[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) (HTM) web link (www.wired.com) (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... ___________________________________________________________________ (page generated 2022-08-02 23:01 UTC)