PT532 – Understanding Bad Trips: The Power and Potential of Adverse Psychedelic Experiences, with Erica Rex, MA

In this episode, Joe interviews Erica Rex, MA: award-winning journalist, past guest, thought leader on psychedelic medicine, and participant in one of the first clinical trials using psilocybin to treat cancer-related depression.

She tells the story of her recent harrowing experience, brought on by 6 times the amount of Syrian rue that was recommended: from entities threatening her, to a sense of terror she was going to die, to finding her way out of it with time, and most importantly, context to process and a strong support system. She and Joe emphasize the reality that bad trips can happen at any time, with any dose, for any reason, and that – if you can make your way through the experience without being traumatized – you can learn a lot about yourself during those states.

She discusses:

• Methods to help others having a bad experience
• Her skepticism about psychedelic therapy being in a medical context at all
• Her thoughts on the recent ICER recommendation against approving MDMA and the multiple topics not addressed
• Possible complications from MDMA use nobody talks about, from cytotoxic effects to even sudden-onset psychosis
• The pathologizing of anything outside the ordinary, to the point that we’re trying to suppress natural human emotions and reactions

and more! 

Rex's book, “The Heroine’s Journey: A Woman’s Quest for Sanity in the Psychedelic Age” will be published by She Writes Press in the spring of 2026. For links, head to the show notes page.