r/PsychedelicTherapy 21d ago

Mod Monthly Community Bulletin Board July 2026

1 Upvotes

Welcome to this month’s Community Bulletin Board!

This space is for members of the community to share their own creations, writings, books, events, groups, art, podcasts, or any projects that contribute to the growth and understanding of this field.

For all those of you who have tried to promote your work in the subreddit, this is your space! This monthly thread will be our focused exception to the "no self-promotion" rule.
If you are posting research on the community bulletin board please make sure you include all required information, this can be seen in the rules in the sidebar.

Please keep your offerings respectful, relevant, and community focused. Do not spam.

If you are planning on sharing an offering on the bulletin board, please include a 1-200 word description of what you are offering, and why it is relevant to our community. Posts with no context will be removed.


r/PsychedelicTherapy Nov 27 '25

Community Notes

1 Upvotes

Hey all,

This thread will be updated over time with links to past community bulletin boards and notable mod actions.

Cheers,
Mindful

Community Bulletin Boards:

October 2025

November 2025

December 2025

January 2026

February 2026

March 2026

April 2026

May 2026

June 2026

Notable mod actions:

Poll on what to do with research posts - Voted to keep research within community bulletin board

Poll on whether to disable visible up/downvoting - Voted to keep voting visible


r/PsychedelicTherapy 5h ago

Knowledge Share Should I tell my new therapist I’m using psychedelics?

7 Upvotes

I have my first session with a new (regular) therapist later today. It has been difficult to find a therapist with availability who takes my insurance and has the focus I want. I’ve been doing ketamine therapy at home over last several months for depression. I’m nervous telling the new therapist in case she has a negative opinion about it. Are most therapists today 1) fully aware of ketamine/other psychedelic therapy and 2) likely to be supportive? Thanks for any insights.


r/PsychedelicTherapy 22h ago

Preparation Advice Taking psilocybin while on many antidepressants

4 Upvotes

I currently take 3 psych meds, pretty much the same ones that I was taking 2 years ago when I had this experience. I ingested a good three grams of what I believed were probably penis envy. I was not at all expecting anything to happen, but it did. I have an amazing high level psychedelic trip complete with ego dissolution contact with astral beings and stayed sober and clean for 6 months! I have never since been able to repliate the exprince. If Im lucky I may get the faintest buzz but absolutely no psychedelic experience benefits as before. Now, I am not currently in a place where I can start weaning off of my meds. I just finished TMS and ketamine therapy for SEVERE depression for the last 6 months and am only now starting to get back to baseline. My question: has there been a workaround for using psychedelics while on antidepressant meds? How could I have had that one experience, but not been able to since? Would the strain of the mushroom have a factor?? Thanks!!


r/PsychedelicTherapy 18h ago

Experience Report Mushrooms- Capsules or Tea

0 Upvotes

I’m wondering if anyone has noticed a significant difference in the effect of mushrooms taken in capsules vs tea. I can’t tell if the much more mellow journeys I’ve had since starting to use capsules is the delivery method or because I’ve started to work with my chakras (especially lower chakras on the come up).

I had some pretty intense trips with tea. But it got harder and harder for me to get the tea down. But I’ve been taking some pretty high does with capsules (5g) and it’s nothing like my first mushroom journeys with tea - milder come up, fewer waves, then pretty quickly into a pleasant pschelitic feeling.

I’m doing this with a therapist and still getting some pretty profound healing after the journey. I just miss the intensity, even though painful some times, that I had with tea (or earlier in the process).

Thanks in advance for your input.


r/PsychedelicTherapy 1d ago

Community Offering Psychedelics, Contemplation & Consciousness — a live conversation with Christopher Bache

7 Upvotes

Christopher Bache is professor emeritus of Philosophy and Religious Studies at Youngstown State University and the author of LSD and The Mind of the Universe – a book that details his experiments taking high-dose LSD, using protocols developed by psychedelic pioneer Stanislav Grof.

For two decades, Chris lived a double life — a professor in public, and in private, a man conducting 73 high-dose LSD journeys in search of insight into consciousness and reality.

There are few who have ventured as deep into psychedelics as Chris, but even fewer who have been able to articulate these experiences in such a clear, systematic, and insightful way.

Join me for a live conversation with Chris exploring psychedelics, contemplation & consciousness — including:

Do psychedelics hold genuine spiritual and philosophical insights that aren't otherwise accessible through meditation or other forms of contemplative practice?

Why do some people have life-altering shifts after taking psychedelics while others seem unfazed?

How can we better integrate peak mystical experiences into our everyday lives?

And what were some of the deepest insights Chris tapped into during his 73 high-dose LSD journeys?

This 90-minute session will begin with a short dialogue between Chris and me, followed by a group discussion and Q&A.

If you haven't yet, I highly recommend you read Chris's gem of a book — LSD and The Mind of the Universe — before the session.

*This session will be recorded as a podcast and uploaded to YouTube. By unmuting and speaking during the session, you consent to being included in the recording. If you prefer not to be on the recording, stay muted for the duration and drop questions and comments into the chat box.

You can register here - https://us06web.zoom.us/meeting/register/x5pbaD7lTGCKDVr3JBdR8g


r/PsychedelicTherapy 1d ago

Preparation Advice looking for prep advice and any kind of wisdom and guidance going into my next trip please

1 Upvotes

m not new to mushrooms and I’ve spent a lot of my 20’s enjoying the surface level beauty of taking mushrooms.
I’ve turned 30 this year and also had an extremely tough year in most areas of my life. I tripped for the first time in a while last week. I can’t say it was ‘bad’ trip, that never sits right with me. even if a trip was difficult for whatever reason, you can gain something from every experience.

so I’m planning on taking some this evening with my partner. I’ve done a little reading today whilst being aware of not doing toooo much going into this.

I’m not looking for this trip to change my life overnight, but I’d love to start the journey of approaching some trips with more intention and preparation.

I’m hyper aware of not doing ttoo much which is why, instead of searching, I’m straight up asking so I can get to my journal asap and chill.

would love any advice on firstly, how to word your intentions etc, less demanding and more questions and explorations.
little mantras that have helped you throughout your trips and experience.
I’d like to just scribble a bunch of stuff down in my journal right now that will benefit me this evening.

I’m going to leave it there, I’m getting close to overdoing the prep so I’m going to, change the bedsheets and light some candles, get a bath and spliff and scribble some stuff down so I enter this trip with no demands, no expectations, but a level of maturity I suppose and an intent to gain what I can and just have either an enjoyable/relaxed/easy trip, or an important and exploratory trip.

I’m not expecting a magical shift in my issues in life from one trip, this idle tuesday eve.
I’m just ready to start living better, and I believe a slightly more prepped trip could be massively beneficial during an extremely painful/rough period in life.

I’m a bit rubbish at posting so my apologies, just ramble on but happy to talk and give and context etc needed.
I’m having a lemon balm tea and doodling in the yard until my partner is home in an hour/two.
I’m going to put my phone down, not research anymore and hope to get some replies to help me out.

peace and love


r/PsychedelicTherapy 1d ago

Experience Report Extreme Fear on 5-MeO-DMT

5 Upvotes

Done 5-MeO-DMT 3 times in the past 7 months with two different facilitators. Highest dose was 14mg smoked through a pipe. I did not have the typical breakthrough experience that others in the ceremony had, and that most people also describe online. All I experienced was pure terror and fear. Others in the ceremony "broke through" on 6mg, another on 12. I know dosing varies significantly from person to person, and I may just need to work my way up to a higher dose, BUT, something tells me that extreme FEAR & TERROR is where my problem lies. I feel like that has something to do with my life and all the scary and traumatic instances I have had, and that maybe that is what is messing me up in my every day life without me realizing. I guess I am wondering if that fear is purely from the ego fighting back or is it possible that it is related to things other than ego death?

Also any advice on dealing with it?


r/PsychedelicTherapy 5d ago

Knowledge Share Psychotherapist talks about "Metaprogramming" and the 8 Circuit Model from Wilson and Leary.

4 Upvotes

This connects three things I rarely see linked properly in contemporary psychedelic discussions: John Lilly's metaprogramming concept, Robert Anton Wilson's Thinker/Prover principle, and Carhart-Harris's REBUS model.

The argument: psychedelics suspend the confirmation-bias machinery long enough to see your conditioning, but without a deliberate re-imprinting method, the machinery just restarts and collects evidence that nothing changed.

Author discloses upfront that she teaches this framework commercially.

The Lilly/Leary/Wilson history stands on its own regardless.

https://psychedelicstoday.com/2026/07/17/what-is-metaprogramming/


r/PsychedelicTherapy 5d ago

Philosophy Mistakes have been made

0 Upvotes

Prior to yesterday, the last couple days have been some of happiest days of the last few months.

But I came to Mexico, to the ibogaine place but with no intention of doing ibogaine. I still havent done ibogaine nor do I intend do.

Contrary to the previous couple months where I would have done ibogaine even if it meant death. But man, theres always something to live for.

I wish I had never came to Mexico. I just want to see my mom and dogs again. I didnt even want to come to Mexico, but there's something funneling me down this path, a bad path. Im fighting upstream against this current. And Im concerned just how close to the sun ive been flying.

Its like this current pulling me in and sometimes I get out, but just to be pulled back under. I would compare it to the movie "Get Out" and in these moments it feels like im in the sunken place while this imposter that presents itself as me, self sabotages in ways worse than the previous time. The energy is off. And if I had to compare it to anything, my headspace is like a really bad acid trip.

Have i psyched myself up to the point where ive convinced myself to the point ive convinced myself im something im not? Or will this too soon come to pass? Everything else passed so I pray this too will.

Is there something where your body anticipates a result so hard that your body starts acting like that result before the thing even starts?

Im scared


r/PsychedelicTherapy 7d ago

Knowledge Share Looking for advice on Solo Therapeutic Tripping

3 Upvotes

TLDR: I have done prescribed at-home ketamine therapy cycles twice now ( troches and injectable ) and looking to create a similar therapy experience with Psychedelic / Psilocybin Mushrooms and looking for pointers.

---
Hello! I am looking to expand on my at home psychedelic therapy as someone who has done two (2x rounds of) 8 week cycles of at-home ketamine therapy ( prescribed ). I had a great experience and breakthroughs, but moved to a state that no longer allows this. I have had some experience with mushrooms, but it was years ago and not sure what dosages I took, but it was for recreational fun. I never had a bad experience / reaction though.

The ketamine therapy consisted of setting intentions and journaling before hand, and then using a eye mask and noise cancellation headphones during the trip ( +/- 1 hr experiences). Based on some other posts here, people do the same with mushrooms and looking for guidance. I am not sure what dosage to start at ( 1g, 2g, 3g etc) and curious on frequency of use, once or twice per week, biweekly, etc? I also would like to know how long these trips can last and what to expect. I am fine with a ego-death like experience as well but I want to do it smart and do it properly.

I am used to seeing visuals with the eye mask on, and having deep and profound inner realizations and breakthroughs during and after my previous ket sessions. I am looking to have similar levels of therapy sessions to continue to help with my depression and healings of past trauma.

Any pointers or anecdotal experiences would be greatly appreciated!


r/PsychedelicTherapy 7d ago

Preparation Advice MM120 clinical trials

3 Upvotes

Anyone with anxiety or social anxiety have experience undergoing a mm120 (LSD) clinical trial? Im considering doing it but ive heard very polarized reviews


r/PsychedelicTherapy 8d ago

Preparation Advice Did anyone get a Stellate Ganglion Block and do Psychedelic Therapy afterwards?

2 Upvotes

Is this safe to do? And if so, how was it different?


r/PsychedelicTherapy 10d ago

Experience Report The unsexy side of integration: does healing eventually become repetitive behavioral change?

27 Upvotes

One of the biggest insights from my last MDMA session was realizing what my nervous system automatically does whenever I'm around other people. Since I was a young child I've automatically and compulsively scanned 🧐 my environment:

-       Who is looking at me?

-       Am I safe?

-       Am I doing something wrong?

For decades, I believed my main problem was severe social anxiety. During my last MDMA session, I realized something I had never fully understood before: the compulsive scanning itself may be one of the core processes driving and maintaining that anxiety. The more I monitor other people, the more disconnected I become from myself 😵. Ironically, the very strategy that once helped me survive now prevents genuine connection with both myself and others, and keeps me from fully participating in life.

During integration, I noticed something else: The moment I interrupt the scanning, I immediately feel what it has been protecting me from all these years: deep powerlessness, a constant anticipation of emotional pain ❤️‍🩹 (and shame). The scanning creates an illusion of control—a strategy that made sense in the context of childhood abuse. I started to realize that the scanning wasn't just driven by fear—it was also keeping the fear alive. So it has cost me decades of severe social anxiety, hypervigilance and disconnection from myself.

So my current integration practice is surprisingly simple: Every time I notice myself anxious scanning people, I gently bring my attention back to myself. Again – and again - and again. 🔄

But I'm realizing that this isn't just about shifting my attention inward. Every time I interrupt the scanning, the feelings of powerlessness come to the surface much more strongly. And honestly, that's the hardest part for me. Accepting that I have very little control over other people's thoughts, feelings or behavior—and whether they might reject, judge or hurt me. Every time I shift my attention away from scanning my environment and back to myself, it feels like a small leap of faith 🪂. I usually feel some anxiety... but most of the time, nothing bad actually happens.

And honestly... this stage of integration feels incredibly unsexy 😴😮‍💨. It's repetitive, slow and often boring.

It feels less like having profound insights and more like patiently repeating the same behavioral change hundreds of times until my nervous system finally learns that it no longer needs the old strategy.

  • Has anyone else with complex PTSD (or severe social anxiety) noticed this same pattern of constantly scanning other people or the environment after MDMA or psychedelic therapy?
  • Did your integration eventually become less about new insights and more about patiently repeating the same behavioral change until it gradually became automatic?
  • Does this sound like what good integration looks like?

r/PsychedelicTherapy 10d ago

Preparation Advice how should an experienced and trauma-informed guide respond?

5 Upvotes

When traumatic memories come up, how should an experienced and trauma-informed guide respond? Should they engage with you in the material, or just witness what you say aloud?

I recently had an experience where I talked about, at a high-level, some traumatic memories during my journey. I said pretty high-level things out loud, without really speaking much to the details. My guide offered responses like "I'm sorry that happened to you" or "you didn't deserve that". But after thinking more about this, I wonder if it would have been beneficial for there to have been more engagement, which may have helped me go deeper into it.

(FWIW, this was not by any means my first experience, nor my first experience with this guide.)


r/PsychedelicTherapy 11d ago

Experience Report Treating depression with truffles, 2nd trip felt like the opposite of the first

1 Upvotes

2nd trip on truffles completely different than first, trying to heal depression

A bit more than a month ago I made tea from truffles for the first time, 15 grams Tampanensis. I’m very sensitive since I don’t drink or do drugs, and experienced a deep connection with myself and lost identity, and moved fast through a ‘wormhole’ while seeing and feeling music I was playing. It really blew my mind.

I’m trying to cure pretty severe depression, tried SSRIs but made everything worse and quit. Getting through the days is difficult since I feel like all my insides are being ripped out and the feeling is unbearable and unsafe every day. My first trip gave me a lot of hope and I really could escape from these feelings and experienced no overthinking and no past or future or identity.

Yesterday I tried again, made tea with 15 grams of Pink Paradise, didn’t drink it all because I felt it coming up fast and strong. The visuals were so different and in stead of 4D the dimension seemed 2D were I was in a world where everything seemed without meaning like a plastic Barbie play set in a very small world/flat dimension with just me and my strong emotions (I have a severe broken heart and my ex is still close in my energy field). I was still overthinking and cried hysterically a few times, I couldn’t go deeper into myself though, music sounded so flat and could only tolerate very slow music. I had to keep my eyes open because besides a few nice kaleidoscope visuals I mostly got skeletons, skulls, spiders, devils, plants dying, eyes and faces sticking their tongue out to me… I do feel less suicidal after this trip and hope I did do processing while I’m trying to figure the meaning out…

Could it be that a month in between trips was too short and that’s why I couldn’t go deeper in myself? Or was this just a bad trip? I’m still proud of myself keep reminding myself that it would pass and try to not be scared. Should I try Tampanensis again and would it be too soon if I tried in a month?

I’m new to this so thank you in advance🙏🏻


r/PsychedelicTherapy 11d ago

Preparation Advice Is it ego or neurological based?

1 Upvotes

The way i view myself i feel like a complete dork so it feels like my misery is tied to my ego. My negative view of myself stemming from falling back into old habits even if some were from months ago(lust). I view myself too much in a negative light so all I do is goto work and go home and sleep.

But it feels like ive stressed my brain so thin that my brain has been fried and so it also feels like it could be that.

Sometimes it feels like how it used to when id come off my prescription adderall. Sometimes it feels more than just mental but spiritual.

I hate how fixated ive gotten on this.


r/PsychedelicTherapy 13d ago

Integration Support Panic attacks/ dysautonomia

1 Upvotes

Has anyone experienced panic attacks or dysautonomia only after starting psychedelics? I’ve never had panic attacks before up until a few months after my first journey. It peaked around a year since my first one. I’m wondering if it’s from the meds itself or something I’m not integrating


r/PsychedelicTherapy 14d ago

Preparation Advice Was planning to do my 2nd therapeutic trip today @ 2.5g. Was planning on fasting like I did for my 1st trip... but this morning I "accidentally" had an espresso. Should I still do the trip?

0 Upvotes

Hi everyone, I was planning to do my 2nd trip today, and use the same protocol I did for my first trip.

I was planning to fast, but this morning I was on auto pilot and had a double espresso (I've fasted in the past for health reason and coffee is generally okay when fasting).

Shortly after the espresso I looked up if taking caffeine will affect my trip... and the overall concusses is that it can make the trip more prone to anxiety.

So the question... do I postpone my trip for another day? It's currently 10am, I had my double espresso at 9:30am and was planning to start my trip at 2:30pm.

UPDATE: I went ahead with the trip and the caffeine didn't have any severer effect (no anxiety). Thanks everyone!


r/PsychedelicTherapy 15d ago

Philosophy If dissolution is only half of what happens in a session, are we integrating the right half?

8 Upvotes

Hi, sharing this here specifically because I think it bears on integration and treatment design, not just the philosophy. I recently gave a talk (then published as an essay) at a psychedelics conference. I'm doing a philosophy PhD focused on psychedelics, and this is the first time I've put my more academic work out there publicly. Psychedelics have been a huge part of my life for about a decade (I wrote a book on my own experience with it), and I've thought a lot specifically about integration, so this community felt like the right place for it.

Most of the philosophical literature on psychedelics is stuck in a false dichotomy: either the mystical experience is nothing but brain dynamics (relaxed priors, default mode network suppression), or it's evidence we need to revise our metaphysics toward something like panpsychism. Both sides quietly treat the experience as a proposition to be scored true or false, a report on whether the patient contacted something real. I think that's the wrong frame clinically as well as philosophically. Meaning is co-constructed between agent and environment rather than simply found or projected, so a "mystical" state in session is better understood as a shift in disclosure, in what shows up as mattering to the patient, than as a metaphysical claim that needs verifying.

That reframing matters most for the part of treatment I think gets underweighted: what happens after the loosening. Dissolution gets almost all the clinical and research attention, understandably, it's dramatic and there's decent neuroscience behind it. But dissolution just flattens existing structure, and a flattened structure can reorganize in more than one direction: toward something healthier, back to the old pattern, or into something novel but still pathological, the patient who keeps chasing sessions, feels like they're getting better, and isn't. None of this is visible from the neuroscience alone, a genuine insight and a confident delusion run on similar machinery. So the outcome question isn't just whether the self loosened in session, it's what the reorganization was pointed toward, and that's mostly determined outside the room.

What I think does the pointing is attention, understood as morally loaded rather than just a spotlight. Attention functions as precision-weighting that structures the whole field of what a patient registers as relevant moment to moment, and since we're social animals that field gets shaped by therapist, community, and context as much as by the patient alone. I lean on Weil and Murdoch here, who argued attention is less something forced and more something you become receptive to, and that the measure of moral change is a decrease in egoism and an increased sense of reality. This is the same causal story that makes set and setting so powerful in session, cognition is world-involving, so what becomes salient and durable isn't generated by the compound alone.

This is one piece of a larger dissertation argument, but I think it bears directly on two things the field still treats as a black box: non-response (patients who don't improve even with careful protocol) and relapse after initial gains. Neither looks purely pharmacological to me once direction and post-session attention are taken this seriously, which is really an argument for integration being closer to the treatment itself than an add-on to it.

I'd love pushback from clinicians and researchers here specifically, does this match what you see in practice, that outcomes track integration quality and direction more than session intensity? And for anyone who's gone through therapy like this, did what actually stuck with you come from the session itself, or from what you did with your attention in the months after?


r/PsychedelicTherapy 15d ago

News What do people think of the 2026 Wonder Summit?

2 Upvotes

r/PsychedelicTherapy 17d ago

Preparation Advice When doing the Stamets stack…

1 Upvotes

Does the Niacin (B3) have to be flushing form? I've been taking it via a B-complex tablet because that has extra vitamins (like C) my body needs


r/PsychedelicTherapy 19d ago

Experience Report Challenging/intense trip on 3g mushrooms in a supervised session (Warning: suicidal ideation, infinite loops, other mental health issues etc)

13 Upvotes

I wanted to take mushrooms because of some emerging evidence, according to what I read anyway, that they could help in depression and anxiety disorders, with potentially even a single dose, for long periods of time. I felt stuck and that nothing else I had ever been prescribed or tried had ever really done anything. I had read a lot of the clinical trials that have come out and to me the evidence seemed very promising that it might work, at least for a lot of people. I also was curious about “ego death” experiences of unity, of oneness with everything, that I had read a lot about, and which seemed to have a lot of overlap with Eastern religious/spiritual ideas of enlightenment, of permanent cessation of suffering, based on my understanding of texts I had read along with many stories and articles online over a period of a decade or more off and on, firsthand and otherwise. Anyway, as for the day of, when they started to take effect, under supervision from 2 guides..

The first thing I remember was that there was a picture hanging on the wall of the room I was in of a monastery on the side of a mountain and it looked like the picture was moving, alive and breathing. That there was a tiled face (like on a computer wallpaper) with some repetitive pattern appearing in the corner of the mountain and moving around, not visible when sober.

It looked as if the light beams from the sun were diffracted into rainbows coming through blinds through windows into the room. I felt this kind of slowing down of everything, of uncannyness, of spiraling or swirling of everything. I wondered what “anxiety” really even meant, and in some apparent flash of insight noticed that this feeling of fear or anxiety I was experiencing even now seemed physically and biologically identical to the feeling of excitement, only I had all my life been processing and categorizing it differently under this category, and it had never occurred to me before. That maybe people who enjoyed fairly extreme activities like skydiving felt and loved this same sense of fear I was having right now, whether or not they called it fear or excitement.

I put on the provided eyeshade and headphones with some classical music playing, just reclining in some armchair. It all took effect so quickly, had to be within 20 minutes or so. I had these powerful colorful visions, fractals and things over a black void. Rainbow colored snakes, or fibers of some kind, twisting amongst each other and writhing and having this aliveness. I lost the sense of being or having a body, no longer felt like I was just watching some sort of show or daydreaming or anything or that I was looking at this just in mind’s eye with the eyeshades on. Rather it felt like I was really in this imagery, not centered and looking at in front of me like the way sobriety feels or normal visual imagery feels, but a part of it. Out somewhere in deep space, or outside of the universe, I was looking at some kind of a red plane suspended in nothing that seemed to contain everything, or something I had never seen. A book with writing in some language or script I had never even seen appeared super imposed over it and I couldn't understand. Other letters appeared out of nowhere in the void in this superimposed everywhere.

But then I started to get this creeping sense of dread, like I was facing actual annihilation, or going into some kind of vast self-imposed mental hell or labyrinth where I might spend however many millions of years subjectively, or several infinities, or whatever, lost and without the use of my own mind to think my way out or get through it. Of being totally untethered from everything I had ever learned or thought about the universe, about control or the sense of having a body and being able to exert my will upon it to do things, even to organize my own thoughts and work things out logically or execute a goal. Just this overwhelming sense of fear and dread and apprehension about whatever I had decided to put myself into, and not having realized what I was in for.

I felt it was too much and I took off the headphones and the eyeshade and tried to ground myself in the room. I could more or less see as normal, visual aberrations like I mentioned with the painting aside. I paced around the room intermittently between sitting or lying back down, and noticed similarities in the lacquered hardwood floor and that right angle counter design for the kitchen and the dining table and the doors and windows, all the generic luxury condo or other heavily produced types of dwellings-like things that seem the same everywhere, and so many places from my own life. This room seemed before my eyes to morph now into my own apartment, then to one of the houses I lived in as a young child, then another, every place I had ever lived or stayed in while on vacation or visiting, all sort of transforming in a way of recognition of similar patterns while simultaneously also somehow not really changing at all. Just it seemed that everything was always just some mere projection of my own mind, without really even that much variety to it. More sameness than variety.

Above all though I felt, oddly, a sense of clarity and awakeness, as if my entire life before this point had just been some sort of strange dream and this was the ultimate and true reality behind everything I was now sensing and abiding in. I had a sense of feeling I was on the verge of some kind of total ego death or annihilation even with eyes open; there was some sensation of clouds and a voice, which I took to be an inner voice of conscience or deeper understanding, telling me I still had too many attachments and wasn’t ready for the real thing, and that there would never be any coming back from it. I wondered about religion or how some people perceive or see God on psychedelics or different things, and briefly rehashed some of the conclusions I came to as a teenager. But to me, I didn’t really perceive any great force outside of myself, only things coming from within, in this moment and others.

I noticed that I felt like a young child again, as in my earliest memories, where everything feels new and big and scary and uncertain, and everything is unknown and possible. I couldn’t even remember my own name fully, with some struggling for several seconds it came back to me but it felt artificial. Profession, role in society, everything else, this physical body, nothing really seemed so important or like any of that was really who I am.

I still had some insights and introspection going. I wondered about depression, and what it really even means. I began to feel very badly and thought about what I had considered to be a mental illness called depression that I was seeking relief from, and what I expected a drug experience could really even change about it. At this moment it felt for me at least not so much as an illness at all, but more of a kind of avoiding responsibility, a desire to do nothing but the bare minimum, and never really try to make things better or make a change, but to receive recognition and all the rest anyway. I felt like I was, unknown to myself but to this moment, actually a kind of a narcissist and that it had never occurred to me before. Like this whole narrative I had constructed about my life and everything else was a form of self imposed pathetic nature and self imposed helplessness, created to manipulate others into taking up the responsibility and burdens for what I would not.

Perhaps this was actually obvious to most people, they easily saw through it. And only a few friends/family out of their own goodness and selflessness or empathy really believed in this narrative about myself that I had manufactured and put out there. Only I really believed in it as well, up to this point, and no one more strongly than I did. It wasn’t a conscious kind of putting the wool over people’s eyes, I had fooled myself as well. And I felt such a great shame about all of this.

Somewhere in the thought loops it also occurred to me that what if I actually did just have autism even though it had never been something I sought a formal diagnosis for, that there is this just this sort of fixation I have over so many things and this great mental wall between me and others that maybe I just can never get over. I wondered about entertainment, and why I am so driven toward video games and playing the same ones over and over, one in particular for the past few years. Something about mostly wanting to dive into and understand all the ins and outs of some trivial system or game, just for the thing itself. I could think lucidly, or so it seemed to be, about so many subjects, but at this time I remembered vaguely the sort of words about them but not what it was actually like to play video games, or what the purpose of “entertainment” was at all, in any form, when everything is already so demanding and gripping of our attention at all times everywhere, like just sitting in a room with our own thoughts, or engaging with others, or whatever else.

In one repetition I felt this powerful attraction to one of these guides, the woman, even though the other was her romantic partner and also there. I felt outside of time and that nothing else even existed, and that that and all other apparent obstacles, the hangups maybe everyone feels at some time or other as to a kind of attraction not meant to be fulfilled, or against many social norms, say to one’s own professor, in this moment where somewhat illusory. That if I could just explain it in the right way, somehow both of them would agree and somehow some spiritual union or consummation would take place. But even as warped as my mind was at that moment, ultimately I felt somewhere in my mind that this might cause some form of great discomfort even to say anything about or try to act on, and that the noble and right thing was to keep it to myself and focus my mind and efforts elsewhere.

I wondered if this depression or whatever else was actually just a wholly accurate and honest appraisal of the state of affairs of the universe. That others in my life had been gaslighting me into thinking I had some great potential and that this was something I needed to overcome in order to do better, and if this might not itself be the only problem I had. Not some thing, for me, known by the word of “depression”, but of taking to heart what others close to me in my life had tried to convince me, in the name of love or having my best interests in mind but that if they were not just themselves misguided and deluded, and harming me despite really trying to do the exact opposite.

I also wondered about the suicidal ideation I had sometimes, and how much it scared me and how I tried to suppress and avoid those thoughts. That the fear I might some day act on it had been the thing most of all that encouraged me to try to find treatment in the first place. Why had I avoided this subject most of all? What if that impulse was right, that continuing to live into old age or just for itself only inevitably formed an unending network of attachments, unfinished desires, goals, things undone, that I didn’t actually have the power to make the world better and that it’s become too difficult in this modern world with all the concentration of power in the elite? Mostly I always pushed those thoughts away because it would be too hard on my mom, especially with just everything that had happened in our lives. And I still somewhat felt that now, though there was a sense that eventual death could still be a calamity later/at any age. I knew my dog would miss me, but then again I’d also miss her after she is gone some day. But then it occurred to me that what if death wasn’t the end, that this universe according to me anyway had come essentially out of the unknowable, and that another Big Bang or whatever else could happen again and again forever? I had this great sinking and disconcerting feeling that all of this had already happened before, that the universe has just been repeating forever and will repeat without end, even though I didn’t think that I could remember any kind of past lives. That maybe I was just living the exact same life, doing the exact same things, and remembering at all in this moment now on mushrooms. And it was a great weight of a revelation to try to come to terms with, and scared me a lot. Or maybe I did make some changes here and there, and things happened very differently, and most times I never realized this truth at all, or maybe for the beginning of infinity up to now I had always done things this way, and that it wasn’t scripted and I could actually make a change this time for the first time, or any time, but I never seemed to quite find the courage to break out of this routine and this exact progression of life, with all its ups and downs, and failures, and everything else to it.

I had some great urge to call an ex, that despite being competent at using words in many instances, as simple as it was I had failed on so many times to express in words what I had felt toward her, including at the end. Had simply let myself be dumped without the least verbal pushback or attempt to convince her to try again, and that maybe if I called her right now despite such a long time of no contact she would agree and with a new energy toward it we would try again. But this too I felt even in this state ultimately was a bad idea, and I should not do it.

Time seemed to loop, or stand still; I asked one of the 2 facilitators, or spirit guides, or whatever you might call them (who for the most part just sat there passively apparently not paying much attention, unless in brief intervals I engaged with them), how much time had passed several times. During one of these thought spirals and chains of introspection that seemed endless, I was told less than a minute had passed since the last time I asked, which seemed impossible. I felt like I was going insane and the whole world was fake; what if I was in a padded cell somewhere? What if this was present state of apparently greater awareness and insight was now the way things would happen forever? Having realized the truth, maybe I was now subjectively trapped in this state forever. Just a looping of endless pacing around the room, lying down, things resetting somehow, going to the bathroom, drinking from a glass of water which seemed difficult because I couldn’t remember which hand was left or right and it took some effort to work out the complexities of manipulating arms and hands in order to do it. The guides told me that this is just what it’s like to be on mushrooms, that this is all how it is for everyone and everyone feels this way and goes through this same experience on a high enough dose. And that it would eventually end, and in fact pretty soon.

I felt that this might not be true; many people describe it as just the most beautiful and indescribable experience they have ever had, of unity and everything else, and I did have some brief intervals of this but there was a lot of darkness and baggage and some great insights but much fear too and despite everything from the beginning of the trip, this often seemed to dominate more than anything else. Even pacing around the room, in the brief intervals of eyes being closed with every time I blinked, I saw tiled patterns of TV-like or computer screen-like individualized squares with different events happening over a black background, next time some view of like a dollhouse viewed from the side, with different levels, then faces of certain political leaders who were the worst people I could think of on the planet, and how they laughed at everyone else and pretended not to have the power to make things better, that they manipulated people into thinking everything was someone else’s fault but their own. How divisions based on fear, of walling off certain types of people from each other, or certain experiences, literally with prisons and war and all the rest, metaphorically within myself with trying to compartmentalize and wall off or hide certain emotions or parts of myself. I felt that I was everything and everyone, everywhere, and I didn’t like it. I wanted to change everything, to reset the whole universe, but this time to make it one of kindness instead of the one of evil I perceived, that I felt some sick unconscious part of my broader self, not tied to this body or mind, had created. I was so ashamed at the evil I now felt I had created, but I felt that maybe if I could purify myself of the darkest of thoughts and impulses, those I didn’t want to admit or pushed away, and exist as a force of good, that the whole universe would follow. And that self-destruction was not the answer either, as it would not form a real escape but rather just I would incarnate in much the same or another body, or continue consciousness in some form anyway, so maybe there was a way to get by in this form, even just day by day.

Anyway, I did eventually come out of it, after 6 hours or so total, and things feel more or less normal, but it has taken a few years to process and write this all out. I have made some changes in my life for the better I think, and things have a certain new softness to them now, and it’s easier not to get stuck in some ideas or not to be so bothered about them.


r/PsychedelicTherapy 19d ago

Preparation Advice I had no response to Psilocybin - why not?

9 Upvotes

I'd welcome any comments or ideas about my situation, because I am floundering.

I'm enrolled in a medically supervised Psychedelic Assisted Therapy for Depression programme. I've had 2 doses of psilocybin, the first 25 mg and the second was 30mg.

Both times, I had zero psychedelic or hallucinogenic effect. My blood pressure went up, I had waves of mild nausea, muscle cramps and headaches, enlarged pupils, so the drug was active in my system for several hours. But I had no visual hallucinations, no ego dissolution, no floating feeling, no mystical experience - I knew who I was, where I was, who was in the room with me; the furniture, walls and surroundings etc all looked completely normal; I could speak sensibly and coherently the whole time. After about 5 hours the physical symptoms receded and I was back to normal. The psychiatrist sitting with me agreed that I had not displayed any signs of being on a hallucinogenic trip.

Their theory was that I had a psychological defence which was holding on tightly to reality, and resisting the effect of the drug; because I was unconsciously scared of what might come up. But I WANTED to have an uncontrolled experience, I was as psychologically prepared as I could be to completely let go and confront any repressed trauma; in fact I was yearning for it.

We cancelled a possible 3rd session because it didn't seem to be going anywhere. But now I am at a dead end. Psilocybin seemed my last, best hope after several decades of Treatment Resistant Depression.

Someone suggested that a session of 5-MeO-DMT might help dislodge the block in my brain that is preventing me going with on the trip. But 5-MeO-DMT is not legally available in my country, I'd have to travel overseas to get that, which is not very practical.

Has anyone else had a similar experience? Or been able to get past it? Very grateful for any insights.

EDIT: A huge thanks to everyone who has responded, I'm quite overwhelmed by your kindness and wisdom. I'll try to respond to each of you, but a big collective "THANKS!! 🙏❤️