This is specifically true for some phobias:
https://ec.europa.eu/research-and-innovation/en/horizon-maga...
https://ec.europa.eu/research-and-innovation/en/horizon-maga...
I once watched a climber free climb a moderate 30 meter route me and my friends had just completed with ropes, and he mentioned his LSD hallucination was peaking as he saw us at the top.
I considered that maybe climbers like him have exceptionally higher risk tolerance or a habituated comfort with psychedelics and climbing. However, as someone with a reasonable amount of exposure to both of those (separately), it still baffled me. This feels like a more palatable explanation in tandem with higher risk tolerances and habituation.