The Double-Edged Sword of Psychedelics: Therapeutic Potential and Unforeseen Risks

Created: JANUARY 27, 2025

Recent research suggests that psychedelic drugs hold significant promise in treating certain mental health conditions. However, increasing decriminalization and public awareness may inadvertently encourage unsupervised at-home use, posing substantial risks.

Brendan Caldwell, a psychedelic-assisted therapist, experienced this firsthand. Despite positive past experiences with magic mushrooms, a small dose before his birthday party triggered a traumatic episode. He described a sudden loss of bodily control, intense panic, and a prolonged period of emotional numbness. The incident led to severe anxiety that lasted for over 18 months.

Psychedelic-assisted therapist sits by tree

Caldwell's experience highlights the potential dangers of unsupervised psychedelic use. While research shows promise in controlled therapeutic settings, experts like Dr. Libby Stuyt, an addiction psychiatrist, caution against casual use. She emphasizes the infancy of research regarding long-term safety and the risks associated with altered perceptions of reality.

Caldwell grabs his chest describing mushroom experience

Denver, Colorado, has become a hub for psychedelic exploration, with decriminalization measures and a growing community of users. The recent Psychedelic Science conference in Denver showcased the expanding interest in these substances, attracting thousands of attendees and high-profile speakers. The FDA's fast-track approval process for psilocybin further underscores the growing acceptance of psychedelics in mainstream medicine.

Mural in Denver

Caldwell's journey led him to become a psychedelic-assisted therapist, using the same substance that caused him trauma to help others. He emphasizes the importance of qualified guidance and integration therapy to process challenging experiences and achieve lasting therapeutic change. However, he acknowledges the ongoing need for research to fully understand the potential risks involved.

PSYCHEDELIC CITY: How magic mushrooms could cause ‘psychedelic trauma’ PSYCHEDELIC CITY: Hallucinogenic drug community mushrooms in Denver Caldwell believes using magic mushrooms recreationally can still bring on significant benefits, though he also sees a higher risk that someone could face ‘destabilizing’ experience. Psychedelic painting of shrooms The Psychedelic Club of Denver hosts integration circles where anyone is welcome to come and share their experiences on psychedelic drugs. Caldwell, who runs the circles, says many share traumatic situations and come to try to make sense of them.

While some individuals report positive transformative experiences from recreational psychedelic use, Dr. Stuyt warns against the potential for exacerbating existing mental health issues. She recounts instances of patients experiencing severe hallucinations and lasting anxiety following unsupervised psychedelic use.

Caldwell emphasizes the importance of set and setting in psychedelic experiences, noting that factors like environment and emotional state can significantly impact the outcome. He also highlights the risks of unregulated recreational use, where the potency and composition of substances can be unpredictable. Despite the potential dangers, Caldwell believes that even difficult psychedelic experiences can be valuable if processed and integrated appropriately.

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