[HN Gopher] Psilocybin 'promising' for depression
       ___________________________________________________________________
        
       Psilocybin 'promising' for depression
        
       Author : aluket
       Score  : 279 points
       Date   : 2021-04-15 05:25 UTC (17 hours ago)
        
 (HTM) web link (www.bbc.co.uk)
 (TXT) w3m dump (www.bbc.co.uk)
        
       | Geee wrote:
       | Are psychedelics connected to dreaming? I mean, maybe dreams are
       | supposed to somehow reset or recalibrate brains, but on some
       | people it's not working for some reason. Also, there's a
       | connection of what you eat and what you dream, so my wild
       | hypothesis is that gut bacteria is responsible for recalibrating
       | your brain during sleep. There's also quite strong evidence for
       | correlation between gut bacteria and mental health. Somehow these
       | are connected. Also, exercise, especially running has a mental
       | health effect. Maybe it just mixes your gut bacteria.
        
         | elisaado wrote:
         | The following is anecdotal, but many people report more vivid
         | dreams after recreational use of LSD.
        
       | fighterpilot wrote:
       | > In a phase 2, _double-blind_ , randomized, controlled trial
       | 
       | It seems like you _can 't_ blind the participants in this case?
       | It should be obvious if you're getting the treatment because
       | psilocybin is a hallucinogen, unless they're giving such a small
       | dose that it reliably doesn't cause any hallucinations?
       | 
       | This is important because most (70-80%) of the effect of existing
       | anti-depressants is known to be placebo, and there's already
       | concern that you can't blind in regular anti-depressant trials
       | because the participant might know they receive treatment due to
       | feeling the side effects of the drug (e.g. insomnia). The problem
       | of being unable to blind participants would seem to be magnified
       | in a psilocybin trial.
        
         | queuep wrote:
         | I'm not an expert in this, but if they gave 25mg psilocybin
         | (not purified) you would probably not hallucinate (of my
         | readings in the reddit posted in another comment here). But I'm
         | not sure if its possibly to purify it, and I'm not sure what
         | effects 25mg of "purified" psilocybin would have.
        
         | david_allison wrote:
         | > It seems like you can't blind the participants in this case?
         | It should be obvious if you're getting the treatment because
         | psilocybin is a hallucinogen, unless they're giving such a
         | small dose that it reliably doesn't cause any hallucinations?
         | 
         | An active placebo can be used. For example: a high dose of
         | methylphenidate and hallucinogen-naive adults.[0]
         | 
         | [0] Griffiths, et al. (2006)
         | https://www.hopkinsmedicine.org/press_releases/2006/griffith...
        
       | kodah wrote:
       | I see articles about curing depression from time to time and I
       | have hope but not much. I have lived most of my life as a
       | depressed kid. The most jolting realization that I had as an
       | adult was that around sixth grade I was contemplating suicide
       | without knowing what that word meant. Since then, life has been
       | like a long, slow death march. If you asked most of my friends
       | they'd likely tell you that I'm really happy, funny, quirky, and
       | eccentric but inside I battle the demons of my own mind. I've let
       | those demons shape my understanding of the world before and each
       | day they don't these days is a choice. I've used cognitive
       | behavioral therapy as a tool to do battle against them, I take
       | daily melatonin, and I take long vacations but those things are
       | coping mechanisms. The days I am hit with depression that wants
       | to keep me anchored to my bed are the days I really go to war. I
       | have to keep my mouth shut more because whatever I say on those
       | days will almost assuredly be tainted with tinges of, _I hate
       | myself and am discontented with the world_ tones. I have to
       | pressure myself to focus. When the day is over I throw myself on
       | the couch and hope that tomorrow that veil is lifted.
        
         | marsrover wrote:
         | As someone who also struggled with depression from an early
         | age, taking mushrooms cured it.
         | 
         | I haven't taken them in over a decade and I did get in a funk
         | during the pandemic, but the difference between the day before
         | taking mushrooms and the days after are like night and day.
         | 
         | I would bet money that it would help you. If you decide to try
         | them out, all you need is 3.5 grams and someone experienced to
         | take them with you or at least sit with you. Oh, and put on
         | some Shpongle.
        
       | splithalf wrote:
       | But who knows what will happen to these subjects 50 years from
       | now! There could be blood clots! /s
        
       | Gatsky wrote:
       | The study was just published in the most prestigious medical
       | journal in the world [1].
       | 
       | Whatever you think of the study, this is rather significant. If
       | you told me even 2 years ago there would be a randomised trial of
       | magic mushrooms in NEJM, I would not have believed it for even a
       | second.
       | 
       | One point not to miss is that they screened 1000 patients to come
       | up with the study population of 59.
       | 
       | Nevertheless, I consider the study result quite promising,
       | considering patients only had 2 doses of psilocybin.
       | 
       | [1] https://www.nejm.org/doi/full/10.1056/NEJMoa2032994
        
         | ButtSpark69 wrote:
         | "If you told me even 2 years ago there would be a randomised
         | trial of magic mushrooms in NEJM, I would not have believed it
         | for even a second."
         | 
         | In a lot of ways, that's completely depressing for how slowly
         | we've come as a species.
        
           | [deleted]
        
           | Fricken wrote:
           | "The species" has been using psychedelics in religious
           | ceremonies for a long time. We're just out of the loop.
        
           | sneak wrote:
           | I agree wholeheartedly, Mister ButtSpark69. For all our
           | civilization's progress, we still have so far to go.
        
           | refurb wrote:
           | Wait until you learn some history about how regressed!
        
           | o_p wrote:
           | Maybe some mushrooms could help you with that
        
         | mrwww wrote:
         | 2 doses of psilocybin, vs 6 weeks of SSRI's..! They also seem
         | to cite a big difference in lasting happiness, altough that
         | wasnt the focus of the study.
        
           | varispeed wrote:
           | You can clearly see why psilocybin is illegal. Follow the
           | money... I hope one day the companies and people behind this
           | will go to jail.
        
         | philshem wrote:
         | Due to the stigma of psychedelics, there has been a long gap in
         | research, which may have started with 1962 "Good Friday
         | Experiment"
         | 
         | > Almost all of the members of the experimental group reported
         | experiencing profound religious experiences, providing
         | empirical support for the notion that psychedelic drugs can
         | facilitate religious experiences. One of the participants in
         | the experiment was religious scholar Huston Smith, who would
         | become an author of several textbooks on comparative religion.
         | He later described his experience as "the most powerful cosmic
         | homecoming I have ever experienced".
         | 
         | https://en.wikipedia.org/wiki/Marsh_Chapel_Experiment
        
           | [deleted]
        
         | say_it_as_it_is wrote:
         | The definition of treatment resistant depression is one of the
         | filters that narrows down the list. A subject must have tried
         | at least two different antidepressants for a certain length of
         | time and within the last few years, in addition to therapy. So,
         | someone who has taken antidepressants for years doesn't
         | automatically qualify.
        
           | varispeed wrote:
           | This is crazy. It's like cart manufacturers lobbied
           | government that anyone who want to buy a car would first have
           | to use a horse and a cart and only be allowed to buy a car if
           | the cart and a horse causes significant problem. Am I the
           | only one seeing corruption here?
        
             | rincebrain wrote:
             | If your attempted argument is "X helps people who are not
             | helped by other existing treatments", then limiting your
             | selection criteria to those who have tried several existing
             | treatments and not found success seems to follow logically.
             | 
             | (Though the study's construction seems to fail at that
             | argument, since the claim is that all patients, both those
             | given the psilocybin and those given the SSRI, improved
             | markedly.)
        
               | varispeed wrote:
               | When I wrote that, I had in mind a situation in my
               | country that you can be eligible for private medical
               | cannabis prescription if you try at least two other
               | treatments and you find them ineffective. On the surface
               | it doesn't sound too sinister, but for example, when it
               | comes to chronic pain the drugs that are being given are
               | simply nasty. I still have nightmares about the side
               | effects that I experienced (vivid hallucinations,
               | suicidal thoughts, derealization and more). Given how
               | ubiquitous cannabis is, people with various problems
               | often find, including chronic pain, that it helps
               | massively and unfortunately they cannot bypass going
               | through hell just to get prescription for what helps.
               | They cannot even suggest that they look for medicinal
               | cannabis as they still may be branded as drug seekers and
               | be denied treatment altogether.
        
               | rincebrain wrote:
               | I can understand the basis for those requirements in
               | general (e.g. for antidepressants, doctors generally
               | won't start you with an MAOI or a TCA, they'll start you
               | with an SSRI or SNRI or similar, then try another one if
               | that doesn't work, then maybe resort to TCAs if a couple
               | of those don't work, then maybe try an MAOI if a couple
               | of _those_ don't work), though I would agree that having
               | a hard requirement of trying several other drugs first
               | with the toxicity profile of cannabis seems...overly
               | harsh at best. (Especially labeling people drug seekers
               | for it - though they might be gun-shy after the fun with
               | opioids and worried about finding a new epidemic of
               | cannabis addicts, which seems...unlikely.)
        
             | say_it_as_it_is wrote:
             | Studies are being designed to reduce the possibility that a
             | patient just didn't respond well to one medication but
             | instead shows a general lack of improvement from
             | antidepressants. The goal is to know that the patient
             | improved from psilocybin, specifically. One other problem
             | with this stacked definition of treatment resistance is
             | that doctors are going to be coerced to always try multiple
             | antidepressants and guinea pig the hell out of patients.
             | Doctors are going to refuse initial psilocybin treatment
             | and only use it as a last resort because the studies are
             | going to show that treatment resistance is necessary. Even
             | worse will be if doctors are coerced by regulators and
             | medical institutes to strictly follow their protocol. And
             | this only includes doctors who agree to add psilocybin to
             | their treatment programs. A lot of doctors will resist
             | using it, claiming "unearned wisdom is dangerous wisdom"
             | and so forth. The "unearned wisdom" claim is based on the
             | indoctrinated belief that a patient must undergo many hours
             | of therapy and slowly peel layers of experience in order to
             | truly understand, whereas psilocybin offers a shortcut.
             | 
             | For these reasons and others, I believe that the vast
             | majority of depressed people who haven't healed from
             | traditional methods ought not pursue clinical studies as a
             | viable pathway to psilocybin-assisted therapy.
        
         | loceng wrote:
         | "One point not to miss is that they screened 1000 patients to
         | come up with the study population of 59."
         | 
         | I'd be curious how many 10,000s if not 100,000s of people
         | pharmaceutical companies go through, along with
         | changing/crafting their selection criteria to keep out
         | people/symptoms they know have more/strong "side"/harmful
         | effects with, until they get acceptable looking results;
         | propaganda using truth - "Misleading with true fact" -
         | https://www.youtube.com/watch?v=lls_2tfWcUI
        
         | bigfudge wrote:
         | >they screened 1000 patients to come up with the study
         | population of 59
         | 
         | Note that while not ideal this is completely normal for any
         | early stage drug trial. Most drugs get licenced based on data
         | in which the trials would have excluded 90%+ of the typical
         | clinical population. This is certainly true in depression where
         | most drug trials will exclude patients with comorbid MH
         | conditions, and often exclude them for "too many previous
         | episodes". But it's also true in physical health (e.g. asthma).
         | 
         | I'm sure it's even harder when recruiting for an RCT in
         | psychedelics though. A friend was working on clinical
         | applications of MDMA about 15 years ago and a stipulation of
         | the ethics board was that her participants had to have taken
         | MDMA at least 3 times before, but not more than 10 times. Not
         | easy to recruit for that study!
        
       | alexf95 wrote:
       | I feel like there will also people that have way too many
       | prejudices towards these kinds of "drugs" because that's simply
       | how we learned it. "Don't take drugs kids".
       | 
       | These studies are very helpful especially when shared over
       | general media, but the consumption has to be supervised and
       | controlled to not have overdoses and ruin the whole reputation
       | again. It should be treated like any other anti-depressant, since
       | they are just "drugs" in the end
        
         | PragmaticPulp wrote:
         | > I feel like there will also people that have way too many
         | prejudices towards these kinds of "drugs" because that's simply
         | how we learned it. "Don't take drugs kids".
         | 
         | At least on Internet forums, the trend seems to be the
         | opposite. Many commenters are very pro-psychedelic but anti-
         | medication these days.
         | 
         | It's important to remember that psilocybin may be promising,
         | but it's still not a great long-term treatment option. Not only
         | have they not been studied beyond a few doses, but we have a
         | lot of anecdotal evidence that excessive and sustained
         | consumption of psychedelics seems to lead people into
         | increasingly weird thoughts.
         | 
         | It seems a little bit can open people's minds in ways that make
         | therapy more effective, but too much openness to new ideas can
         | start to open the door to increasingly weird thoughts:
         | https://slatestarcodex.com/2016/04/28/why-were-early-psyched...
         | 
         | Of course we don't have any controlled trials about long-term
         | psychedelic use and likely won't any time soon due to the
         | ethical concerns, but it's worth mentioning that these are not
         | a magic bullet for sustained depression treatment. Traditional
         | therapy is still the way to go.
        
           | quchen wrote:
           | > excessive and sustained consumption of psychedelics seems
           | to lead people into increasingly weird thoughts
           | 
           | We have lots of _clinical_ evidence even that that's the case
           | for a lot of medication, which is why we don't usually
           | administer excessively and sustained, but carefully and
           | controlled.
        
         | dannyw wrote:
         | We need to change the message from "don't take drugs" to "if
         | you choose to take drugs, take them responsibly".
         | 
         | Start with low doses, don't mix (alcohol,benzo,opiates), and
         | remember that unless taken therapeutically, drugs should be an
         | occasional party thing and not an escapism for life.
         | 
         | It's also totally fine to not do drugs. I'm going sober (except
         | a beer or two) for an indefinite period of time, just because
         | that's what I feel like.
         | 
         | Maybe I'll go on a mushroom trip for new years eve, who knows,
         | but drugs shouldn't define your life.
        
           | PragmaticPulp wrote:
           | > We need to change the message from "don't take drugs" to
           | "if you choose to take drugs, take them responsibly".
           | 
           | The phrase for this is "harm reduction" and it has been
           | around for a few decades in the pro-drug communities.
           | 
           | The challenge is that harm reduction material is largely
           | targeted at avoiding overdoses or fatal combinations as you
           | mentioned, which can give users a false sense of confidence
           | about their ability to avoid addiction.
           | 
           | I've watched a couple close acquaintances slowly decline over
           | time due to what they thought was responsible drug use. You
           | can do all the right things and still end up addicted to and
           | dependent upon addictive drugs. Fortunately they were both
           | able to afford rehabilitation programs that got them back on
           | track.
           | 
           | I visited one of them in the rehab program. The price tag was
           | high so selection bias was obviously at play, but it was
           | interesting to see that every person there was also an adult
           | professional who thought they were smart enough and self-
           | educated enough about drugs to avoid succumbing to addiction,
           | which was clearly not the case.
           | 
           | I don't have any answers or solutions to the topic, but I do
           | know that addiction is a risk that most addicts seem to
           | downplay at the start of their experiences. Few people go
           | into drug habits expecting to become dependent.
           | 
           | Perhaps more interesting is the uptick in people addicted to
           | psychedelics, partially driven by the growing perception that
           | they're not addictive. It seems that these patients aren't
           | addicted in the traditional sense of becoming dependent, but
           | they get hooked on the escapism aspect or the idea that
           | they're just one or two trips away from a major epiphany. Not
           | all of the rewiring that takes place in these experiences is
           | necessarily in a healthy direction. It can happen, so people
           | should at least be aware of it.
        
           | goodpoint wrote:
           | > drugs should be an occasional party thing
           | 
           | Please don't! If all this research thought us anything, it's
           | that powerful substances are emotional surgery. Not something
           | to attempt in an unsafe environment.
        
             | quchen wrote:
             | On the contrary, parties can be very safe environments.
             | Much like there are better and worse places to drink, there
             | are better and worse places for taking other drugs. A lot
             | of factors play into the setting. Music is very often a
             | plus, feelings of freedom, being outside, good weather,
             | like-minded people - relaxed open air festivals make for a
             | good example.
        
               | goodpoint wrote:
               | You are missing my point. That's exactly what I'm saying:
               | a trusted environment with trusted people VS people
               | taking random substances in a random disco.
        
         | agumonkey wrote:
         | Just show how much medicine is derived from naturally occuring
         | molecules. Shrooms, flower or chemlab.. same same.
        
       | tzury wrote:
       | I was not able to speak to my father, let alone staying in the
       | same room were he was, for about 26 years (~18yr old till
       | recently ~44yr).
       | 
       | The background for this was my choice of leaving an ultra
       | orthodox jewish community and going on my own.
       | 
       | I recently tried that (after 3 years of hesitation) and the magic
       | happened. It affected my structure of feelings in several ways
       | indeed, but in the context of this one, I would say that, at
       | least for me, it was not like "I forgive you", "you owe me, but I
       | let go". Not at all, in my case, it simply earased the "load",
       | the hard feelings, completely.
       | 
       | Beyond the magic psychadelic affects, the trip is an emotional
       | journey that one takes, a journey that you come back with
       | compassion, understanding and rock solid outlook over the world.
        
         | BelmundoRegal wrote:
         | See also ;
         | 
         | MDMA Solo ; https://news.ycombinator.com/item?id=25974701
         | 
         | "The brain is not a blind, reactive machine, but a complex,
         | sensitive biocomputer that we can program. And if we don't take
         | the responsibility for programming it, then it will be
         | programmed unwittingly by accident or by the social
         | environment."
        
           | randomopining wrote:
           | Is it worth it solo?
        
         | yeswecatan wrote:
         | This sounds so amazing. I'd probably never try mushrooms though
         | because I'm terrified of them rewiring my brain in some messed
         | up way.
        
           | quchen wrote:
           | In my experience, >>mushrooms rewire you<< does not really do
           | them justice: they mostly help you rewire yourself; more like
           | changing habits (internal) rather than surgery (external).
           | 
           | Here's a personal example: a couple of years ago I had a very
           | rough breakup, but over the years came to terms with it. More
           | than 3 years later, I internally >>met<< my ex in a
           | psychedelic dream-like state, both were happy with our new
           | lives, and we said goodbye to each other. It was calm and
           | peaceful. It was also the first positive thought I've had
           | about her, undiluted by lingering negativity. I was not
           | rewired, but it allowed me to think a thought I did not think
           | I could ever have, and changed my outlook on the whole
           | situation.
           | 
           | (It was a dose on the low-medium end, and I haven't attempted
           | repeating it, nor do I plan to.)
        
             | yeswecatan wrote:
             | Thank you for sharing. If you had a positive experience,
             | why do you plan on not trying again? Of course I'm not
             | advocating for doing it daily :)
        
               | quchen wrote:
               | I'm open to doing it again, but I have no particular urge
               | to do so. I'm torn between taking it for fun (but unhappy
               | about the lack of depth) or for reflection (which is hard
               | to plan for and exhausting). In the end it's a very
               | intense experience that's a bit hard to anticipate: I
               | need to be outside with good weather, in a good short-
               | and medium-term mood.
        
         | LegitShady wrote:
         | I think people should be generally afraid of any substance that
         | can I give long term personality changes with just a few doses,
         | sometimes even with a doctor's help.
        
           | BelmundoRegal wrote:
           | I calculate a 99.99% chance you have never tried any such
           | substance and therefore know not what you're talking about.
           | The "long term personality changes" are for the vast majority
           | transformational in a positive way, as in doing away with
           | pathological stuff forever.
           | 
           | I encourage you to take a moment to get acquainted with what
           | is being done clinically ( which to be honest is not what I
           | was referring to ) ;
           | 
           | Matthew Johnson: Psychedelics | Lex Fridman Podcast #145
           | 
           | https://www.youtube.com/watch?v=ICj8p5jPd3Y
           | 
           | Matthew W. Johnson is a professor and psychedelics researcher
           | at Johns Hopkins.
           | 
           | I could accept your statement with "afraid" switched for
           | "prudent" but even then, it turns out Psilocybin is your
           | friend.
        
             | LegitShady wrote:
             | > I calculate a 99.99% chance you have never tried any such
             | substance and therefore know not what you're talking about.
             | The "long term personality changes" are for the vast
             | majority transformational in a positive way, as in doing
             | away with pathological stuff forever.
             | 
             | You've calculated statistics for things you've made up.
             | 
             | >Matthew Johnson: Psychedelics | Lex Fridman Podcast #145
             | 
             | Please please don't quote podcasts as research, and giving
             | me 3.5 hours of homework listening to understand your point
             | is poor communication and ensures the maximum amount of
             | resistance to understanding what you're trying to say.
        
           | zepto wrote:
           | Afraid? Pretty much everything we do affects us. I'd say
           | choice of jobs and schools has had a giant effect on me, much
           | of it not what I would choose.
           | 
           | Make a careful, informed decision. But there is no need to be
           | 'afraid'.
        
             | LegitShady wrote:
             | Not all change is equal, not all change is equally
             | controlled. Pretending it is because change occurs
             | sabotages your ability to categorize, analyze, and
             | ultimately judge change.
             | 
             | Most people are not qualified to and cannot make careful
             | informed decisions about the way drugs affect you.
        
               | zepto wrote:
               | > Pretending it is because change occurs sabotages your
               | ability to categorize, analyze, and ultimately judge
               | change.
               | 
               | Who is pretending this?
               | 
               | > Most people are not qualified to and cannot make
               | careful informed decisions about the way drugs affect
               | you.
               | 
               | Who is qualified in your opinion?
        
           | peterlk wrote:
           | I see this argument a lot, and I think it is more hollow than
           | it appears. I am certainly not the same person now that I was
           | 10 years ago. Indeed, I am different than the person I was 1
           | year ago. Life happens, people change. Directing this change
           | with psilocybin seems like a reasonable choice. Sometimes it
           | may misfire, and you will be a bit worse off; but sometimes
           | humans get depressed, angry, or otherwise negative for lots
           | of other reasons.
           | 
           | I watched a movie once that made me deeply depressed for
           | weeks. Thin may have permanently changed my personality too.
           | Should we ban movies because they make people feel and think
           | things that they haven't felt and thought before? (That's as
           | close as I'll get to cancel culture uproar in this post)
        
             | LegitShady wrote:
             | >Life happens, people change. Directing this change with
             | psilocybin seems like a reasonable choice. Sometimes it may
             | misfire, and you will be a bit worse off; but sometimes
             | humans get depressed, angry, or otherwise negative for lots
             | of other reasons.
             | 
             | I think your rebuttal is more hollow than it appears. It
             | ultimately ascribes equal value to all change, and all
             | change no matter how poorly controlled.
        
           | overflow897 wrote:
           | I think people should be generally excited by the prospect of
           | resolving long term psychological issues with just a few
           | doses.
        
             | LegitShady wrote:
             | I agree, for people with long term
             | physiological/psychological issues this might be a huge
             | boon, and may be a better alternative than common anti
             | depressants.
             | 
             | But I know many people who have done psylocybin for fun who
             | are probably changed because of it, in an uncontrolled
             | fashion.
        
         | simmerup wrote:
         | What's your take on allowing a substance to change you so much?
        
           | whalesalad wrote:
           | You're changing yourself. The substance is allowing the
           | transformation to occur.
        
           | scruple wrote:
           | I had a very bad trip, my last trip, and it took me years to
           | recover. That was > 2 decades ago.
           | 
           | It's my opinion that we need to recognize that these
           | substances have the power to modify us in extremely powerful,
           | unknown ways. And we need to create a safe environment (how?
           | I do not know, probably regulation, but after seeing how
           | California is handling "legal weed," I am not holding my
           | breath) for people to use these substances in a safe way.
           | 
           | > What's your take on allowing a substance to change you so
           | much?
           | 
           | In the end, it was still positive. But I wouldn't recommend
           | the path that I walked with psychedelics to anyone,
           | regardless of where it brought me. If I had been better
           | educated, more informed, purchasing from a reputable source,
           | etc... I imagine that things would've been vastly different
           | for me than they were.
        
             | randomopining wrote:
             | Did you prepare and also surrender to the experience? I
             | think if you give in and accept, you can't lose.
        
           | jeremyjh wrote:
           | The substance turns your thought process inward. You think
           | about the thoughts you are having, and the associations
           | behind those thoughts much more deeply than you otherwise
           | would. You think about ordinary, everyday things in a much
           | deeper way. This is what changes you. You could do the same
           | thing with meditation probably.
        
             | randomopining wrote:
             | Shrooms hit at a raw emotional level, especially
             | highlighting your connection and oneness with nature.
             | 
             | Meditation is the ultimate key though, putting in the hard
             | work and then using shrooms sparingly to cash in on that.
        
           | flycaliguy wrote:
           | Can't speak for OP but it sounds preferable to when he
           | "allowed" his relationship with his father to take him on
           | such an emotional journey.
        
             | tzury wrote:
             | I was not setting goals before, nor did I know what to
             | expect. This was just an unexpected outcome, one amongst
             | few others.
             | 
             | One cannot speak indeed until one tries.
        
           | chpatrick wrote:
           | To me, I don't think it's so much about "change" as having
           | your normal day to day experience being clouded by so much
           | emotional pain, conditioning, trauma, rationalization, etc.
           | If you can take a step back from all that, you can understand
           | your deeper feelings.
        
           | tzury wrote:
           | not sure I understood the question, mind elaborating ?
        
           | 987yghj wrote:
           | It doesn't change you. It increases your access to your
           | subconscious. From there, you can draw your own conclusions.
        
       | haskaalo wrote:
       | I have had many psychedelics experience during the last 2 years
       | but I've only had the opportunity to try mushrooms once.
       | 
       | They definitely are powerful and healing, however I believe the
       | only safe path shrooms will take in our society is national
       | legalization for use in therapy and not recreational use.
       | 
       | My main argument is the following: legalization for recreational
       | use will trivialize the image of psilocybin in the eyes of the
       | population, and we will start to see an increase in "bad
       | experiences" due to people using it without having a trip sitter
       | or preparation. Therefore, legalizing it only for therapy use
       | will be more beneficial for the general population.
       | 
       | Decriminalization is an option, but legalization ehhh.
        
         | randomopining wrote:
         | It should be legal to grow yourself (only serious people will
         | do it) and also for therapy.
         | 
         | I think I agree that straight recreational legalizing would
         | attract people who aren't prepared to just take a ton and be
         | idiots.
        
       | adammunich wrote:
       | Old news is news I see
        
         | diimdeep wrote:
         | This 'news' is scheduled 'blogspam', this article links to
         | prev. article with exactly the same premise and that posted
         | exactly 1 month earlier (15 april, 15 march), while both based
         | on ~2018 research. Moving on.
        
           | tpm wrote:
           | No, it's based on an article that just came out in NEJM:
           | Trial of Psilocybin versus Escitalopram for Depression
           | https://www.nejm.org/doi/full/10.1056/NEJMoa2032994
        
             | diimdeep wrote:
             | > dii
             | 
             | ok, thanks for correcting me.
        
       | Black101 wrote:
       | They gave psilocybin in much lower dose to the placebo group... I
       | wonder what the point of that was... it could still be affecting
       | them.
        
         | Leparamour wrote:
         | >They gave psilocybin in much lower dose to the placebo
         | group... I wonder what the point of that was
         | 
         | Psylocybin usually comes with obvious hallucinogenic or
         | physiological effects. The placebo group would instantly
         | realize they have been given a placebo if no physiological
         | effects appear at all, hereby making the blind study useless.
         | 
         | The Charite hospital in Berlin is starting a similar study
         | sometime in summer of this year. The setup is that the
         | control/placebo group (instead of Psylocybin) receives a dosage
         | of Niacin [1]. This causes a "flushing" effect[2] in the test
         | subject and in this way can trick them into believing they have
         | indeed received Psylocybin.
         | 
         | [1]https://en.wikipedia.org/wiki/Niacin
         | 
         | [2]https://en.wikipedia.org/wiki/Flushing_(physiology)
        
       | vlunkr wrote:
       | On the one hand, HN is terrified of brain-computer interfaces
       | manipulating our brains and emotions, on the other hand, they're
       | totally psyched about using mushrooms to do the same thing.
        
         | filoeleven wrote:
         | I'd like to introduce you to caffeine. And tryptophan, and
         | casomorphins, and sugar, and...
        
         | anonporridge wrote:
         | I can't realistically automate the brain manipulation of
         | millions of people taking mushrooms in a short period of time
         | from the comfort of my evil lair.
        
         | pjc50 wrote:
         | Mushrooms don't have an agenda. The owner of the brain-computer
         | interface probably does.
        
           | alexilliamson wrote:
           | The jury is out on that. There are mushrooms that infect
           | ants' brains and make them travel to a high place before the
           | ant's head explodes, so that the spores are carried further
           | by the wind.
           | 
           | They might have an agenda.
        
         | krageon wrote:
         | If you're going to be this reductive about things, you might as
         | well say every antidepressant and apparently also psilocybin
         | does the exact same thing. Of course, being that reductive
         | isn't useful and ignores a lot of the nuance that actually
         | exists around the subject. Much like what you're saying.
        
         | FPGAhacker wrote:
         | We are not a homogenous group.
        
         | phito wrote:
         | It's not even remotely the same thing. One is a chemical
         | compound that temporarly messes with the way your brain work,
         | the other is an permanent (?) extension to your brain that
         | allows to manipulate it from the outside. Also, HN is not one
         | person with a single opinion.
        
       | willtemperley wrote:
       | It also has an extremely good therapeutic index of 641 [0],
       | compared to aspirin at 19 and alcohol at 10, where higher is
       | better [1].
       | 
       | [0] https://en.wikipedia.org/wiki/Psilocybin#Toxicity
       | 
       | [1] https://en.wikipedia.org/wiki/Therapeutic_index
        
       | whalesalad wrote:
       | For those curious: you can cultivate your own at home. It's 100%
       | legal to purchase psilocybin spores online in many states.
       | 
       | I just had to throw out a grow due to contamination - super
       | frustrating setback - but I'm determined to produce a healthy
       | harvest.
        
         | PragmaticPulp wrote:
         | Before anyone rushes to do this: Cultivating these mushrooms is
         | not legal, even if buying the spores might be.
         | 
         | Likewise, self-medicating severe depression with hone grown
         | psychedelics is not a great idea. These studies use controlled
         | administration in supervised environments often with therapy as
         | part of the process. You cannot replicate that at home.
         | Psychedelics also can't be dosed continuously like traditional
         | antidepressants, making them a poor choice for continued
         | treatment.
        
           | whalesalad wrote:
           | This is not a hacker mindset.
        
           | albrewer wrote:
           | To add on to this, these mushrooms should not be taken by
           | anyone with liver problems - I was specifically warned by my
           | gastroenterologist that, behind alcohol and starchy foods,
           | magic mushrooms will screw up your liver very quickly.
        
             | quchen wrote:
             | Did they mention why? Sounds like FUD to me, since the
             | psilos I know of are mostly water, indigestible chitin, and
             | trace amount of kidney-excreted psilocin/psilocybin.
        
               | SauciestGNU wrote:
               | I had heard warnings about damaging kidney function with
               | regular high dosage use, but not from a medical
               | professional.
        
         | ashconnor wrote:
         | It's a shame that former MP and Home Office Minister Caroline
         | Flint decided to reclassify psilocybin as a "Class A" drug
         | alongside heroin and cocaine despite no evidence of it causing
         | psychosis.
         | 
         | That really was the peak of New Labour's evidence-less led
         | drugs reforms.
         | 
         | [1] -
         | https://www.theguardian.com/uk/2005/jun/25/drugsandalcohol.i...
        
       | abgr-y wrote:
       | I don't believe drugs whether prescribed or recreational can cure
       | Mental disorders. yes they may alleviate the symptoms but they
       | don't really work on the root cause which are basically ones
       | mental tendencies, thought patterns or habits acquired over a
       | period of time. here[0] is a different take on what depression is
       | and gives a high level road map to come out of it, for more
       | details this [1] is a book by the same author and for testing out
       | if those methods work here is an app [2] again from the same
       | monk.
       | 
       | p.s i have followed all three & i must say the quality of life
       | has improved considerably
       | 
       | [0] https://os.me/depression-definition-cause-and-cure/ [1]
       | https://www.amazon.in/When-All-Not-Well-Perspective-ebook/dp...
       | [2] https://www.blacklotus.app/
        
         | lifeisstillgood wrote:
         | Perhaps, but it is a lot easier to take long term action on
         | your mental tendencies if you don't feel the blackness closing
         | in every second.
         | 
         | We have a long century ahead of us to pull out of the mental
         | health slump we are seeing (similar perhaps to the physical
         | health slumps following industrialisation). We will need many
         | tools in the kit.
        
           | mensetmanusman wrote:
           | Interesting perspective that large societal shifts account
           | for shifts in the type of health outcomes.
           | 
           | One problem I see is that if people are too tied to their
           | subjective well-being, then it is a frame of mind that can
           | never be satisfied.
        
         | throw4738 wrote:
         | Friend was treated for "mental disorder". She was fine, except
         | food allergy. If she followed this "bro science", she would be
         | dependent on God knows what, with real mental problems.
        
         | jack_riminton wrote:
         | But that's exactly what psychedelics do, they rewire the brain.
         | In neuroscience terms they disrupt the default mode network. In
         | other words they open your mind up and allow it to break free
         | of the tendencies, thought patterns and habits.
         | 
         | This is why they're more akin to therapy than recreational
         | drugs
        
         | beambot wrote:
         | > I don't believe...
         | 
         | The good news is that studies such as this produce empirical,
         | scientific evidence that supercedes anecdotes and individuals'
         | belief patterns -- whether they're negative or skeptical (as
         | yours) or hyper-positive cure-alls (eg from psychonauts)
        
           | TriNetra wrote:
           | Before science can appreciate the mental/causal causes of the
           | depression and related diseases, it needs to find an evidence
           | for and establishes the separation of mind from physical
           | brain. Hopefully an intensive exploration of consciousness
           | and intelligence will lead to some empirical conclusions.
        
         | krageon wrote:
         | Not all depression is attributable to environmental factors. If
         | it is, the environmental factors is what a psychologist looks
         | at with you. If it's not, you use some sort of medication to
         | solve it. Reducing every kind of thing that you can get
         | medication for that isn't entirely physical to a "mental
         | disorder" is both dismissive and kind of insulting, which
         | really doesn't help the point you're trying to make here.
         | 
         | Which appears to be that some random book has all the answers
         | that somehow nobody else has really figured out. Oh, and
         | there's an app!
        
       | elric wrote:
       | There's been some promising progress on migraine/cluster-headache
       | treatments with psilocybin microdosing. Really happy to see that
       | humanity is slowly starting to realize that blanket bans aren't
       | always the best idea ..
        
       | internetslave wrote:
       | I'm going to cluster HN news stories by topic and then write a
       | script to filter the same content out.
        
         | jeromenerf wrote:
         | French call this kind of repetitive, easy to write and not
         | worth reading articles "marronniers" (literally "chestnut
         | tree"), supposedly because some famous tree was worth an annual
         | subject. In case you need to name your project :)
         | 
         | On the other hand, I would prefer to filter out the comments
         | marronniers. You know, the mushroom anecdotes, the quality of
         | the Mac trackpad, ...
        
           | hyper_dynamics wrote:
           | Can't say much of the mushrooms, but the Mac trackpad is so
           | good, it made me write this comment ;)
        
       | satellite2 wrote:
       | It seems the design of this study is questionable.
       | 
       | Since they couldn't blind the psylocybin group from the effect,
       | they gave 1mg daily to the SSRI group.
       | 
       | Basically it's a study that compares psylocybin with SSRI +
       | psylocybin micro dosing.
       | 
       | They claim that the micro dose don't have an effect, but there is
       | not a large body of evidence to support that claim.
        
         | 8192kjshad09- wrote:
         | Wouldn't the study design under exaggerate the effect of
         | psilocybin, if anything?
        
           | jxding wrote:
           | To be a little pedantic, I'm not sure "under exaggerate" is a
           | valid phrase. What you're looking for may be "under-report"?
        
         | qntty wrote:
         | The 1 mg dose wasn't daily, it was 3 weeks apart. From the
         | study:
         | 
         |  _Patients were assigned in a 1:1 ratio to receive two separate
         | doses of 25 mg of psilocybin 3 weeks apart plus 6 weeks of
         | daily placebo (psilocybin group) or two separate doses of 1 mg
         | of psilocybin 3 weeks apart plus 6 weeks of daily oral
         | escitalopram (escitalopram group); all the patients received
         | psychological support._
         | 
         | https://www.nejm.org/doi/full/10.1056/NEJMoa2032994
        
       | collyw wrote:
       | Here in Europe someone gave politicians the idea that they could
       | control a virus. So now we have arbitrary sets of restrictions
       | applied when case numbers of coronavirus go up. If case numbers
       | go down again, they get relaxed. If they go up, add more
       | restrictions are added until they go down. The restrictions are
       | follow the case numbers, but we have convinced ourselves it is
       | the other way around. It's a modern day witchcraft.
        
         | krageon wrote:
         | Measures to contain COVID-19 exist globally and if you have
         | great cosmic insight into the fact that they don't work,
         | perhaps you could share that instead of sarcasm without any
         | basis.
        
           | theelous3 wrote:
           | They are saying they do work, but only when they are
           | implemented. They are unimplemented when the numbers get low,
           | which causes them to go back up, and has the effect of
           | starting the cycle again.
        
             | dTal wrote:
             | No, they are saying that lockdowns do nothing and any
             | appearance that they do is backwards causality:
             | "restrictions are follow[sic] the case numbers, but we have
             | convinced ourselves it is the other way around".
             | 
             | They're wrong, but that's what they're saying.
        
               | collyw wrote:
               | I didn't say they do nothing, lockdowns clearly cause
               | massive harm and suffering yet there is no obvious
               | benefit when compared to places that didn't lock down.
               | 
               | https://www.nature.com/articles/s41598-021-84092-1
        
               | nmca wrote:
               | I've seen this claim bandied about, but if you look at
               | Sweden and its neighbors the no-lockdown case has 1000s
               | more deaths. There are perhaps subtle arguments, but "no
               | obvious benefit" seems extremely tenuous.
        
               | collyw wrote:
               | Do you know what Finland and Norways lockdown involved?
               | 
               | They closed schools and public buildings. They didn't
               | force people to stay at home. They didn't stop people
               | travelling, or force them to wear masks. They treated
               | their populations as humans. Their responses were a lot
               | closer to Sweden than to most European countries
               | "lockdown" responses.
               | 
               | And did you know that for whatever reason, Finland has 5
               | times more flu deaths per capita than Sweden on a normal
               | year.
               | 
               | https://www.worldlifeexpectancy.com/cause-of-
               | death/influenza...
               | 
               | You will also notice the the two countries where masks
               | are apparently the norm, South Korea and Japan have
               | relatively high rates of flu death for developed
               | countries. That implies that the masks don't help.
               | 
               | To use Sweden as an example of lockdown being effective
               | is grasping at straws.
               | 
               | Where is the spike after Texas opened up a month ago? Why
               | is Florida doing better than California, despite an older
               | population?
        
               | bnralt wrote:
               | Looking at the stats now, it seems like it's doing better
               | than a number of European countries, many of which had
               | lockdowns (France, Belgium, Italy, etc.). Then you have
               | countries like Japan, which people have been complaining
               | about being lax for a year but still has lower rates than
               | almost all Western countries.
               | 
               | That's not to say lockdowns aren't effective, but the
               | data doesn't seem to fit any neat narrative at the
               | moment.
        
               | krageon wrote:
               | This is also what I read in it, which I found a little
               | strange of a stance given what we know works for the flu.
        
           | collyw wrote:
           | Well they don't exist globally. Various US states and
           | countries didn't copy China in a blind panic. There seems no
           | correlation between lockdown and the overall outcome,
           | suggesting that they don't "work". Texas opening up a month
           | ago showed no spike in cases.
           | 
           | Considering the massive amounts of suffering these policies
           | are causing, there ought to be a bit of reflection on how
           | effective they are. We have a years worth of data now, and as
           | I pointed out, there seems to be no correlation. There seems
           | to be no consideration of the side effects and harms caused.
           | 
           | Assuming the approach of locking people up works, without
           | taking into account the new data as it comes in is not
           | science. It is faith.
        
             | KarlKode wrote:
             | You're wrong.
             | 
             | There exist a direct correlation between not locking down
             | (or waiting) and the number of infections and deaths:
             | https://www.nature.com/articles/s41598-021-81869-2
        
         | anoncake wrote:
         | Lucky you. Here in Germany, we add restrictions when the
         | numbers go down and relax them when the numbers go up. And I'm
         | not confusing cause and effect.
        
       | mkeespiet wrote:
       | Me and my girlfriend are microdosing LSD for the past couple of
       | weeks. We both are very outgoing persons, but due to Corona, our
       | life is really boring which makes our mental state not as
       | positive as it was. We notice that we have more acceptance to the
       | Corona situation. Especially the "bad" days, the microdosis makes
       | the day much more acceptable.. I'm aware that this is a very
       | brief explanation. If you are very interested in this, please let
       | me know, happy to chat or call about it.
        
         | murph-almighty wrote:
         | When you say microdosing, what size doses are you using?
        
           | mkeespiet wrote:
           | For me ~10mic
        
       | TurkishPoptart wrote:
       | What kind of dose are the individuals being given? It says 2
       | high-level doses over a 6 week period. Are we thinking the
       | antidepressant effects aren't from the trip itself, but from the
       | aftereffects? That's sort of what's being discovered w/r/t
       | ketamine therapy for depression.
        
         | david_allison wrote:
         | > Patients were assigned in a 1:1 ratio to receive two separate
         | doses of 25 mg of psilocybin 3 weeks apart plus 6 weeks of
         | daily placebo (psilocybin group) or two separate doses of 1 mg
         | of psilocybin 3 weeks apart plus 6 weeks of daily oral
         | escitalopram (escitalopram group);
         | 
         | https://www.nejm.org/doi/full/10.1056/NEJMoa2032994
        
       | varispeed wrote:
       | I think the people behind drug prohibition need reckoning. They
       | have caused untold suffering, especially by preventing people
       | from accessing medication they needed. There is no justification
       | for drug prohibition to continue. If anyone thinks otherwise,
       | then it only means they have not educated themselves enough about
       | the topic, they profit from the current status quo or simply they
       | take pleasure in causing suffering to other people.
        
         | zepto wrote:
         | No justification for prohibition, but quite possibly
         | justification for regulation.
        
           | varispeed wrote:
           | Yes the market should be regulated. Some substances can be
           | more dangerous than others so there should be adequate
           | restrictions and support plus raised tax could help with
           | mental health services and education to ensure people can
           | make informed decisions and also receive help if they get it
           | wrong.
        
         | wil421 wrote:
         | Cocaine, Heroin, Meth, and Fentanyl should never be legal. They
         | are too addicting.
         | 
         | Possession in a small amount should be decriminalized using a
         | stick (drunk tank for a couple days) or carrot (state run rehab
         | or classes) method.
         | 
         | Stop the prosecutions and jailing of the users. Mandate a class
         | or whatever like they do for DUIs and provide a state run place
         | to ween them off. Combined with a safe place to do drugs and
         | safe needles.
        
           | barbacoa wrote:
           | >Cocaine, Heroin, Meth, and Fentanyl should never be legal.
           | They are too addicting.
           | 
           | I know 10X as many people who threw away their lives working
           | minimum wage and minimum responsibility jobs just so that
           | they can afford enough marijuana to make themselves happy
           | with living without ambition.
           | 
           | Not that I think marijuana should be illegal but if we are
           | going to legalize one we should be consistent and legalize
           | everything.
        
             | meepmorp wrote:
             | If they're happy with the lives they live, then how are
             | their lives wasted? Is it possible they just have different
             | values?
        
               | vokep wrote:
               | It comes down to each individual I guess, but I'm
               | doubtful that such people are really very happy. Smoking
               | every day to offload stress can seem nice, until you're
               | looking back on all the time you could've used better,
               | and realize its not making you happy, it just distracts
               | from what makes you unhappy. It can be really fun to add
               | to experiences that are already enjoyable, and every now
               | and then it can be helpful to offload stress during
               | something undesirable, but if its use is too frequent,
               | given my own experience and those around me, it does
               | become a black hole of time. The old South Park
               | explanation was quite spot on, it makes you alright with
               | being bored, when being bored should motivate to do
               | _something_.
               | 
               | All that said, with conscious planning to use it in a
               | productive way, I've found incredible enhancement of
               | working on creative projects while stoned out of my mind.
        
           | bunfunton wrote:
           | I mean marijuana is more addicting to me than cocaine so....
        
             | wil421 wrote:
             | Yes but no one is doing crackhead or dopehead things when
             | they want Marijuana.
        
           | varispeed wrote:
           | > Cocaine, Heroin, Meth, and Fentanyl should never be legal.
           | They are too addicting.
           | 
           | These drugs should be legal precisely because they are so
           | dangerous. The key is adequate regulation appropriate for the
           | potential danger.
        
           | fuzzer37 wrote:
           | > Cocaine, Heroin, Meth, and Fentanyl should never be legal.
           | They are too addicting.
           | 
           | Maybe for you, but why should you be the arbiter of what
           | other people do? Make it legal and tax substances to the
           | point that the revenue offsets the potential negatives.
        
             | scottLobster wrote:
             | Because those people don't live in a vacuum.
             | 
             | I know I'm just one case, but as someone who's mother got
             | addicted to legally prescribed Fentanyl as well as other
             | opioids as a result of her cancer treatments, and to had
             | serve as caregiver for said mother when said drugs sent her
             | into irrational rages and occasionally made her suicidal
             | (she later admitted to not remembering multiple months of
             | time from the years she was on it), the libertarian
             | individual choice argument is particularly full of shit
             | when it comes to these substances.
             | 
             | There are some things that the average human biology simply
             | cannot handle. Making said substances illegal or regulating
             | them such that they are impossible for the average person
             | to get is perfectly rational and beneficial for society.
             | Naturally treatment centers should be provided for those
             | who manage to obtain them illegally as opposed to jail
             | time, and that's the part we suck at. No rational person
             | with purpose seeks out illegal opioids, it's a symptom of
             | underlying issues and should be treated as such, not
             | punished.
             | 
             | Psilocybin, Marijuana, Tobacco and Alcohol are completely
             | different animals. And yes there are people who can't
             | handle these, but the vast majority of the population is
             | capable of doing so and/or the consequences are less severe
             | when they are mishandled. You can't say that about opioids.
             | 
             | Same reason even in the US while I can own an AR-15, I
             | cannot own a Patriot Missile Battery. One the average
             | individual can be relatively trusted with, the other they
             | cannot.
        
               | captainredbeard wrote:
               | > Same reason even in the US while I can own an AR-15, I
               | cannot own a Patriot Missile Battery
               | 
               | Au Contraire! Explosives are just very difficult to buy
               | because you must go through an approval process to
               | purchase a "destructive device" and the storage
               | regulations, which vary widely from area to area, are
               | (rightfully) difficult and expensive to comply with.
        
       | lostmsu wrote:
       | Judging by studies on long term use of other mind-altering drugs,
       | I would expect psilocybin to similarly cause decline in cognitive
       | abilities after prolonged use.
       | 
       | Unfortunately (or maybe fortunately), I could not find studies on
       | effect of specifically psilocybin on cognitive abilities.
       | 
       | And please, don't bring up EmoIQ and other non-reasoning related
       | stuff. This is not what the concern is about.
        
         | cyberlab wrote:
         | If anything shrooms would be contributing to _neurogenesis_ [0]
         | not destroying brain cells. Opposite to alcohol which is well
         | known to destroy brain cells.
         | 
         | [0] https://en.wikipedia.org/wiki/Neurogenesis
        
           | lostmsu wrote:
           | I see you share the sentiment. Well,
           | 
           | > Injection of PSOP, 25I-NBMeO or ketanserin resulted in
           | significant dose-dependent decreases in number of newborn
           | neurons in hippocampus
           | 
           | > At the low doses of PSOP that enhanced extinction,
           | neurogenesis was not decreased, but rather tended toward an
           | increase
           | 
           | (in mice) https://pubmed.ncbi.nlm.nih.gov/23727882/
           | 
           | The way I read it large doses definitely decrease
           | neurogenesis and low doses look like they slightly increase,
           | but the authors are uncertain.
           | 
           | That putting aside that neurogenesis changes caused by the
           | substance might be affecting the actual intelligence either
           | way.
        
       | [deleted]
        
       | randomopining wrote:
       | It emotionally attaches you to this world, which you belong in.
       | You feel a connection to the eb and flow of the world, which I
       | think depressed people lose. They get caught in their sole
       | perception of their world, caused by neuroticism and past
       | traumas. The brain pathways are hit hard every day, so it's tough
       | for them to get out of it. This substance can be like a tsunami
       | that washes it all away.
        
       | xxel wrote:
       | What trial, what research? I have spent 20 years in psy festivals
       | still have no depression even after these lockdowns and people I
       | know are free of depression too. Even scientists I know eat acid
       | and mushrooms so what research is needed?
        
       | simonswords82 wrote:
       | I have a friend who has experienced magic mushrooms
       | recreationally about half a dozen times in her 20s. After each
       | trip she reported feeling clear headed and more mindful - she
       | described it as though her mind's harddrive had been
       | defragmented.
       | 
       | Fast forward 10 years and that same friend felt low during
       | lockdown over the past 12 months. After reading up online she
       | decided to try microdosing mushrooms rather than the mainstream
       | route her doctor would prescribe - anti depressants.
       | 
       | She has been taking a tiny dose every other day and feels
       | immeasurably better. More optimistic about the future. More
       | energy. More focus. Less sad.
       | 
       | To say it's frustrating to read these official press releases
       | about the positive impact of mushrooms nearly 20 years after she
       | discovered them for the first time is the understatement of a
       | lifetime.
       | 
       | I'm convinced we'll look back at this era as a form of
       | prohibition on drugs that governments threw down as a wide
       | blanket and ultimately society was worse off for.
        
         | MiddleEndian wrote:
         | It will be looked back upon the same as alcohol prohibition.
        
           | ceilingcorner wrote:
           | Meaning the prohibition was misguided but the drug itself is
           | dangerous?
        
             | miles wrote:
             | Study finds mushrooms are the safest recreational drug
             | https://www.theguardian.com/society/2017/may/23/study-
             | halluc...
             | 
             | Britain, drug harm score https://www.economist.com/img/b/60
             | 0/916/90/sites/default/fil...
        
             | Uberphallus wrote:
             | The drug has dangers, but they seem small compared to those
             | of alcohol, even if largely orthogonal.
             | 
             | It got banned because it wasn't understood in the best
             | case, to curb the counterculture movement from the 60s in
             | the worst, but it's always been hard to justify it with
             | medical reasons; it's been just tagged along with cocaine
             | or heroin and made bad by association.
        
               | ceilingcorner wrote:
               | But if there hasn't been significant medical research,
               | how do we know there are no long-term dangers?
        
               | pope_meat wrote:
               | Why, the next best thing after significant medical
               | research, anecdotal research!
               | 
               | So far so good.
        
               | ceilingcorner wrote:
               | So far in this topic, it's been research of the "my
               | friend said" kind. Which is even less reliable than
               | direct anecdotal research.
        
               | pope_meat wrote:
               | My friend doesn't like to admit to things that might be
               | considered a crime, it's just how it goes in a police
               | state.
        
               | arcticbull wrote:
               | Do you not think huge quantities of people do it all the
               | time right now? Because, well, they do. Further there
               | were a lot of experiments with psychedelics in the 60s.
        
               | ceilingcorner wrote:
               | That's not how medical research works.
        
               | arcticbull wrote:
               | Definitely, however it's also disingenuous to say that we
               | have no idea what the long term consequences of shrooms
               | are just because there hasn't been a formal study
               | recently. There's tons of people doing it regularly - for
               | millennia actually, studies from the before-times and a
               | large incentive by the mainstream anti-drug folks to
               | dramatize any adverse consequences.
               | 
               | Should there be studies? Sure. Are we pretty sure it's
               | safe? Yep. Safe enough to legalize? Oh most definitely.
               | Certainly until proven otherwise.
        
               | ceilingcorner wrote:
               | The way to get people to agree with legalization is to
               | follow rigorous medical study procedures, not handwave
               | about it being obviously fine.
               | 
               | For the record I think they should be legalized.
        
               | arcticbull wrote:
               | I tend to believe that unless proven otherwise,
               | substances should be legal. The burden of proof IMO is on
               | the folks who want to restrain behavior.
               | 
               | [edit] I don't think that producing a study that shows a
               | lack of harm is going to change anyone's mind. The
               | prohibition is puritanical and ideological, no amount of
               | evidence is going to change that. I think if this was
               | based on a genuine fear, the study would have preceded
               | the prohibition. This feels more like running ourselves
               | in circles to collect evidence, Lucy and the football
               | style.
               | 
               | We already know the LD-50 of mushrooms is 17kg of fresh
               | mushroom for an average size human lol.
        
               | bigfudge wrote:
               | > We already know the LD-50 of mushrooms is 17kg of fresh
               | mushroom for an average size human lol.
               | 
               | Curious as to how we know... has anyone ever OD'd on
               | psylocibin?
        
               | ceilingcorner wrote:
               | I agree but I'm talking tactically. Legalization requires
               | convincing people that don't think the same way, and the
               | best method for doing that is by rigorous medical study.
               | 
               |  _The prohibition is puritanical and ideological, no
               | amount of evidence is going to change that_
               | 
               | Your insistence that this is the case is itself
               | ideological.
        
               | arcticbull wrote:
               | > Your insistence that this is the case is itself
               | ideological.
               | 
               | Haha, ok, well, in that case, on what basis were drugs
               | banned? Specifically psychedelics.
               | 
               | > We're talking about current attitudes, not the reasons
               | why they were banned in the first place.
               | 
               | The current attitude is "drugs are bad" because of
               | childhood education programs. Drugs are bad because
               | they're illegal. You've seen the PSAs. It was never
               | evidence based to begin with, then the "puritans" (DARE)
               | switched to youth indoctrination. It's been so long now
               | that there "must be a good reason."
               | 
               | It was never logical, or evidence based, and it remains
               | illogical, and not evidence based. Bringing evidence to
               | an illogical conversation IMO is like bringing an
               | inflatable flamingo to a fancy dinner. People will look
               | quizzically, and you won't change minds.
               | 
               | But hey, here's hoping I'm wrong.
               | 
               | After all when Portugal decriminalized all drugs in 2001
               | all the negative health factors and societal factors
               | associated with drug use fell off a cliff -- and usage
               | did not increase. That's all the evidence I need to
               | follow suit.
        
               | ceilingcorner wrote:
               | That isn't what your comment said. You said "no amount of
               | evidence is going to change it".
               | 
               | We're talking about current attitudes, not the reasons
               | why they were banned in the first place.
        
               | tremon wrote:
               | But if the current attitudes aren't based on evidence,
               | what makes you think that more evidence will change those
               | attitudes? That's what the GP is asking.
        
               | bigfudge wrote:
               | We don't have rigorous experimental data on alcohol or
               | nicotine either.
        
               | Uberphallus wrote:
               | Then we have way too many measuring sticks.
               | 
               | 1. Medical consensus say it's bad, but it's kept legal:
               | tobacco, alcohol, drinking bleach.
               | 
               | 2. There's no medical consensus, but it's forbidden
               | anyway: LSD, mushrooms, DMT...
               | 
               | 3. Medical consensus say it's bad, and it's forbidden:
               | cocaine, heroin, meth...
               | 
               | 4. Medical consensus say it's good, but we ban it anyway:
               | MDMA in the context of psychotherapy [0].
               | 
               | 5. There's no medical consensus, but we ban some yet not
               | others that have an identical mechanism of action:
               | poppers
               | 
               | That's without getting into the fact that the federal
               | schedule system is seemingly impermeable, and cocaine or
               | heroin have accepted medical uses, but somehow weed
               | doesn't, despite all the evidence it does.
               | 
               | [0] Linking because maybe not many are aware: https://jou
               | rnals.sagepub.com/doi/full/10.1177/20503245187674...
        
         | jack_riminton wrote:
         | This is my experience too. I've been microdosing about 1.3mg on
         | and off during lockdown. The effects are subtle and hard to
         | describe but I'd say it's like 'opening your mind' or reframing
         | your point of view on things. Definitely different from other
         | drugs which just pump you with serotonin
        
           | anonporridge wrote:
           | It temporarily breaks you out of your established mental
           | framework. It's as if your raw consciousness viewing the
           | world without any of the filters that we all use to tune out
           | the noise. That's why the experience can be overwhelming and
           | chaotic and it's useful to be in a safe place with a trip
           | sitter.
           | 
           | I think the magic comes when you discover that something your
           | default mindset was filtering out as noise is actually
           | signal. With that insight, you can more easily make changes
           | to your sober mindset.
        
             | agent008t wrote:
             | That is interesting. So it is a bit like reducing your
             | attention, and expanding awareness?
             | 
             | What you described sounds very similar to the effects of
             | mindfulness meditation. The idea in a sense is to increase
             | awareness - that is, sensing the world as is, without the
             | filters or influence of mental objects. The theory is that
             | meditation can then help you free yourself of past negative
             | conditioning that is no longer relevant and to be more
             | present.
             | 
             | It would be interesting to see more studies on both, but I
             | understand that many things to do with the mind and
             | subjective experiences are difficult to measure and
             | therefore to study.
        
               | jack_riminton wrote:
               | Yes there are definitely parallels
               | 
               | At a cellular level, it temporarily vastly increases the
               | connections between the synapses. A lot of what your
               | brain does is travel along well worn synaptic pathways,
               | like running on autopilot. This is when you feel like
               | you're in a rut, it's because your brain for efficiency
               | reasons is just doing what it always does. The temporary
               | frenzy of increased synaptic connections allows people to
               | break out of those ruts
        
               | anonporridge wrote:
               | Definitely. Sam Harris' book Waking Up is what turned me
               | on to psychedelics as a mind expanding tool rather than
               | just a party drug, which I had little interest in.
               | 
               | In it, he talks about how his early experiences with
               | psychedelics turned him on to the fact there was
               | something real worth pursuing in meditation and
               | mindfulness beyond the superstitious bullshit. Most of
               | the book is about using meditation as a tool for
               | spirituality without religious baggage or supernatural
               | explanations.
               | 
               | The way he and others talk about it, is that psychedelics
               | effectively force any mind into an objectively different
               | state of consciousness. Even though it doesn't last long
               | and the memory of it fades, just the awareness that
               | radical mind shifts are possible is enough to help people
               | take mindfulness practice seriously.
        
               | vmception wrote:
               | there is a suspected overlap that both communities talk
               | about
               | 
               | check it out
        
             | Leparamour wrote:
             | >I think the magic comes when you discover that something
             | your default mindset was filtering out as noise is actually
             | signal. With that insight, you can more easily make changes
             | to your sober mindset.
             | 
             | Regarding microdosing (as described by the OP) this begs
             | the question: Are there perhaps unwanted side effects for
             | running your brain on permanent "debug mode"?
        
               | anonporridge wrote:
               | Hard to say. This is the first study I've seen that's
               | tried to learn about microdosing. There's not a lot of
               | good data on it, but it wouldn't be hard for me to
               | believe that there are some side effects.
        
           | TurkishPoptart wrote:
           | How do you measure this amount? If mushrooms vary in shape
           | and size...do you have to ground them up and take gelcaps to
           | measure this appropriately?
        
           | why_Mr_Anderson wrote:
           | I'm honestly surprised that you are able feel any effect from
           | such a dose. Based on what i've heard from my friend's
           | uncle's guardener's grandmother's neighbour, this could very
           | much be just simple placebo effect. You know you are taking
           | mushrooms, which have no effect, but you 'feel' better.
        
         | renewiltord wrote:
         | I used to think this but I think society has figured out
         | something better. It has figured out that many people can use
         | drugs effectively and many people are worthless on drugs.
         | 
         | So what it does is that it allows you to use as many drugs as
         | possible when you're something like a high-income professional
         | and sort of criminalizes drug use among working class people.
         | 
         | Your "test" for being a safe drug user is to have a lot to
         | lose.
         | 
         | Drug use is rampant in SF for instance. And I know lots of drug
         | users: cocaine, MDMA, psychedelics.
         | 
         | I used to think "why doesn't society just make you post a bond
         | that lets you act in a slightly more unrestrained manner" and
         | now I've realized society does! You just have to constantly be
         | in a state of having too much to lose.
         | 
         | Personally, I use shrooms frequently (I have some in my fridge
         | right now) and LSD less frequently and MDMA rarely. All of
         | these have been amazing eye opening experiences and I am a much
         | better person for them. Thank God.
         | 
         | All a coastal California perspective of course.
        
           | rmcpherson wrote:
           | This is one of the travesties of drug enforcement and has
           | compounded inequality in America. The imprisonment of the
           | poor for nonviolent drug offenses continues today. That a
           | wealthy drug user would laud this as a good outcome of drug
           | policy is honestly flabbergasting, but perhaps shouldn't be.
        
             | renewiltord wrote:
             | It's really quite awful, isn't it? Completely inequitable
             | and very unfair. But if I had to choose between equal
             | misery and unequal prosperity, I think I choose the latter
             | each time.
             | 
             | I'd like for us to make psychedelics accessible to all, but
             | since lots of people don't want that, I think I'll settle
             | for keeping psychedelics accessible to me.
        
         | simion314 wrote:
         | I have zero experience with drugs, so I am wondering if there
         | is a sugar/cigarette industry that put a lot of money into
         | promoting it's products, then what will be different when drugs
         | get legalized?
         | 
         | Won't we repeat the history where companies make billions from
         | this products, put them into ads to spread the use and addict
         | people, suppress research into bad side effects etc,.
         | 
         | Personally I think there are some good applications for
         | mushrooms or marijuana but my instinct is that the greedy
         | people would do what they do best, sucker people and make big
         | money.
        
           | anonporridge wrote:
           | The nature of psychedelics makes it difficult to overuse
           | them.
           | 
           | Your body will actually build a tolerance to them and they'll
           | stop working if you use too regularly.
           | 
           | You also don't establish a physiological addiction like you
           | do with drugs like nicotine and sugar.
           | 
           | Finally, the dosage required is absurdly small and would be
           | extremely cheap to mass produce. You can grow mushrooms
           | relatively easy in your damn closet. It's not like it's a
           | patented designer drug.
           | 
           | Will people created patented designer psychedelics?
           | Certainly. But it seems to me like it would be a similar kind
           | of problem to people buying Fiji water when nearly the same
           | stuff is flowing out the tap for damn near free.
        
             | simion314 wrote:
             | You can also grow tabacco or make alcohol yourself, so I
             | still expecting a giant industry that will try it's best to
             | hide the side effects, blame the victim when something goes
             | wrong, put billions in ads to make it look cool to use
             | their products.
             | 
             | Why would you take micro doses of mushrooms rather then use
             | an approved anti-depressant treatment? Your home grown
             | mushrooms might differ in concentrations, the one you buy
             | might be low quality...
             | 
             | I have nothing against the product, I am just anxious that
             | it will be promoted as a miracle , "text mushrooms and your
             | anxiety will be gone, your creativity is 10X better, see
             | Joe the developer wrote this cool Rust project fueled just
             | with weed and mushrooms in 48 hours" - I have a bias, I do
             | not trust companies and capitalistic societies, they fuck
             | the society for profit, we need to keep our eyes open on
             | this studies, make impartial ones and maybe do something
             | about misleading ads and posts promoting unsafe stuff.
        
           | ceilingcorner wrote:
           | Of course. And when multi billion dollar marketing budgets
           | are put to work for weed and psychedelics, you can expect the
           | same situation to occur as with tobacco or alcohol.
        
           | amanaplanacanal wrote:
           | I've seen it suggested that a reasonable legalization
           | framework would be to legalize all drugs but not allow
           | advertising. This would logically include getting rid of
           | alcohol and tobacco advertising too.
        
           | arcticbull wrote:
           | Sure, for weed maybe.
           | 
           | But psychedelics are very different. They're really,
           | genuinely not addictive -- probably because they're not
           | "fun." In fact, they're exhausting. You may feel a lot better
           | after, the experience may be fascinating, but you're in
           | absolutely no hurry to do it again. The whole thing lasts a
           | few hours, but literally feels like months, with numerous
           | epochs along the way.
           | 
           | It's not like the kind of hollow calories of a bag of
           | Cheetos, it's more like a long, difficult workout. That's
           | hard to productize in that way.
        
             | varispeed wrote:
             | I don't think that it is a "fun" factor that keeps people
             | addicted. It's the fear of withdrawals.
        
             | bigfudge wrote:
             | >probably because they're not "fun."
             | 
             | You've been doing it wrong ;-) I'm not sure I've ever
             | laughed so much or felt so connected to people. Just
             | thinking about it is making me nostalgic.
        
             | pwr33 wrote:
             | I did psychedelics for many years and nearly every day for
             | well over a year. In total I have had at least 500-600
             | experiences with various psychedelics, especially
             | mushrooms, LSD, 5-MeO-MiPT, 5-MeO-DMT, 2C-I and 2C-P.
             | 
             | I was addicted in some sense definitely, though apparently
             | most people don't feel that way. I had to do tons of
             | cocaine to stop my heaviest phase of psychedelic use and
             | since then I have only used them occasionally over the
             | years.
        
           | pbadenski wrote:
           | Surely, you must have sampled ethanol? ;)
        
         | SpikeMan wrote:
         | Reminds me of the documentary about Addreal and it's prevalence
         | in tech and other high-functioning people. It quickly mentioned
         | (anonymously) a SV tech person that switched to microdosing
         | mushrooms rather than Addreal, and how that made everything
         | better for her (but the documentary cut short on following up
         | her case).
        
           | giantg2 wrote:
           | I thought you were going a different direction with that. I
           | don't know if it was the same documentary, but the one I saw
           | was focused on the medical and moral effects and questions
           | around the use of Adderall in the tech population, college
           | students, and children. The main gist I got from it was that
           | people were using it without knowing the possible side
           | effects, like liver issues or mood issues. And that many of
           | the people in tech didn't actually need it but were using it
           | to enhance performance, and found a doctor willing to write
           | to script.
        
         | TurkishPoptart wrote:
         | How much mushroom matter is considered a microdose? Or, how is
         | it best measured?
        
           | tomComb wrote:
           | One way to approach is that a microdose for you is any dose
           | that has no notable psychoactive effect.
           | 
           | Practically, microdosing is often in the 20 - 100 mg range,
           | and the lower threshold of a 'normal' psychoactive dose would
           | be 600 - 800 mg (depending on the individual, eg. their
           | weight, of course).
        
         | internetslave wrote:
         | I know a lot of people whose minds were ruined by psychedelics.
         | It's something you will see when you spend time in those
         | communities. It doesn't happen to everyone, but it's common.
        
           | pbadenski wrote:
           | This type of empty fear mongering comment is unhelpful at
           | best. It's a McDonalds of a comment. What's a lot of people?
           | Why are psychedelics so special compared to anything else
           | (sugar, Facebook, gambling). "It doesn't happen to everyone,
           | but it's common" - what does this even mean? "Common" based
           | on what criterion? How should our behaviour as a society
           | change based on your comment?
        
             | nicbou wrote:
             | It seems to be an appropriate response to an anecdote.
             | 
             | "I've seen it work"
             | 
             | "I've also seen it fail"
        
             | jokoon wrote:
             | Are you comparing psychedelics to sugar and social media?
             | 
             | Unless psilocybin is thoroughly tested and validated as a
             | treatment that is as safe as SSRI, I don't think it's
             | really worthwhile to jump into the psilocybin train.
        
               | theshrike79 wrote:
               | Yeaaa, SSRI isn't safe by any means.
               | 
               | It won't kill you for sure. But a 100% loss in sex drive
               | isn't really something people actually want. Took a year
               | after stopping SSRIs to get back.
        
               | boloust wrote:
               | At the doses in question here, SSRIs have a terrible side
               | effect profile when compared with psilocybin.
        
               | pbadenski wrote:
               | In a sense, yes - I believe the damaging effects of sugar
               | and social media on the society is far greater than
               | psychedelics might have if decriminalised.
               | 
               | They definitely don't deserve to be Class A in the UK and
               | Schedule I in the US. Even more so, they shouldn't be
               | classified as Schedule I by the United Nations.
               | 
               | I'm not sure about using it regularly, but people have
               | been using these for ceremonies for centuries. I
               | personally believe the choice should be left with an
               | individual.
        
               | singingfish wrote:
               | SSRI's can be not terribly safe as well. In some people
               | their use leads to extremely unsafe impulsive behaviour
               | and which itself can lead to suicide.
        
               | mellavora wrote:
               | Fortunately, "as safe as SSRI" is a pretty low bar.
               | 
               | Should we also compare the risk of addiction/dependence?
               | Oh, yes, lets do!
               | 
               | Hey, while we are at it, shall we also compare
               | effectiveness? 2 doses vs 6 weeks? Oh, wait, that's what
               | the study did.
               | 
               | I wonder how many different types of psilocybin they had
               | to test to find the effect one for these particular
               | patients. Because, you know, getting the "right" SSRI
               | based coctail is actual quite hard, many people go
               | through three or four different variants before finding
               | the one which they think works.
               | 
               | Yes, I'll bet they had to compare at least as many types
               | of psylocybin before they found the combo that worked.
               | Right?
        
             | jasonwatkinspdx wrote:
             | Psychedelics can definitely trigger or exacerbate mental
             | health issues. A few years ago my group of friends lost
             | someone to schizophrenia after he started micro-dosing LSD
             | daily.
             | 
             | I've tried many of these substances, and know people who
             | have gone a lot further, so I'm not speaking out of
             | ignorance here. There are risks to these things, and it's
             | not a positive experience for everyone. Giving people a
             | warning about that is entirely reasonable.
        
               | awillen wrote:
               | It's not a useful warning, though - what would someone do
               | with that?
               | 
               | It's like saying "driving in a car is dangerous, and many
               | people art hurt every year doing so." Okay, so what? Are
               | you saying everyone should stop driving? It's just not
               | useful - compare it to something like telling people to
               | wear a seatbelt or pointing out that driving in
               | particular conditions is especially dangerous. Those are
               | things that we can use to drive more safely. Saying
               | vaguely that driving can be dangerous doesn't serve any
               | useful purpose.
        
               | jasonwatkinspdx wrote:
               | Because many people in this thread have no knowledge or
               | experience with these substances, so giving them accurate
               | information is useful. I'd say it's even necessary given
               | there's a group of enthusiasts that very clearly over
               | hype the benefits and make absurd claims like it's
               | impossible to have a bad time, to over use them, etc. I
               | want people to have a balanced view of what they may be
               | interested in trying, vs that nonsense. Otherwise they're
               | possibly setting themselves up for a bad trip at the
               | least.
        
             | hnmullany wrote:
             | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034876/
             | 
             | Be conservative with dosage, don't do multiple doses in the
             | same session & don't use with other drugs
        
             | PedroBatista wrote:
             | I don't know if they are "special" compared to those, but
             | you seem to imply they are the same.
             | 
             | You seem so laser focused on the promising side of things
             | that you completely "forget" each substance is different
             | and it's use has serious consequences if abused, if not
             | then do heroine.
        
               | pbadenski wrote:
               | Oh I definitely don't think it's the same. I would argue
               | the items I have listed above are significantly more
               | damaging to society than mushrooms.
               | 
               | On the subject of heroin, what about more dangerous
               | psychoactive substance - ethanol? See
               | https://www.bbc.co.uk/news/uk-11660210 and
               | https://www.ias.org.uk/uploads/pdf/News%20stories/dnutt-
               | lanc...
        
             | tmountain wrote:
             | Agreed, I'm not here to insert my opinion about the
             | therapeutic qualities of psilocybin, but I find vague
             | anecdotal quips like this very frustrating. If there's
             | validity to these treatments, let's let the science prove
             | out. There's no point in trying to discourage folks from
             | having an open mind about something that may turn out to
             | help a lot of people.
        
             | [deleted]
        
           | acchow wrote:
           | In what way were their minds ruined?
        
             | vermilingua wrote:
             | Any psychadelics (and I think cannabis as well, but much
             | more rarely) can cause a psychotic break, which can't
             | always be recovered from. It seems to be more prevalent if
             | there is a family history of psychosis.
             | 
             | No source, just anecdata, the circles I run in.
        
               | amanaplanacanal wrote:
               | I would say "trigger" a psychotic break rather than
               | cause. Other possible triggers include going away to
               | college, and the break-up of a relationship.
        
               | vmception wrote:
               | Even with cannabis, states have no FDA that is prepared
               | to do studies and I just wish a basic level of known side
               | effects were listed from the actual FDA which they do for
               | studied and much more harmful drugs, because they were
               | studied
               | 
               | When you add all the other scheduled drugs that have no
               | state level recreational framework, then you no studies
               | _and_ you also have a compounded supply chain problem
               | where nobody knows what they're actually consuming
               | 
               | There are molecule combinations out there which can cause
               | instant parkinson's disease
               | 
               | nobody can give a real case about "the friend of friend"
               | who went crazy because of the illegality and imagined or
               | real liability
               | 
               | and its not fair to say "this drug is perfectly safe stop
               | fearmongering, oh wait you should have known about your
               | family history of schizophrenia never mind then lol too
               | late, but everyone else dont listen to that person" this
               | isn't directed at you, just a collection of things said
               | in the psychadelic community pretty reliably
               | 
               | bothersome.
        
               | Covzire wrote:
               | >nobody can give a real case about "the friend of friend"
               | who went crazy
               | 
               | This is a very good point. I'm not going to suggest that
               | the commonly cited anecdotes are all wrong or misguided,
               | but a lot of well meaning people throw around anecdotes
               | but just like a discussion about flat earthers, everyone
               | knows about them but virtually nobody seems to actually
               | know any personally.
               | 
               | In 2016 the National Highway Traffic Safety
               | Administration (NHTSA) cited 37,461 people died due to
               | automobile accidents. Those are easily traceable numbers
               | because they create a tremendous amount of paperwork and
               | news articles.
               | 
               | But with psychedelics there is a very odd disconnect
               | between the perception of their danger and the extreme
               | lack of actual medical/scientific evidence that actually
               | gets cited.
        
               | bigfudge wrote:
               | > There are molecule combinations out there which can
               | cause instant parkinson's disease
               | 
               | Is this real or exaggeration for effect? It sounds
               | implausible...
        
               | vmception wrote:
               | With 3 days of use. Parkisons disease in 20 years old.
               | 
               | Simulatable in primates and mice by giving them this
               | drug.
               | 
               | https://en.m.wikipedia.org/wiki/MPTP
               | 
               | https://www.cdc.gov/mmwr/preview/mmwrhtml/00000360.htm
               | 
               | Be careful out there, test your drugs.
        
               | vmception wrote:
               | (*Within 3 days after use)
        
               | tick_tock_tick wrote:
               | https://en.wikipedia.org/wiki/Prion
               | 
               | It's not instant but it's very scary stuff and 100%
               | incurable.
        
               | giantg2 wrote:
               | There are some studies on PubMed around this. I remember
               | hearing about one that the DoD did involving soldiers who
               | used cannabis and mental illnesses. I wasn't able to find
               | that, but here's a similar one.
               | 
               | https://pubmed.ncbi.nlm.nih.gov/2892048/
        
             | spoiler wrote:
             | Not OP, but there can be a few things they're alluring to.
             | 
             | Some disassociatives are often put into the "psychedelic,"
             | and they can cause addiction. Ketamine begin an example.
             | People begin chasing the previous high, which often means
             | higher doses and more money.
             | 
             | Some more ignorant people put MDMA (and family) of drugs
             | into this category as well. These drugs are highly
             | neurotoxic, and require a lot of "prep" to take to reduce
             | their neurotoxicity (it's arguable to what degree this prep
             | helps). Moreover frequent user of this can in some people
             | (ie people succeptible to depression) cause a long-term
             | disbalance in their serotonin system (some people take
             | weeks to recover from even one usage).
             | 
             | People who have some mental "precondition" (eg such as
             | psychosis, etc) can have some extremely severe response and
             | permanent "side effects" (for a lackeof better expressions)
             | from psychedelics, and never recover.
             | 
             | An extremely small percentage of people have what's called
             | Hallucinogen persisting perception disorder (HPPD). Some
             | people find it fun, some don't mind it, while some can't
             | function because of it.
             | 
             | Quality of substance you acquire can also vary. On the
             | black market things are often mislabelled or cut with other
             | substances that are easier/cheaper to produce. One notable
             | examples is NBOMe being sold as LSD. NBOMe is more
             | dangerous for a few reasons that I won't be getting into in
             | this post. Always test your stuff with test kits, or if
             | you're not comfortable with that, sense a small bit of your
             | batch to a testing lab (there's a few anonymous/free ones
             | in Europe).
             | 
             | Lastly, there's always ignorance or risk of being too
             | "casual" about taking psychedelic due to familiarity with
             | them. This leads to accidental drug combinations (eg some
             | antidepressants + some psychedelics) don't combined well.
             | Aimee just diminished the other, but people reported more
             | severe symptoms. People also combine things recreationally
             | without researching things properly, which can be a bad
             | combo. Speaking of antidepressants and psychedelics: a
             | notable thing to mention is that Lithium salts and LSD have
             | been reported to lead to terors, seizures, and maybe even
             | death (as reported on erowid).
             | 
             | I'm not trying to discourage or encourage people from
             | psychedelics. In my personal experience, they can be
             | wonderful and provide healing experiences. However, we need
             | to always be careful when using them, because they have
             | such a profound effect on our minds, and we still
             | understand so little about the mind itself. With that in
             | mind (no pun intended), treat them with respect they
             | deserve!
        
               | spoiler wrote:
               | Off-topic: writing long form text on a phone is such a
               | chore. I can't edit the typos anymore, but just to
               | clarify: "Aimee" was meant to be "mostly they". There's
               | also a few words dropped here and there, but it doesn't
               | impact readability as much.
        
             | rednum wrote:
             | Not OP, but I've met people that seemed to sort of lost
             | their agency and ambition, because their psychedelic
             | insight was that the universe will sort everything out on
             | its own. Though maybe the causality is the other way round
             | here - they were not ambitious in the first place and
             | psychedelic insight helped rationalise that.
             | 
             | Also disclaimer: I'm not trying to discourage or encourage
             | people from psychedelics. Personally I believe they should
             | not be criminalised, but people should be cautious using
             | them.
        
               | sebmellen wrote:
               | Just a personal note, I experienced the complete
               | opposite. I knew I wanted to do great things and
               | accomplish things of importance, but depression was like
               | a black cloud holding me back from doing so. Psychedelics
               | took away that cloud and also infused a deep level of
               | meaning into my everyday life.
               | 
               | I went from depressed and basically dropping off the edge
               | of the world to traveling across the world and starting a
               | startup with new friends in a different continent, which
               | was just now recently acquired.
               | 
               | What might interest you is all the psychedelics I did
               | were technically legal. Shoutout to 4-AcO-DMT and 4-HO-
               | DMT.
        
               | rednum wrote:
               | > What might interest you is all the psychedelics I did
               | were technically legal. Shoutout to 4-AcO-DMT and 4-HO-
               | DMT.
               | 
               | They are both illegal where I live (Poland). The
               | government maintains a huge list of forbidden substances
               | (link only in polish: https://pl.wikipedia.org/wiki/Wykaz
               | _%C5%9Brodk%C3%B3w_odurza...). This is in response to a
               | big designer drugs crisis that started over decade ago.
               | Which most likely than not was caused by tightening of
               | the drug laws happened around two decades ago. It's a bad
               | situation that will take another decade to improve, I
               | suppose.
        
               | gpcr1949 wrote:
               | 4-HO-DMT is psilocin, which is illegal in most places.
        
               | temp0826 wrote:
               | Fwiw 4-HO-DMT is psilocin (it and psilocybin are both in
               | mushrooms in varying amounts; and psilocybin metabolizes
               | into it in the body). It probably wasn't legal. 4-AcO-DMT
               | is a bit more of a grey area (probably covered by the
               | analogues act; allegedly also metabolizes to psilocin in
               | the body too).
        
               | sebmellen wrote:
               | You're very right, that was a late-night bleary-eyed
               | mistake. 4-HO-MET (thanks to TiHKAL) is what I meant to
               | type.
        
               | maxmamis wrote:
               | doesn't sound like their "minds were ruined", but rather
               | that they have different priorities than you and that
               | you're narrowminded and judgemental.
        
               | Leparamour wrote:
               | >but rather that they have different priorities than you
               | and that you're narrowminded and judgemental.
               | 
               | Having been loosely affiliated with the Goa/Psytrance
               | scene, I too, have met some individuals who seemed to
               | have "fried" their brains.
               | 
               | If those "different priorities", how you call it, also
               | include being almost dysfunctional and therefore
               | dependent on constant external support, paranoid and
               | frequently incoherent then, yes, it made me judgmental
               | too.
               | 
               | And this isn't even speaking of phenomena like
               | Hallucinogen persisting perception disorder (HPPD)[1].
               | 
               | [1]https://en.wikipedia.org/wiki/Hallucinogen_persisting_
               | percep...
        
               | bigfudge wrote:
               | The thing is, it's not at all clear this was caused by
               | psychedelics, so much as psychedelics and the lifestyle
               | that goes with it shape the sort of dysfunction we
               | observe.
               | 
               | If they had been in the midwestern USA would they also be
               | dysfunctional but taking prescription painkillers? Mental
               | health problems are common, and confirmation bias is
               | real.
               | 
               | There is also the danger of reverse causation -- and this
               | may apply to cannabis. The epidemiology there suggests
               | psychosis may cause people to take cannabis at higher
               | rates, rather than the reverse.
               | 
               | Finally... I've also often wondered what partying so hard
               | would do without the drugs. I've experienced festivals
               | both with and without recreational drugs and it often
               | feels like the sleep deprivation and over-stimulation
               | have as large an effect on my subsequent mood as the
               | drugs did.
        
               | Leparamour wrote:
               | >so much as psychedelics and the lifestyle that goes with
               | it shape the sort of dysfunction we observe.
               | 
               | I wondered about this myself.
               | 
               | I think it is hard to pinpoint exactly since festival-
               | goers often also consume a mix of different substances
               | (the infamous "candy flipping") including alcohol instead
               | of just straight mushrooms or LSD.
        
               | maxmamis wrote:
               | i was responding to the parent's description of people
               | having "lost their ambition." not everyone needs
               | ambition, and ambition can be destructive.
               | 
               | what you're describing sounds like psychosis which is
               | entirely different
        
           | hervature wrote:
           | This is why research is needed. My gut feeling is that the
           | root cause is overdosing. Just search "How often can I do
           | shrooms" on Quora and you get the gamut from "1 or 2 times
           | per year", to "microdosing everyday, macrodose every weekend,
           | and hero dose every month".
        
             | high_priest wrote:
             | This is why, even though I stand firm behind the fact, that
             | psychedelic experiences changed my life, I stay sceptic
             | about changing body/brain chemistry over longer periods of
             | time.
             | 
             | I used to macrodose and get immensely creative over a week
             | or so. With a happy outlook on nature and all things
             | uncontrollable around me.
             | 
             | But then the high died some day. Lethargy came back. Lack
             | of actual structure and the 'happy go lucky' attitude
             | derailed whatever tied my past with plans for the future.
             | 
             | Microdosing seemed to help from time to time, but mostly I
             | just get distracted with random consumption instead of
             | planned, structured and thought through creation.
        
           | junon wrote:
           | Why is this being downvoted? Studies are great, but let's not
           | act like drugs are suddenly safe to use in all cases. I'm
           | sure the studies didn't conclude that.
           | 
           | Be pro-shrooms but don't act like they're safe in every case.
           | Education is required before partaking in anything, let alone
           | shrooms.
        
             | nabla9 wrote:
             | The subject has been studied. There is no good evidence
             | supporting that. Cause and effect is not easy to separate
             | and anecdotal evidence is just anecdotal.
             | 
             | People who are not well are known to 'self medicate'.
             | 
             | For example: Increase of alcohol use among people with
             | preexisting problems is well documented. Link between
             | tobacco use and schizophrenia is also well documented. See:
             | "Smoking and schizophrenia"
             | https://pubmed.ncbi.nlm.nih.gov/19794359/ _" It has been
             | suggested that smoking may be an attempt by schizophrenic
             | patients to alleviate cognitive deficits and to reduce
             | extrapyramidal side-effects induced by antipsychotic
             | medication."_
             | 
             | Psychedelics are not the type of drug people keep using if
             | it harms them. If they don't work for you, you really don't
             | want to do them again.
             | 
             | (ps. I would not recommend _regular_ drug use of any kind)
        
             | standardUser wrote:
             | Can we point to any data showing that mushrooms or acid
             | (for example) are more dangerous than, say, a coronavirus
             | vaccine or driving a car?
             | 
             | Because generally speaking, unless something is concretely
             | documented as dangerous we don't just assume it is
             | dangerous "because". Especially when that "because" is
             | because of a well-documented, decades-long propaganda
             | campaign by the federal government.
        
           | dave_sullivan wrote:
           | How many is a lot? I've been around a lot of people that do
           | psychedelics, and have done them myself quite a bit. No
           | issues to report.
           | 
           | It is a crime that they've been locked away for so long due
           | to Nixon and scare mongers. So many people in jail because of
           | it. Legalize it already, sheesh.
        
           | Covzire wrote:
           | Care to give a few anecdotes?
        
           | singingfish wrote:
           | You'd want to be clear on how much of that was caused by the
           | setting in which they took psychedelics before making a
           | pronouncement.
        
             | disgruntledphd2 wrote:
             | Setting is definitely important, as is choice. One of the
             | big problems with illegal psychedelics is that people
             | aren't sure what they are getting. For instance, DOB and
             | MDMA both come in pill form, but have _wildly_ different
             | effects.
             | 
             | Some of the worst outcomes I've seen have come when one
             | drug is believed to be another, and this is something that
             | decriminalisation would definitely help with.
             | 
             | That being said, psychedelics have traditionally been
             | combined with ritual, and the lack of said rituals can be a
             | big impediment to useful results.
        
               | vmception wrote:
               | > decriminalisation
               | 
               | no only recreational legalization would do that
        
               | tremon wrote:
               | Here in NL, large festivals have drug testing booths,
               | where the visitors can have their drugs tested so they
               | know what they'll be ingesting. That's possible because
               | of decriminalisation and destigmatization.
               | 
               | Legalization would allow the government to create a
               | testing infrastructure so drugs can be tested/validated
               | before they're sold, that's arguably better. But it's
               | definitely possible to create a safer drug environment
               | with decriminalisation only.
        
               | vmception wrote:
               | Drug testing is possible here in the US with overt
               | criminalization.
               | 
               | Decriminalization is just marginally safer. Testing is a
               | huge waste of resources unless its a stopgap towards
               | recreational legalization with a reliable supply chain.
        
           | johnisgood wrote:
           | Most likely because they have done normal or high doses too
           | frequently.
        
             | astura wrote:
             | Definitely not the case for the people I know. One trip
             | caused permanent psychosis in one case.
        
               | johnisgood wrote:
               | Perhaps they were susceptible to it, then. Permanent
               | psychosis though? Is that really a thing?
        
               | vmception wrote:
               | who what why when where how
               | 
               | ever notice how all these stories lack that?
               | 
               | all?
               | 
               | look, don't respond to why that might be, but lets just
               | all push for the study and a legal framework that allows
               | for said studies to exist
        
               | giantg2 wrote:
               | Here's a summary with links to studies.
               | 
               | https://en.m.wikipedia.org/wiki/Substance-
               | induced_psychosis
        
               | vmception wrote:
               | > F16.5 hallucinogens (LSD and others)[citation needed]
               | 
               | no studies found.
        
               | giantg2 wrote:
               | I'm not sure what this is responding to. The prior
               | comments were asking about details around potential
               | permanent psychiatric issues. There's some stuff in here
               | about psychosis turning into schizophrenia, etc. It's
               | rare, but we also can't dismiss it.
        
           | mkeespiet wrote:
           | I have heard this too, but mostly because there where looking
           | for something that is not there. Example: if finding your
           | true yourself is like peeling of an onion, the can peel a
           | lot, but at some point, the reach the core where there is
           | nothing to peel anymore. I have never reach this state and it
           | is not at all my goal. I think it has something to do with
           | ego. Doing psychedelics makes ego less important. But if you
           | do it too much, you lose your ego too. Living without ego is
           | not possible in my opinion..
        
           | Gatsky wrote:
           | At least some of this could be the tendency of people with
           | pre-existing mental illness to self-medicate. High smoking
           | rates amongst people with schizophrenia is an example.
           | Smoking seems to ameliorate some psychotic symptoms.
        
             | amanaplanacanal wrote:
             | I've also read that many alcoholics are using alcohol to
             | relieve their symptoms. The article was in relation to the
             | homeless community.
        
           | xkcd-sucks wrote:
           | I know a bunch of people who went totally nuts with the aid
           | of drugs; but I know even more people that never touched any
           | drugs who went off the deep end with the aid of media,
           | romantic relationships, religion, politics, etc.
        
           | pwr33 wrote:
           | Which psychedelics?
           | 
           | I've pushed the limits with many tryptamines (at least
           | 300-400 discrete experiences) and 15 years later my cognitive
           | abilities are measurably excellent.
        
           | simonswords82 wrote:
           | I get it - a drug is a drug - and like all drugs I am not
           | saying that psychedelics are a cure all for all people.
           | 
           | What I am saying is that it is depressing that we are only
           | just seeing reports from formal sources that psychedelics
           | could be useful for some people.
        
             | giantg2 wrote:
             | I'm pretty sure there were formal studies decades ago
             | showing potential use and positive outcomes (I think
             | Stamets books from the 90s reference some formal studies,
             | but i could be wrong). But like a lot of medical research,
             | it never progressed to a market state. I think that's
             | especially true in this case due to the legal
             | classification around it.
        
               | mellavora wrote:
               | I hear that LSD made the cover of Time magazine 5 times
               | as a wonder drug, curing depression etc. That was
               | pre-1970.
        
               | giantg2 wrote:
               | Yeah, they were able to bring LSD into therapeutic use
               | before it was essentially outlawed. I believe there was
               | one dominant practice in California that became well
               | known as specialists and there were articles written
               | about them and the celebrities that were treated there.
        
             | encryptluks2 wrote:
             | I mean we could just discuss the issue of freedom and
             | making it illegal for people to grow and consume a mushroom
             | and stop making it about just drugs. Marijuana is the same
             | way. If it isn't for someone then they shouldn't do it and
             | we should make as much information available about
             | something available and provide safe environments, but
             | making it illegal especially when plenty of people have
             | experienced positive effects sometimes profound religious
             | experiences it is just another mechanism of control and
             | taking away freedom and natural rights.
        
               | ganzuul wrote:
               | Freedom is indeed one narrative. What is being
               | (re-)constructed here is a narrative about plant
               | medicine. The concepts used in each narrative are very
               | different, so if we discussing both at the same time may
               | confound each other.
        
               | encryptluks2 wrote:
               | True, but the right to life, liberty and the pursuit of
               | happiness as stated in the United States Declaration of
               | Independence has it covered pretty well. Growing your own
               | mushrooms or marijuana does not restrict on other
               | individual rights if they do so willingly, and therefore
               | getting caught up in treating it like a drug that needs
               | to be studied more before they consider making it more
               | accessible seems a bit absurd IMO. They're not being made
               | in labs and grow naturally in many parts of the US.
        
           | curation wrote:
           | I collect opinions about what 'minds were ruined by
           | psychedelics' - how do you define that?
        
         | pims wrote:
         | Would your friend have advice or resources on how to give
         | microdosing a try, especially for people who've never done
         | psychedelics?
        
           | simonswords82 wrote:
           | Your best bet is to find a local friend or acquaintance who
           | does have experience who can talk to you in detail about it
           | and help source etc.
           | 
           | Reddit is a good source of anecdotal information:
           | 
           | https://www.reddit.com/r/coolguides/comments/7fv5oj/beginner.
           | ..
           | 
           | https://www.reddit.com/r/microdosing/
           | 
           | This is also good:
           | 
           | https://www.thecut.com/2018/05/microdosing-guide-and-
           | explain...
        
             | pims wrote:
             | Thank you.
        
           | mkeespiet wrote:
           | I have quit some experience, would happy to help you out
        
       | ceilingcorner wrote:
       | I don't want to live in a world where the solution to depression
       | (caused by governments, politicians, or general existence in the
       | modern capitalist world) is a drug. Not a good idea.
       | 
       | Instead, figure out _why_ depression has increased so
       | dramatically in the last ~century and address that.
        
         | mahathu wrote:
         | > why depression has increased so dramatically in the last
         | ~century and address that
         | 
         | has it? Were our current guidelines to diagnose depressive
         | episodes with around a century ago?
        
           | jerrygoyal wrote:
           | > has it?
           | 
           | an anecdote but i think yes. pre-internet you wouldn't know
           | what's happening outside of your community. Now, internet
           | (IG, tiktok, fb, TechCrunch) surfaces the best of the world
           | before your eyes.. it's a constant reminder there exist
           | better people in whatever area you value (could be a skill,
           | appearance, material things)
        
           | goodpoint wrote:
           | Ye, it has, and also many other forms of mental illness.
           | 
           | > Were our current guidelines to diagnose depressive episodes
           | with around a century ago?
           | 
           | Certainly not, but researchers are very capable of looking at
           | historical records and detect evidence to treated or
           | untreated conditions.
           | 
           | Furthermore, people have been describing their own emotions
           | and other people's behaviors since recorded history.
           | 
           | There's an army of psychologists, anthropologist,
           | sociologists and geneticists out there studying the history
           | of mental illness. Among many, prof. Sapolsky comes to mind.
        
         | Viker wrote:
         | But you don't mind the current state of affairs where everyone
         | is being ingested with sugar and caffeine? Are those not drugs?
         | 
         | Office productivity is directly corrolated to the coffe
         | machine. The moment that breaks down everything stops.
         | Coincidence, or are we all addicted to a drug?
        
           | ceilingcorner wrote:
           | Where did I say anything about caffeine and its
           | acceptability?
           | 
           | Don't read things into my comments that aren't there.
        
         | [deleted]
        
         | ewindal wrote:
         | I didn't know my father's suicide and my subsequent depression
         | was caused by governments, politicians, or general existence in
         | the modern capitalist world. Thanks for giving me this deep
         | insight.
        
         | the_only_law wrote:
         | You already live in that world now. What do you think think
         | they give your for depression?
        
         | pengaru wrote:
         | I don't want to live in a world where how you want the world to
         | look affects my freedom to eat certain foods.
        
           | ceilingcorner wrote:
           | Nowhere did I say that prohibition is a good idea. The
           | article isn't about that, it's about using drugs to "cure"
           | depression.
        
             | DoreenMichele wrote:
             | In cases where depression is caused by whackadoodle brain
             | chemistry, this might actually be a completely reasonable
             | answer.
        
               | solaceb wrote:
               | We don't know whackadoodle brain chemistry from Adam;
               | it's a _massive_ assumption to attribute depression
               | towards something so misunderstood as our neurochemistry.
               | You might as well say it 's due to the phlogiston in our
               | heads.
        
               | DoreenMichele wrote:
               | My life experience falls pretty far outside the Overton
               | Window. Suffice it to say: I don't agree.
        
               | ceilingcorner wrote:
               | Yes probably, but the most upvoted example in this topic
               | is about curing depression from lockdowns.
               | 
               | I don't want to live in a world where the cure to
               | depression caused by forced lockdowns is to take
               | psychedelics. That seems very dystopian.
        
               | DoreenMichele wrote:
               | What causes depression during lockdown? Is it lack of
               | exposure to sunlight? Is it lack of exercise? Is it
               | eating more poorly? Is it people being confined to spaces
               | that may not be that clean that they normally leave
               | during the day, thus exposing them to more mold and
               | germs?
               | 
               | It isn't necessarily dystopian. It may still be a valid
               | and genuine treatment, though I agree it would be better
               | to understand more thoroughly _why_ it works, not just
               | _that_ it works.
               | 
               | A former medical professional once told me "The answers
               | you want for how this OTC drug works at the cellular
               | level don't exist. That isn't actually what drug studies
               | cover."
               | 
               | I don't disagree with your aims. I simply disagree with
               | some of your implicit assumptions.
        
               | ceilingcorner wrote:
               | What are my implicit assumptions? That locking human
               | beings in their houses is by default a negative thing
               | that will cause depression?
               | 
               | That seems obvious to me. Animals don't like being in
               | cages.
        
               | DoreenMichele wrote:
               | That it's merely psychological, not biological.
               | 
               | I'm not depressed. I'm a brunette for the first time in a
               | decade or more. I live without a car and the sun
               | typically keeps my hair bleached out to a shade of
               | blonde.
               | 
               | But I have a serious medical condition and already did
               | remote work and germ control is my life.
               | 
               | I had a longstanding issue resolve about six months. For
               | the first time in decades, I'm mostly not suicidal
               | anymore.
               | 
               | To whatever degree depression is biological in origin,
               | drugs may be a reasonable treatment.
               | 
               | Granted, curing sick building syndrome and other root
               | causes may be better in the long run. But it can take
               | ages to confidently identify such things, educate people,
               | find solutions, etc.
               | 
               | In the mean time, a new drug option for a biologically
               | based ailment may do wonders for people in the here and
               | now.
               | 
               | I routinely treat somatopsychic issues with diet and
               | exercise. I also routinely get dismissed by internet
               | strangers as a nutter.
               | 
               | So I'm confident that the answer you want both exists and
               | will take an excessively long time to distribute to a
               | meaningful portion of the human population.
        
               | amanaplanacanal wrote:
               | Where do you live that you are locked in your house? I
               | haven't seen that where I am.
        
       | flyGuyOnTheSly wrote:
       | Ingesting Magic Mushrooms definitely makes me feel better.
       | 
       | I have been micro dosing for months now and loving it.
        
         | mikkelam wrote:
         | could just be placebo https://elifesciences.org/articles/62878
        
       | philshem wrote:
       | Due to recent decriminalizations and booming medical research,
       | there are also some publicly traded companies one can invest in:
       | 
       | https://psychedelicinvest.com/index/
       | 
       | https://www.horizonsetfs.com/etf/psyk
       | 
       | (disclaimer: I own shares in many of these companies)
        
         | yreg wrote:
         | For more discussion on this topic there is /r/shroomstocks[0]
         | 
         | And PsilocybinAlpha[1] monitors companies in the sector.
         | 
         | [0] https://www.reddit.com/r/shroomstocks/
         | 
         | [1] https://psilocybinalpha.com/
        
           | philshem wrote:
           | > This community is available in the app
           | 
           | https://i.reddit.com/r/shroomstocks/
           | 
           | https://old.reddit.com/r/shroomstocks/
        
         | CabSauce wrote:
         | Just mild warning for folks considering this. These companies
         | are highly speculative. (They're also mostly down 20-30% in the
         | last couple months.)
        
           | philshem wrote:
           | Indeed, some companies are highly speculative. But in the ETF
           | are also J&J (ketamine nose spray for drug-resistant
           | depression) and AbbVie (acquired Allergan).
        
         | high_priest wrote:
         | In a gist, how would one go about making such investment?
         | Should I talk to a pro broker?
        
           | t1mmen wrote:
           | Most of the tickers are traded on Canadian exchanges (NEO,
           | TSX.V, CSE). If you're in the US, I believe Interactive
           | Brokers (and others) will let you buy stocks at these
           | exchanges. You can do all this self-directed, no need to
           | involve a processional.
           | 
           | If your current broker doesn't allow Canadian venture/OTC
           | stocks, $CMPS is the only ticker traded on NASDAQ so far.
           | $MMED is expected to uplist to NASDAQ in the near future.
        
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