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anythingnonidin

1,933 karma · joined March 10, 2017

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anythingnonidin··on Psilocybin for treatment-resistant depression: fMRI-measured brain mechanisms [pdf]
Yes, and also:

'Classic psychedelic use is associated with reduced psychological distress and suicidality in the United States adult population.'

https://www.ncbi.nlm.nih.gov/pubmed/25586402

anythingnonidin··on Psilocybin for treatment-resistant depression: fMRI-measured brain mechanisms [pdf]
Please read 'A Prevalent Misconception About Sample Size, Statistical Significance, and Clinical Importance'

http://www.joponline.org/doi/abs/10.1902/jop.1972.43.3.181?j...

anythingnonidin··on Psilocybin for treatment-resistant depression: fMRI-measured brain mechanisms [pdf]
Nope, the effect is mediated by the psilocybin induced mystical experience, which I don't believe could be experienced while unconscious. See my comment above.
anythingnonidin··on Psilocybin for treatment-resistant depression: fMRI-measured brain mechanisms [pdf]
I believe we already have an answer for this - which is that most of the benefits of psilocybin on depression (and most other things) rely on the patient being conscious so that they are able to have a 'mystical-type experience.'

In almost all psilocybin studies, the effect is mediated by the degree to which the participant has a 'mystical-type experience.'

I don't imagine this could be experienced while unconscious, and so assuming that's correct, then it would be substantially less effective if someone was unconscious.

I would expect a small anti-depressant effect of psilocybin alone, possibly related to the serotonin 2A receptor and it's impact on well-being. But, to be very clear - the active experience of a 'mystical trip' is what causes a reduction in depression.

See:

http://journals.sagepub.com/doi/full/10.1177/026988111773127...

'Determinants of enduring effects were psilocybin-occasioned mystical-type experience'

http://journals.sagepub.com/doi/full/10.1177/026988111667551...

'The psilocybin-induced mystical experience mediated the therapeutic effect of psilocybin on anxiety and depression.'

anythingnonidin··on Psilocybin for treatment-resistant depression: fMRI-measured brain mechanisms [pdf]
Tendency: "an inclination toward a particular characteristic or type of behavior." "a strong chance that something will happen in a particular way"

> “Since the early 1990s, approximately 2000 doses of psilocybin (ranging from low to high doses) have been safely administered to humans in the United States and Europe, in carefully controlled scientific settings, with no reports of any medical or psychiatric serious AEs, including no reported cases of prolonged psychosis or HPPD (Studerus et al., 2011).”1

Then, to address 'controlled environment':

> “Lifetime classic psychedelic use was associated with a significantly reduced odds of past month psychological distress (weighted odds ratio (OR)=0.81 (0.72–0.91)), past year suicidal thinking (weighted OR=0.86 (0.78–0.94)), past year suicidal planning (weighted OR=0.71 (0.54–0.94)), and past year suicide attempt (weighted OR=0.64 (0.46–0.89))”13

And

> According to US government statistics, magic mushrooms have been used by 22.8 million Americans at least once.12

https://tripsafe.org/shrooms/

While they can lead to this, tendency doesn't seem to be the right word to use.

I'm quite passionate about this topic and I think it's very important that people writing publicly and sharing opinions on these substances are accurately informed, and try to present statics and put references into context.

Does the above change your mind on this? If not, what would change your mind a little bit towards thinking that they don't have a tendency to do this?

anythingnonidin··on Psilocybin caused large significant positive changes to life purpose and altruism
> Altruism: Comparing LD-SS to HD-SS, the effect size was 1.36, which statisticians consider “very large.” Comparing LD-SS to HD-HS, the effect size was 1.95, considered “very large,” almost “huge.”

This is interesting to me. I wonder what a world would look like if everyone had therapeutic access to a substance that had a 'very large' effect size on increasing altruism.

Full text: http://journals.sagepub.com/doi/full/10.1177/026988111773127...

> Compared with low-dose, high-dose psilocybin produced greater acute and persisting effects. At 6 months, compared with LD-SS, both high-dose groups showed large significant positive changes on longitudinal measures of interpersonal closeness, gratitude, life meaning/purpose, forgiveness, death transcendence, daily spiritual experiences, religious faith and coping, and community observer ratings. Determinants of enduring effects were psilocybin-occasioned mystical-type experience and rates of meditation/spiritual practices. Psilocybin can occasion enduring trait-level increases in prosocial attitudes/behaviors and in healthy psychological functioning.

anythingnonidin··on I was in the MAPS MDMA for PTSD study
If you're going to consume MDMA anyway, you should definitely read this page first: https://rollsafe.org/how-to-take-mdma/
anythingnonidin··on I was in the MAPS MDMA for PTSD study
See this from earlier research results http://www.mdmaptsd.org/research-category.html

> A long-term follow-up of patients who received MDMA-assisted psychotherapy revealed that overall benefits were maintained an average of 3.8 years later.

(This is after 2 total sessions)

See here for more http://www.mdmaptsd.org/infographic.html

anythingnonidin··on I was in the MAPS MDMA for PTSD study
Be aware:

"87% of “Molly” analyzed by the DEA between 2009 and 2013 contained 0% MDMA, instead mostly containing “bath salts” like methylone.3"

https://rollsafe.org/whats-in-molly/

anythingnonidin··on I was in the MAPS MDMA for PTSD study
Ok should be fixed, I think.
anythingnonidin··on I was in the MAPS MDMA for PTSD study
Yes.

See this from earlier research results http://www.mdmaptsd.org/research-category.html

> A long-term follow-up of patients who received MDMA-assisted psychotherapy revealed that overall benefits were maintained an average of 3.8 years later.

anythingnonidin··on I was in the MAPS MDMA for PTSD study
Got it, thanks. Will fix.
anythingnonidin··on I was in the MAPS MDMA for PTSD study
Thanks for the comment. Can you share a screenshot on imgur.com by any chance? I can't reproduce the issue so would like to know what you're seeing so I can fix it.
anythingnonidin··on I was in the MAPS MDMA for PTSD study
If anyone on Hacker News would like a crash course on the history and potential of psychedelic substances - I cannot recommend the book Acid Test by Tom Shroder more highly.

Or, for a shorter view, the article Trip Treatment by Michael Pollan: https://www.newyorker.com/magazine/2015/02/09/trip-treatment

anythingnonidin··on I was in the MAPS MDMA for PTSD study
Yes. The main barrier to more psychedelic research is funding / $$ and time - far more than anything else.

In the US, access to research funding is a far larger issue than scheduling. The main benefit of rescheduling would likely be through its indirect benefits on access to funding.

Source: I’ve talked with multiple researchers who are studying psychedelics.

Also, I recommend reading or listening to the book Acid Test if anyone here would like to learn more.

anythingnonidin··on I was in the MAPS MDMA for PTSD study
Yes: MAPS is hosting a benefit dinner for psychedelic research on Saturday (tomorrow) night http://www.maps.org/nyc2017
anythingnonidin··on I was in the MAPS MDMA for PTSD study
The dosages used in the FDA Phase 3 research are 80mg or 120mg initial dose followed by either 40mg or 60mg 1.5-2 hrs later, respectively.
anythingnonidin··on I was in the MAPS MDMA for PTSD study
A short web page I put together with some more info: https://rollsafe.org/mdma-therapy/
anythingnonidin··on Could ayahuasca have health benefits?
The main barrier to more psychedelic research is funding / $$ - far more than anything else.

In the US, access to research funding is a far larger issue than scheduling. The main benefit of rescheduling would likely be through its indirect benefits on access to funding.

Source: I’ve talked with multiple researchers who are studying psychedelics.

anythingnonidin··on Could ayahuasca have health benefits?
Not true - psilocybin is being actively researched by Heffter/Usona. They are much more limited by funding than they are by scheduling (at least, in the US).

The main benefit of rescheduling will likely be through easier access to government funding and funding from large foundations.

If you’re very wealthy, you can fund psychedelic research that interests you today - again, the scheduling is not close to being the main limiting factor.

Source: I’ve talked with multiple researchers who are studying psychedelics.

anythingnonidin··on Could ayahuasca have health benefits?
Did any of the following apply?

> No current or past history of schizophrenia or other psychotic disorders, no Bipolar I or II disorder, and no first or second-degree (“A second-degree relative is defined as a blood relative which includes the individual’s grandparents, grandchildren, aunts, uncles, nephews, nieces or half-siblings.”) relatives with these disorders.3

https://tripsafe.org/how-to-take-lsd/#1-avoid-with-certain-h...

For what it’s worth:

> “Since the early 1990s, approximately 2000 doses of psilocybin (ranging from low to high doses) have been safely administered to humans in the United States and Europe, in carefully controlled scientific settings, with no reports of any medical or psychiatric serious AEs, including no reported cases of prolonged psychosis or HPPD (Studerus et al., 2011).”1

https://tripsafe.org/shrooms/#2-the-safety-profile-of-shroom...

Psilocybin isn’t the same as ayahuasca or LSD but we’d expect it to have an extremely similar safety and adverse effect profile.

anythingnonidin··on Could ayahuasca have health benefits?
Did any of the following apply?

> No current or past history of schizophrenia or other psychotic disorders, no Bipolar I or II disorder, and no first or second-degree (“A second-degree relative is defined as a blood relative which includes the individual’s grandparents, grandchildren, aunts, uncles, nephews, nieces or half-siblings.”) relatives with these disorders.3

https://tripsafe.org/how-to-take-lsd/#1-avoid-with-certain-h...

Also this means that it is advisable for you to steer clear of psychedelics.

For what it’s worth:

> “Since the early 1990s, approximately 2000 doses of psilocybin (ranging from low to high doses) have been safely administered to humans in the United States and Europe, in carefully controlled scientific settings, with no reports of any medical or psychiatric serious AEs, including no reported cases of prolonged psychosis or HPPD (Studerus et al., 2011).”1

https://tripsafe.org/shrooms/#2-the-safety-profile-of-shroom...

anythingnonidin··on We're learning more about the craving that fuels self-defeating habits
Likely interesting to readers of this thread: https://motherboard.vice.com/en_us/article/bmvdnm/how-psyche...
anythingnonidin··on Portugal treats addiction as a disease, not a crime
Thanks, yes. I should've said 'drug abuse is a health issue.'
anythingnonidin··on Portugal treats addiction as a disease, not a crime
Yes, good correction, thank you.
anythingnonidin··on Portugal treats addiction as a disease, not a crime
Great to see this in the NYT.

Drug use should be treated as a health issue, not a criminal issue.

anythingnonidin··on Jagmeet Singh Says He Supports the Decriminalization of All Drugs
Quoting someone else:

> Jagmeet Singh is the first major politician to bring this issue to the forefront and it happened completely by chance through a single off-hand question.

anythingnonidin··on Top medical experts say we should decriminalize all drugs (2016)
How did you discover Kleiman's work? I read his 'Marijuana Legalization' over the weekend, and have previously read his 'Drugs and Drug Policy.'
anythingnonidin··on Top medical experts say we should decriminalize all drugs (2016)
Agreed. Kleiman's work is great!
anythingnonidin··on Top medical experts say we should decriminalize all drugs (2016)
Some reasons for decriminalization of use and possession, summarized:

(i.e., removing criminal penalties or making it no jail time possible, but not government supplied)

- War on drugs has failed. Criminalization has consequences on community - in many cases, most of the negative effects come from the criminalization, not the drug.

- Consensual crimes that don’t harm others shouldn’t be crimes.

- Drug prohibition doesn’t seem to decrease use — Portugal. (Also perhaps Czech, Italy, Spain?)

- Drug war enforcement costs a ton, we could save tax money.

- 1.2 million people arrested for drug possession in 2015. http://www.drugwarfacts.org/chapter/crime_arrests#arrests

- Prisons are crowded. Would reduce this a little.

- Easier for addicts to seek treatment.

I think the strongest reasons are that drug use should be treated as a health issue and not a criminal issue, and that consensual crimes that don't harm others shouldn't be crimes.

What is the single strongest reason for or against decriminalizing all drugs, in your opinion?

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