[HN Gopher] A personal story of treating social anxiety with 5-M...
       ___________________________________________________________________
        
       A personal story of treating social anxiety with 5-MeO-DMT (2016)
        
       Author : pmoriarty
       Score  : 49 points
       Date   : 2021-07-11 21:02 UTC (1 hours ago)
        
 (HTM) web link (psychedelictimes.com)
 (TXT) w3m dump (psychedelictimes.com)
        
       | elevenoh wrote:
       | Psychedelics have been quite beneficial for my social anxiety as
       | well.
       | 
       | I once took mdma, went to a random toastmasters meetup solo, and
       | gave two presentations. Twas effective in reframing my
       | relationship to social anxiety to a non-trivial degree.
        
         | SamoyedFurFluff wrote:
         | How long was the effect for?
        
           | elevenoh wrote:
           | This single event was simply a strong step in the right
           | direction.
           | 
           | I consistently work at this & now have low social anxiety.
        
         | PragmaticPulp wrote:
         | You went to a Toastmaster's meetup on MDMA?
         | 
         | That's in now way comparable to having treated your social
         | anxiety. Recreational drugs obviously produce short-lived
         | mental changes.
        
           | warent wrote:
           | Few people are willing to put in the long hard work required
           | for many things including mental health. Instant
           | gratification and quick fixes are very popular, and I'm not
           | convinced of it being a long term solution.
           | 
           | It's like being challenged to climb a mountain but we just
           | take a helicopter up instead. Sure we get to the top and see
           | the view, but we still didn't learn to climb it. The
           | unshakable personal growth is missed, and there will be many
           | future mountains with the same challenges.
           | 
           | Do the real work, find a good psychologist, build a
           | relationship, and the healing can be life changing on levels
           | you only dream of. It took me about 3 years(!) before I
           | finally got brave enough to truly open up to my therapist
           | which finally lead to identifying that I have OCD. That has
           | been an enormous mental burden lifted from my psyche. The
           | journey was well worth the milestone, and it's just the start
           | of the work.
        
             | creamytaco wrote:
             | You spent three years trying to get someone else to first
             | understand you and then use him as a go-between for "you"
             | to better understand yourself.
             | 
             | Extremely inefficient.
             | 
             | Psychedelics blow the door to the mind-psyche apart and
             | place you right at the center of the cyclone (to paraphrase
             | John Lilly). For a smart, introspective/reflective
             | individual there is nothing more direct and arguably
             | better: No filters, no go-betweens, an aspect of one's self
             | is placed inside one's own own mind, free to observe and
             | experience.
        
             | travisjungroth wrote:
             | I think your mountain analogy is accurate, but I also think
             | it means that these temporary, breakthrough experiences
             | still have their place. Imagine thinking that you could
             | never, ever get to the top of the mountain. There's no
             | point even trying to work up to it. Then someone takes you
             | up in a helicopter. You see the path from above. You see
             | other people taking it. You see the view. Then, you're
             | dropped back into the valley. That experience gives some
             | people a sense of hope and changes their relationship with
             | the work.
        
           | loves_mangoes wrote:
           | When he says reframing his relashionship with soxial anxiety,
           | I don't think he just means being drunk at the time.
           | 
           | Social anxiety is an opinion you have of yourself. That can
           | change. Or at least, you can decide how you feel about it.
        
       | daxuak wrote:
       | > ... lead him to a psychospiritual retreat center in Mexico,
       | referred to him by Psychedelic Times, he felt completely out of
       | his element.
       | 
       | Just a friendly reminder that this article is directly affiliated
       | with the website it was posted on.
        
         | PragmaticPulp wrote:
         | And this publication profits off of promoting psychedelics and
         | getting sponsorships from these psychedelic retreat centers.
         | 
         | This article is one step away from those spammy YouTube ads
         | that promise to treat medical illnesses with secret
         | discoveries. Click here to learn more...
         | 
         | The fact that he was a reader of Psychedlic Times to the point
         | of using them to identify treatment centers suggests this isn't
         | your average anxiety sufferer. This person was a true believer
         | in psychedelics from the start, which is a huge variable in an
         | outcome know to be prone to significant placebo effect.
        
       | kulig wrote:
       | Jeez. Be careful with this stuff. It could also destroy your
       | life.
        
         | loves_mangoes wrote:
         | Seems like you mean well, but you're all shadowbanned. Can't
         | downvote someone calling for safety, as much as I love the idea
         | of psychedelics helping people.
        
       | wcoenen wrote:
       | If you find yourself making Skype calls to a Mexican psycho-
       | spiritual treatment center to discuss your condition, and then go
       | on a trip there, you do not have "debilitating social anxiety".
       | 
       | "debilitating social anxiety" is when you pace through your
       | living room for 15 minutes to work up the courage to make a call
       | to order pizza. And then afterwards, ruminate on every awkward
       | detail in that one minute conversation, forever.
        
         | agency wrote:
         | They describe having anxiety attacks on the way to work. That
         | sounds serious by any reasonable definition. Who made you the
         | arbiter of social anxiety?
        
         | jazzyjackson wrote:
         | People have good days and bad days
        
         | [deleted]
        
         | antiterra wrote:
         | I don't think it helps to gatekeep like this.
         | 
         | I can order a pizza and travel to foreign countries alone, but
         | I have nearly been fired for my inability to initiate friendly
         | conversation with leaders of other teams at work. I have
         | agonized for 30 minutes to write three sentences for friendly
         | 'let's have coffee' emails. Maybe that's not debilitating per
         | se, but with the right timing it could have destroyed my
         | career, ability to afford living expenses etc.
        
         | loves_mangoes wrote:
         | "debilitating social anxiety" is when you feel that way.
        
       | renewiltord wrote:
       | People are always making a big damn deal about psychedelics and
       | I've been doing shrooms and LSD for like years and it's been
       | fine.
       | 
       | I've got a bit of a feeling it's people trying to make it more
       | "we self regulate" than anything.
       | 
       | Personally, I enjoy them at festivals too as a party drug and mix
       | it up with MDMA and alcohol and it's great.
       | 
       | This stuff isn't even addictive. I stopped for a period of years
       | to test myself.
        
         | loves_mangoes wrote:
         | >I stopped for a period of years to test myself.
         | 
         | I'm glad you did so I don't have to :D
         | 
         | >I've got a bit of a feeling it's people trying to make it more
         | "we self regulate" than anything.
         | 
         | I think if it's genuinely helping people, that's all that
         | matters to me. Everything can't be a big deal to everyone.
         | 
         | LSD works just fine as a party drug. Also works great if you
         | want to use to write 600 lines of harsh self reflection and
         | make a change in your life.
         | 
         | I trust people to tell me how they're feeling about it, for the
         | most parts. It definitely doesn't feel like homeopathics or a
         | placebo, but we'll see what the studies come out saying...
        
       | parafactual wrote:
       | > He considered himself a logical rationalist with a self-
       | described "zero tolerance for woo-woo," so when his search for
       | social anxiety treatment lead him to a psychospiritual retreat
       | center in Mexico, referred to him by Psychedelic Times, he felt
       | completely out of his element.
       | 
       | I don't really understand how these things are connected.
        
         | Zealotux wrote:
         | I'm currently exploring similar options and I'd also describe
         | myself as a "logical rationalist with zero tolerance for woo-
         | woo". The thing is: a lot of these psychedelic retreats are
         | wrapped with strong spiritual culture.
         | 
         | I'm torn on this, on one end I noticed retreats in Northern
         | Europe usually have a more "scientific" approach than, let's
         | say, similar retreats in Peru such as Ayahuasca which is rooted
         | in shamanism. I believe both approaches are valuable, but it's
         | clear that a "rational mind" would be out of its element at
         | first.
        
           | pmoriarty wrote:
           | As someone who started out as a die-hard atheist materialist,
           | who mellowed out and became much more open to "spirituality"
           | and religion (when they're constructively positive and
           | tolerant rather than dogmatic, intolerant, close-minded, and
           | violent), I've started to develop an allergic reaction to the
           | recent shamanism craze.
           | 
           | James Oroc, in another article on the same site about
           | underground 5-MeO facilitators[1], summarized some objections
           | which I also share:
           | 
           |  _" A lot of these practitioners like to take the tail hit on
           | the end of the pipe because they believe if they are in tune
           | with you, they are influencing your 5-MeO-DMT experience. I
           | would say for one, if you've had a true 5-MeO release your
           | experience is almost un-influenceable. Music can affect it
           | and touch can bring you back a little bit, but the whole
           | point is for your consciousness to go and for your body to be
           | safe and undisturbed. I actually think the best practitioner
           | is a licensed nurse who can put you in the recovery position.
           | Any practitioner who would actually mess with your body in
           | any way while your consciousness is out surfing the Akashic
           | field, that's unethical in my opinion. And that's a common
           | theme among all these practitioners- they all like to get
           | really involved with your experience. So that's going to be
           | the next major thing I write about: my ideas on the
           | importance of a neutral container._
           | 
           |  _" I'm actually a little irritated at the moment, the way
           | the whole movement has sort of been swept up by the New Agers
           | and falling back into this kind of cultism. Because there was
           | a moment when Burning Man and psychedelic culture were
           | actually breaking free of that, and heading into a much more
           | William Gibson punk-anarchist kind of reality. That's still
           | mixed in there, but I feel like we keep getting pulled back
           | into this New Age bullshit. To me, the toad shamans are a
           | classic example of that."_
           | 
           | For more examples of the harm some of these "shamanic"
           | approaches can cause see: [2]
           | 
           | [1] - https://psychedelictimes.com/underground-5-meo-dmt-
           | facilitat...
           | 
           | [2] - https://www.dmt-
           | nexus.me/forum/default.aspx?g=posts&t=86872
        
             | Zealotux wrote:
             | Thanks for that, definitely some interesting insight for
             | someone looking for a radical experience. It can be very
             | confusing to navigate this world, and I'm not sold on most
             | of these spiritual gurus.
             | 
             | I'm very novice on this, I feel like Humanity is missing
             | out on important tools and we're just barely scratching the
             | surface of what's possible to heal the mind.
        
               | pmoriarty wrote:
               | If you're a novice I'd recommend staying away from what
               | is reputed to be the most powerful psychedelic on the
               | planet: 5-MeO-DMT.. at least until you have some more
               | experience with other substances.. though many 5-MeO-DMT
               | users think there's really no way to prepare for it, as
               | nothing else remotely even comes close.
               | 
               | Legal MDMA therapy with a professionally trained and
               | licensed therapist is probably the safest way to dip your
               | toes in.. and, regardless of what you do, integration
               | with a professional therapist you like and trust can be
               | very helpful.
        
         | DubiousPusher wrote:
         | Because currently, psychadelics as a treatment for mental
         | illness and neuroses are on about as firm of ground as cough
         | medicine and chiropractic.
         | 
         | https://sciencebasedmedicine.org/reference/chiropractic/
         | 
         | https://pubmed.ncbi.nlm.nih.gov/11045895/
         | 
         | That is not to say we don't definitively know they do not work.
         | We just dont know if they do anything or not. There is
         | promising preliminary research but a lot of that research is
         | coming out of a community that appears prone to some serious
         | motivated reasoning. And there is a small cultural movement
         | brewing that seeks to promote them despite our current
         | ignorance. Proponents have made a mad dash to dump them into
         | alt med toolbox to sit alongside acupuncture, cupping, ear
         | candling, essential oils, etc.
         | 
         | Edit: Don't get me wrong. I really hope these do work as the
         | current standards of care for most mental illness are terribly
         | flawed. Lithium for example is amazing but it has horrible side
         | effects, destroys your organs and for many eventually stops
         | working. Abilify has saved a lot of people's lives but when
         | you're on it, a lot of times you just fucking want to die. It
         | would be great to move beyond SSRIs, mood stabilizers and
         | antipsychotics.
        
           | pmoriarty wrote:
           | _" That is not to say we don't definitively know they do not
           | work. We just dont know if they do anything or not. There is
           | promising preliminary research but a lot of that research is
           | coming out of a community that appears prone to some serious
           | motivated reasoning."_
           | 
           | It's not just preliminary research.
           | 
           | At the time LSD was banned there were thousands of research
           | papers on it, and I've read that it was the most widely
           | studied psychoactive substance on the planet.
           | 
           | The research that's come out more recently about psychedelics
           | has largely just confirmed what was already known about them,
           | and what has become crystal clear is that they're actually
           | far more effective for some very severe mental illnesses
           | (like treatment-resistant depression and PTSD) than any other
           | medication or therapy in existence.
        
           | sterlind wrote:
           | MDMA successfully completed Phase III trials for PTSD:
           | https://clinicaltrials.gov/ct2/show/NCT03537014 results here:
           | https://www.pharmacytimes.com/view/phase-3-trial-of-mdma-
           | the...
           | 
           | Psilocybin can provide peace to terminally ill patients:
           | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367557/
           | 
           | and it's in Phase II trials for major depressive disorder:
           | https://clinicaltrials.gov/ct2/show/NCT03866174
           | 
           | and already has successful results in a small cohort, as
           | published in JAMA Psychiatry: https://jamanetwork.com/journal
           | s/jamapsychiatry/fullarticle/...
           | 
           | hell, ketamine is _FDA approved_ for depression:
           | https://www.fda.gov/news-events/press-announcements/fda-
           | appr...
        
       | pmoriarty wrote:
       | For anyone considering trying this, I strongly recommend:
       | 
       | - informing yourself as much as possible (and then some) about
       | this substance[1][2]
       | 
       | - not doing this alone
       | 
       | - reading and following the guidelines of _The Conclave_ [3]
       | 
       | - very carefully vetting the people you're entrusting your safety
       | to[4][5][6][7]
       | 
       | [1] - https://psychonautwiki.org/wiki/5-meo-dmt
       | 
       | [2] - https://erowid.org/chemicals/5meo_dmt/5meo_dmt.shtml
       | 
       | [3] - https://theconclave.info/
       | 
       | [4] - https://www.dmt-nexus.me/forum/default.aspx?g=posts&t=86872
       | 
       | [5] - https://entheonation.com/blog/death-fraud-octavio-rettig-
       | ger...
       | 
       | [6] - https://www.youtube.com/watch?v=xsSN4p1cLrM
       | 
       | [7] - https://www.youtube.com/watch?v=PQctOMSmBuk
        
         | perardi wrote:
         | _- not doing this alone_
         | 
         |  _- very carefully vetting the people you 're entrusting your
         | safety to_
         | 
         | Agreed, strongly.
         | 
         | Set and setting are important for psychedelics. They should
         | ideally be taken in a comfortable environment with people you
         | trust...and hopefully they're not tripping as well. Or at
         | least, they have experience.
         | 
         |  _The first time I took LSD was by myself. That was...perhaps
         | not the best idea. It turned out fine, but whoo, it was a lot._
        
           | jahnu wrote:
           | Also just want to emphasize how correct this is.
           | 
           | And yeah wow on your own the first time. Damn.
           | 
           | I was with 2 others taking and 2 people not to guide in a
           | comfortable environment and it was a lot even then. It's just
           | an incomparable experience and while bad trips are actually
           | very very rare and you should not worry about them if you've
           | prepared everything else right, the experience is still
           | just.. well.. wow!
        
             | loves_mangoes wrote:
             | I've always tripped alone, as an introvert, and I love
             | having the whole space to myself and just having a good
             | time without worrying about other people too much
             | 
             | Agree with all the above, but I'd also emphasize dosage.
             | 
             | I think I remember a study that showed the risk of people
             | having a bad reaction is very clearly correlated to taking
             | too much. Which should be pretty obvious.
             | 
             | Start slow! You can always take more.
        
               | pmoriarty wrote:
               | The main risks of doing 5-MeO-DMT alone are:
               | 
               | 1 - you can vomit and choke on your own vomit while being
               | completely out of your body and without any consciousness
               | of the outside world or bodily control
               | 
               | 2 - some people move around a lot on it, while being
               | effectively unconscious of the world around them... this
               | can cause them to hit their head or otherwise injure
               | themselves
               | 
               | So it's much safer to have someone watching over you..
               | someone who is trained to put you in to the recovery
               | position if you start vomiting, and to otherwise keep you
               | physically safe.
        
               | loves_mangoes wrote:
               | Absolutely, that sounds like very good advice for 5-MeO-
               | DMT specifically.
        
       | newbie789 wrote:
       | I found this article kind of odd, personally.
       | 
       | A million years ago I did quite a bit of 5-MeO-DMT and compared
       | to N,N-DMT (or many other tryptamines) I found it to be... kind
       | of lackluster. I wasn't aware that there was such a large
       | community that use this substance for spiritual or self
       | improvement purposes.
       | 
       | Kudos to the people that are getting value out of this!
        
         | pmoriarty wrote:
         | Could you go in to more detail about what it was like for you
         | and why you found it lackluster?
         | 
         | I'm very interested.
        
       | temp0826 wrote:
       | The title says 5-meo-dmt but article says bufo (from the toad). I
       | find pure 5-meo much nicer -- it can be safely insulfated (though
       | it does burn quite a bit), which makes more a much smoother come-
       | up. My last experience started with insulfation, then smoked a
       | tiny amount after about 15 minutes which catapulted me. (Won't go
       | into details because I can't...it really is an ineffable
       | experience). Also no harm to endangered toads, which is a plus.
        
         | jahnu wrote:
         | Have you tried LSD? Does it compare?
        
           | temp0826 wrote:
           | It does not compare at all. I'm not sure that you could get
           | to that same place of full release/disconnection even with a
           | massive dose of lsd.
        
       | PragmaticPulp wrote:
       | Interesting story, but as always it's important to consider the
       | source. These results shouldn't be interpreted as typical or
       | average. 5-MeO-DMT isn't extraordinarily rare or hard to obtain,
       | but stories of people turning their entire lives and psychology
       | around for the better after a single dose aren't common.
       | 
       | Even the subject recommends against self experimentation, owing
       | much of his outcome to the overall experience and ritual itself.
       | He suggests he was skeptical, but skeptics don't get on an
       | airplane and travel to a destination to consume psychedelics
       | under the guise of self-healing. The placebo effect plays a
       | strong role in many of these outcomes, with the jarring
       | experience of taking a psychedelic and having reality dissolve
       | act as a sort of super-place that signals that whatever
       | experience was had was noteworthy in a supernatural way.
       | 
       | That sort of super-placebo effect doesn't only amplify positive
       | thoughts, though. Any psychedelic guide will emphasize "set and
       | setting" as important because it's well-known that a negative set
       | and setting can trigger a harmful trip which can exacerbate pre-
       | existing anxieties and negative ideas rather than making them
       | disappear as this single anecdote would suggest. More
       | realistically, "set and setting" had become a code phrase for
       | post-rationalizing bad trips as being the fault of the user, not
       | the drug, as relatively little guidance is provided about what
       | constitutes proper set and setting. Instead, negative trips are
       | hand-waved away as problems with "set and setting" as a way to
       | vindicate the drug itself.
       | 
       | In more typical real-world experiences, life changing results
       | like this aren't typical. Some users report a sort of afterglow
       | effect, but it often fades in a matter of days or weeks. This
       | leaves some of those users chasing additional doses or wondering
       | what they've done wrong. On the other end of the spectrum,
       | psychedelic experiences can and do trigger long lasting negative
       | affect, or even unmask latent mental illness. Again, it's not
       | uncommon for these to be hand-waved away as pre-existing
       | underlying conditions or improper set and setting, but it's
       | important to know that negative outcomes or exacerbations of
       | mental illness are a very real possibility.
       | 
       | Psychedelics are an interesting research topic, but we need to be
       | honest and realistic that these aren't hidden miracle cures that
       | will wipe away anxiety and change everyone's lives for the better
       | after just one dose.
        
         | pmoriarty wrote:
         | _> stories of people turning their entire lives and psychology
         | around for the better after a single dose aren't common_
         | 
         | This story itself is not about someone turning his entire life
         | around after a single session. As the author writes:
         | 
         |  _" Ironically, my first visit to the clinic didn't really
         | address my social anxiety directly, as there was a lot more
         | fundamental stuff that I had to work through. I've been back
         | twice now..."_
        
           | PragmaticPulp wrote:
           | Exactly. As I said above, a lot of these psychedelic
           | afterglows are short-lived, leading to an urge to redose to
           | recapture the experience.
        
             | loves_mangoes wrote:
             | Urge to redose is maybe laying it on a bit thick. Drugs
             | feel good, obviously, but psychedelics aren't particulraly
             | adictive to most people. It's usually pretty draining, not
             | something most people would want to do every day.
             | 
             | The afterglows are pretty long for me!
             | 
             | Love
        
               | sterlind wrote:
               | I've had the opposite. Horrendously scary experiences
               | brought on by panic attacks, magnified by the drug and
               | stretched out to subjective days by time dilation. My ego
               | was run through the thresher and dismembered.
               | 
               | Having such a negative experience was probably better
               | though. I rebuilt my ego after a few months and
               | permanently (10+ years now) fixed deep problems in my
               | psyche. But it scared the bejeesus out of me and I have
               | no desire to go through that ever again.
        
               | loves_mangoes wrote:
               | I'm really sorry you went through that, for what it's
               | worth <3
               | 
               | Stay safe.
        
               | pmoriarty wrote:
               | Bad trips often uncover a lot of negative unconscious
               | material that the tripper does not want to deal with in
               | their ordinary waking consciousness. Psychedelics can
               | sometimes just kind of "put your nose in it" whether you
               | like it or not and make you face these things. Some
               | people can't handle it.. especially if they're not
               | expecting it, have not prepared, and have no professional
               | support to help them to work through and integrate the
               | experience.
               | 
               | It can be terrifying, but my own bad trips (which
               | happened decades ago) have taught me much more than my
               | good trips, which were just fun. Not that I'd want to
               | have a bad trip or wish one on anyone else, but they can
               | be used constructively and be ultimately helpful if one
               | tries to learn from them instead of just push them away.
               | 
               | Surrender to whatever happens during the trip and turning
               | towards the fear has also been shown to lead to a
               | positive outcome as one experiences "ego-death" and then
               | rebirth, which is why this approach is encouraged in
               | professional psychedelic therapy. I've read some
               | psychedelic therapists telling their patients that if
               | they feel like they're dying to just die.. and that it'll
               | be ok.
        
       | DantesKite wrote:
       | Lovely article. Love how simple it was to read. So many times,
       | authors get caught wasting time uselessly describing everything
       | around them. Really cut to the meat quick and fast.
       | 
       | > This isn't something I feel like people should be experimenting
       | with on their own. Having that envelope, having that support
       | mechanism, is very important. I believe the energy in the room
       | contributes to an experience. Search out people that are
       | knowledgeable and really have experience with these things. The
       | integration work goes hand in hand with the actual psychedelic
       | journeys. Having a psychedelic experience without anyone
       | knowledgeable to help you unravel it probably wouldn't be
       | productive in a lot of cases. Find competent people to guide you.
        
       | ramesh31 wrote:
       | You don't need to fly to Mexico and smoke toad venom to trip on
       | DMT. It's very easily produced with no special equipment or
       | skills from simple precursor materials that are readily available
       | and completely legal to buy online in the US. Not that I would
       | know.
        
       | obedm wrote:
       | I can't take an article seriously when it's published under a
       | pseudonym, by the website itself.
       | 
       | It could just be marketing for all I know. And it most likely is.
        
         | DubiousPusher wrote:
         | I think this is a fair criticism. Delivered perhaps a bit
         | acerbically.
        
           | imwillofficial wrote:
           | As somebody who struggles with tact lately, would you mind
           | sharing a kinder way to phrase the above while also being
           | factually correct?
           | 
           | I used to be good with people, but somewhere along the way I
           | became a jerk. Any tools in my tool belt would be
           | appreciated.
        
             | echlebek wrote:
             | Put yourself in the shoes of the person you're talking to,
             | and try to understand how you are coming across. How would
             | you feel if you were them?
        
         | PragmaticPulp wrote:
         | Psychedelic posts get a free pass from the usual criticisms on
         | HN for some reason.
         | 
         | This is a blatant promotional article for a mystical cure
         | associated with a sponsor of the website it's posted on (the
         | article admits they referred him to the retreat center, a
         | subtle invitation to other readers to also reach out to get
         | similar referrals to this miracle cure).
         | 
         | Replace psychedelics with any other substance and the comment
         | section would be full of criticisms about this being an n=1
         | anecdote and the obvious conflict of interest with the source.
        
       ___________________________________________________________________
       (page generated 2021-07-11 23:01 UTC)