[HN Gopher] The high-stakes race to engineer new psychedelic drugs
       ___________________________________________________________________
        
       The high-stakes race to engineer new psychedelic drugs
        
       Author : gtsnexp
       Score  : 91 points
       Date   : 2022-07-31 10:24 UTC (2 days ago)
        
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 (TXT) w3m dump (www.wired.com)
        
       | anglojlo wrote:
       | Just legalize the ones we got already.
        
       | throw819352119 wrote:
       | I have a friend who has severe depression, including self harm
       | and thoughts of suicide. So far guided meditation sessions and
       | antidepressants have had little effect.
       | 
       | I have read that some illicit drugs can be effective in treating
       | depression, even after just one or two uses. Can anyone suggest
       | what might be the best option out of ketamine, shrooms, LSD or
       | MDMA?
        
         | scythe wrote:
         | Speaking very broadly, ketamine has shown positive effects on
         | depression, MDMA on PTSD, and psychedelics on grief and to some
         | extent anxiety. So it really depends on what your friend is
         | dealing with in their personal life.
        
           | pcthrowaway wrote:
           | By "psychedelics" do you mean psilocybin? As Ketamine and
           | MDMA are also both psychedelic
        
             | scythe wrote:
             | I mean "classical" psychedelics whose activity is primarily
             | mediated through activation of the 5-ht2a receptor.
        
         | cannaceo wrote:
         | Ayahuasca, then MDMA.
        
         | vorpalhex wrote:
         | Please don't give your severely depressed friend random street
         | drugs in hopes it will magically help them.
         | 
         | You are not equipped to purity test them, severely depressed
         | people can become more suicidal on rebounds, and you are almost
         | certainly not equipped to care for them if they hit a major
         | health issue.
        
         | MonkeyMalarky wrote:
         | If their depression stems from isolation and the inability to
         | relate to, trust, or connect with others then I'd recommend
         | MDMA.
        
       | phkahler wrote:
       | >> As psychedelic therapies for mental health go mainstream,
       | companies are recruiting chemists to create patentable versions
       | of hallucinogens.
       | 
       | Same old same old. Let's tweak this molecule to make it "novel"
       | while retaining it's cool properties. Then we can patent it and
       | own the market. In this case they also get the advantage that the
       | existing molecule is illegal.
        
         | labrador wrote:
         | I'm not above making money off it if I can despite the Nurse
         | Ratched vibe: https://www.psychedelicfinance.com/
        
       | 8bitsrule wrote:
       | 'Engineered' experiences, huh? To what end?
       | 
       | At least the article 'tuned in' to Shulgin. More on Sasha and
       | Ann's prolonged studies, along with a big bibliography, here (Web
       | 1)
       | [https://www.erowid.org/culture/characters/shulgin_alexander/...]
        
       | labrador wrote:
       | It's sad that the only way to legalize is to force people to see
       | a qualified therapist and take patented psychedelics in order to
       | benefit from the experience, but that's what the normies want.
       | 
       | I've taken them with a therapist and it was meh because the
       | doctor/patient relationship became weird under the influence. On
       | the other hand I've had peak experiences by myself alone in a
       | redwood forest on a fresh clear morning.
        
         | standardUser wrote:
         | Mushrooms are being lightly legalized in some cities and
         | states. And while a lot of that is under the umbrella of mental
         | health or spirituality, it is not being confined to medical
         | environments. The normies appear to be losing that particular
         | battle. And I think they're set to lose a lot more.
        
           | labrador wrote:
           | There are some spots in American where that is very true,
           | such as my hometown of Santa Cruz
           | 
           | That said, I am not opposed to a therapeutic setting if
           | that's what people who never tried them feel comfortable with
           | 
           | Leading the psychedelic renaissance: https://maps.org/
        
         | cflewis wrote:
         | As a normie for whom ketamine treatment was a life changer, I
         | can attest I would never ever have taken it without specialist
         | supervision. And by specialist, I mean someone qualified, not
         | some dude who has done plenty and has a K dealer.
         | 
         | I would hazard there's a large contingent of normies for whom
         | the difference between supervised medical treatments that
         | happen to be psychedelics and just the act of taking
         | psychedelics is too large a leap.
         | 
         | I personally hate the experience. The hate is part of the goal
         | of being able to stop being in control all the time, but it
         | doesn't mean I like it. I also hate the hangover feeling
         | afterwards, but the neuroplasticy benefits have been profound
         | and so I keep doing the treatment.
         | 
         | TL;DR benefits are there, normies should be allowed them too,
         | non-normies I assume can still do black market work.
        
           | rjbwork wrote:
           | >non-normies I assume can still do black market work.
           | 
           | Why do you want non-normies to have gun toting government
           | thugs put them in a concrete box for 20 years because they
           | don't want to get a permission slip to do the same thing you
           | did?
        
           | [deleted]
        
           | labrador wrote:
           | I'm excited by what you describe and glad for it, but my
           | sadness is that I could still be arrested by possessing
           | mushrooms I picked for myself in a forest. I've been
           | confronted by the authorities over this issue and believe me
           | it is not a pleasant or healing experience.
        
         | Gatsky wrote:
         | These drugs clearly have risks. I know a case who took LSD and
         | amputated his genitals during the trip (heard this first hand
         | from the urologist who reattached said genitals). Sure, many or
         | even most people will be fine, but some clearly won't. Sure, he
         | has a mental illness and took too much and was alone, but
         | that's exactly the issue. Do you have any suggestions how to
         | make these drugs broadly safe without giving in to the
         | supposedly unreasonable demands of the 'normies'?
        
         | game-of-throws wrote:
         | Is it really what "normies" want? Or is it just what drug
         | companies/lobbyists want?
        
           | criddell wrote:
           | I think at least some normies want that. I'm pretty much as
           | normie as it gets and I've been watching Michael Pollan's
           | series on Netflix _How to Change Your Mind_. One day I might
           | want to try LSD, psilocybin, or MDMA (those are the episodes
           | I 've watched) but probably wouldn't until I could buy from
           | an FDA regulated company. I don't trust dark web sources or
           | the neighborhood guy who knows a guy.
        
             | engineer_22 wrote:
             | Reach out to a friend and explain your situation, I'm sure
             | you can find what you're looking for. These substances are
             | ubiquitous. You might benefit from having a friend around
             | while you're tripping, anyway.
        
             | km3r wrote:
             | You can and should test any substance you acquire from an
             | unregulated source.
        
               | [deleted]
        
               | [deleted]
        
             | tayo42 wrote:
             | You can test what you buy with multiple reagent tests to
             | make sure what you have is what you think it is. You can
             | even send to labs if your extra paranoid. Also the dw runs
             | on reviews. Some one selling something fake won't last
             | long. Some have reputations from years of selling.
        
             | gjs278 wrote:
        
           | labrador wrote:
           | In America we live in a democracy (last I checked) so it's
           | the mainstream public who decides in the end. The people in
           | various western states were the first to decide that
           | marijuana should be legal. So by normies I mean mainstream
           | voters who worry about their children having uncontrolled
           | access to psychedelics. Normies believe rules are made to be
           | followed and laws are there for a reason.
        
             | TylerE wrote:
             | Legalization would decrease underage availability, if
             | anything.
             | 
             | To quote an older friend who grew up in a dry county in
             | Alabama: "The bootleggers didn't care how old you were
             | which was a good thing because I liked to drink and when I
             | was 16 I looked 13"
        
           | NickC25 wrote:
           | Probably a mix of both. People who have some experience with
           | drugs might want the benefit of the trip, but people who are
           | a little more hesitant of the idea of mind-altering
           | substances that last 8+ hours, such as LSD, might be more
           | comfortable with some sort of watered-down experience backed
           | by a major pharma brand and delivered by a licensed
           | therapist.
           | 
           | Of course, drug companies and lobbyists also dream of such
           | outcomes.
        
             | criddell wrote:
             | Is an inexpensive drug that can "cure" PTSD after a very
             | small number of doses a dream or nightmare for drug
             | companies and lobbyists?
        
               | vorpalhex wrote:
               | Someone does lsd and shoots up a gas station.
               | 
               | Was it the lsd or were they just already nutters? Nobody
               | knows.
               | 
               | Telling people to take strong drugs that are purity
               | tested and in a supervised clinical setting is sensible,
               | not some conspiracy.
        
               | NickC25 wrote:
               | A nightmare - as said companies will have a fixed amount
               | of revenue per patient, and it won't be recurring.
               | 
               | Wall Street doesn't like companies that go against the
               | ingrained model of "extremely expensive long term care as
               | a service".
        
               | colinsane wrote:
               | what of the insurance companies though? if they no longer
               | have to pay for recurring treatments, then more of the
               | customer's monthly premium can go to the shareholder.
               | Wall Street gets their recurring revenue one way or
               | another.
        
               | criddell wrote:
               | Insurance is regulated. Typically they can only hold on
               | to about 20% of the premium. If they collect too much
               | money, you will get a rebate check mailed to you.
        
         | heap_perms wrote:
         | I think utopia would be to have _both_. That would mean
         | legalization, and free distribution, but you can still take it
         | in a therapy setting if you want to.
        
       | mathgladiator wrote:
       | Do we really need new ones? Maybe, we just need to decriminalize
       | nature and let a shamanic class arise to guide us on a spiritual
       | journey of self-awareness.
        
         | engineer_22 wrote:
         | What could possibly go wrong?
        
           | unethical_ban wrote:
           | Freedom is default. Your burden is to explain why an
           | individual can't take a psychedelic drug.
        
           | LocalH wrote:
           | Things are certainly not going "right" now, where everything
           | medical has to be gatekept
        
           | tastyfreeze wrote:
           | Shamanic rituals have been the cornerstone of many of the
           | great civilizations of the past. Why are substances that
           | induce introspection and a sense of belonging to something
           | greater than yourself banned?
        
             | vorpalhex wrote:
             | Sometimes they cause psychotic breaks and Timmy eats off
             | Becca's ear or runs buck naked into the woods and dies.
             | 
             | You know, that sorta stuff.
        
           | asdff wrote:
           | The rituals are already happening. We just choose to ruin
           | people's lives over it.
        
           | stocknoob wrote:
           | What could possibly go wrong with a society full of people
           | living unexamined lives?
        
             | [deleted]
        
             | vorpalhex wrote:
             | Mostly they end up kind of boring or being jerks. That is a
             | very well known outcome.
        
           | mathgladiator wrote:
           | I'm sure lots can go wrong, but the justice department is the
           | wrong place for these issues to be resolved.
        
       | NickC25 wrote:
       | There was an NYT article not too long ago whose entire point is
       | that "true" psychedelic drugs are too dangerous to go mainstream,
       | but isolated chemical compounds that provide some of the chemical
       | effects of LSD / Mushrooms / Ketamine without the "trip" were a
       | much better way to go. The reasoning was that they could engineer
       | a way to chemically induce neuroplastic change in the brain
       | without the liability of visual or auditory hallucinations.
       | 
       | Talk about missing the forest from the trees.
       | 
       | The whole transformative experience is the "trip" itself. Dosing
       | myself in a therapist's office sounds terrifying. The best
       | experience I've ever had was taking a hit of LSD in my living
       | room and spending the day with a pen and paper, writing down
       | thoughts as they came to me.
        
         | user90323432 wrote:
         | The problem is that Pharma companies can't patent and sell a
         | full spectrum product. They can only make the big bucks by
         | getting a certain compound approved after going through the
         | full FDA process on that one particular compound. It's the same
         | thing we saw with kratom. The FDA had multiple attempts over
         | the last 7 years to ban it, while kratom is basically as
         | harmless as coffee. It took a massive grassroots effort to stop
         | the ban. Then shortly after it comes out that GlaxoSmithKline,
         | who the FDA head (Scott Gottlieb) at the time of the attempted
         | ban sat on the board for just a year prior, was trying to bring
         | synthetic 7-hydroxy-mitragynine (7hm is thought to be a main
         | active ingredient in kratom) to market, which it has a patent
         | on. Follow the money people
        
         | jokowueu wrote:
         | i have tried all the psychadelics that dont provide "trips" .
         | all of them were complete failures yet they show effects on
         | mice for some reason but when did that ever matter.
         | 
         | The only interesting one that was impressive was tabernanthalog
         | but even though it didn't produce a twitch response in mice it
         | clearly had a psychadelic effect
        
           | elevaet wrote:
           | How did you end up getting to test tabernanthalog and these
           | other novel compounds?
        
             | jokowueu wrote:
             | I belong to a group where we group our money together to
             | either get the required precursors to make them or hire
             | chemists over seas . It's quite easy but larger quantities
             | are required to bring down the cost
             | 
             | There are a lot of other substances as well just recently
             | we were able to procure very cheap rapamycin for people
             | with autoimmune issues
             | 
             | If you are interested in joining or just look around reply
             | to me here
        
               | kennyloginz wrote:
               | How do I join? ( serious question)
        
         | 14 wrote:
         | Where does one buy LSD this day and age. Doesn't seem very
         | popular in my neck of the woods and have not heard anyone
         | having it since I was in high school 20 years ago.
        
           | Fargoan wrote:
           | There's an international network of computers used for
           | communication and commerce. You can find it on this network.
           | 
           | "1P-LSD - PsychonautWiki"
           | https://m.psychonautwiki.org/wiki/1P-LSD
        
           | kaoD wrote:
           | I recommend staying away from street dealers. There was a
           | huge influx of NBOx compounds sold as LSD blotters since 2017
           | (apparently there was a global LSD shortage around that year,
           | and IIRC they're cheaper to produce?) Their safety profile is
           | not well-understood but it looks like it's riskier than the
           | (very safe) LSD due to their vasoconstriction effects, and
           | fatal doses aren't that high compared to active doses, unlike
           | LSD which has a huge buffer.
           | 
           | Also people tend to describe their trips as being
           | subjectively less pleasant.
           | 
           | And please, if you have to resort to dealers, invest in a
           | cheap testing kit. You might be lucky and find a nearby non-
           | profit that can not only do a cheap reactive test, but also a
           | purity test.
           | 
           | Stay safe out there.
           | 
           | EDIT: Sibling comments also mention compounds like 1P-LSD
           | sold online. I'd still test those even if bought from
           | reputable vendors.
           | 
           | Anyways, their safety profiles aren't really that well
           | understood either. They're suspected to be just metabolized
           | into LSD and therefore pretty safe, but they're very new
           | (~2015) and after all they're research chemicals (or rather,
           | not-yet-researched chemicals). In comparison LSD had been
           | known for decades and it's pretty well understood.
           | 
           | I guess this is what prohibition leads to...
        
           | nick__m wrote:
           | It's been at least decade since I did LSD or it's derivatives
           | but I still read about them and I known that if you live in
           | Canada a search for indole lysergamine and ALD-52[1] should
           | lead you to a shop!
           | 
           | 1) https://psychonautwiki.org/wiki/ALD-52
        
         | s1artibartfast wrote:
         | Seems pretty testable. Co administer the LSD with something to
         | knock out the individual, and ideally prevent them from
         | dreaming.
         | 
         | You could determine if the benifit(s) arise from the the
         | process, experience, and dis/associations of the trip or simply
         | the subconscious biochemical fuckery.
        
         | turdit wrote:
         | the word you were looking for was probably "psychoactive" not
         | "neuroplastic"
        
           | NickC25 wrote:
           | Perhaps.
           | 
           | The whole point of the article is that psychedelics increase
           | neuroplasticity within the brain, and that pharma companies
           | are trying to synthesize a molecule that does exactly that,
           | but without the hallucinations.
           | 
           | Here's the article in question - perhaps there's something I
           | missed that you might understand better than I do:
           | https://www.nytimes.com/2022/07/15/opinion/hallucinations-
           | ps...
        
         | heap_perms wrote:
         | " _Talk about missing the forest from the trees. The whole
         | transformative experience is the "trip" itself. _"
         | 
         | I couldn't agree more. In fact, the trip itself is not a nice
         | side effect, it's the precondition to get measurable, long-term
         | positive changes.
        
           | TaupeRanger wrote:
           | That is a claim that would require a study to confirm. No
           | such study has been done to my knowledge.
        
             | thrown_22 wrote:
             | This is like asking for a study to prove you really love
             | your children.
             | 
             | Anyone asking either doesn't have any or needs help.
        
             | yababa_y wrote:
             | Studies have been done! Here is the latest one, for
             | psilocybin. The mystical experiences are deeply related to
             | therapeutic outcome https://www.frontiersin.org/articles/10
             | .3389/fphar.2022.8416...
             | 
             | Here is the first one I am aware of:
             | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3050654/. So
             | 14 years of evidence backing up this claim.
        
               | joshuajill wrote:
               | These mystical experiences are part of the outcome, not
               | an environmental variable. There maybe anecdotal or some
               | other kind of evidence in the sense of what the effect of
               | the supporting environment is on the long term.
        
             | joshuajill wrote:
             | Research on psychotherapeutic use of hallucinogens is done
             | on this premise. At this point I believe it would be
             | unethical to perform such a study. It would risk exposing
             | subjects to psychological harm.
             | 
             | Edit: on the premise that the environment is crucial for
             | the outcome. This means creating a safe comfortable
             | environment. Maybe with these new drugs will show otherwise
             | in time.
        
               | joshuajill wrote:
               | These are the current guidelines
               | https://pubmed.ncbi.nlm.nih.gov/18593734/
        
           | sharklazer wrote:
           | My belief is that the "trip" is us being able to observe more
           | about our brains than we typically access. My personal
           | experience indicates to me that the "trip" is removing
           | filtering processes the brain uses to remove noise and
           | irrelevant information to the task at hand. When in a "trip"
           | then, it's more like we are seeing what our brain sees--the
           | things that appear auditorilly and visually are due to neural
           | circuits overfitting and subsequently not being able to
           | filter the misreads and "extra data".
           | 
           | I've always thought of it like a self-diagnostic mode/tool
           | where we get exposed to debug data that our brain normally
           | would filter out.
        
             | nickparker wrote:
             | Anyone curious about psychedelic methods of action,
             | particularly based on their personal experience, should
             | read Surfing Uncertainty or at least the SSC review/summary
             | of it.
             | 
             | The predictive processing interpretation of these drugs is
             | that they change the balance between top-down predictive
             | generative models from our "deep" brain and noisy bottom-up
             | sensory percepts from the peripheral brain. When you get
             | super-resolution like experiences of banal everyday
             | textures, that's your peripheral brain failing to filter
             | them out for lacking novelty, when you get psychedelia
             | style visuals that's intermediate "layers" of abstraction
             | running amok, and when you go off on extended narrative
             | experiences fully detached from reality that's the deep
             | generative models doing their own thing unmoored from the
             | error signals your senses would otherwise generate.
             | 
             | It's an awesome book in many other respects, but IMO the
             | best bit is how many plausible mechanistic explanations it
             | offers for psychedelic experience.
             | 
             | https://slatestarcodex.com/2017/09/05/book-review-surfing-
             | un...
        
           | zionic wrote:
           | >long-term positive changes.
           | 
           | Proponents frequently mention things like this, yet _no one_
           | who publicly admits to psych use is someone I want to be.
           | 
           | All the people I've ever met, and friends who didn't but
           | started down that road, aren't "all there" anymore. They'll
           | preach day and night about the "benefits", but from the
           | outside looking in it's obviously a coping mechanism.
        
             | recyclelater wrote:
             | I publicly, to my peer group at least, state I have enjoyed
             | benefits of psychedelic drugs every five or ten years, I am
             | pretty sure I have my shit together compared to most
             | people. That being said i know the people you are talking
             | about, but they in my experience use drugs much more
             | frequently. Multiple times a year, and regularly also smoke
             | weed etc.
             | 
             | Obviously biased when talking about myself, but I think you
             | can split your judgement into a frequency argument rather
             | than a binary yes or no.
        
               | treeman79 wrote:
               | 35 years of dealing with friends and family addiction
               | issues.
               | 
               | They all believe it doesn't affect them negativity, that
               | people can't tell.
               | 
               | They are all wrong. We can see the changes in them. Good
               | or bad.
               | 
               | The ones that make an effort to get off for awhile are
               | usually shocked when they realize how they were being
               | affected.
               | 
               | I have never seen positive long term affects in anyone of
               | them. Even though they all claim otherwise.
               | 
               | My 2 cents
        
               | Dylan16807 wrote:
               | > They all believe it doesn't affect them negativity,
               | that people can't tell.
               | 
               | > They are all wrong. We can see the changes in them.
               | Good or bad.
               | 
               | Well the post you replied to didn't address being able to
               | tell.
               | 
               | > The ones that make an effort to get off for awhile are
               | usually shocked when they realize how they were being
               | affected.
               | 
               | 5 years is a while, surely?
               | 
               | > I have never seen positive long term affects in anyone
               | of them. Even though they all claim otherwise.
               | 
               | Do they still claim that after 5 years of non-use?
        
               | recyclelater wrote:
               | Addiction issues are a totally different animal. Just
               | look up the definition of addiction. I'll comfortably
               | stand by my statement of use on the order of every few
               | years being wellllllll within the margins of reasonable
               | use.
        
               | [deleted]
        
             | temp0826 wrote:
             | Are they happy? (Are you happy?)
        
             | thrown_22 wrote:
             | You do it a few times and move on with your life. The
             | Beatles famously only did it a handful of times during
             | their most productive period and stopped all together
             | eventually.
        
             | sianemo wrote:
             | While I may not be someone you want to be for specific
             | reasons relating to our individuality, I am a long time
             | psych user and I'm demographically and overall culturally
             | someone that is presented as desirable to be. I'm in a
             | reasonably high income percentile, I lack unsecured debt,
             | I'm happily married, I have a diverse social circle and
             | several personal hobbies, I stay physically active, and I
             | enjoy intellectual pursuits.
             | 
             | I'd be very curious to know what specifically about me, or
             | about something you assume about me, would make me someone
             | you don't want to be?
        
               | User23 wrote:
               | I know alcoholics who are well to do, out of debt,
               | happily married, and have a diverse social circle and
               | several personal hobbies, get exercise, and enjoy
               | thinking. None of that shows the merits of alcoholism. I
               | can't speak for the person you're replying to, but I
               | could guess that it's your drug addiction that they have
               | no desire to emulate.
               | 
               | Addicts insisting that their addiction isn't one is
               | cliche for a reason.
        
               | rjbwork wrote:
               | The idea of accusing someone of being a drug addict in
               | the context of psychedelic use is absolutely hilarious.
               | You sound completely uninformed and pretty much nobody
               | should take you seriously on this topic.
        
               | thatcat wrote:
               | alcohol is neurotoxic and addictive. psychs are
               | neurotrophic and non-addictive, but the purity isn't
               | guaranteed. Impurities are common in blackmarkets.
        
               | sianemo wrote:
               | Setting aside the hilarious disrespect of assuming that
               | I'm a drug addict from single comment on the internet,
               | you are capable of realizing that taking issue with
               | people who use a drug only because of the mental and
               | social association you have of people who use the drug is
               | a super tight loop of circular logic, aren't you?
        
               | scythe wrote:
               | High frequency of use is a necessary condition for
               | addiction.
        
               | toss1 wrote:
               | >>necessary condition for addiction. Necessary, but not
               | sufficient
               | 
               | You might also note that the GP said nothing about
               | frequency of use, only "long time psych user", AND that
               | no one here has defined "high frequency" in terms of an
               | actual threshold for addiction.
               | 
               | The fact is that for all drugs, and especially for the
               | psychedelics, there are far many more people who use
               | occasionally and responsibly than the subset who are
               | addicted. AFAIK, the psychedelics are not considered
               | addictive at all, either physically/physiologically or
               | mentally.
        
               | LocalH wrote:
               | Psychedelics are largely not "addictive". Certainly not
               | physiologically, and almost certainly not mentally.
        
               | zone411 wrote:
               | They actually show promise for stopping additions.
        
               | [deleted]
        
             | digdugdirk wrote:
             | This post suggests sustained long term usage.
             | 
             | The compounds being discussed can have major long term
             | effects from one/few experiences.
             | 
             | If 5 "trips" over the span of as many years in someone's
             | early twenties provided a decade of long term positive
             | changes, would you classify that as a coping mechanism?
        
             | ruined wrote:
             | as with anything, there is a set of people who are _too
             | excited_ , and they are all evangelists
             | 
             | you know plenty of people who aren't vocal about their
             | experiences because they understand it's not appropriate or
             | acceptable in the situations you have shared.
        
             | asdff wrote:
             | OTOH I think you'd be surprised at how many people you know
             | in your daily life probably are taking psychedelics these
             | days, especially on the west coast.
        
             | zone411 wrote:
             | Read a meta study like
             | https://mindmedicineaustralia.org.au/wp-
             | content/uploads/Long.... From section 3.3-3.4, you can see
             | that psychedelic use is beneficial for anxiety and
             | depression and results in improved well-being, increased
             | openness to experience and increased spirituality.
             | Psilocybin-assisted psychotherapy for substance abuse has
             | positive effects. The safety profile shows that they are
             | not risk-free but that there are few negative long-term
             | effects.
        
             | ad-astra wrote:
             | This is the kind of anecdote that I used to hear about
             | smoking weed. Tripping can be abused as a means of escape
             | like many other things (work etc), but over-use without a
             | proper cool-off/reintegration period can definitely throw
             | one off psychologically. It's a powerful tool that should
             | be feared and respected (like the ocean) for its ability to
             | fuck you up if you're reckless.
        
             | scythe wrote:
             | People who do a bad job of concealing their illegal
             | activities probably make other failures in judgment, too.
             | The most well-adjusted psychedelic users I've met were the
             | ones who only told me after I had known them for years.
        
         | Scoundreller wrote:
         | It's like when med chemists trialled a cannabinoid-blocker as
         | an experimental appetite suppressant. Surprise surprise, it
         | gave the participants depression and suicidality.
         | 
         | Like, what did you expect?
         | 
         | https://www.nature.com/articles/nrcardio.2010.148
        
         | TaylorAlexander wrote:
         | Well, I love my therapist, and research suggests that
         | psychedelic assisted therapy is effective. I've never taken a
         | large dose of mushrooms because I am nervous about where it
         | would take me, so personally doing that with my therapist could
         | be pretty nice. Tho expensive lol.
         | 
         | I've only really done LSD once tho and it was interesting, and
         | seemed more low key than shrooms, so maybe I should try that
         | again.
        
           | ActorNightly wrote:
           | You likely did a starter dose of LSD. Also, it doesn't depend
           | on stomach processing to activate, which means its not diet
           | dependent - shrooms very much are. Plenty of people make a
           | mistake of taking shrooms after eating a meal, not getting
           | anything after an hour, taking more thinking their shrooms
           | are weak, and then when it hits they are taken for quite a
           | ride.
           | 
           | The right way to dose shrooms IMO is not eating 4 hours
           | prior, ground up fine (and optionally put into gel capsules
           | if you can't stand the taste), and taken with OJ. This gives
           | you a very strong and peaky trip at minimal doses, but the
           | peak lasts for 2-3 hours, whereas LSD is generally a whole
           | day affair event at lower dosages.
           | 
           | Its also worth while imo to grow your own shrooms. There is
           | this philosophical meta element of taking charge and creating
           | your own medicine which then you take can better your own
           | life, which can be a very positive thought during the trip.
        
             | TaylorAlexander wrote:
             | Oh sure. Yeah I've done all that, including growing them.
             | But I always take them on an empty stomach. The thing is
             | that shrooms bring up a lot of deep emotions for me which
             | can be hard to handle. I don't have much experience with
             | LSD but that trip was more cerebral and easier to deal with
             | than the emotional roller coaster of shroom trips I've had.
             | Maybe it was just the dosage, I don't know.
        
           | recyclelater wrote:
           | It's not more low key it's actually much more intense, or
           | rather can be depending on dosage. Easier to exact dose with
           | LSD. Mushrooms are over quicker and as a result can be more
           | pleasant.
        
           | akvadrako wrote:
           | Well you can get a guide (or just an experienced friend) for
           | less than a therapist.
           | 
           | Also, LSD is not lower key than shrooms; maybe you took a
           | smaller dose or personally have a tolerance. But with high
           | doses they can both be very intense.
        
             | TaylorAlexander wrote:
             | Shrooms bring up a lot of emotions for me, while LSD felt
             | more cerebral. I found the LSD easier to deal with. But
             | then, I have less experience with it.
        
         | mkoryak wrote:
         | sounds like you had a good trip.
         | 
         | If you had a bad trip, you might feel differently about it.
        
           | rrrrrrrrrrrryan wrote:
           | "Good trip" and "bad trip" are older terms created by
           | recreational drug users who wanted to get high and have a
           | good time.
           | 
           | Today, in therapeutic contexts, they use "easy trip" and
           | "difficult trip" to give patients a sense of what to expect,
           | and some context for how to interpret the experience they're
           | about to have.
           | 
           | Some trips are like tropical vacations; peaceful respites.
           | But others feel closer to climbing a perilous mountain, or
           | trekking through endless desert, or slogging through dark
           | marshlands.
           | 
           | Some of the most fulfilling journeys in life can be quite
           | uncomfortable and hard, and notably, 70% of people that have
           | bad/difficult trips do not regret the experience.
           | 
           | What makes the trip is worthwhile is if it causes you to
           | learn and grow in a meaningful way.
        
           | sharklazer wrote:
           | I've had several bad trips in my life. I think they are the
           | most impactful and clarifying. Uncomfortable for sure. Good
           | trips let me know I'm comfortable with myself. Bad trips
           | usually lead to uncovering or bringing to the front things
           | that need to be addressed in my life.
        
           | sianemo wrote:
           | I have had good trips and bad trips on a variety of highly
           | psychedelic substances, and I've had a lot of those trips.
           | Trying to engineer the trip out of the drug to get a desired
           | psychoactive result free from pesky side effects like not
           | being as grounded to reality for a while is absolutely
           | missing the forest for the trees. Not to say that it can't
           | produce some benefit but it's leaving a lot of unexplored
           | potential on the table, largely in deference to failed
           | puritanical ideals about recreational drug use.
        
           | golergka wrote:
           | I've had many bad trips throughout my life, and they have
           | always been the most educational. Learning about your
           | shortcomings and confronting your demons and traumas isn't
           | supposed to be a pleasant experience.
        
           | anigbrowl wrote:
           | It's not that simple at all. Bad trips can be more
           | therapeutic than good ones. If you have tripless
           | neuroplasticity, (a possibility I doubt) then what's your
           | feedback mechanism? You might wind up selecting for shitty or
           | dysfunctional behavior.
        
             | [deleted]
        
         | ngold wrote:
         | Couldn't agree more. One of my best trips was in a closet
         | reading Peters principle.
        
         | scythe wrote:
         | >the liability of visual or auditory hallucinations.
         | 
         | The visual/audio effects aren't what gets you on a trip,
         | though. It's the headspace, the distortion of "automatic self-
         | recognition", and to some extent, the role of the crucial
         | 5-ht2a receptor in the sleep-wake cycle: all 5-ht2a antagonists
         | are soporific, and almost all psychedelics produce insomnia as
         | a side effect. A bad trip leading to worse after-effects
         | practically always proceeds through a sleepless night.
        
         | danaris wrote:
         | > Dosing myself in a therapist's office sounds terrifying. The
         | best experience I've ever had was taking a hit of LSD in my
         | living room and spending the day with a pen and paper, writing
         | down thoughts as they came to me.
         | 
         | And I personally know people for whom the exact opposite is the
         | case. I'm very much looking forward to the rise of psychedelic
         | therapy.
        
           | NickC25 wrote:
           | And that's a good thing! I am in NO way advocating for a one-
           | size-fits-all approach. There should be many different
           | avenues available for those who wish for different
           | experiences. For people who aren't experienced with
           | psychedelics, doing it in a place they are comfortable in is
           | of utmost importance. The same logic applies to those who are
           | experienced with the substances.
           | 
           | If you want to trip in nature, or on your couch, or in your
           | therapist's office, or wherever else you might find to be the
           | optimal set/setting for your experience, you should be able
           | to do so.
           | 
           | That said, I'm all for taking whatever works in a setting
           | that works for the user.
        
           | dmix wrote:
           | You mean the isolated subparts right, not actually doing LSD-
           | style drugs in a clinical setting?
           | 
           | Every person I know who had a 'bad trip' did so at a concert
           | or some place they weren't alone or in a quiet area outdoors
           | with close friends (not that there aren't rare exceptions to
           | this rule).
        
         | WalterSear wrote:
         | > The whole transformative experience is the "trip" itself.
         | 
         | IMHE, it's not, at least in regards to (racemic) ketamine and
         | depression. The benefit doesn't appear until ~24 hours later,
         | and the effect scales with dosage, but not trip intensity or
         | outcome.
         | 
         | I found taking it almost unpleasant at times, but the
         | subsequent effects uniformly profound. Unfortunately, I
         | developed a rare health issue, or I'd still be taking it.
        
           | debenedictis wrote:
           | I too developed a rare health issue, OABSS.
           | 
           | "In our study, OABSS (overactive bladder symptom score)
           | significantly increased with the combined use of ketamine and
           | marijuana (P = 0.016). Cannabinoids are the active components
           | of marijuana, and select cannabinoid receptors, CB1 and CB2,
           | have been identified in the human detrusor and urothelium."
           | 
           | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6510790/
        
       | [deleted]
        
       | chiefalchemist wrote:
       | Sad really. As this headline might as well be: "Big Pharma:
       | Patents Equal Profits."
       | 
       | There are plenty of cultures and associated history to support
       | using what we already have available.
       | 
       | The only reason to invent anything new would be to control access
       | and make a buck. We're going through that with the Covid vaccine.
       | What does it take for us to learn from our mistakes?
       | 
       | https://www.npr.org/sections/goatsandsoda/2022/07/13/1111137...
        
       | BLO716 wrote:
       | Here's a legit question - what is single driving factor for
       | increases in substance abuse? Asking for a friend.
        
         | MonkeyMalarky wrote:
         | For many people it is the same as it ever was, an escape from a
         | bleak and miserable reality.
        
         | scythe wrote:
         | In adolescents, it's exposure to violence and/or family
         | members' drug abuse. The latter is very unsurprising.
         | 
         | https://psycnet.apa.org/record/2000-13544-003
         | 
         | >Major findings were (a) adolescents who had been physically
         | assaulted, who had been sexually assaulted, who had witnessed
         | violence, or who had family members with alcohol or drug use
         | problems had increased risk for current substance
         | abuse/dependence; (b) posttraumatic stress disorder
         | independently increased risk of marijuana and hard drug
         | abuse/dependence; and (c) when effects of other variables were
         | controlled, African Americans, but not Hispanics or Native
         | Americans, were at approximately 1/3 the risk of substance
         | abuse/dependence as Caucasians. (PsycINFO Database Record (c)
         | 2016 APA, all rights reserved)
        
         | akimball wrote:
         | Dysphoria
        
       | kodah wrote:
       | I recently did LSD. It wasn't my first encounter with
       | psychedelics but none have done what LSD did. I have a good bit
       | of trauma that I'd attempted to work through throughout my life.
       | The thing is, many of those things are settled. I cannot change
       | them, I've course corrected my life away from my actions being
       | influenced by these things, and on the exterior I think most
       | people would find me well adapted. I was pretty miserable on the
       | inside though; those traumas hue the depths of your soul in ways
       | that intentional and advertent action cannot rectify, only mask.
       | 
       | LSD gave me the power to set those things to sea and give them
       | the burial they needed. Not all of them are gone, but I'm in a
       | much better place because of it.
       | 
       | There is nothing different that I need, just make it so I don't
       | have to order it on the dark web.
       | 
       | Edit: Happy to answer questions about my experiences. Can also be
       | reached on Libera if public questions are not what you want.
        
         | standardUser wrote:
         | I think most of us are desperate to see ourselves from a
         | different perspective (whether we realize it or not), but
         | that's really hard to do when success in our day-to-day lives
         | depends on us having a stable vision of ourselves and our place
         | in the world. I think a lot of experiences, including a lot of
         | drugs, can help either provide a temporary new perspective, or
         | even shift our everyday view of ourselves and our lives more
         | permanently. LSD seems to be one of the most effective.
        
         | mysore wrote:
         | mdma is generally even more powerful for healing trauma.
         | 
         | Or rather MDMA can accelerate healing by released "stored
         | unprocessed memories"
         | 
         | LSD can help you by showing you a possibility of whats possible
         | by dissolving the prision of identity and seeing the world from
         | a non-local perspective.
        
         | randomopining wrote:
         | How big of a dose?
        
           | kodah wrote:
           | It was about a single tab. Not enough to have any color
           | blending or anything like that.
        
       | huetius wrote:
       | With the collapse of the SSRI hypothesis, I feel like there was a
       | missed opportunity to interrogate what it is about the affluent,
       | technological society that makes such a staggering number of
       | people so depressed. It seems that we will instead
       | (characteristically) plow forward with even more powerful drugs.
        
         | anigbrowl wrote:
         | Just because it hit the news last week doesn't mean the window
         | has closed. You jsut have to be willing to get in
         | arguments/break up with people who dislike hearing their
         | assumptions questioned.
        
         | jeffreyrogers wrote:
         | I don't think that the collapse of the serotonin hypothesis
         | means that SSRI's don't work, just that they don't work via
         | increasing serotonin levels.
        
       | AnimalMuppet wrote:
       | "High" stakes? Someone at Wired likes a good pun...
        
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