Elizabeth Nielson, a New York City psychologist and expert in psychedelic-assisted therapy, dives into the fascinating world of psychedelics as a potential treatment for mental health issues. She discusses the structured approaches to psilocybin therapy and the transformative effects these substances can have on depression and PTSD. Nielson emphasizes the critical role of therapists in ensuring safe and supportive environments during sessions. The conversation also touches on the historical context and ongoing research into the therapeutic potential of psychedelics in addiction treatment.
Research indicates that psychedelics like psilocybin and MDMA show promise in treating conditions such as treatment-resistant depression and PTSD.
Therapeutic effectiveness relies on combining psychedelics with preparatory and integrative psychotherapy to structure and maximize the therapeutic experience.
Historical context illustrates the cultural stigma surrounding psychedelics, emphasizing the need for balanced discussions about their potential therapeutic benefits.
Deep dives
Expert Insights on Psychedelic Therapy
A psychologist with extensive experience in clinical trials discusses the therapeutic use of psychedelics, particularly focusing on substances like psilocybin and MDMA. Research shows promising results for conditions such as treatment-resistant depression, PTSD, and addiction. Therapeutic settings involve a combination of psychedelics with preparatory and integrative psychotherapy, which helps structure the experience and maximize benefits. The ongoing studies offer initial positive indicators; however, the field is still experimental and further research is required to determine efficacy and appropriate applications.
Controlled Research Protocols
During controlled trials, participants undergo comprehensive preparatory sessions followed by the administration of psychedelics in a safe, monitored environment. Typically, two trained therapists remain present throughout the experience to ensure psychological safety, helping participants navigate through difficult emotions if they arise. The relationship established prior to the psychedelic session is crucial for ensuring that participants feel supported and understood during their journeys. Afterward, integrative sessions aim to help participants incorporate insights gained into their daily lives, facilitating real-world changes.
Evolving Research Landscape
Although the initial research on psychedelics dates back to the 1950s, the recent resurgence has ignited interest due to its potential therapeutic advantages. The discussions affirmed that many current studies are still small pilot projects, often without robust, double-blind placebo controls, meaning the understanding of long-term effects and specific mechanisms of action remains limited. Researchers are carefully gathering data, with larger studies expected to confirm initial findings, which suggests that some individuals might benefit from psychedelic-assisted therapy. The hopeful outlook emphasizes the need for continued exploration while being mindful of the need for rigorously conducted research.
Microdosing and Harm Reduction
Microdosing, often seen as taking sub-perceptual doses of psychedelics, remains an area of interest yet lacks substantial scientific validation. While self-reported benefits are noted among individuals who engage in microdosing, there are no well-controlled studies to evaluate its long-term effects or to distinguish between real effects and placebo. The conversation around harm reduction emphasizes the need for safety, education, and alternative discussions for those contemplating using psychedelics. The aim is to help individuals make informed decisions while reducing the potential risks associated with unsupervised use.
Cultural and Historical Context
The historical context regarding psychedelics reveals a narrative filled with significant cultural and social implications that have shaped public perceptions. Many people today remain unaware of the early research conducted in the mid-20th century, which has contributed to a stigma surrounding their use. The discussion acknowledges the pivotal role of historical figures like Timothy Leary, who influenced public views on psychedelics, yet also highlights the necessity for a more nuanced conversation around their potential benefits. Trying to break down the binary view of psychedelics as solely dangerous or miraculous can lead to more educated discussions and better therapeutic practices.
[Rerun] Can psychedelics be used to help people? What’s the science? Expert and researcher, Elizabeth Nielson, explains the science and how we know what we know.
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February 24, 2020
The Psychology In Seattle Podcast ®
Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.
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