Research
Psychedelic Therapy: A Primer for Primary Care Clinicians – Part III. N,N-dimethyltryptamine (DMT) and Ayahuasca
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Summary
A single dose of DMT led to 57% of major depressive disorder patients experiencing remission 12 weeks later. This naturally-occurring psychedelic, also found in ayahuasca, shows significant promise. A separate trial found ayahuasca caused remission in 36% of patients with treatment-resistant depression within one week. While generally safe, ayahuasca can cause transient vomiting. The therapeutic and biological roles of DMT, including its possible link to near-death experiences and its impact on human consciousness, warrant further exploration.
Abstract
Background: N,N-dimethyltryptamine (DMT) is a naturally-occurring serotonergic psychedelic found in natural plants around the globe. As the main ps...
Ketamine Cystitis in a Female Patient Ketamine Therapy for Treatment Resistant Depression – Case Report
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Summary
A significant safety concern has emerged for therapeutic ketamine, a promising antidepressant for treatment-resistant depression. While ulcerative cystitis, causing painful urinary symptoms and kidney damage, affects over 25% of recreational users, it was previously unreported in medical settings. The first documented case now links therapeutic ketamine use to this severe condition. A 28-year-old woman developed confirmed cystitis symptoms after starting ketamine for depression. This highlights a crucial safety consideration, emphasizing that early detection and stopping treatment are vital to prevent further harm.
Abstract
Abstract Ketamine has been shown to be a novel and exciting antidepressant medication in patients with treatment-resistant depression. A complicati...
Psychedelic Science of Spirituality and Religion: An Attachment-Informed Agenda Proposal
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Summary
Our early relationships profoundly shape how we connect with others and the divine. This framework proposes that psychedelics could help relax rigid mental patterns formed by these foundational experiences. It suggests an individual's attachment security influences their psychedelic journey, and that effective psychedelic therapy may actually boost this security. The process involves fostering a deeper sense of connection and easing worries, enhancing treatment benefits.
Abstract
In this paper, we set an agenda for a psychedelic science of spirituality and religion, based on a synthesis of attachment theory with the Relaxed ...
The Conceptual Framework for the Therapeutic Approach used in Phase 3 Trials of MDMA-AT for PTSD
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Summary
A new understanding reveals how a successful PTSD therapy harnesses an individual's innate healing intelligence. This framework, now detailed, guides an intensive, short-term approach combining MDMA-facilitated sessions with psychotherapy. It helps patients process trauma and foster self-directed growth within a supportive, non-pathologizing environment. Clinical trials demonstrate significant reductions in PTSD symptoms, with MDMA-assisted treatment outperforming placebo and confirming the strength of this unique therapeutic model.
Abstract
Results from multiple recent studies support the use of 3,4-methylenedioxymethamphetamine (MDMA) in conjunction with psychotherapy (i.e., MDMA-Assi...
The computational unconscious: Adaptive narrative control, psychopathology, and subjective well-being
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Summary
Our minds unconsciously shape our reality to promote adaptive behavior. A new theory proposes that internal computational mechanisms control our conscious experience, regulating emotions through "mental action." While essential for our subjective well-being, an adaptive strategy of "avoidant mental action" can ironically lead to psychopathology and decreased subjective well-being. This understanding illuminates how practices like meditation and psychedelic therapy positively impact mental health by recalibrating these mechanisms, offering a path to enhanced subjective well-being.
Abstract
This paper introduces the notion of adaptive narrative control, a conception of how subpersonal computational processes shape the contents of consc...