PT564 – How Safe is Ibogaine Therapy? The Delicate Balance of Risk and Efficacy, with Thomas Feegel
Nov 11, 2024
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Thomas Feegel, co-founder of Beond Ibogaine, shares insights on the complexities of ibogaine therapy at his facility in Cancun. He addresses safety concerns following a tragic incident in 2022, stressing the importance of thorough patient evaluations and data collection. Feegel critiques conventional addiction treatments and advocates for innovative approaches amidst rising overdose rates. He discusses creating a holistic healing environment and the evolving role of psychedelics in mental health, emphasizing the need for ethical standards in therapy.
Ibogaine therapy at Beyond emphasizes the integration of a safe environment with rigorous medical protocols to support patient healing.
The tragic patient incident has sparked critical discussions about the ethical responsibilities and safety practices within psychedelic treatment facilities.
Data collection and transparency are crucial for improving treatment outcomes and fostering trust in the emerging psychedelic therapy industry.
Deep dives
Overview of Beyond and Its Mission
Beyond is a multi-faceted facility that combines treatment for mental health and chemical dependency with a wellness retreat environment, located in Cancun, Mexico. The facility, which opened in 2021, features a team of credentialed doctors and nurses dedicated to providing care for various conditions, including PTSD, depression, and opiate addiction, using Ibogaine as a therapeutic agent. Tom Fiegel, the clinic's co-founder, emphasizes the importance of creating a respectful and comforting atmosphere for patients undergoing treatment, allowing them to embark on profound healing journeys. This holistic approach aims to instill confidence in individuals seeking help and facilitate their intrinsic ability to heal.
Understanding Safety in Ibogaine Treatments
Safety is a pivotal concern in Ibogaine treatments, necessitating a thorough understanding of the risks involved. Beyond employs a meticulous evaluation process, including comprehensive medical screenings and ongoing monitoring during treatment to mitigate potential complications. By collecting extensive clinical data on each patient and analyzing key health metrics before, during, and after treatment, the facility aims to create a framework for continuously improving safety protocols. This commitment to data-driven practices enhances the chance of successful patient outcomes while setting a standard for care in an industry often criticized for a lack of rigorous safety measures.
Addressing Past Incidents and Media Misrepresentation
The discussion centers around a tragic incident in which a patient passed away following treatment at Beyond, highlighting ongoing discourse surrounding the safety and ethics of psychedelic treatments. Tom Fiegel recounts the aftermath of this event, expressing deep empathy for the individual's family and underscoring the clinic’s dedication to safe practices through thorough evaluation protocols. Media coverage of the incident has raised questions about the clinic's operational standards, and Fiegel stresses the importance of patient privacy while standing behind the thoroughness of their care. He emphasizes the need for thoughtful narratives that accurately represent the complexities of such sensitive situations rather than sensationalized portrayals that mischaracterize the clinic's commitment to safety.
The Need for Transparency and Data Collection
Transparency regarding treatment practices and outcomes is essential in the realm of psychedelics, particularly concerning Ibogaine. Beyond prioritizes clear communication about risks and benefits, recognizing that prospective patients should have access to comprehensive information to make informed decisions. The emphasis on digitizing patient data not only enhances the precision and accountability of their evaluations but also fosters learning and refinement of treatment methodologies across the industry. This proactive approach counters the shadowy perceptions often associated with psychedelic treatment facilities and positions Beyond as a leader advocating for evidence-based practices.
Future Directions for the Psychedelic Treatment Landscape
The future of psychedelic treatment, particularly with substances like Ibogaine, hinges on the establishment of consistent standards and protocols within the industry. Fiegel advocates for the development of a collaborative framework among treatment centers to share data and experiences that could benefit patient safety and efficacy. He envisions a time when psychedelic treatments are integrated into mainstream healthcare, with an emphasis on the holistic well-being of individuals rather than merely addressing symptoms. This vision encapsulates a shift towards a more compassionate and effective healthcare model where the healing process becomes a collaborative and supportive journey.
In this episode, Joe interviews Thomas Feegel: co-founder of Beond Ibogaine, an ibogaine treatment and research facility in Cancún, Mexico.
When Feegel first heard of ibogaine 16 years ago, he found that people were having great success, but nobody could recommend where to go for treatment. So he worked to create what was needed: a combination of a hospital, mental health treatment facility, retreat center, and resort, with the proper infrastructure in place, employees with ICU experience, exhaustive HIPAA-compliant admission criteria, regular data collection, and a major focus on safety.
Addressing the recent Rolling Stone article about the tragic death of a patient at Beond in 2022 (interestingly, 2 days after his initial dose), he discusses what he feels was inaccurate, largely related to what could be perceived as a suggestion that there wasn’t enough screening or that corners were cut. With no official reason given for the patient’s death, it brings into question just how safe one can be, especially with people whose bodies and hearts have been through so much. How much hidden harm is created by the stress of PTSD and addiction?
He discusses:
The complexity of journalism and drawing conclusions from limited information
The limitations of conventional addiction treatments and the sad numbers around how many people stick with rehab
The importance of collecting as much data as possible about each patient, at regular intervals, prior to, during, and after the experience
The need for a regulating group to create standards around admission and administration procedures for ibogaine
and more!
We’re releasing this episode on Veterans Day because Beond’s program was co-developed by veterans, military medical personnel, and active-duty law enforcement officers who have seen how much ibogaine can help. If you know a vet who is struggling, be sure to let them know what's possible with psychedelic therapy.