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Psilocybin bests SSRI for major depression in first long-term comparison

medscape.com

131–140 of 397 posts

Re: Psilocybin bests SSRI for major depression in first long-term comparison

#131
post #86

Earlier quoted context omitted.

Psylocybin? Easily? You have to put effort into making an experience with psylocybin meaningful and helpful. It could go wrong very easily, especially for those who are in a difficult situation or headspace. (Speaking from experience.) As for SSRIs? Safe, effective, with a handful of annoying side effects. Straightforward to use, low potential for misuse, requires sustained use for any intended effects. A doctor who…

> Psylocybin? Easily? Err.. no? This is from the Dutch National Institute for Public Health and the Environment: https://www.rivm.nl/bibliotheek/rapporten/340001001.pdf Page 19 onward has the charts. What do do we find at the very low end in terms of chronic and acute toxicity? Shrooms (“paddos”) and LSD. It always blows my mind how anti-drug people will do a handwavey gesture to the authority of institutes like the…

> > You have to put effort into making an experience with psylocybin meaningful and helpful. It could go wrong very easily, especially for those who are in a difficult situation or headspace. (Speaking from experience.)

> What do do we find at the very low end in terms of chronic and acute toxicity? Shrooms (“paddos”) and LSD.

Breaking your mind doesn't count as toxicity. You're not responding to the point you tried to refute.

Re: Psilocybin bests SSRI for major depression in first long-term comparison

#132

Earlier quoted context omitted.

It was 500ug of LSD mixed with probably 6 or 7 drinks of alcohol. Suffered serotonin syndrome for a few days afterwards. Regardless I’ve heard stories of people having severe long term psychological issues from even relatively light doses, simply because of how their body in particular interacted with the drug.

500ug of LSD isn’t really a standard dose. It’s almost double your typical dose.

I know a guy who took 1000ug. He told me he had side effects / visual glitches for about an entire week

Re: Psilocybin bests SSRI for major depression in first long-term comparison

#133
post #85

What 2 decades of on & off therapies and meds couldn't fix, a single psilocybin trip fixed in 5 hours. That's all the proof I need. Not even getting into the side-effects of SSRIs including PSSD, brain zaps, lethargy, and a whole lot more. I just don't understand people who do this shit recreationally, as it was quite possibly the worst experience I had in my life.

If you don't mind my asking, what about the experience was so bad? Did it take time or work to process the experience for it to have its beneficial effect?

Re: Psilocybin bests SSRI for major depression in first long-term comparison

#134

Ok like most of you I’ve taken psychedelic drugs. I’ve had bad experiences sure, but I’m fine now. The issue is that what people generally say, like, “oh sometimes you need to encounter your demons,” maybe that will be temporarily traumatizing—in general people recover from that. The real issues are…more complex. More complex than any diagnoses in the DSM can cover. The brain is very complicated, and everyone’s brain…

Taking psychedelics is a bit like trying to fix a Swiss watch with a sledgehammer: it might just work, but that's not the way to bet. Therapy and well-guided meditative practice can be a lot gentler than that.

Thank you for the balanced opinion. It's a rarity here.

Re: Psilocybin bests SSRI for major depression in first long-term comparison

#135

Ok like most of you I’ve taken psychedelic drugs. I’ve had bad experiences sure, but I’m fine now. The issue is that what people generally say, like, “oh sometimes you need to encounter your demons,” maybe that will be temporarily traumatizing—in general people recover from that. The real issues are…more complex. More complex than any diagnoses in the DSM can cover. The brain is very complicated, and everyone’s brain…

Taking psychedelics is a bit like trying to fix a Swiss watch with a sledgehammer: it might just work, but that's not the way to bet. Therapy and well-guided meditative practice can be a lot gentler than that.

There is actually a ton of incredibly fascinating knowledge about what psychedelics do – neuroimmunobiologically the effects are profoundly interesting. It’s a surprisingly sharp and specific instrument, certainly double-edged though.

https://www.frontiersin.org/journals/immunology/articles/10....

Re: Psilocybin bests SSRI for major depression in first long-term comparison

#136
post #57
post #17

Earlier quoted context omitted.

I doubt about everywhere, as shrooms are sold in shop around here.

In the US, those aren’t from mushrooms that contain psilocybin or related neurotransmitter analogs

It definitely happens:

https://www.seattletimes.com/business/oregon-store-allegedly...

https://www.sfgate.com/cannabis/article/sf-magic-mushroom-ch...

Re: Psilocybin bests SSRI for major depression in first long-term comparison

#137

Ok like most of you I’ve taken psychedelic drugs. I’ve had bad experiences sure, but I’m fine now. The issue is that what people generally say, like, “oh sometimes you need to encounter your demons,” maybe that will be temporarily traumatizing—in general people recover from that. The real issues are…more complex. More complex than any diagnoses in the DSM can cover. The brain is very complicated, and everyone’s brain…

Did you take it in a controlled environment like the study suggests? Every time serious conversation of medical progress comes up, it's polluted by naysayers with anecdata about how they took it while raving beside a live volcano. We need to give psychedelics a fair chance, and sure after we can discount them. The article suggests at scale there is potential

In my experience (this thread, too), the conversation gets polluted by people that swear by their self-medication and call more cautious people naysayers.

Re: Psilocybin bests SSRI for major depression in first long-term comparison

#139

Earlier quoted context omitted.

Yeah, maybe don't take "very high doses". I've not done that. And not had any seriously bad experiences. Maybe like everything else is all about moderation?

It was 500ug of LSD mixed with probably 6 or 7 drinks of alcohol. Suffered serotonin syndrome for a few days afterwards. Regardless I’ve heard stories of people having severe long term psychological issues from even relatively light doses, simply because of how their body in particular interacted with the drug.

Thank you for telling the story.

To me, it’s interesting to consider the inflammatory aspects – the immunomodulatory effects of LSD and other psychedelics on one hand and alcohol on the other.

It’s well established but little-known that psychedelics have a very significant inflammation-reducing effect which includes drastic reduction of neuroinflammation. (I’m fairly sure that this is a primary reason why they work for depression and anxiety; There’s basically always elevated inflammatory biomarkers with these disorders. Stress is directly causative of neuroimflammation.)

Here’s a really solid review paper from 2017 – today a lot more knowledge has been accumulated: https://www.frontiersin.org/journals/immunology/articles/10....

Alcohol is known to be pro-inflammatory.

I have a hunch that these two disjoint forces on the same physiological systems can have made things worse.

Re: Psilocybin bests SSRI for major depression in first long-term comparison

#140

Earlier quoted context omitted.

> I often hear people talk about the risks of psychedelics, which are to be considered, but what’s the risk of doing nothing or withholding the best treatment? The risk is to make things worse. And I know that I am preaching to people that are of the opinion that they know better than the FDA, scientists and doctors and are all for self-medicating based off of the echo chamber here and a few cherry-picked, limited an…

My suspicion has always been the majority of adverse reactions have related to improper dosing. Anyone can have a horrible response with too high of a dose yet with self-medicating theres no sure way to know the amount of medicine you’ve ingested even if weighing.

Rigorously determining the proper effective and safe dose is part of the approval process.
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