Ologies with Alie Ward - Psychedeliology (HALLUCINOGENS) Part 1 with Charles Grob

Episode Date: July 11, 2024

Magic mushrooms, LSD, ayahuasca ceremonies, DMT,  ketamine: take a trip into the science and research of hallucinogens.  Renowned psychiatry professor and psychedelics researcher Dr. Charles Grob of... Harbor-UCLA Medical Center sits down to talk about ethnobotanical origins of psychedelics, how much LSD is too much LSD, what juices are squirting in the brain when you're tripping out, who should NOT take psychedelics, talking to dead people, antidepressants and mushrooms, the murky history of psychedelic research, and future paths of study that may help the world. Next week, wall-to-wall listener questions and some tales from your internet dad’s own  journey. Browse Dr. Grob’s publications on ResearchGateBuy his book, Hallucinogens: A ReaderA donation was made to Chacruna Institute for Psychedelic Plant MedicinesMore episode sources and linksSmologies (short, classroom-safe) episodesOther episodes you may enjoy: Oneirology (DREAMS), Mycology (FUNGI), Molecular Neurobiology (BRAIN CHEMICALS), Quantum Ontology (WHAT IS REAL?), Quasithanatology (NEAR-DEATH EXPERIENCES), Cosmology (THE UNIVERSE), Thanatology (DEATH & DYING), Radiology (X-RAY VISION), Scotohylology (DARK MATTER), Futurology (THE FUTURE)Sponsors of OlogiesTranscripts and bleeped episodesBecome a patron of Ologies for as little as a buck a monthOlogiesMerch.com has hats, shirts, stickers, totes!Follow @Ologies on X and InstagramFollow @AlieWard on X and InstagramEditing by Mercedes Maitland of Maitland Audio Productions and Jacob ChaffeeManaging Director: Susan HaleScheduling Producer: Noel DilworthTranscripts by Aveline Malek Website by Kelly R. DwyerTheme song by Nick Thorburn

Transcript
Discussion (0)
Starting point is 00:00:00 Oh hey, it's the lady eating berries off a bush in the park alley ward. And here we are, we have arrived at an episode six years in the making. I have had this ology and this specific ologist on my list for years. We had a few near encounters and then a pandemic lockdown and then scheduling issues. Finally it happened. I had researched the top folks in the world doing psilocybin and hallucinogenic research and And over and over, he came up as the lead or the co-author on papers. And I watched this documentary on fantastic fungus applications.
Starting point is 00:00:30 And there he was on the screen, and with me wistfully saying, that's myologist. We've even emailed. So a few weeks back, we finally lined up our times and dates, and I packed up my little old purse filled with mics and SD cards, and off I went about an hour south, just past LAXX and I pulled into this parking lot near the UCLA Medical Center. I was early, I was nervous, and in he walked, his gray beard and long hair pulled back into
Starting point is 00:00:55 a low pony. He was wearing a navy blue windbreaker with an easy smile, a very chill demeanor. So we ducked into this stark, near empty office in this new building, because his old office of decades had recently been, I think condemned and torn down. This guy fell out of the ceiling one day. Oh my God.
Starting point is 00:01:18 By the way, our family were raccoons living in like an attic. Oh, yeah? And the ceiling just came out. So we sat in this sparkling new office, which she deserved. Zero raccoons or hallucinations of them. And we got into it, as you will hear. But first, just a quick thanks to everyone who sent in such great questions for this ologist via patreon.com slash ologies. You can join for $1 a month and I may read your questions and your name. And thanks to everyone out there wearing ologies bathing suits and hats and shirts via Allogy's merch.com.
Starting point is 00:01:49 We got them there for you. And of course for no dollars, you can support just by telling friends and texting links and social mediaing or leaving a review, which I'm bound to read because I never miss one, such as this still warm one from Laura who wrote, I am a farmer who listens to podcasts all day long as I weed herbs and prune tomatoes. Your interviews tickle my brain and are an absolute joy and a treasure. So Laura at Constellation Farm, I do not enjoy tomatoes, but I like you and herbs and mushrooms. So let's get into it. So psychedeliology has been used in the literature. Thank you very much But just a few times in published books
Starting point is 00:02:26 But I'm gonna take it and it was coined by a psychiatrist in 1950s from the Greek word for soul or mind Psyche paired with delune meaning to reveal and he meant it to mean Mind manifesting and this psychiatrist Humphrey Osmond also came up with this jaunty rhyme, to fathom hell or sore angelic. Just take a pinch of psychedelic. So psychedeliology, it is. So this guest is a professor of psychiatry and pediatrics at the UCLA School of Medicine and the director of child and adolescent psychiatry at the Harbor UCLA Medical Center. And he's the editor of the reader Hallucinogens. And in this two-parter, we'll learn all about the history of psychedelic research in the
Starting point is 00:03:11 Western world. Whew! Wow. And its origins in ethnobotany, how much LSD is too much LSD, what juices are squirting in the brain when you are tripping out, who should not take psychedelics, how this guest research has helped terminally ill patients, some serendipitous library time, late night phone calls, talking to dead people, antidepressants in mushrooms, and the secret government experiments with hallucinogens. And side note,
Starting point is 00:03:39 there is one brief mention of suicide and there are clearly themes of intoxication in the episode. But strap in, lay back, come take a journey with clinical psychiatrist, researcher, author, and psychedeliologist, Dr. Charles Grob. So many questions. And the... So, ologies is a... Every episode is a different ology. Okay. And so, I think the ology for this probably would be mycopsychopharmacology or...
Starting point is 00:04:26 Psychedelology? Psychedelology? Whatever I can find in the literature. Whatever rolls off the tongue. Whatever rolls, whatever branding works. But the first thing I'll have you do is if you could say your first and last name, just so I make sure everything's pronounced. My name is Charles Grobe, G-R-O-B.
Starting point is 00:04:44 I'm an M.D. I'm is Charles Grobe, G-R-O-B. I'm an M.D. I'm a professor of psychiatry and pediatrics at the UCLA School of Medicine. And for the last 31 years, I've been the director of the Division of Child and Adolescent Psychiatry at Harbor UCLA Medical Center. Amazing.
Starting point is 00:04:59 And I know it's Dr. Grobe. And pronouns he, him? Yeah. OK. Yeah. He called me Charlie. I don okay. That's fine too. My daughter says I need to start introducing myself as Charlie. Really? Charles is too formal. Oh I feel like there's such a reverence for you in
Starting point is 00:05:18 this field that like Dr. Grove feels more appropriate. Whenever I hear the term Dr. Grove, it can sound fairly daunting, but I figure they must be referring to my father, who was the true, the originator of Dr. Grove. He was a big chief of medicine in New York for many years. And I understand that your dad told you, when you figure out what you wanna do, you can call me at any time. At any time, day or night.
Starting point is 00:05:48 When I figure out what I'm gonna do with my life, call him. So I figured it out. It came to me one night when I was a research assistant at the Maimonides Medical Center Dream Research Lab. My task was to monitor sleepy EEGs and to wake up the person who was sleeping and dreaming. It was in a sensory deprivation chamber and there was another person to send her down the hall. So I had to organize all of this. And I would periodically, when I saw the REM episode was coming to an
Starting point is 00:06:17 end, I would wake them up and say, Ali, Ali, what's going through your mind? And then you would tell me. Usually dream recall is pretty good if you have someone waking you up and it's pitch dark, no sounds. And to stay up all night, I had to read interesting material. And Stanley Kripner,
Starting point is 00:06:38 who's a pretty renowned psychologist in this field, who's now in his 90s, and he's still active. He's still writing, he's still active. He's still writing, he's still speaking, he's truly remarkable. So Stanley Kripner, side note, 92 years old right now and he has been working in the field of altered consciousness and dream telepathy and weird, how does this happen kind of brain stuff for decades? Though of course there are critics of his data and his studies. I mean it is a slippery thing to try to science.
Starting point is 00:07:07 He was one of the major investigators on the study. And in his office, he had a wonderful collection of books on psychedelics, scientific articles on psychedelics, you know, lay articles on psychedelics, anything you could imagine, anything that had come out. And he gave me free license to roam through his files and books lined up in shelves. And I just read constantly in there.
Starting point is 00:07:31 And then one night I pulled a book. It was like a coffee table book with a lot of pictures, a good narrative by J.B. Priestley, a British philosopher called Man and Time. And I was reading and staring at some of the pictures, and I went through a part where there were pictures of mummies. And about 20, 30 minutes later, my subject started going into a dream. I waited until her REM was dissipating, it was leaving. So I woke her up, and I said,
Starting point is 00:08:03 What's going through your mind? And she said, Oh, I'm in a her up and I said, well, what's going through your mind? And she said, oh, I'm in a desert and I see a pyramid. And then I was on top of the pyramids sliding down. So I thought, well, that's pretty, that's a pretty good hit. And that evening studying dream telepathy was just weird enough and spooky enough to open this lifelong curiosity about the very question of consciousness. And just like dreaming, there are so many mysteries around psychedelic experiences,
Starting point is 00:08:31 like how they create hallucinations, seeming portals to other dimensions. What was fact? What was lore? What was fiction? But it was enough to convince him to dedicate his life to figuring out how and why they worked, and if they could help people medically. So it's right around then that I know there's something in this field that I'm interested in and I was just so excited reading these books about the incredible potential and so then this particular night it was about you know three four in the
Starting point is 00:08:59 morning my father had said wake wake him up. Without feeling. Called him up, woke him from a deep sleep, had no idea why I was calling him. He didn't make sure everything was OK, everything was fine. But dad, I figured out what I want to do with my life. What's that? I want to study psychedelics. They're fascinating.
Starting point is 00:09:17 So much we can learn about the brain, the mind-brain interface. We can learn so much about mental illness. And there are these remarkable treatments that seem to be helping people for whom standard conventional treatments are not helpful. So he was silent for a while, and then he said, well, you know, son, there may be something to what you say, but no one will listen to you unless you get your credentials. Which meant I had to go back, because I dropped out of school after my middle of my junior
Starting point is 00:09:46 year. I wanted to travel. I also had an infectious monocleosis and needed to rest up. And he wanted me to get back to school. He was very clever how he got me back to school. And years later, he said, yeah, maybe I shouldn't be. But I was a little surprised you stuck with that vision, that determination. So he kind of understood what I was trying to do.
Starting point is 00:10:07 From one Dr. Grob to another, right? Yeah. He actually had one mushroom experience. He did? In Mexico. He was a very, very straight lice, big-time doctor and never had much interest in recreational substances or explorations with psychedelics. You know, he would drink alcohol at a social event and that was about it. But one day I told him I was going to go to a talk that evening given by a Mexican psychiatrist named Salvador Roquet. He's renowned for doing very unusual work with psychedelics, kind of sensory overload with sometimes combinations of psychedelics,
Starting point is 00:10:46 sometimes one high dose on its own. So I introduced my father to Riquette after the talk, and Riquette was talking about his operation in Mexico City. So my father said, oh, you know, just so happens in a few weeks I'm going to be in Mexico City giving a talk at the medical school. So Riquette said, oh, you must come and visit me. So wrote down his address, and I'm going to be in Mexico City giving a talk at the medical school." So Raquet said, oh you must come and visit me. So he wrote down his address and I'm thinking there's no way he's gonna go. Yeah. Especially because my mother was going with him and she's much more conservative than him. So they met with Raquet, he showed him around, told him what he did and then he said, just so happens we're having a group session tonight. Why don't the two of you join us?
Starting point is 00:11:25 Sorry, what? And my mother right away said, oh, I could never do that. I have four children. Really? Like she would be a bad influence? She would decompensate, couldn't care for her kids. And so my father, without missing a beat says,
Starting point is 00:11:40 oh, what time? My mother was furious at him. He had to tell her it's not going to do it. He was just talking through his hat. And to prove it, because Raquette also said, if you're going to come, don't eat anything the rest of the day. So to prove to my mother that he was not going to go, they went out and had a big lunch. After which he said, you know, I changed my mind again. I'm going. Oh dear. Oh dear. So he got, my mother's furious, my father goes. So it's a group of about 20 people in a large room sitting along the wall and there's this very intense music and simultaneously
Starting point is 00:12:15 three videos are going. One of beautiful aesthetically pleasing scenes from nature, another of erotomania of anything you could imagine, and the third of documentary footage of warfare, bodies in the street, executions. So his doctor dad is tripping in a room with visuals of like a beautiful screensaver of nature, another of essentially vintage porn, and then another wall footage of an actual bloodbath.
Starting point is 00:12:45 And I'm hoping that the attendance was free because that sounds like a mixed bag. Oh, and all of this was on a heavy lunch of spaghetti or beans or something. Just fucking kill me. And the music was just really intense, really driving. And the patients there were emoting very loudly. I'm sure.
Starting point is 00:13:03 And my father started to feel really sick. So he made his way to the bathroom and retched his guts out. Yeah. And then collapsed and thought this was the end of him. Meanwhile, one of the helpers saw he was missing from his spot, went into the bathroom, found him, dragged him back, propped him up against the wall. Then my father tells me he proceeded to have this incredible vision of a primitive desert road people walking across the desert, one behind the other, connected from one to the other by their umbilicus. And he realized these were his ancestors.
Starting point is 00:13:38 Oh, wow. It was his very, very profound experience and he got, I think, a great deal out of it. He changed in some fundamental ways like I think he became less of a type-A personality, more capable of enjoying himself, but he had a remarkable experience. Of course my mother was furious. I was gonna say what she said to me. Oh you should have seen how he looked. He looked terrible. And rookie mistake eating a big lunch before, right? No, you never do that. But he was just, that was their relationship.
Starting point is 00:14:08 Oh, God. They would go to these crazy situations, yeah. What a massively profound dream or vision, like all of your ancestors tethered by this life-giving flesh rope leading right up to you. Like the best version of a human centipede. And you have so, so, so many great grandparents you don't have a clue about. And if you have kids and if you, generations, your progeny might not even know your name or your face unless you make it into the history books or you get arrested or something.
Starting point is 00:14:41 But tickle the brain with some chemistry and it flashes in front of you like a Willy Wonka tunnel, at least for Dr. Grobe's dad, Dr. Grobe. Was this before or after you decided to study this? Oh, this was after. This is why he did it. Why did he do it? I mean, it could have been to connect with me. It could have been because he was curious. Who knows? You know, we talked about it a lot afterwards over the years, and he always kind of lit up when he We talked about it a lot afterwards over the years and he always
Starting point is 00:15:05 kind of lit up when he would talk about it, get kind of animated, but he never was inclined to do it again. You know, it's interesting because I have heard from so many people it's one of the most impactful experiences of their lives when done in a setting that is complementary to what they need. And in books like journalist Michael Pollan's first-person journey, How to Change Your Mind, and the Netflix series of the same name, I have heard that a well-orchestrated, doctor-approved trip like this is impactful on par with the birth of a child. Which sounds like a little sketch.
Starting point is 00:15:41 It sounds like a little bit of hype, but people swear by it. So what is happening chemically to make this big of an impression? So I've talked about molecular neurobiology with Dr. Crystal Dilworth in the past about the role of neurotransmitters. Now is a trip like a barge of fireworks exploding but on a subcellular level? But is it serotonin? Is it dopamine? Well, it's with the classic psychedelics like psilocybin, LSD, dimethylochipamine,
Starting point is 00:16:11 it's primarily the serotonergic system. The subreceptor is primarily the 5-HT2A or the serotonin 2A receptor. It seems to get stimulated. There are a host of other subreceptors which probably have a role in this also. I mean, there are a host of other sub-receptors which probably have a role in this also. I mean, there are other ways of looking at this. Robin Carhart-Harris is now at UCSF as his default mode network theory, which is that the default mode network is tasked in
Starting point is 00:16:37 central nervous system to hold it together and to ruminate on things and to be somewhat obsessive, somewhat negativistic. That kind of goes offline. And then short time later, there's a re-equilibration process and the default mode network is far less active. And individuals have these very profound spiritual opening experiences, very profound insight to their own psychodynamics and they feel this is connected to what appears to be what's so interesting about these classic psychedelics, not that they facilitate an antidepressant response. You know, ketamine does that also. And I'm not so wild about ketamine in part because within a week, maybe two, you're back
Starting point is 00:17:20 to baseline. But with psilocybin or LSD or maybe ayahuasca with DMT, not always, but it can be a sustained therapeutic effect that persists over time. And is that because when you're in that state, when you go through equilibrium again, your baseline default network is just a little bit less active? Yeah. Those networks in the brain kind of go offline for a brief period of time, allowing the system to re-equilibrate.
Starting point is 00:17:48 It's actually a very fancy model and mechanism. I find it an appealing, you know, psychobiological model. Just a quick overview. So there are a few types of hallucinogens from a neurobiological standpoint. So first, there are alkaloids like tryptamines which have similar chemical structures and they include psilocybin which can convert to psilocin once digested and then there
Starting point is 00:18:13 are the compounds of LSD and DMT with DMT offering much shorter trip experience and there are also compounds called phenethylamines like mescaline, which occurs in the cactus peyote. And MDMA is sometimes called a hallucinogen, but others argue that it's actually an empathogen, which aids in social connectedness. Now, ketamine, which is being explored for treatment-resistant depression, is called more of a dissociative anesthetic. Now, ayahuasca is a South American indigenous medicine, and it's composed of several different plant compounds.
Starting point is 00:18:48 And some deliver what's called monoamine oxidase inhibitors, meaning that they prevent the brain from sweeping away amounts of dopamine and serotonin and norepinephrine from the synapses. That also means that the amount of neurotransmitters in the gut can be affected, which can lead to that kind of sacred act of purging, which is just firehosing your problems
Starting point is 00:19:12 out of both ends of your body, respectfully speaking. Now, the second punch of ayahuasca is also DMT, which occurs naturally in plants and in our brains in very small amounts, unless you've just sipped some ayahuasca tea, where your entire digestive and central nervous system becomes kind of a funhouse waterslide of dreams and nightmares. And you know, it's interesting, too, that you worked in a dream research center.
Starting point is 00:19:38 Is there anything correlating between dreaming and hallucinating? Of course. Interesting. Anything like that? Yeah, yeah. If you talk to some people who… And this is particularly the case, I think, with plant hallucinogens, plant psychedelics, that they will talk about having a very introspective experience akin to a waking dream.
Starting point is 00:20:01 Yes. They knew where they were, they knew what was going on, they knew why they were there, they knew they were altered, but they're in a reverie, they're having a vision. A story is playing out. There can be dialogue, there can be purpose. Yeah. So in our oenorhology episode about dreaming,
Starting point is 00:20:20 Dr. William Domhoff explained that neuroimaging research reveals hypnosis is not like psychedelics or hallucinogens or like dreaming and that every one of those states has a different network supporting it. And the dreaming network is different from all of those altered states of consciousness networks. And as this 2017 Journal of Current Neuropharmacology paper titled, Dreams and Psychedelics.
Starting point is 00:20:46 Neuro-phenomenological comparison and therapeutic implications explains. So psychedelic states are closest to lucid dreaming, which is characterized by this mixed state of dreaming and waking consciousness and has the potential for long-term beneficial effects on psychosocial functioning and wellbeing. So tripping is not really dreaming, although some hallucinogens can also promote vivid dreams,
Starting point is 00:21:13 meaning that they're an onyrogen. And one of those substances is a central African rainforest shrub called iboga. You know, that's like in West Africa. There they talk about, you know, you feed the, initiate iboga until they have a vision of an ancestor, often in the form of this waking dream, or they die of a cardiovascular collapse, which either or, they're very serious about their sacraments.
Starting point is 00:21:40 They don't mess around. And that's true. And also it's true that Ibogaine has some cardiac risks. And there have been some unfortunate fatalities, not in this country, overseas, where an individual's significant history for cardiovascular disease was not properly recognized or taken into account.
Starting point is 00:22:00 So it's like, before you run a marathon check with a doctor, before you do a VOCA maybe say, no. You should. Not that the doctor will know what you're talking about, but he needs to take an EKG and see if you have an arrhythmia. Probably the people who ran to trouble had latent arrhythmias that they may not even have been aware of.
Starting point is 00:22:16 A lot of people don't know they have an arrhythmia. Their chest may go through funny flutters and flips and turns, but you tune that out. A lot of people tune that out, and they don't wanna talk to the doctor about something that could be serious. Right. No, it's a real bummer. It is a bummer. So, yes, we need a cardiology episode coming up.
Starting point is 00:22:34 I'm on it. Also, yes, if you're going to toss any drugs into your system or stop doing any that have been prescribed, please, please talk to your doctor and be frank with them. They have absolutely heard weirder questions. You can see our radiology episode for things found up butts. But if you died from shyness or ignorance, they would be hella sad. So talk to your doctors. You would need people to be absolutely direct and revealing. I know of a case, a sad case.
Starting point is 00:23:13 A 74-year-old man living in the Northwest who had never taken a psychedelic, but read the Michael Pollan book and felt, okay, he was ready. This was his time. He arranged for an underground therapist who had a good reputation. He met with him a couple of times and the guy came over to do the session and he took a moderate to high dose and within an hour he had died of a cardiac arrest. The doctor said there was no history of cardiac disease but he had never checked him for cardiac disease. The guy had never complained and probably rarely went in to see the doctor.
Starting point is 00:23:43 Is this iboga or is is this musklin? No, that was mushrooms. That was mushrooms. So you can get cardiac issues with mushrooms in vulnerable people. So here we're planning a new study that will include people we in the past have screened out, like people with cardiac history, older people. We always had an upper age limit of 60, 65, maybe 70, but not to go over because we're always concerned that, you know, adverse outcome could cause our study to shut down and other studies to shut down.
Starting point is 00:24:13 So to be on the safe side, there was an upper age cap because just one tragic study can really hinder research across the whole field globally. But that is changing as more people toward end of life are willing to take that risk, maybe just because they're boomers and they tripped when they were younger. Who knows? Also, there are more medical safety nets available, Dr. Grobe says.
Starting point is 00:24:39 But now, because we're looking at a pragmatic model, what are the real-life implications going to be? We need data on people with cardiac vulnerabilities. We'll have a crash card there to resuscitate people. We'll have people trained in CPR, ready to dive in, and hopefully nothing will happen. But we need to collect this data. That really hasn't been done. I collected some data in both my psilocybin treatment of advanced cancer anxiety study, and I also collected data in our ayahuasca study
Starting point is 00:25:09 in Brazil years ago, but we never published the Brazilian data because it was summer, it was incredibly hot and humid, and my primary collaborator took the EKG sheets and just tossed them in a desk drawer. When he went back to retrieve them at the end of the summer, the ink had kind of dissolved. Oh, no.
Starting point is 00:25:33 Absolute nightmare. Well, I'm curious too, because you mentioned ayahuasca as well, because I know we're talking about mushrooms. But when it comes to ayahuasca, mescaline, psilocybin, even LSD, structurally structurally are the really big differences or are they kind of working in the same pathway? They look chemically, some of them look similar. They all have an indole ring, which is a kind of a five-sided ring with a nitrogen atom
Starting point is 00:25:58 in there. That's pretty commonplace for the tryptamines. And a tryptamine, remember, is an alkaloid found in many plants and even in humans. And the common feature is this chemical structure called an indole ring, which diagrammatically, if you look at a drawing of it, it looks like if you glued the big dipper and the little dipper
Starting point is 00:26:18 together at the ladles. So that's the base structure. And then little tweaks and additions give you other compounds like serotonin or melatonin or DMT or psilocybin. So one little extra chemical doohickey here or there and you have a different neuromodulator that changes brain activity. So there are similarities. In fact, there's similarity to the essential neurotransmitter serotonin. Serotonin is five hydroxy tryptamine.
Starting point is 00:26:47 Psilocybin is four phosphoriloxy and then dimethyltryptamine. So it's only adding phosphoriloxy molecule or psilocin and then dimethyltryptamine. You flip the five hydroxy over to the four position and suddenly you've got a psychedelic. Picin isn't used generally in treatment because it's very short-acting, but there are people interested. Also, there's now a run for profiteering or people haven't really looked at silicin so they can get a patent. That's a problem in the field is that the big money interests are circling the wagons. They're ready to attack and and milk whatever they can get out of this. So yes, psilocybin can be synthesized and in lab trials, volunteers are not choking down dried mushrooms
Starting point is 00:27:33 and hoping that there's a standardized dosage. They're really carefully controlled weights and delivered in pill form. So mushrooms, if you look at different mushroom species, you look at what percent concentration psilocybin, what percent concentration psilocin. There's another alkaloid called beocysteine, which no one has ever looked at as far as I'm aware. That would be interesting.
Starting point is 00:27:55 They really want to do some novel research. Look at beocysteine. Mushrooms with beocysteine are fundamentally different than psilocybin cubensis, which has primarily psilocybin cubensis, which has primarily psilocybin. With the biocysteine, like I think azurescence or cyanescence, I think there's greater focus, greater acuity of thought, and maybe less carried away by vision and reverie. That's been my observation. But no one has formally looked at that.
Starting point is 00:28:21 That's all anecdotal stuff. See, mushrooms vary in their potency, depending on where they grew, when they were picked, what the climactic conditions were, what time of the day or night. So you want to get the equivalent of one to two or one to three milligrams of equivalent synthetic psilocybin. So in clinical settings, like the 2023 study titled, Single-Dose Psilocybin Treatment for Major Depressive Disorder, a 25-milligram dose of synthetic psilocybin
Starting point is 00:28:55 was administered once in a specific setting, which we're going to get to in a bit. And the study found that psilocybin treatment was associated with a clinically significant sustained reduction in depressive symptoms and functional disability without any adverse effects. So those findings add to this evidence that psilocybin, when administered with psychological support,
Starting point is 00:29:17 can hold promise as they say, a novel intervention for major depressive disorder. But of course, in these trials, they're screening out folks who might be at risk for complications physically or a subsequent psychosis that could last for months. Now when it comes to dried mushroom amounts a pretty big whopper of a trip might be around three grams. Five grams and beyond is considered what's called a heroic dose. Now on the tiny end of the scale is microdosing, which is this regimen of a few times a week
Starting point is 00:29:51 at 0.1 to 0.3 grams, like a tenth of a trip. But can your brain have this imperceptible brush with mushrooms, like on a Tuesday at work and still see benefits? Now there's this whole controversy over microdosing. Yeah. And it was very exciting to hear about these reports at first. And the anecdotal reports look very good. But as of yet, there's no rigorously controlled methodologically sound study that demonstrates
Starting point is 00:30:21 that microdosing is any better than a placebo. So I think the case is still out. It's not been resolved. It's a tough model to administer. I looked into it years ago and you've got to administer it under supervision in a research setting and then I've always believed the FDA would assist. They have to stay there all day. And that's, you know, eight to 12 hours. Yeah. And it's hard to recruit people just
Starting point is 00:30:53 to sit around on a microdose. Yeah. But that's what it would take. I mean, some people are coming up with models where you give the patient the microdose, tell them to take it home, tell them to take it at a certain time, maybe they turn on a Zoom or another video, but there are too many ways where that
Starting point is 00:31:11 can go off the rails, I think. Why can't we figure out if microdosing has benefits? So anecdotally, some people say it's been extremely helpful for them. Just ask so many people I know who are a little bit bummed out and looking for answers. But as we know from research into antidepressants, the placebo effect tends to be as powerful as the administered pharmaceutical because hope is one hell of a drug. But on the upper end of the microdosing spectrum, like three milligrams of psilocybin instead of that big 25 milligrams given for big trips or like a half a gram of dried mushrooms, 0.5 grams.
Starting point is 00:31:51 One study showed those larger microdoses giving light kind of buzzy perceptible effects were more beneficial to overall mood and well-being than a placebo. But what about the big big big doses? Who does placebo. But what about the big, big, big doses? Who does that? And what about the studies about the larger doses and those kind of transformative experiences, like the one, the end of life ones that you've done? Well, I didn't use a heroic dose.
Starting point is 00:32:19 Terrence McKenna would say, he would say use a heroic dose in the dark and on the floor. How big is a heroic dose of mushrooms? A lot. Is it like 40? 10 grams. Okay, 10. That's a lot.
Starting point is 00:32:32 That's a lot. Now, I asked Dennis, who's my good friend, his brother, who was my collaborator on the Ayahuasca site, who I've known, one of my best friends, and he said, Terrence never did that. He talked it up, but he was toorence never did that. He talked it up. He was too smart to do that himself. So beware. Some people say beware the underdose. I'll say beware going over the top and dosing too high. Above all we want to preserve safety because this won't go forward as a field or get any kind of legal sanction unless strong consistent safety parameters
Starting point is 00:33:07 are adhered to. So yeah, big trip studies like Dr. Groves use 25 milligrams of straight psilocybin, which according to this 2022 paper, the therapeutic use of psilocybin practical considerations for dosing and administration, there's an assumed 1% of psilocybin per 1 gram of dried mushrooms. So a 25 milligram straight psilocybin would be about 2.5 grams of mushrooms. And several studies indicate that this type of therapy is most effective for, say, cancer-related depression and anxiety or treatment-resistant depression or alcohol use disorder or tobacco addiction, but do not expect your doctor
Starting point is 00:33:47 to just scroll out like shrooms on a notepad and send you on your way. And can you tell me a little bit about the history of the legality of it? I understand that like in the 50s, the government was all about it, and then some stuff went down with LSD research and then it was just like verboten, no one talked about it. Yeah, yeah.
Starting point is 00:34:09 What went down was Tim Leary and all the publicity. He loved getting attention. He loved the notoriety. His involvement with the mind-expanding drug LSD has resulted in his being praised by a faithful minority and damned by an irate majority. A man very much in the news, here is Dr. Timothy Leary. Drugs, even like alcohol, they're instruments which expand consciousness. They speed up
Starting point is 00:34:36 the mind. Turn on, tune in, and drop out. He paid a price. He had kind of a tragic life. He spent years in maximum security prison. He was arrested in Algeria by Eldridge Cleaver, a crazy wild story. Arrested again in Switzerland. I got to know him at the end of his life because I was good friends with his old student Ralph Metzner. So I would drive Ralph over there when Ralph came into town to see Tim. He's a remarkable guy, brilliant, but he paid a price. Dr. Grobe says both Leary's wife and daughter died by suicide.
Starting point is 00:35:12 And Ralph Metzner was one of Timothy Leary's research partners in Harvard, alongside this spiritual and yoga guru and psychologist named Ram Dass, who I just found out today, Ram Dass was born Richard Albert. He's a white guy from Massachusetts. I had no idea. But anyway, before that. LSD was first discovered 1943, April 19th, 1943, by Albert Hoffman. It was a fluke, serendipitous,
Starting point is 00:35:39 unintentional phenomena where what's believed to have been the case is that Hoffman had a cut on his hand. He was using a very low dose, but he absorbed some through the cut. And there must have been a cut in the glove he had on as well, because he was pretty fastidious about conditions. So he was working for a pharma company, and at the time he was studying the medicinal uses of a plant called a sea onion or a maritime squill. Anyways, he absorbed an appreciable amount and felt like he was, he didn't feel like he felt ill.
Starting point is 00:36:12 He felt he was losing his sense of balance, his orientation. So he got back home, slept it off. Then a few days later, actually the first one was April 16th, the second was April 19th. That was the first intentional LSD experience. He measured out an exceedingly small amount because he was going to start extremely low dose and then gradually over some days or weeks work up the dose. And he was testing on himself, which is an old model, auto experimentation. So he self-administered 250 micrograms, which is a high dose.
Starting point is 00:36:50 I was going to say, I don't know a lot about LSD, but I know that's a lot. It's not today's recreational dose. It was recreational dose. When I was in college, we would take very high dosages. I have never done LSD, and frankly, I would be terrified to just buy it off some jabroni but according to the 2020 study acute dose dependent effects of lysergic acid diethylamide in a double blind placebo controlled study in healthy subjects people start feeling effects at 25 micrograms of LSD and a ceiling effect was observed for good drug effects at 100 micrograms. Now at 200 micrograms, you're talking further ego dissolution and anxiety in a trip that
Starting point is 00:37:33 could last the better part of a whole day. Now that day, Albert Hoffman took 250 micrograms. So then Hoffman again felt ill. He felt he needed to get home. So he was a lab assistant. He got on his bicycle, which the famous bicycle ride, which took forever. It took him forever to get home.
Starting point is 00:37:55 He gets home, he takes to his bed, he tells his wife that he's dying. He had been injured in an experiment and had to call the doctor. So she was very concerned. She did what he and had to call the doctor. So she was very concerned. She did what he said. She called the doctor. By the time the doctor got to the house, he was having a fantastic experience.
Starting point is 00:38:12 So this is extraordinary. You know, he was watching objects morph into other objects with eyes closed. He would have these visions often of nature, natural settings. He just had an amazing time, thought there's something to this. He spoke with his colleagues at Sandos Pharmaceutical in Basel, Switzerland, and they started manufacturing it
Starting point is 00:38:34 and sending out samples to some of the leading psychiatrists around the world, mostly in Europe and North America. And this was in the early 50s. There was a great deal of excitement. Psychedelics were the cutting edge of psychiatric research. And there was enthusiasm in Europe, enthusiasm in the US. There's a lot of work going on in Canada.
Starting point is 00:38:55 So everyone got excited about this. And then the Department of Defense popped its head up like a meerkat, being like, what y'all doing? Because remember, the Second World War had just wrapped up, and nuclear weapons had entered the scene, mechanized death was a big business, and it still is. So in the early 1950s, the bureaus of military defense,
Starting point is 00:39:16 like the CIA and the FBI were like, oh, hey. I thought it might be valuable in helping their agents resist brainwashing and interrogation, but also making it more likely that an enemy agent who was captured will spill up their secrets. Yeah. So it's called the MKUltra program.
Starting point is 00:39:36 And it was done under very unethical conditions. Sometimes they would just dose random people without their knowledge. Oh dear. So Dr. Grove, or Charlie, says that in San Francisco, the MK Ultra Project had an apartment with a one-way mirror where they would enlist sex workers to bring back regular, unsuspecting clients and dose them with LSD. And I found a news release stating, the director of Central Intelligence
Starting point is 00:40:06 appeared today in San Francisco and he asked the city's forgiveness for that spy agency's operation of a body house at 2250 Chestnut Street during the mid-50s. That was a press release. First off, a body house? That's a word. Secondly, the CIA called this program, I'm not kidding, Operation Midnight Climax, which is so cheesy. It's so cheesy. Now, where did I find all of this information in this news release? Via the website, cia.gov. Okay. Now, also, I had to know right now, what stands at 2250 Chestnut Street now that it's not an acid house government run brothel. By the grace of God,
Starting point is 00:40:51 it is now a restaurant called Taco-licious. And I checked their menu and unfortunately, they do not serve Michelob Ultra. But back in the day, a nightcap could be spiked as hell and you wouldn't even know it. So these guys had no idea what was going on. There's also another case of a military scientist who was active in the biological warfare program who had gone to Europe and had seen some very unethical
Starting point is 00:41:16 and very dangerous behaviors by his colleagues. And back in the U.S. in Maryland, his colleagues dosed him at a kind of a clandestine meeting. He flipped out. They took him to New York, put him in a hotel room with an agent to keep an eye on him, took him to a military intelligence psychiatrist who was trying to make sense of what was going on. And they were concerned that this guy was gonna spill the beans and blow their cover. So what happened to him, and this was not revealed until the 70s, and only because his family wouldn't allow it
Starting point is 00:41:53 to be swept under the rug. This was like early mid-50s. He jumped to his death from a 20th floor, the 19th floor. Yeah, and intelligence didn't come clean about what had happened until the church committee in the late 70s, which was investigating MKUltra and other questionably ethical, questionably legal activities of the intelligence service.
Starting point is 00:42:14 So that was going on. The military was really playing it loose with safety and ethics, sadly enough. And one research team via the nonprofit Chakruna Institute for Psychedelic Plant Medicine dug into nearly 50 studies in this era and found that test subjects were often incarcerated people and those in mental hospitals,
Starting point is 00:42:37 administered very high doses of psychedelics for long periods of time. And people of color were also routinely exploited and subjected to what the paper even called brutal experimentation, saying that black participants were given more than double the dose at 180 micrograms of LSD compared to white participants who got 75. And white participants endured eight days of LSD administration, while black participants endured chronic LSD administration for up to 85 days. Now as for Frank Olson, that scientist who was dosed, well according to the book Prisoner
Starting point is 00:43:15 in Chief, Sidney Gottlieb and the CIA Search for Mind Control, Sidney was his boss, Olson had formerly been in charge of the airborne distribution of biological germs. So Olsen was a guy who was able to disguise cans of shaving cream and bug spray to hold lethal toxins. He even designed a lipstick case that could kill on skin contact. But after his acid trip, it's said that he realized that the experiments were not ethical and he wanted to leave the research. As for his suicide from the 19th floor, decades after his death, his family had been fighting this, had gone to Washington and gotten a settlement for his wrongful death. But then in 1994, his son Eric had his body exhumed and found that the blunt force trauma
Starting point is 00:44:02 to his head wasn't consistent with his other fall injuries on his back. So in short, this shit was shady. And so we saw a decline in funding. Well, research was going through in the 50s, although in retrospect, it turns out a number of these studies were funded by fronts for the CIA, or fronts for military intelligence. Wow.
Starting point is 00:44:25 So that was happening. But then also in, I think it was the summer of 1960, a relatively young instructor of psychology at Harvard took vacation in Cuernavaca, Mexico. And a friend of his, a colleague, he went and visited Maria Sabina. Because in 1957, there had been a Life Magazine article of our Gordon Wasson's adventures going into the highlands of central Mexico discovering a native healer
Starting point is 00:44:52 who used mushrooms in her healing practice. So this was Maria Sabina, a Sabia or a wise woman from the Oaxacan area of southern Mexico who came from generations of shamans who used psilocybe mushrooms to heal the sick and to help people have visions of things that they lost. So our Gordon Wasson, a guy who just loved mushrooms and worked as a banker, lies and tells Maria that he's looking for his lost son. She introduced him to the mushrooms.
Starting point is 00:45:23 He swore up and down. He would never reveal it to the outside world. And of course, he blew the lid off this by publishing his accounts in Life magazine. So after Leary got into this, he did some really good work. He had some really fine papers, but he had an unfailing need to call in attention, often negative attention, and he was just freaking people out. He was told by one of the deans at Harvard that he could continue with his psychedelic research so long as he didn't recruit undergraduates to study. He could recruit graduate students, but not undergraduate students. Tim Leary
Starting point is 00:46:02 never met a rule. He didn't feel he had to break it. So he brought in some undergrads and before you know it, they were kicked out of Harvard. Bye bye. Bye. So when it came to you studying this, how much did you want to dive into the ethnobotany of it and the indigenous uses of it?
Starting point is 00:46:21 Well, I'm fascinated with that. I did some writing with Marlene Dapkan-Durios, who is an anthropologist. She was a scholar in this area, gifted writer, and she wanted to co-write with a psychiatrist, and she figured I was the one, so we wrote a lot together. I spent some time in Brazil. I made a number of trips down to Brazil.
Starting point is 00:46:39 We did several fairly substantial studies, and we worked with people who were members of a syncretic church, which has permission from the government to use ayahuasca as a sacrament in their ceremonies. We didn't do any research with actual indigenous people, but I learned as much as I could, as long as I was down there and heard some good stories
Starting point is 00:47:00 and have a great deal of respect for the indigenous traditions, from which we, This is why we're talking about psychedelics today, because the descendants of the indigenous people from centuries ago made a collective decision not to give up their use of entheogenic plants, but rather to hide them from the conquistadors, from the invading, conquering Europeans, particularly the Spaniards and the Portuguese in South America and Central America.
Starting point is 00:47:28 And actually I think there's a lot of focus these days on monetizing psychedelic work. I really think there needs to be a provision in all this that some of the proceeds need to be directed towards the descendants who are often the most marginalized and mistreated and impoverished people in the descendants, who are often the most marginalized and mistreated and impoverished people in the world, whose environments we have destroyed, whose cultures we have destroyed. But they kept that knowledge secret from the Spaniards and the Catholic
Starting point is 00:47:56 friars and held it. Until some American guy came there, lied, took advantage of a healer, didn't protect her identity, published everything, turned to profit, and then went on to be funded by MKUltra. So people start getting word of this and after everyone from John Lennon to Bob Dylan and Mick Jagger and CIA operatives flocked to her village, Maria Savino was driven from it and later died in poverty. And a recent paper titled Ethical Principles of Traditional Indigenous Medicine to Guide Western Psychedelic Research and Practice,
Starting point is 00:48:30 starts with acknowledging that indigenous peoples' voices and leadership have been notably absent from Western psychedelic research and psychedelic assisted therapy spaces, with the field currently being widely represented by Western peoples. And when indigenous voices have been engaged, their presence has often been more symbolic,
Starting point is 00:48:48 with little distributed benefit going back to their communities. And the lead author of that paper is Jeria Seledwin, who was born into this family of indigenous mystics and healers and poets in Mexico and is a UC Berkeley Othering and Belonging Institute senior fellow. And she points out that Western psychedelics
Starting point is 00:49:05 or recreational mind manifesting isn't treated as a sacred act and that these medicines are not about the human mind alone, they reveal spirit, the very animating principle of life, she writes. And that paper urges researchers to consider the eight elements of reverence, respect, responsibility, relevance, regulation, reparation, restoration, and reconciliation in trials and practice. And now here we are. And here I am, a white lady talking about taking Indigenous psychedelics because I wanted
Starting point is 00:49:41 to Marie Kondo my neuroses. And after a quick break, we'll be back with some of the protocol that's used in clinical settings and what people who do this under doctor or healer supervision are told to do. But first we're gonna take a quick break from sponsors of the show who make it possible for us to donate to a cause.
Starting point is 00:49:59 And consistent with Dr. Groves wishes to acknowledge indigenous practice, it's gonna go to the Chakruna Institute for Psychedelic Plant Medicines, which is a nonprofit run by a small staff of experts and enthusiastic volunteers who work to bring education and cultural understanding about psychedelic plant medicines to a wider audience.
Starting point is 00:50:18 And I quoted some of their work earlier. And they pioneer initiatives that support and provide a platform for diverse voices, including women, queer people, people of color, indigenous people, and the global south. So that is chakrunut.net, which will be linked in the show notes. So Odenation will go to them thanks to sponsors of the show. Okay, so next week we'll be wall-to-wall your questions, and please trust there are great ones. But let's continue on with how does a clinical neuropsychiatrist administer psilocybin
Starting point is 00:50:49 to willing participants? And what does that feel like? Can you describe for anyone who's never done mushrooms, what it is like for people experiencing it? I myself have taken like 3.5 grams and just like, Well, that's a good dose. put on a mask. I used the Yale protocol and like Imperial College of London. This is the suggestion of my own psychiatrist who was like I think this would be good and he's like a buttoned up Beverly Hills dude who's just like
Starting point is 00:51:17 I you know I think that this is something you should consider. So I did all this you know and wrote out my intentions ahead of time, like all that stuff, but- Well, 3.5 grams of its normal potency should be a nice dose. It won't spin you out into the hemisphere, but you'll have a good experience. Oh, I talked to so many dead people. It was wild. And it was, before I did it, I was skeptical that it would be that big of a memory for
Starting point is 00:51:45 me or that big of an experience in my life. And it was completely transformative. Everything feels like before and after that. And I have that as a benchmark of like what my optimal living experience could be of like how I can look at the world through that window. And you know, I've talked to friends who have tried microdosing or who have tried the mushroom gummies here or there or who have tripped at Coachella and it was weird and so I have friends who have asked me like what that's like, but I
Starting point is 00:52:13 Know everyone has their own experience. But when you are prepping people, yeah, how do you describe it? Well, first of all, I'm always wary about recreational settings. Yeah, things can go wrong things do go wrong Yeah, but when you've got a formal setting, you know, first of all, you need to meet the facilitator. He or she needs to kind of do a screening to make sure you don't have any conditions which would screen you out. And then he or she will describe the range of experience
Starting point is 00:52:42 and also get to know more about your background. Very, very importantly, your facilitator should ask you to spend some time reflecting on what is your intention? What do you hope to get out of this experience? Is it healing? Is it when you want a spiritual experience? Do you need insight into a particular issue? You need to focus on what is your intention? Even, you know, journal beforehand about what you hope to get out of this. And it's uncanny how the intention will manifest. Even if you don't realize it at the time, later when you're reviewing
Starting point is 00:53:16 what happened, it's always good to write when you're done. When the session is closed, the lights go on, just pull out your notebook and pen and just scribble whatever is in your mind to nail it down because what you write down, you'll remember very, very clearly. I did this. And you know what? Why not? In part two, I'm going to read you some.
Starting point is 00:53:35 I got to find it, but we're going to see what's in there. Also for the record, this was in Oregon. Okay? It's legal there. It was in Oregon. So then you've got, you know, you've got the preparatory experience and their intention is really important. Then you've got the actual experience and you've got to allocate six to eight hours. The facilitator should not leave you too soon, you know, and there needs to be good boundaries in the treatment room. There have been some missteps with boundaries in the past, present.
Starting point is 00:54:08 So that needs to be very clearly stated upfront, what the boundaries are regarding touch and stuff like that. And what we did was we didn't want to be overly intrusive to the subject. So we would check in every hour and kind of tap their knee or tap their arm and say, how you doing? What's going on? I'm tripping, doctor. And then we did a blood pressure. And then as long as there wasn't anything major they needed to talk about, it's okay, lie down, put on the headphones, the eye shades, go deep into the experience.
Starting point is 00:54:42 Now sometimes people will sit up between the hours, take off the eye mask, take off the headphone and say, I gotta talk to you about this. And then you hear them out a little bit and sometimes, yeah, they got a lot to talk about and we want to do it now. But sometimes it's, you know, we have plenty of time at the end of the session to talk about this and in the days afterwards.
Starting point is 00:55:02 So let's just put the mask on, let's put the headphones on, let's go deep into the experience. And in his well-known paper, Pilot Study of Psilocybin Treatment for Anxiety and Patients with Advanced Stage Cancer, the methodology is laid out and experimental sessions took place in a hospital clinical research unit,
Starting point is 00:55:22 but in a room decorated with fabric wall hangings and fresh flowers to provide a pleasing and comfortable environment, it says. And the volunteers checked in the day before, their cardiac health was monitored for 24 hours ahead of time. And then they were given a light morning meal, the morning of, and at 10 a.m., a placebo or psilocybin was administered.
Starting point is 00:55:44 And the subject was encouraged to lie in bed, wearing eye shades during the first few hours, as well as to put on headphones and listen to some preselected music. And they were monitored during this whole six-hour session, and they were held a few hours after and told not to drive themselves home, obviously. So they'd had a friend or family member pick them up. And later interviews collected data on what they perceived and
Starting point is 00:56:10 how it felt. And according to the paper, they were asked to rate things like their, quote, oceanic boundlessness, their mood from elevated to up to euphoric, anxious, ego dissolution, visual and auditory hallucinations, and their sleepiness. Which is okay, cool. But sucks if you got the sugar pill, right? So that reminds me of a story that happened. So we had a subject, and everybody got two sessions. One was the act of drug, one was a placebo. The order was randomized, and it was blinded.
Starting point is 00:56:44 So neither the subject nor myself nor my co-facilitators knew what they were getting, but then we knew they would get one of each. So for the first session of this woman who had metastatic terminal cancer and a lot of reactive anxiety, her first session, I was fairly convinced it was a placebo, but you never know. So I was looking forward to a month later, session two, and so we go through a little pre-embolin, administer the psilocybin, she takes it, she lies in it. At one hour, nothing's happening. At two hours, nothing's happening.
Starting point is 00:57:19 At three hours, nothing is happening. I'm getting concerned. I mean, what could be going on? Did our research pharmacist slip up and give us a second placebo? But I think, well, we just gotta, then I said to, I had one of the residents, psychiatric residents working with me with this patient,
Starting point is 00:57:35 and I put him in charge of music selection. So I said, you know, Preet, I think the music you are playing is just too mellow. We need something with a little more oomph to it. What do you have up here?" He said, well, nothing up here, but down in my car, I was listening to Dead Can Dance. Do you know Dead Can Dance? Yeah, I mean, I was a goth, yes. With Lisa Gerard, you know?
Starting point is 00:57:56 Yes, I know exactly. It's fabulous. It's exactly what it pushes you. It really amps it up. Yeah, fantastic. Get it. So we pop it in and within minutes the floodgates open. She was sobbing and sobbing and sobbing. And I thought, well, I know, I know it's the real thing. Yeah. But also I didn't want it to intrude, but I was thinking in my own mind, what could be going on internally with her? And I thought, well, she must be getting in touch with her limited lifespan and her needing to let go of her attachments in this world.
Starting point is 00:58:31 But at the end of the session, when it was finally we concluded, we did our concluding ritual, then I could talk to her, well, what was going on? She says, well, I had a vision of my father who died many years ago. And my father and I loved each other very much. But we lived in a family where you didn't
Starting point is 00:58:51 talk about emotions. So we never told each other how much we loved them. So in my experience, in my vision, I was telling my dad how much I loved him, and he was telling me how much he loved me. And that was this remarkable experience. And, yeah, this was a woman who before her participation in the study had been on SSRIs for years.
Starting point is 00:59:12 She never wanted, she never felt she needed to go back on. Yeah, the plan was go back on, but you'll give us a signal. Her positive mood impact sustained over weeks, months, and their last communication was maybe a year. And I don't think she survived much longer than that. But she still was told that she was deriving great benefit from that experience. And it really was this kind of re-cathesis with her dad, who she grew up in a culture where you just didn't talk about feelings. But internally, in her vision, she was talking about her feelings, and he talked about his.
Starting point is 00:59:50 Wow. Listen, do we know where consciousness comes from? Not really. Do we know what dark matter is? No, not really. Are there more life forms in the universe? We don't know. What happens when we die? Unsure. But we do have an episode called Quasi-Thanatology about near-death experiences from a very straight-laced researcher on the topic, but more on how or why we might talk to the dead in a bit. Also, just a word of caution, don't stop or start any medications, including recreational, without
Starting point is 01:00:24 your doctor's blessing. Check yourself for heart conditions. Anyway, even if you're not gonna do drugs. And if you do use any kind of recreational drugs, for the sake of your internet dad's sanity, please read up on harm reduction, test for fentanyl and all that, obtain some emergency Narcan.
Starting point is 01:00:44 Think ahead, okay? Don't do anything illegal, please. But yeah, from a person who once raw dogged getting off a fexer and nearly lost my whole mind with withdrawal anxiety attacks, please consider the risks of going off a medicine, talk to your doctor. That was a big question. I have two questions from that. The first one maybe is easier, but if you're on an SNRI or an SSRI or a mood stabilizer or you have a history of schizophrenia, what kind of contraindications are there?
Starting point is 01:01:18 I understand too that if you take psilocybin and you're on an SSRI or any kind of serotonin reuptake inhibitor that it just won't work. Well, yeah, yeah, the attenuation of effect, that's well known. And if you don't know, you can see the 2023 paper, attenuation of psilocybin mushroom effects during and after SSRI slash SNRI antidepressant use, which concluded that SSRI slash SNRIs appear to weaken psilocybin drug effects,
Starting point is 01:01:47 and this dampening effect may last as long as three months following antidepressant discontinuation. And that study was about psilocybin mushrooms specifically. But Dr. Grob says. A colleague on my ayahuasca study, Chase Callaway from Finland, he and I published a paper together in the late 90s about adverse SSRI- ayahuasca interactions
Starting point is 01:02:09 causing a condition known as a serotonin syndrome. Because the ayahuasca contains MAOIs and it just too much serotonin is swimming around in the central nervous system, charging synaptic receptors. So with ayahuasca, it can be dangerous. And we caution people about not mixing SSRI So with ayahuasca it can be dangerous and we caution people about not mixing SSRIs and ayahuasca. It's somewhat controversial. I know people in Brazil who like to argue that, but I know what I've seen. I've seen several cases where
Starting point is 01:02:35 that has clearly been the case. Otherwise, like if you take psilocybin or LSD and you're on Prozac or something like that, it's an attenuation of effect, a dampening of effect. And another question I have based on her story and my own story, why do we see so many dead people? I feel like everyone that I know who has done a mushroom trip, like my father died shortly before, I definitely talked to my dad a bunch. It felt like I was talking with him.
Starting point is 01:03:04 I feel like I was talking with him. I feel like I had a weird vision of my dead grandmother who came in. When it first started to take effect, I told my sitter who was my husband, I was like, it's so crowded here. There's so many ancestors who have come to like meet me at the train station.
Starting point is 01:03:18 And then you mentioned your dad's, the bilgus. Why do you think that it causes something in our brain to think about that? It taps into something very, very primal, something very, very deep. And I think it's a great mystery. And it really explains, I think, religions that are based on ancestor connectedness. And you see that with the Iboga, the Bwiti in West Africa and Gabon. Like I said earlier, the direction is have a vision of an ancestor or, we're gonna keep feeding you this aboka,
Starting point is 01:03:51 this chopped up aboka, you'll have a vision of an ancestor or you'll die, whichever comes first. So they're very serious. You better conjure up a grandpa pretty quick. You're like, grandpa's here. Sometimes I wonder if some of these young people may be thinking on the spot needed to. Yeah, it's all good.
Starting point is 01:04:08 Can I ask you some questions from listeners that they sent in? Yeah, sure. Some questions, I told them you specifically were coming on. A lot of people wanted to know about access. People wanted to know what's your opinion on legalizing all hallucinogenic mushrooms? How do you feel about Oregon recently legalizing it?
Starting point is 01:04:22 Where are we at with it? If someone wanted to do this, like my psychiatrist is like, just get a hold of some. I've so far haven't been arrested for talking about it. Right, right. Nor have I. So ask tremendous experts trippy questions and next week we will cover so many juicy ones from set and setting to criminalization, a critical look at the stone ape theory, fMRI studies, neurodivergence, astrophysics, and psychedelics, how to be a good trip sitter, and my own experience following
Starting point is 01:04:53 clinical guidelines for a big trip, which for the record, I did in Oregon, where it's legal. Sure. So stay tuned and make sure you're subscribed for next week's intense and very wonderful conclusion of this. And of course, we have links to Dr. Grobe's work in the show notes so you can follow up and see what he's been working on. Also, if you like podcasts, I'd like to take a moment to shout out my friend Rose Eveleth's new one called Tested, a surprising history of women's sports.
Starting point is 01:05:19 It's about a group of female track and field superstars that are told they're too fast to be women. And Rose Eveleth, you may remember from our Futurology episode, and as the host of the podcast Flash Forward, Rose is an award-winning reporter and writer. I'm honored to say they're a friend of mine. So subscribe to their new series, Tested, which will trace the very surprising 100-year history
Starting point is 01:05:41 of sex testing in elite sports that led to this moment. And Rose will ask a question that goes far beyond sports, which is, what is fair and who decides? So you can look for Tested wherever you get podcasts. So that's my little plug for Rose. And as for us, we also have a new show called Smologies, available wherever you get podcasts, which each week we release a new G-rated
Starting point is 01:06:00 and shortened episode of Allogy's classics that are suitable for all ages, all occasions. So if you're going on a family road trip, get some smallogies in yours. Now you can become a patron of Ologies at patreon.com slash ologies. And we'll be asking wall to wall patron questions for next week's episode.
Starting point is 01:06:15 Ologies merch is available at the link in the show notes. Erin Talbert admins our Ologies podcast Facebook group. Aveline Malik makes our professional transcripts. Noel Dilworth is our scheduling producer. Susan Hale is our managing director, and frankly, our trip sitter every week. And Kelly Ardwyer does the website, and piecing together the fractals of audio are Jake Chafee and lead editor of Mercedes Maitland of Maitland Audio, Nick Thorburn wrote the theme song, and if you stick around to the end of the episode, I tell you a secret. This week, it's
Starting point is 01:06:39 that I will tell you more about my own mushroom experience. Next week, I've mentioned it briefly here and there in other episodes, but might as well get into it. Also, people are always like, "'Allie, why don't you just go to a professional salon to get your hair colored? Why do you do it with boxed dye in your bathroom?' And I finally got my haircut.
Starting point is 01:06:59 I looked like an overgrown doodle with roots. And so I was like, you know what? I'm gonna have a professional handle this. I'm worth it. But I have so much hair that whenever I get it done professionally, these poor colorists are like trying to whack their way, like frosting my yak hair with dye.
Starting point is 01:07:15 And by the time they're done, it's been on my head so long that it's turned to not copper as intended, but it always comes out this like brownish purple. And then it cost me $200 instead of like $12 in my bathroom. But I took myself to a place, I treated myself, and I must report that my hair right now is purplish brown.
Starting point is 01:07:35 But we tried. Maybe the stylists are just trying to tell me I'm not a good fake redhead, but anyway, I'm temporarily brunette now, which is just how it's gonna go for a bit. Okay next week. We're gonna get into more mystical Neurobiological stuff that are deeper than my hair problems. Okay. Bye. Bye Phytology, Nephology, Seriology, Selenology. Have a great trip. I see dead people.

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