics and reduced to a note crapping on the whole thing as "discredited". My dad actually worked for Leonard Orr for a bit and what he was doing was pretty profound whatever it was.)
On the one hand, it's great that the vindictive hysteria around psychedelic drugs is calming down, on the other hand I wish the scientific establishment had a little more epistemological sophistication when it came to investigating the inner world.
To sum up, the cure is not in the pill, it's in the set and setting. The pill just gives you an excuse. You can also use e.g. hypnosis, prayer, drumming, dancing, sweat lodges, or weird breathing, to effect the change you want, just to name a small sampling of the available modalities.
First, thank you! That paper is awesome, actual Scottish science. Cheers!
Second, I would never begin to deny that "the drug has a pretty powerful impact on your brain", because that would be stupid.
Third which "effect"? Your linked study "sought to investigate the acute brain effects of LSD in healthy volunteers", we're discussing psilocybin for major depression. So... what's up doc?
What I'm saying is that getting high is not the best available therapy for depression.
First of all, whether "getting high", as you put it, is or is not the best "available" therapy for depression is debatable, and not known at this time. Ketamine has definitely shown to be much more effective against certain kinds of depression than therapy, and much quicker acting, and I wouldn't doubt that psilocybin might also be.
But more to the point, you were asserting that the effects of the drugs were secondary to the therapy associated with them, to which I strongly disagree with. The action of the drug itself is main driver of its therapeutic potential, specifically that of "breaking" normal heuristic patterns of activity, suppressing others, and allowing more inter-region connections and plasticity to flourish where non existed before. Most people can't do that very easily, if at all , with just therapy, meditation, diet, and exercise or whatever. However, I -CAN- do that, quite easily and without effort, without the guidance of a therapist or anything else, by simply eating some mushrooms and letting them do their thing.
> I would normally link to the wikipedia article on it but that's been defaced by capital-S Skeptics and reduced to a note crapping on the whole thing as "discredited".
I don't like to give details on a public recorded forum, but yes, you can assume I am experienced in re: psychedelics.
I'm also experienced in non-chemical, uh, procedures that have a dramatic and reliable healing effect. In this connexion I should mention, I was cured of depression by a single intervention by a hypnotherapist. I've talked about it here: https://news.ycombinator.com/item?id=20371167
Good to know. What I find interesting in such conversations is the differences of opinions experienced people have about from where "the magic" is coming.
> To sum up, the cure is not in the pill, it's in the set and setting. The pill just gives you an excuse. You can also use e.g. hypnosis, prayer, drumming, dancing, sweat lodges, or weird breathing, to effect the change you want, just to
name a small sampling of the available modalities.
I feel certain that you have far more background (than my zero) in these other fields, but despite fairly extensive reading on the matter, I have encountered very little that leads me to believe (and much that opposes the idea) that the magnitude of what can be practically achieved by the common man with these other techniques comes anywhere near to what can be achieved with an afternoon of reasonably organized psychedelic usage. To be clear, this isn't to say that I oppose such practices, or claim they have no value - I believe the exact opposite of that, they seem to also be tremendously valuable, but my intuition tells me that psychedelics have way better bang per unit of effort.
The whole problem (I'm pointing out) is that the bang is too potent and can go wrong. The kinds of insights and healing you get from e.g. Core Transformation Process or Feldenkrais Method may take longer but they're much safer and unlikely to have negative side-effects.
It didn't sound like that's what you were pointing out, at all.
"I believe it's important to realize that the "magic" is not in the mushroom."
"To sum up, the cure is not in the pill, it's in the set and setting. The pill just gives you an excuse."
This makes it sound like the mushroom is little more than a placebo.
> is too potent and can go wrong.
Potent, or too potent?
Can go wrong? Sure, so should be used with caution, like anything else powerful.
> The kinds of insights and healing you get from e.g. Core Transformation Process or Feldenkrais Method may take longer but they're much safer and unlikely to have negative side-effects.
Are the insights and healing similar?
Is the amount of effort similar?
Is the likelihood of receiving insights similar?
Is there trustworthy evidence suggesting high risk (likelihood and magnitude) of risk with psilocybin, and trustworthy evidence that there is lesser risk with <x>?
I feel fairly certain the answer to most of these questions is something like: "We don't know, for sure, because there is very little evidence outside of anecdotal stories."
> It didn't sound like that's what you were pointing out, at all.
Sorry. I'll try to do better.
> This makes it sound like the mushroom is little more than a placebo.
Yeah, kind of. It has an effect, that's undeniable, but whether that effect results in a therapeutic outcome or a bad trip or just a fun time is not due the chemical. It's not like e.g. aspirin for headaches (FWIW that's still pretty mysterious too, but at least it's consistent.) The result of taking psilocybin depends on the "set and setting" (and a lot of other factors no doubt.)
> Can go wrong? Sure, so should be used with caution, like anything else powerful.
Look this is weird for me to say but no, I object to the normalization of getting high as a way to treat depression. There are other methods that are effective and safe.
> Are the insights and healing similar?
> Is the amount of effort similar?
> Is the likelihood of receiving insights similar?
> Is there trustworthy evidence suggesting high risk (likelihood and magnitude) of risk with psilocybin, and trustworthy evidence that there is lesser risk with <x>?
> I feel fairly certain the answer to most of these questions is something like: "We don't know, for sure, because there is very little evidence outside of anecdotal stories."
One of the strange and frustrating things is that every kind of healing modality with which I have personal experience (including Reiki, Feldenkrais, NLP, EFT, hypnosis, and others), every one of them is somehow "unreproducible" by at least some mainstream scientists, to put it mildly:
> Reiki is a pseudoscience,[1] and is used as an illustrative example of pseudoscience in scholarly texts and academic journal articles.
> There is no good medical evidence that the Feldenkrais method confers any health benefits. It is not known if it is safe or cost-effective,[2] but researchers do not believe it poses serious risks.
> EFT has no benefit as a therapy beyond the placebo effect or any known-effective psychological techniques that may be provided in addition to the purported "energy" technique.[3] It is generally characterized as pseudoscience and it has not garnered significant support in clinical psychology.
> The use of hypnosis in other contexts, such as a form of therapy to retrieve and integrate early trauma, is controversial within the medical or psychological mainstream.
I know from personal experience that the five things I just mentioned are pretty profound healing modalities. I have some theories, but really I don't know why science can't verify this stuff (at least so far.)
> Yeah, kind of. It has an effect, that's undeniable, but whether that effect results in a therapeutic outcome or a bad trip or just a fun time is not due the chemical. It's not like e.g. aspirin for headaches (FWIW that's still pretty mysterious too, but at least it's consistent.)
Agreed, somewhat. It's not due just to the chemical.
BUT, it doesn't necessarily follow that:
> The result of taking psilocybin depends [primarily] on the "set and setting" (and a lot of other factors no doubt.)
Set and setting is undoubtedly important, and it's possible that they are paramount, but I see little evidence to believe this is the case and that similar (see above) results can be practically achieved with alternative approaches, and much that contradicts it. But to be clear, at a bare minimum one needs to be sitting in a quiet, (preferably) dark room, not at a rave. This much seems obviously true, and in line with what you're saying.
I think where we agree is that a certain state of mind MUST be achieved in order for the magic to occur. Where we differ is how (the various ways in which) that can be achieved, and to what degree, in reality (which for us to know, would require substantial study, that has yet to take place).
> Look this is weird for me to say but no, I object to the normalization of getting high as a way to treat depression. There are other methods that are effective and safe.
Agreed, if you word it like that, but I don't think that's a fair wording. Just "getting high" isn't the only option.
> One of the strange and frustrating things is that every kind of healing modality with which I have personal experience (including Reiki, Feldenkrais, NLP, EFT, hypnosis, and others), every one of them is somehow "unreproducible" by at least some mainstream scientists, to put it mildly
I intensely share your frustration with the excessively scientific materialist style of thinking that comes up with these "unreproducible therefore it's false pronouncements.
We need to get everything down on paper and start sorting it out, and then form opinions. And this applies to everything, not just psychedelics. If only people could figure out this incredibly simple idea.
You know, I wish more people were able to have reasonable conversations like you, imagine how wonderful the world could be if a way could be found to recognize and spread this character trait.
You're too kind. :-) I appreciate your conversation and reasonableness too.
And I agree with you,
> We need to get everything down on paper and start sorting it out, and then form opinions. And this applies to everything, not just psychedelics. If only people could figure out this incredibly simple idea.
I like to think we're getting there, but only time will tell, eh?
Thiel is just a human being, just because he's proven to be a jerk in the past doesn't mean he can't do good in other areas. Just like the slave owning people who drafted the Declaration of Independence and Bill of Rights.
Thiel backed COMPASS Pathways which got breakthrough status last year. The Usona Institute, which just got breakthrough status this month, also for a use of psilocybin, is to my knowledge not supported by Thiel.
> Back in late 2018, the FDA granted Breakthrough Therapy status to the ongoing work from COMPASS Pathways investigating psilocybin, the key psychoactive compound in magic mushrooms, as a therapy for treatment-resistant depression. A large, multi-center Phase 2 trial spanning the US, UK and Europe is currently underway testing a variety of dosing strategies.
> This new FDA Breakthrough Therapy approval focuses on a seven-site, Phase 2 trial currently underway in the United States. Coordinated by a non-profit research organization called the Usona Institute, the trial is exploring the antidepressant properties of a single psilocybin dose in treating patients with major depressive disorder.
Not according to that article. Sounds like he is using a charity to backdoor fund his own private investments in to the research.
> “From generations of practitioners and researchers before us, we have received knowledge about these substances, their risks, and ways to use them constructively,” reads the statement. “In turn, we accept the call to use that knowledge for the common good and to share freely whatever related knowledge we may discover or develop.”
> It has been signed by 104 individual scientists, scholars, and practitioners, 21 research and service organizations, including MAPS, Heffter, Usona, and 12 psychedelic societies and integration circles. Compass has not signed.
Given Thiel's track record I think it's not very likely he is doing this for a "freedom of choice" but more as "Opportunity to get richer".
As someone who has treatment-resistant major depression and who uses comedy as a survival mechanism, and is greatly looking forward to being able to try this treatment out, I hope you'll permit me to share this humorous thought I had after reading this article:
"Ask your doctor if tripping your nuts off is right for you."
> The Usona Phase 2 trial plans to enrol 80 subjects, randomized to receive either a single active dose of psilocybin or an active placebo containing niacin.
Blind testing in this case seems silly. It’ll be obvious to both patient and doctor pretty quickly who got the high dose psychedelic and who got placebo
Always good to make sure, especially in psychology where placebo effects can be really really strong, especially if you're talking about microdosing psiliocybin. There's no reason not to be scientifically thorough and make sure you have a good control group to compare against
It's never silly! What if there's a chance the same effect can be recreated just by the setting and not the drug? Seems nearly impossible but I'd rather have control.
Respectfully, I think you were playing with fire and got lucky. You have to treat bipolar disorder very differently than unipolar depression. I don't know any doctor who would recommend or even consider using LSD to treat bipolar disorder. Many of the treatments that work for unipolar depression are terrible for bipolar disorder because they can instigate manic or hypomanic phases, if not outright psychosis. I feel happy when reading that you kept bipolar depression at bay (that's really, really good) but I want to caution the readers on this website from using LSD if they have bipolar disorder.
What's your experience with Lamotrigine? Don't know if this is the right place to ask, but I take that for anti-seizure and I'm wondering if that affects my thoughts and feelings in a different way because it's used for a case like your mentioned bipolar depression.
Basically, lamotrigine (100 mg/day) seems to keep my mood even. I mostly complain about depression. And I've never experienced hypomania. Except when some idiot GP put me on Paxil.
But with lamotrigine alone, I'm too "flat". I have no interest in doing anything. No energy. Not depressed, but just sort of "dead". So I take that at night.
And the modafinil (usually 100 mg/day) makes me interested in doing stuff. Mentally alive, full of ideas and solutions. So I take that in the morning.
Lamotrigine works for most bipolar people for at least a few years. It's used as a first resort since it has typically no side effects. It quit working for me after four years of use, so I switched to lithium. I don't know much about how lamotrigine affects the mood of normal people, but I do know that if you give lithium to normal people it doesn't affect their psyche in any measurable way.
I have taken gabapentin (which is similar) but for visual snow. While I'm not diagnosed as bipolar, I have noticed that gabapentin does level out your emotions some. I've considered trying lamotrigine but have been scared of the allergic reactions it can cause. Gabapentin may work as an alternative.
I didn't have that side effect on Lamotrigine. That was my 4th drug for no seizures. I'm on 300mg/day with it. Was at 400mg, but if I take too much I get hit with something I'd call total body dull pain where I can't do much other than sit there in a ball and wait for my body to get rid of enough of it. Based on the other comments, that's a lot more than for bipolar doses.
Have you tried seroquel? I’ve found even a small dose at night both helps me sleep and keeps me “normal” during the day. I take modafinil (in the morning) and seroquel (at night) and find it works well
For me. I’m BP type 2 so it might be different for you though. Even though the seroquel isn’t XR I have definitely noticed a reduction in me.. jumping on tables or screaming at people. Anyways, just a thought!
I loved peaking. That is, total ego death. Just being there. And the visuals, of course. Totally internal, with the external world just gone. It was like dreaming, except far more intense.
I would typically trip when the moon was full. I'd start in the late evening, with my usual beer or two and some marijuana. And then, just before falling asleep, I'd eat the LSD.
So I'd wake up peaking. And then spend a few hours in bed, "meditating". Eventually, I'd come down enough to shower and dress. Have a mug of ginger tea. Maybe a snack.
And then, a couple hours before dawn, I'd set out on my bicycle. Typically riding toward the setting Moon. I'd often end up at a small park on the west end of a large lake. So I could watch the Sun come up across the lake. Distant flocks of ducks made a trippy sight, skimming across the water.
Then I'd come home, eat, and sleep for maybe 15 hours.
A more detailed look: Most Buddhist traditions frown upon personal demonstrations of achievements and frown upon talking about personal achievements openly without a good reason.
Giving a closer look, a Theravada teacher might talk about their achievements to let students know if they have questions about those topics they have someone they can go to and ask for help.
But eg, on the Zen side of things, it's unheard of for teachers to talk about achievements.
On the other hand, Buddhism openly gives names for states and achievements, so people privately can talk about it and get help from teachers. This vocabulary is explained in detail, and can be used to give you an idea of what the experiences while meditating are like.
Brain scans today show that magic mushrooms and jhanic meditation both light up the brain in nearly identical ways. This implies heightened meditative states are closer to magic mushrooms than lsd.
The book The Three Pillars of Zen by Philip Kapleau contains anecdotes of zen practitioners, including himself, and their experiences of Kenshō https://en.wikipedia.org/wiki/Kensh%C5%8D
It's not an uncommon dose for experienced psychonauts. Perhaps not monthly, but you'd be hard pressed to find someone with a lot of LSD experience that hasn't done that at least once with many doing that several times.
You also have to factor in that street drugs are all over the charts as far as consistency in the dosing and the person you replied to may have been consuming a fraction of what they thought they were (even humidity and handling can reduce what is there).
But I had a steady high-volume supplier, and bought for resale. So I'd carefully test stuff before buying. I'd start with half the recommended dose. Then, a week later, a full dose. And then, a week later, 2-3 doses.
So what gave me a "standard trip" I considered 0.1-0.2 mg. And when I say 0.5 mg, I mean 3-4 times that.
I worked in a biochem lab, and so stored my LSD under vacuum at -70 deg C.
A great intro into the history and current status of psychedelics is How to Change Your Mind by Michael Pollan [0].
> It chronicles the long and storied history of psychedelic drugs, from their turbulent 1960s heyday to the resulting countermovement and backlash. Through his coverage of the recent resurgence in this field of research, as well as his own personal use of psychedelics via a "mental travelogue", Pollan seeks to illuminate not only the mechanics of the drugs themselves, but also the inner workings of the human mind and consciousness.
You don't - you compare it to "standard of care" (antidepressants, CBT, etc.).
If we can compare an inferior treatment to placebo, and we can compare a breakthrough treatment to this established standard, we can evaluate the new treatment.
you'd be surprised, people can be super suggestable and think they're high when they're not, especially when they don't have any former experience of the substance.
Here's a great youtube video which documents a case of methanol poisoning and how it was treated (it goes into a good amount of interesting details): https://www.youtube.com/watch?v=4DQUrg0Yhu4
Going to a bar sober is fine, just start talking about philosophy with people until they stop leaving, sit down with that person and chat for the rest of the night.
I wrote poems and drank milk, worked out fine. Being normal is for wimps!
Another new and novel treatment for MDD is called rTMS or repetitive Transcranial Magnetic Stimulation. Its effects are probably more durable than Magic Mushrooms from the literature, up to a year or more in some cases from a single round of treatment. A quick search in pubmed will bring 1000s of articles on its efficacy.
Any loss for big pharma is a big win for consumers.
It has been proven to significantly reduce depression and anxiety in cancer patients [1]. This has been one of the most famous studies on psychedelics in recent years. However, set (patient's mindset, intentions, psychological preparation) and setting (environment, support of the sitter) have huge impact on the outcome. That's because psychedelics are not a switch that change your brain chemistry forever, they are a tool that allow you to enter, understand and reshuffle your mind.
Psychedelics shouldn't be viewed as palliative. They help you to bring about changes to your self. For some people trips can be very frightening or even traumatizing.
One of my family members was dying and extremely anxious in hospice. The person reflected on their life and wanted to make amends with some people.
I believe something like a psychedelic would’ve provided clarity. It could’ve been traumatizing, but it could’ve worked too. Patients should have a choice to accept the risk.
That’s the rub, right? They are already enduring insurmountable stress and anxiety, a brand new horror story viscerally unfolding in their mind is an extreme downside.
This and other developments make me very hopeful for the future of mental health. Lots of hard work ahead, but it seems like a corner has finally been turned.
People who are a bit afraid of the drugs should try floatation tank together with lucia light therapy. It's the best spiritually rejuvenating experience I have had in my life and I've done them all. Floating tanks come with proper set and setting so you don't have to worry about your safety.
All plants are medicinal. The thing is if you use them like processed sugar you are fucked just like junk food that kills.
I am reminding myself to be a little critical of this future domain of psychadelics used as mood stabilizers for the masses.
While human history is rich with tales of alchemy and mind altering substances, the usage was often ritualised and functioning in a "sacred" or communal context.
I personally experimented with some of these substances, and i intuitively see them as a potential great leap forward compared to the potential horror of opiates, benzodiazepines or life long SSRI use - but i also feel a vague dark undercurrent running through this newfound mainstream appreciation of psychedelics just as Mindfulness has become a utility or a tool removed from its context or even it's original meaning whatever that may be.
My own struggle with living a healthy life in 21. century "technocapitalist society" or whatever has led me to believe that most depression is not "just a chemical imbalance", "a lack of appreciation or gratitude" or a "lazy mindset" - instead depression is _often not always_ closer to an evolutionary mechanism telling you that "something is wrong" and you need to take radical steps to remove yourself from X situation whether it be social, about lifestyle or about geographic location - the opposite can also be true, that you need to be accepted by a tribe, reach out for guidance or establish new relationships.
Modern humans are in general pretty lonely, skin hungry, lack communal connection, touch, intimacy, a good proper diet, connection with nature, meaning/spirituality in a social context, have bad posture, are stressed out, have horrible sleep patterns etc. compared to our evolutionary blueprint or just compared to the societies of a few decades ago - without romanticising too much.
In other words; it's not weird that people are depressed in this day and age spending so much time inside, not being close to friends / family, not moving about enough . And i am not convinced that mainstream palliative care is sufficient or even the right approach the problem. It's about restructuring local community, our cities and our daily lives.
Anyway i currently se this as being very promising, and a am still endlessly fascinated by the philosophy and science of consciousness, meditative praxis and psychedelics, so i am not against that aspect but critical of the utilitarian mindset behind this type of use.
EDIT: I can see that i receive quite a lot of downvotes. Can anyone elaborate?
Not sure why you're getting downvoted. Apparently the HN crowd is all-in on "the drugs I already enjoy/want to enjoy have scientific backing" even if they're being presented as a cure-all that should warrant skepticism. I also think that maybe looking at environmental factors for depression is common sense. Instead of drugging everyone, maybe we should take a look at how society is structured and make some changes there. It's not either-or.
> Apparently the HN crowd is all-in on "the drugs I already enjoy/want to enjoy have scientific backing" even if they're being presented as a cure-all that should warrant skepticism.
I wonder if it's a side effect of wishing for their legality? I mean, I am skeptical of psychedelics as a cure all. But I'll happily blow smoke up anyone's ass if it'll get it off the idiotic scheduling so I can enjoy them without risk.
>just as Mindfulness has become a utility or a tool removed from its context or even it's original meaning whatever that may be
Meditation has historically been around longer than mankind was writing, and has historically always been used to end psychological stress. So much so, Buddhism exists as a program for one to get "enlightened" which is the end of dukkha, and dukkha means psychological stress. Enlightenment is the end of psychological stress. It's a prehistoric therapy that is so helpful it continues to live on longer than just about anything else we know today.
Calling meditation a tool is actually the original use for it, as far back as we have documented. It's how it's taught in Buddhist circles. It's only a tool.
However, you're not entirely wrong either. Half of the teachings that revolve around ending dukkha is in the western world reserved to word of mouth teaching or deep dives into suttas (https://www.accesstoinsight.org/). It is rare to find a meditation teacher that will teach the other half. The reason for this is that process towards enlightenment, that missing half, is being replaced with working with a therapist. However, modern day therapy still has a ways to go when compared to the ancient teachings that are meant to be taught along side meditation instructions.
Howdy. So, you're not wrong. The promise of psychadelic use in therapy is not that it "cures" the patient of their depression, or even gives them relief. The drug is not the drug. The "drug" is the experience that they allow the patient to have. You talk about modern humans lacking connectivity, proper diet, connection with nature, meaning---the psychadelic in question allows your brain to observe it's own memories, emotions, desires, and traumas more objectively and allows a perspective where change is possible.
The default paths your brain takes when making decisions are obscured or flattened out, so you have more possibilities. If someone has depression, guilt, and ruminates on trauma psychadelics allow you to confront that trauma without the manufactured personality our ego has created to deal with the trauma. Viewing something objectively, or even subjectively but from a different perspective can vastly alter your "sober" perspective of that trauma / event / emotion.
tl;dr: Think of psychadelics as a tool that can allow the mind to introspect objectively
How is it not a "natural" way of life to imbibe natural compounds from plants and fungi that have been imbibed for tens of thousands of years? THC, CBD, and psilocybin, as well as many other compounds like coffee, tea, chocolate, caffeine, etc. have been part of human diets for countless generations. There are even biological theories that state that these plants and humans co-evolved, with humans spreading around the plants intentionally and unintentionally, and selecting those plants with "positive" effects and thus co-evolution occurred.
I don't think that kossTKR said anything about the ingestion of these substances being unnatural; rather, their implication is that psychedelics are poised as a solution to the depressive symptoms that we feel by nature of living in the societies that we do.
In other words: instead of fixing some of the symptoms caused by society, why not change society and the ways that we live?
There are strong parallels in western notions of mindfulness. In our society mindfulness/meditation are considered tools that helps us mitigate stress. The original intent was to stop the sources of stress and suffering by developing one's mind, but western interpretations fall far shorter of that, opting for a grotesquely simplified and amputated version of the original philosophy that aids in placating the masses rather than bringing about fundamental changes to the ways we live.
I don't disagree. Also i am all for this small step towards hopefully an eventual legalisation!
I even wrote that i tried them myself.
I just wanted to illuminate a certain aspect of mainstream, adoption that i find potentially problematic but apparently that's not something people really want to discuss at this moment in time i can se by the torrent of downvotes.
To elaborate it's the same dillema that widespread corporate Mindfulness presents, or the problem of using all kinds of other -in essence beautiful/profound measures- but in a decontextualised and corporate context to push depressed workers or the general standing reserve to perform better while the "true" solutions are actually about rights, real-wages, loneliness, painfully long work hours or other classical problems that psychedelics won't help you with.
A good "bad trip" can help you "wake up" and realise that your life circumstances are unnatural and bad and make you want to steer you life in another direction and that's beautiful.
But if psychedelics becomes a way to push an already stressed out population to find meaning and beauty in horrible conditions then that's not a good thing - just as weed as a life long sedative is also a bit depressing i my eyes.
Chop wood and carry water but don't remove the context of doing it. Just like rituals, myth, community and location worked as context for psychedelics.
This is - at least i think - is important to remember when re-introducing powerful concepts. It's because it's very very potent that we need to be critical.
I think you're completely right and this extends out of the topics of psychadelics and into the value of mental health resources. We're spending more than ever before and negative metrics like suicide and drug use are way up.
It does feel like ineffectual knee-jerk firefighting. Yet I don't think psychadelics having utility to people nessecarily precludes fixing our lives and societies more generally.
I took psilocybin once, over a decade ago. I didn't realize it at the time, but I was suffering from mild depression. After the "trip", my mild depression was lifted for at least the following 5 years. Pretty potent stuff.
Oh, I know. I just mean it’s pretty impressive one dose of anything could have such long lasting curative effects on something as intractable as depression.
I can't wait to see the faces of war on drug proponents when clinical practice will prove psylocibin has no adverse effects and no addiction potential.
Unrelated: I just saw Fantastic Fungi[1], a Louie Schwartzberg film, which discusses Psilocybin in depth. It is one of the most visually entertaining movies I've ever seen. Highly recommend!
From Wikipedia:
"The concentration of active psilocybin mushroom compounds varies not only from species to species, but also from mushroom to mushroom inside a given species, subspecies or variety. The same holds true even for different parts of the same mushroom. In the species Psilocybe samuiensis, the dried cap of the mushroom contains the most psilocybin at about 0.23%–0.90%. The mycelium contains about 0.24%–0.32%."
So for 3.5g ≈ [8.05mg ; 31.5mg]
And for 2.5g ≈ [5.75mg ; 22.5mg]
It seems to be in the typical range for a medium to strong dose. A simple glance at the wikipedia page suggests that Psilocybe cubensis is ~1% pysoactive ingrediants (psilocin and psilocybin) so, working backwords, 25mg psilocybin would be about 2.5g worth of mushrooms.
I haven't taken into account how psilocin & psilocybin are different or if there is typically degredation of the psychoactive compounds typically prior to ingestion (during transportation, handeling, etc.)
Seems no one has mentioned it, but I wonder how easy it would be to prescribe this as a solution to those with mental illness. For example, when I smoked weed for the first and only time I had the worst panic attack of my life that made it 5 hours of hell, so I promised myself I'd never do it again. I didn't suffer from mental illness previously, except for some basic anxiety, but these drugs can trigger major panic attacks and even psychosis. The risk of triggering an episode goes up the more severe your illness; ie. I remember reading that someone who previously suffered panic disorder has a 500% higher chance than the average person of a panic attack when smoking weed and if you are depressed or schizophrenic the numbers get worse.
Combine that with the fact that guys like Joe rogan tell those with mental illness not to try hallucinogens, and it makes me wonder how will these solutions affect the brain chemistry of the mentally ill in the long run? What are the potential side effects and how does a pre-existing condition outside of depression change your risk factors?
I saw a stately "Family Practice" last week, that had been around for a few years, but now had a big new street sign to the effect of "get your marijuana here!" out front. I don't believe that I have ever seen that sort of thing for other prescription drugs.
I've just never seen a street sign for one before. But you buttress my point. A certain number of doctors are normal human beings after all, and are perfectly willing to push pills if it makes them money. Entertainment/luxury drugs are at the highest risk for this sort of behavior.
Erowid store massive amounts of information about drugs, including user stories. It's a great resource for beginning research, and has a section for psilocybin mushrooms.
Seems entirely reasonable, at least for depression linked to overwhelming emotional events, that a positive overwhelming emotional event would be helpful.
Everyone prosecuted by the government for using this deserves compensation. In fact, why do we give government such authority over us in the first place?
I can't help but wonder if instead of confronting the source of our depression, we're simply drugging ourselves to the point we can't feel it anymore--especially that people are now looking to psilocybin as a means of treating depression. Perhaps the depression is a symptom of something bigger, a lack of purpose or meaning in life.
Someone I know was on medication for anxiety, and they remarked how they'd go to see a movie at the theater, and would simply have no emotional reaction to it. A character sacrificing their life for a friend would have the same reaction as tomatoes being sliced for a hamburger.
The medication had an INCREDIBLE affect on them, and it really helped them out of a bad place. But the huge thing is they learned to identify the source of their anxiety and confront it, and no longer depend on the medication.
I just make circuits. Don't take this as medical advice.
With all respect to you as someone who is likely commenting in good faith, you clearly have no idea what you're talking about. I have mental health problems that are all but solved by the medication I take, and I also have extensive experience with hallucinogens. Without the medication, I am as you describe: anhedonic, with a flat affect and little patience for, well, life. Hallucinogens also have exactly zero dulling effect, and the "glow" aftereffect from them is not a numbing, either. On the contrary, it's a deep and abiding understanding of place in the universe and sense of self. YMMV, obviously.
I can attest to that. Micro-dosing is only a bonus. In fact, I regularly stop taking them when I don't feel like it, and I'm just back to my normal self, not lower. No negative side effect, no dependencies, and it helps taking care of yourself: eating better, sleeping more, etc.
But OP is right on one thing: it is not a substance the body needs. It's an artificially induced condition, and it's why it's important to take days off. Sometimes I take a week, not just the 1/2 days of the most popular protocols.
This way you can see if you are improving deep inside, and that it's not just the drug saying you are fine. Plus those substance allow it: no hard in stopping cold turkey. It's beautiful how positive this stuff is.
Up to now, I can attest than, yes, even when I'm not taking it, I'm better. Mostly because when I take it, I live a better life.
On the topic of micro-dosing, I microdosed around 3-6ug LSS/day for 1.5 years. Stopped abruptly one day and haven’t used it since. So echoing your sentiment about how easy it is to stop.
Not OP but can confirm the exact same experience when microdosing psilocybin. I get them from friends who grow them. Spores are not illegal, they can be bought online and sent through the mail.
I think of all the illicit activities one can discuss with friends/neighbors/coworkers, magic mushrooms is the least concerning and most likely to result in a positive connection. At least here on the west coast anyways, lots of people have access to mushrooms and consume them occasionally. You just have to develop trusting relationships with people around you, and that's generally regarded as a good thing anyways.
It's not too difficult to ask some people if they want to go camping, and while out in the woods bring up a curiosity about magic mushrooms. Anyone who goes camping with you is very likely to be open to the idea if not pull a bag of shrooms out of their backpack on the spot.
Just as respectfully -- neither does anyone in this thread. People are speaking very confidently about things that they have no basis to. For instance, are your mental health problems really solved, or only mitigated? If you stop taking the hallucinogens and the problems return, they aren't solved.
Obviously, I'm happy that you're suffering less. However, I'm highly skeptical that hallucinogens "solve" problems, instead of merely masking them. Hallucinogens may provide you with a feeling that you have a place in the universe, but they cannot provide an actual place for you. It takes work to find and create purpose in life. You can't create purpose with pills anymore than you can create strength with synthol injections.
Which is better -- a feeling backed by reality, or a feeling based on chemical reactions in your brain induced by a substance?
> Which is better -- a feeling backed by reality, or a feeling based on chemical reactions in your brain induced by a substance?
There are a hell of a lot of assumptions packed into this sentence.
I encourage you to go research the current understanding of mental health. There is a lot we don't understand, but I think what we do understand certainly doesn't support the perspective you are presenting.
It's not about hallucinating. The important thing is that it provides a powerful soft reset on highly-habituated thought patterns, reactions, and perspectives.
People who experience depression and anxiety often times have ingrained negative or counter-productive thought patterns and micro reactions that are very difficult to overcome. Sometimes even noticing these patterns is quite tricky.
It makes a ton of sense to me that psilocybin, especially with the guidance of skilled therapists, can have this kind of incredible impact.
How long do you go between really good books? Or vacations to see beautiful scenery? Or really insightful conversations with good friends? Or enjoying a new perspective on a problem? Or between occasional visits with a therapist?
Hallucinogens can be (ab)used as a tool, like many others. The benefit is insight. (again, ymmv)
I'm sure you mean well but I think there's a few things you're missing. Many people are getting diagnosed now instead of drinking to deal with their problems. Talking about mental health and seeking help is much more acceptable now than it has been before.
And here's a point of data for thought. I'm bipolar. In the United States, 2.8 out of every 100 people have the same diagnosis. Bipolar is highly genetic and largely incurable. Depression and anxiety disorders are far more common.
Yes, people can get anxious and depressed over life events but there are a great many people who truly need help because their problems don't have a known cause and there is no enemy to confront.
Perhaps the reason the current generations are "weaker" is we aren't hiding it anymore.
You know, your position is very common. It stems from the belief that our brain is dissociated from our mind/identity, and therefore existential-like issues should be treated as separate from the brain. But that is incorrect, as any introductory neurology reading (such as the works of Oliver Sacks) will show. Our brain is a body organ. An extremely complex, elusive and puzzling body organ, but a body organ nonetheless. And, like any organ, sometimes it malfunctions. Wishful thinking won't cure a broken leg, and the same is true about the brain.
> It stems from the belief that our brain is dissociated from our mind/identity, and therefore existential-like issues should be treated as separate from the brain.
I have a "put on the brakes" mentality about hallucinogens, and it stems from a Christian worldview, where existential issues encompass both the brain and the mind/identity.
If anyone is interested in knowing, the reasoning about hallucinogens from a Christian worldview would probably go something like: (a) everything in life has a spiritual implication or connection; (b) we are created above all to know and love God; (c) knowing God comes above all through being grounded in truth and reality, centered in the word of God (scripture), prayer, and community; (d) while hallucinogens seem to have some positive effects on the brain, they also cause one to have intense personal experiences that are disconnected from reality, potentially opening oneself to negative or false spiritual influences; and therefore (e) the major risk of hallucinogens is that they can alter people's spiritual capacity to know and desire God.
As for using it to treat depression, anxiety, terminally diagnosed patients, etc. -- I would be the last to want to deprive distressed people of a straightforward cure. But I'd avoid recommending them anyhow: my fear would be that while hallucinogens might help temporarily (i.e. in this life), the effect in the next could be catastrophic because it may have contributed significantly to suppressing their innate human capacity to know God, find his love, grace, and forgiveness, and be satisfied in him. Meanwhile, there are other helpful ways to treat things like depression that God has given -- the beautiful natural world, for starters ("forest bathing" is a thing because it's a really good idea; modern cities contribute significantly to anxiety).
1. I'm a Christian myself, and I see no contradiction between my religious beliefs and the rational conclusion that science tends to provide the best answers for a vast scope of phenomenons
2. I would never use hallucinogens out of my own volition. But, because science is credible, I would definitely do so if there were a reasonable consensus in the medical community that this category of drugs was beneficial for me.
3. I believe your idea of the effect of hallucinogens is incorrect. They do not disconnect one from reality but merely alters how such reality is perceived. One might even argue that hallucinogens can get you closer to "reality" (whatever that means...) by allowing you to notice a wider range of stimuli that is not available under normal conditions.
4. Maybe hallucinogens are gifts from God, like quinine, lithium, and penicillin.
I don't disagree with you. But your points (3) and (4) don't discount the problems inherent in altering one's perception of reality. Eph. 5:18 and similar texts warn "don't get drunk on wine" - not that wine itself is bad (au contrare!), but that too much alters one's perception of reality and leads one astray.
I agree with your point (4) -- yes, all things God created are good, these substances included. There is no created thing that is inherently evil, only taking a good thing at the wrong time or in the wrong way. So in the case of hallucinogens, I wouldn't necessarily disagree with microdosing for particular purposes. My point is that since they're God-given, natural substances, there is a right and proper way to approach their use. But putting one's mind under their influence (or the influence of any other substance) would cross the line, Biblically speaking.
Everything you do or experience "alters" your perception. It's just that we slowly build up habitual perceptual patterns and "tracks in the dirt" over many months and years of time, and so the changes usually occur too slowly or subtly for us to notice easily.
But not always! On rare days, something happens... a long series of cumulative affects finally precipitates or something unexpected comes at us in the just right way, shattering our view. And then after a brief period of processing, we wake up the next morning with a different perspective.
Psychedelics are like that in their own way. They seem to temporarily weaken these deeply-habitual thought patterns and perspectives, allowing one to look at things in a new way. It doesn't "alter" reality. It loosens our iron-grip on our own accumulated view of what we think reality should be. After the trip finishes, our grip re-strengthens, but it may be holding something slightly different, and perhaps a bit less desperately.
It's pretty fascinating stuff. I think it can be a powerful tool for our well-being if we use it carefully. Emphasis on the careful use! They can certainly cause harm if they are misused.
> (3) and (4) don't discount the problems inherent in altering one's perception of reality
1. AFAIK, Christianity does not negate the overall use of medicine
2. Mental illnesses are essentially a deviation from normal, healthy patterns of cognition.
3. When well applied, psychiatric medications can bring patients closer to reality instead of the opposite
4. If (and only if) some hallucinogens become universally approved as effective medications for such illnesses, the same reasoning could also be applied to them
5. Therefore, in the context of your interpretation of Christianity, these medications might actually bring patients closer to God.
That line of reasoning just boils down to "it brings one further from God", and it has been applied to everything that the church wishes to demonize. But that reasoning is always applied backwards. People aren't starting from "What would bring us further from God?" and deducing their way to psychedelics and other things frowned upon by the church. It happens the other way around. The church says that certain things are bad, and then use lines of reasoning like "it brings one further from God" after the fact to justify the arbitrary decision.
So I suppose I take issue with it being called "reasoning" when really it's an after the fact justification with no bearing on reason whatsoever.
It's also interesting that a lot of religions use psychedelics to get _closer_ to God(s), and the "reasoning" there is equally as sound.
I just want healthy lifestyles to be part of the equation too. For mental problems just as for physical, sometimes the solution can be no medication and a healthier lifestyle instead. I've made this journey out of depression and it involves sleep, avoiding stress, gaining social contacts (slow!), exercise and diet.
That's a fair point, but for some mental disorders, the brain is wired into a state of permanent anxiety, wherein it becomes extremely difficult to 'learn' that normal situations do not deserve heightened stress responses. The most famous book on this subject is probably Bessel van der Kolk's book The Body Keeps the Score. For people who have been so traumatized that their ability to regulate emotions is nigh-totally kaput, medication can offer a window of relief that enables the kind of healing that sticks, even when the medication has worn off.
A part of the reasons for a lot of human mental health issues are that the conditions that we evolved in are no longer true (generally). Basic survival was a constant, life or death struggle and states like anxiety were often a readiness factor for real dangers.
Remove those dangers, and remove most of the struggle (although we will always re-define what struggle is) and we're a bit like fish out of water. We're still trying to adapt.
I took Effexor (Venlafaxine) for a few years due to severe social anxiety along with a couple of other issues. It had an enormous impact on me, dramatically reducing virtually all anxiety. It did for sure remove emotion in a lot of contexts, particularly remote empathy type situations. On the flip side it made me much more rational -- suddenly remote risks and dangers just didn't raise alarm anymore.
I stopped taking it because it was making me sleepy almost all the time and....the anxiety never returned. It's like a medically-induced cognitive behavioral therapy, but I really worried about a return of those social and avoidant behaviors...but they never did.
> Remove those dangers, and remove most of the struggle (although we will always re-define what struggle is) and we're a bit like fish out of water. We're still trying to adapt.
I suppose this is a bit like that one theory of allergies and autoimmune disorders; they may be caused because we aren't exposed to parasites anymore. That part of the immune system thus never gets trained and can sometimes go haywire.
a heroic dose of psilocybin is very likely to make you confront the source of depression.
Whatever there is under the surface affecting you, it certainly isn't going to hide during a heroic trip. Quite the contrary, it gets amplified, taken to it's extreme - and if you accept it, you'll be shown the other side. And it starts loosing its power over you.
The "source" or your "problem" likely isn't what you thought it was at first either, according to a friend.
So it's not a drug that will make the pain go away. It will show you things through experience, which is a powerful way of learning.
I think it's important to remember that when treating depression, often you will use therapy and medication.
People sometimes do as you are doing and seem to imply the medication is used instead of working out your problems. But it's really just one part of a whole.
From my experience with depression/anxiety, and hallucinogens like LSD/Psilocybin I would say that has the capability to put you in a state of mind where you can see yourself from a different perspective (because it makes you a somewhat different person for a short time). This lets you learn things about yourself that many people don't pick up on the day to day. In fact, in my experience with LSD I've found that if there's something in your life that your ignoring and it's causing you some emotional trouble it's almost guaranteed to come up when you trip.
On the other hand, the best way I've found to manage depression is simply going outside and running really fast for a long time.¯\_(ツ)_/¯. It's free and you don't have to wait for scientists to study it, politicians and activists to debate it, or find a dealer you trust to give it to you.
>especially that people are now looking to psilocybin as a means of treating depression
I might be wrong and please correct me if I am, but I'm interpreting you saying that as a bad thing. If you are saying that as if it's a bad, or perhaps 'crazy' thing, why? Why would turning to a natural compound that shows promise, be any different than a synthetic chemical cocktail that similarly interacts with the brain?
Yes I know, natural doesn't eman something is safe or good (I mean, all sorts of things are naturally fatal to humans) but I see this as an actual good thing. What limited exploration with such compounds as a means of treating (or curing) various mental issues looks promising and removing the legal barriers and stigmas associated with these 'drugs' to properly test them seems like a great thing
After years of trying to confront the source of my depression, I found out that I inherited incurable bipolar disorder and the only proven effective treatment is drugs. How do you think I should confront that?
After several years of casual reading online and reading "How to Change Your Mind", I decided to experiment with psilocybin.
What I did was borderline reckless. The substance is illegal. Using it outside the context of carefully designed interventions has no evidence of improving the well-being over the long run. Despite these clear detractors, I feel sharing my experience may help others in their search for happiness.
My main concern was how to know if I was given the real thing or the right dose. I decided to go with dried, whole mushrooms and grind them up at home. For a month, I took around 150-250g every 3 days and took notes throughout the day. This helped me record how I was feeling (even on 'off' days) to assess how it was affecting how I felt. This could be considered microdosing, but not quite as somedays I noticed a difference: I was more aware of my emotions and what happened throughout my day. Intense anger, sadness, joy, beauty, the whole thing. I noticed details details I had never noticed in my daily commute.
This could have been due to the journaling. My main objective was to see how the substance affected me. After concluding the trial a friend asked me 'so, are you happier now?'. That was not the point. My takeaway was that the exercise made me more aware of my feelings - something I realized would be useful if I wanted to get to know myself better. After this, I was still scared to do a 'full dose' and left it at that.
After around 6 months, I decided to try it out. Felt I needed supervision but my close ones thought I was crazy for wanting to do this. Stupidly, I did something riskier and went on trying to find a 'healer' online. Luckily I found a nice lady (she had yelp reviews and all) who took care of me while I took 2g of dried shrooms. She didn't seem to do anything special, just make sure I had a nice/safe space to lie down while high. Again, the dosing was gradual: first 1g (4-5x what I had during the microdosing trial) then an extra one after a few hours.
It felt like I had meditated for years. My deepest hour-long meditation does not come even close. Everything was peaceful. I felt all sorts of emotions, as if a color wheel and tried them out one by one and switched between them: deep sorrow, bliss, intense anger and many more as well as quick transitions and mixes I can't explain.
My life changed after this. I am a more conscientious coworker and husband. I am present. I am there for my loved ones. I love myself and stopped shaming myself for not working. I understood that the point of my life is just living it: no further instructions or expectations. This is something I needed to internalize and the session helped me.
After a few months I felt I had yet to discover more. Based on what I had read online, I knew the substance had the ability to make me feel other important things. I realized the lady just made me feel safe and I had already seen what 150mg-2g did to me, so I decided to do more on my own.
I locked myself up in my apartment, gave my best friend the key and told him to drop by just in case to check up on me. I worked my way up 1g at a time to 7.5g. I felt what many mention online. A quick way to summarize it is 'we'. I felt what it feels to not be myself. My big conclusion was that the only thing I could do was be grateful. I have taken to this feeling daily after that session.
To be clear: I already had a daily meditation practice and a habit of journaling my gratitudes before the trips. The conclusions under the substance may have just been things I had already been exposed and intensely prioritized in my life. But there's something about these experiences that made me feel more intensly and helped me internalize them - I 'felt' the conclusions, not just 'think' about them.
I am scared of the consequences of suggesting others to try this out. The feelings I experienced, the results I have seen in my personal life and the literature we have about this substance make me conclude that the risk is worth taking. Basic precautions can help mitigate the downside: small/trial doses, safe environment and some reading about the substance worked for me.
When I read what is happening with these trials, I can't help but hope we find a way to give this to everyone. I do not claim that what I did is safe or even desirable at scale. There's a chance if 100 people do what I did, some may accelerate or trigger some form of mental illness or harm themselves (I did think 'what if he kills himself?' (thinking about myself) and figured none of my loved ones would want to try shrooms if I did).
A world with more people who can feel 'we' is filled with love and compassion. I believe psilocybin can help us.
For people outside of the US (like me) who don't know what "Breakthrough Therapy" is : "Breakthrough therapy is a United States Food and Drug Administration designation that expedites drug development that was created by Congress under Section 902 of the 9 July 2012 Food and Drug Administration Safety and Innovation Act. he FDA's "breakthrough therapy" designation is not intended to imply that a drug is actually a "breakthrough" or that there is high-quality evidence of treatment efficacy for a particular condition; rather, it allows the FDA to grant priority review to drug candidates if preliminary clinical trials indicate that the therapy may offer substantial treatment advantages over existing options for patients with serious or life-threatening diseases" [1]
Depression has plenty of evidence linking it to inflammation. If we can start seeing it not in terms of mind/body dualism, or on some outmoded moral spectrum, but on the same terms as any other illness, like the common cold, we'll make a lot of progress with it as a society. Much like the common cold, it probably has many different causes (like colds are causes by many viruses) but the same disease phenotype.
What you might be getting at with the comment that "everyone has it" is that modern society seems to cause depression just as surely as swimming in sewage will cause other illnesses. Much like society prior to germ theory, widespread depression will continue until we can learn more about the causes and mechanisms. People used to think other illnesses were moral failing or spiritual possession until we discovered that it was from drinking water that someone else crapped in. So how many things are crapping on your mental health? Are they really inevitable and necessary, or just bad cultural programming and assumptions about what society should look like? How much might be from strictly physical causes like air pollution? (There's research backing that.)
Here's a few for depression and air pollution[1][2]
Here's some studies on anti-inflammatory treatments for treatment resistant depression[3]
And more relevant to the original topic, 5HT-2A receptor agonists may have anti-inflammatory effects. There's huge potential in a broad class of molecules that have been banned for moral, not medicinal, reasons.[4] Edit: picked another one [5]
Sorry, but none of these are studies about the relationship between depression and inflammation treatment.
Such a study would have to provide a measurement of the severity of the depression. Then split the patients in two groups. Give one group a placebo and the other one the inflammation treatment. And then compare the depression severity in those groups after the treatment.
It's a medical journal, Trends in Immunology, the same type of journal that all medical studies are published in. Unfortunately we still have a broken publishing system in the US so it is insanely expensive to read articles/studies published in these journals unless you work somewhere with an institution-level account.
> depression seems to be something everybody has to a certain degree
One of the things that infuriates my wife, who suffers from clinical depression, is the conflation between "clinical depression" vs. the run of the mill use of "depression", eg, "I'm depressed because my team lost this weekend."
Many people think clinical depression is just like the trivial kind of depression but it the person can't shake it off. It is like telling a starving person that, hey, I was hungry a couple weeks ago but I simply got busy doing something and I forgot that I was hungry. You should try it!
My wife said this cartoon captures a lot of her own experiences.
There are multiple kinds of depression. Some qualitative, some quantitative, and some a mix.
We categorize diseases by their symptoms, but multiple different diseases can have identical symptoms. When this happens, we often label that group of symptoms as one disease. We start to give it multiple different names once we have multiple kinds of treatments, each treating each kind. Psychology has this problem where multiple diseases have overlapping symptoms, and because we haven't found out a single magic bullet, we often think of depression as one thing today, when really it should be thought of as a myriad of different diseases that each give a similar profile of symptoms.
I don't have any research for you but I suffered from "real" depression up to my mid-20's. Everybody gets depressed from time to time but the "real thing" is definitely an actual disorder of some kind.
As for whether normal depression is adaptive, I think you would have to go back in time ~20K and see if pre-civilized humans suffered from it like we do.
I've taken meds for it before and found it to be an awful experience. Being depressed in my opinion feels more like a systemic issue that can't be solved with any kind of drug.
If you lose people in your life and everything you ever loved is now gone for whatever reason then how can you do anything to yourself physically to stop being depressed? You would need spend time rebuilding your physical world so that you can rebuild your mental health.
Although the definition of "disorder" seems to imply a spectrum of behavior and once it gets to a threshold where it starts causing you significant daily difficulties they call it a disorder. That doesn't mean it is fake. Just that the environment you are trying to interact with doesn't lend itself to the behaviors you are exhibiting.
Everybody feels down from time to time, and that's normal. When you can't function at all for weeks, months or years on end, then it's clearly a disorder. "Can't function" can mean an inability to: get out of bed, to sleep normally, to bathe or otherwise take care of yourself, to experience pleasure, to eat normally, to work, and/or to concentrate. Usually these are combined with overwhelming feelings of: despair, worthlessness, hopelessness and/or isolation. Sometimes these people have suicidal thoughts and act on them.
People who have never experienced a mental illness often find it hard to understand what they are.
So has it been studied? Are there popular theories on what the mechanics behind depression are? I would be curious to know these.
Both, headaches and depression to me seem to have been "intentionally" developed by evolution. Pain has a reason: Tell you to not do certain things. Low energy / self esteem might also have a reason: Tell you to stay at home.
A broken leg on the other hand was not developed for a reason by evolution.
Evolution was no longer a factor as soon as we developed a complex society. So depression as an illness of the highly developed brain that has several layers of consciousness should probably not be compared with something like that and even if you do compare it, cancer has a clear cut evolutionary case why it’s happening. Do you want cancer? The evolutionary outcome is not really helpful from an individual perspective.
You think having depression is a moral failure? Do you know, or perhaps even love, someone with clinical depression? I do; we've been married more then 20 years, so I see it up close every day. It isn't a problem of morals or character.
To see her suffering and struggle daily and to have some internet expert claim she has a moral deficit is more than a little aggravating.
Something has gone wrong in the control loops that keep her a healthy balance point. The brain/body connection is real, not some new age woo.
OK, you are arguing a religious belief, and are ignoring the measurable biochemical anomalies in my wife's physical body. Please list some of these moral dilemmas that my wife is unable to handle that caused this condition, and why I should discount the decades of chronic pain caused by a genetic problem (EDS), the wrestling match with cancer, the familial disposition towards depression, the debilitating effects of living in a house affected by black mold, etc.
It's not that it's unproved, it's that people aren't interested in hearing the proof, because it would mean they would have to change. If you are interested in explanations, watch a couple of Fulton Sheen episodes linked to from https://sdegutis.github.io especially within the Family Retreat series or the Catechism series.
The one thing I'll say is that it seems like these drugs affect the brain in a way that's more akin to a super-placebo, rather than being therapeutic on their own. In other words, you would need to use the drugs in combination with therapy to obtain good results.
[1]: https://en.wikipedia.org/wiki/How_to_Change_Your_Mind