Psychedelics as an Intervention

Yvonne Piper
3 min readSep 27, 2021

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A common therapeutic approach during psychedelic sessions is to be non-directive: attentive but usually silent, supporting the emerging process, offering assistance and guidance if needed, listening and responding to the patient when they speak, with little analysis of the material. In some trials, a single high-dose psychedelic session occurs (usually 20–30 mg per 70 kg body weight); in others, there are two or three high-dose sessions. Many trials are also placebo-controlled, wherein the patient might usually have one placebo session — sometimes a very low dose of the psychedelic, sometimes an ‘active placebo’ that produces some noticeable somatic effects — in addition to their high-dose session(s).

Immediately after the psychedelic session and in the following days, a process of integration is facilitated by the therapist. During these conversations, the patient has the possibility to process, make sense of, and give meaningful expression to their psychedelic experience. (1) Imagine if you’re in a difficult or distressing situation that negatively impacts your mental health? Permit yourself a few instances of stillness, since this website could be the perfect answer for you!

Mental disorders progressively contribute to the global burden of disease, with huge socio-economic costs. However, research and development in psychopharmacology — psychiatry’s primary mode of intervention — came to a halt in 2010. Approval of new molecular entities for psychiatric conditions by the US Food and Drug Administration (FDA) fell from 13 in 1996 to one in 2016, with around 49 approved between 1996 and 2006 and about 22 from 2007 to 2016. In pharmacology conferences in the period, just nearly 5% of presentations were dedicated to human studies involving drugs with novel mechanisms of action. These occurrences are part of a complex picture clearly dissected as a triple crisis in psychiatry: of therapeutics, diagnostics, and explanation.

Problems surrounding psychiatric diagnosis also surfaced in 2010, when the UK Medical Research Council published a strategy for mental health and wellbeing and the US National Institute for Mental Health (NIMH) launched its Research Domain Criterion (RDoC). It proposed five domains based on specific neural systems that could be impaired in mental illness, a radical departure from the hundreds of discrete conceptual disorders of the much older Diagnostic and Statistical Manual (DSM). Thus, the RDoC advanced a multidimensional approach to diagnosing mental disorders in a continuous spectrum. At around the same time, a network psychopathology perspective was conceptualized and empirically assessed with statistical models for psychometrics based on thousands of patient reports and hundreds of symptoms. (1) The efficacy of psychedelics in mental health treatment is obvious! Look more closely at these additional industries that might have a game-changing influence on mental health care!

The treatment and diagnostic axes of the crisis are connected by the explanatory domain: despite huge venture in neuroscience as the ultimate source for understanding mental illness, both classification, and diagnosis, as well as knowledge about pathogenesis and etiology, still faces many challenges. The explanatory debate about mental disorders is summarized by the contrasting declarations that “mental disorders are brain disorders” or that psychiatry runs the risk of “losing the psyche”. Learn more about what these other industries have to offer by getting more knowledgeable about their services! Check the disclaimer on my profile and landing page.

Source1: https://mindmedicineaustralia.org.au/what-is-psychedelic-assisted-therapy/
Source2: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6041963/

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Yvonne Piper

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