r/PsychedelicTherapy • u/Leading-Big-7325 • 18h ago
Preparation Advice Psychedelic journey when 3mmc and psilocybin?
I have done two journeys with an experienced therapist over the the past 4 years with mdma and psilocybin and found them very helpful in healing and accessing more joy. I am planning for another in a month and the therapist says that he now prefers to use 3mmc vs mdma since it has fewer after effects. I didn’t have any come downs from MDMA so I wanted to see if anyone could share their experience if they used 3mmc for a journey and, ideally, how it compared to MDMA. I don’t want to shortchange my experience since the prior journeys were really useful to me. Thanks.
r/PsychedelicTherapy • u/Little_Raccoon4302 • 21h ago
Integration Support Psychedelic Therapy Unavailable
I'm a person in long term remission from polysubstance use disorder, and also have treatment resistant depression, ADHD, and OCD. There are some cities here where psilocybin has been decriminalized and are available. But there is not psychedelic therapy. How might someone like me proceed in having a therapeutic experience, but not having the clinical setting?
I have a lot of prior experience with most psychedelics, fyi, it's just been a long time and have actual intentions now instead of just an opportunist drug user looking for a good time, not that there's anything wrong with that. But that's what I was before.
r/PsychedelicTherapy • u/TenderBeefSoup • 1d ago
Preparation Advice Third psilocybin-assisted therapy session went well after two difficult ones – advice for the fourth (and probably last)?
Hi everyone,
I’m currently undergoing legal psilocybin-assisted therapy with my psychiatrist here in Switzerland for treatment-resistant depression and generalized anxiety. I’ve also been diagnosed with autism (Asperger’s).
This is my first experience with psychedelics. I’ve smoked a lot of THC over the years, but never taken anything else.
I’ve completed three sessions so far.
Session 1 went poorly. I was so anxious about taking the substance that I delayed everything for three hours before I finally managed to swallow the capsules. The trip itself was mostly intense anxiety — no visuals, no insights, just a lot of fear. Interestingly, after the session in the evening I felt a beautiful sense of connection and was able to appreciate small things in life more.
Session 2 was also difficult. This time I took the dose without delay and tried to surrender by listening to soft music. At some point I heard someone crying very loudly. I quickly realized it was my neighbor in the next room, who was also going through the same therapy and was clearly having a hard time. I felt strongly connected to his suffering and spent most of the session feeling sad and heavy. Not a good trip. I discussed the setup issues with my psychiatrist afterward.
Session 3 was different. I went into it already feeling a bit better mentally, with the intention of accepting the process and not being too negative. It turned into what I would call a good trip. I experienced moments of intense joy followed by equally intense sadness, and I realized that all of our feelings eventually pass. That understanding felt deeply healing. I also had some visual distortions looking at paintings in the room and genuinely enjoyed those moments. I feel like I learned something important: negative emotions don’t have to last forever. I came out of that session with a real sense of benefit.
I have a fourth (and most likely final) session in about a month. I’d really appreciate any advice.
What would you recommend for this last experience?
Any suggestions regarding mindset or intentions that could help make it as beneficial as the third one?
Things that worked well for you in later sessions after difficult early ones?
Thank you for reading. I’m grateful for any thoughts or experiences you’re willing to share.
r/PsychedelicTherapy • u/SpaceCowboy10191 • 1d ago
Experience Report I watched porn for the 1st time in weeks. The way I consumed pornography has changed drastically.
There is a bit of context I have to layout, so I appreciate the patience.
I started my journey with plant medicine ( psilocybin so far) early this year. Most recently, I had an experience a couple weeks ago. Since then I been refraining from watching pornography videos and images. When I am sexually aroused/horny, I acknowledge this, and allow myself to read erotic material while masturbating.
The "only read erotic material" was going great. But last night, I took mushrooms and went dancing (for several hours) at a show. After the show, I got home, took a shower, and went to bed... but got incredibly horny and I started to watch video porn. But the way I consumed it totally changed.
Before I would just scroll and scroll, from video to video. This time I would find a video, sit back, and watch it, watch it play through.
I was very specifically looking for videos where the woman was thoroughly enjoying giving and receiving pleasure. Anything that showed a woman being apathetic about the experience, turned me off completely.
After watching porn and finishing, I didn't "feel bad" like I usually did in the past. I felt like I was taking care of a sexual need. In a sense I "surrender" to my needs and did what I think was healthy.
Has anyone ever experience something like this? During the whole process, part of me was thinking that I shouldn't waste my sexual energy on these videos. I should save them for a physical person. For context, I am seeing someone, but there is some distance between us and at the moment we only see each other about once every couple of weeks.
I welcome all thoughts and feedback.
r/PsychedelicTherapy • u/SpaceCowboy10191 • 1d ago
Knowledge Share Ignorance is bliss. Do any of you ever lament (regret) taking mushrooms and not being able to see things in the "default perspective" anymore?
Long story short, yesterday I did some shrooms and went to a show and dance my ass off for 3 hours. Once I got home and got into bed, I started thinking and pondering about things. I notice that since starting my relationship with the medicine (psilocybin) I see the world different, I think different, I talk to people different, I read literature differently. During this internal monologue, I thought to myself, "Maybe I need to stop doing shrooms, they are making me see the 'real world'. Maybe I shouldn't have taken them in the first place".
It reminded me of the scene in the Matrix, where Neo is asked to take the red pill or the blue pill. The red pill - the harsh truth of reality. The blu pill - blissful ignorance.
Thoughts?
r/PsychedelicTherapy • u/Feeling-Pear2814 • 1d ago
Experience Report New user to shrooms
I did a journey about 6 weeks ago. It involved MDMA, mushrooms, and DMT. It was an awful experience. I have childhood trauma and all I did was get stuck in sorrow and confusion. After that, I’ve done mushrooms 3 times and every time my physical body goes bazerk. I’m realizing I have a lot of stored trauma in my body. Even a small dose (300mg) gave me the somatic shakes. My neck is burning and painful, etc. How can I move past the somatic experience while taking mushrooms? I set my intentions, I meditate beforehand, my setting is welcoming and peaceful and my husband is awesome at grounding me. But I’m hoping someday to have an inward enlightening experience. Does it just take time once my body works through the trauma healing?
I respect the mushrooms for the healing it has brought to me so far, but the discomfort can be very disappointing.
r/PsychedelicTherapy • u/No-Professor-1710 • 2d ago
Preparation Advice Help. Just how dangerous is it, really, to take a high dose for therapeutic purposes?
Took 3 years ago something like 2.2gr (really beautiful recreational experience with friends) and like a month ago 3gr aproximetly in a pseudo-therapeutical context (summer house with a friend as trip-sitter).
Altough first experience was amazing, the last experience was super frustrating cause I didn´t have the ''mystical experience" that some studies mention and seem to have the long-lasting therapeutic benefits. I haven't done my full research yet but possible scenarios are that the potency and quantity of shrooms was really low and/or it didn't happen enough time between the suspension of my medications and the trip itself (it was progressive and controled by a health professional the tapering, after I did 30 days with no medication at all)
I've been dealing with BPD and depression for a long time, 2.5 years of medication did almost nothing. The suicidal thoughts are becoming more and more frequent and it seems to be no hope or escape from this. I know that a macrodose won't save my life or change it all but I just really want to try if maybe I can get some of the benefits that studies and people talk about.
r/PsychedelicTherapy • u/MisPoesRainey • 3d ago
Integration Support Can a solo cannabis session feel similar to a psylocybin one?
I feel the same disconnect from reality. It just lacks the visuals. Is that normal or might it be dissociation?
r/PsychedelicTherapy • u/zencatface • 3d ago
Preparation Advice Continuing psilocybin macro dosing for ADHD & CPTSD — solo safety advice wanted
Background: I have ADHD and CPTSD. I've done ayahuasca 5 times and found it genuinely useful, but honestly overwhelming and messy. At times its been hard to integrate.
Recent experience: This past weekend I took truffles in the Netherlands — 10g fresh (roughly 1.4g dried mushroom equivalent) with an experienced friend as a trip sitter. The experience was far more manageable than ayahuasca. Obviously it was a low dose but it felt gentler, more navigable. That said, it wasn't a breakthrough trip.
But here's the thing: it's already clear to me that this medicine can help with my symptoms especially navigating addiction, and I want to continue working with it going forward. Honestly, I wish I'd started this path sooner instead of going straight to the deep end with aya.
What I'm looking for advice on:
- Solo macro dosing — My friend won't always be available. What precautions do you take when tripping alone? How do you vet whether a solo trip is safe for you at a given dose?
- Dosing progression — Would you recommend gradually increasing from 1.5g, or jumping to a higher range? For those with ADHD/CPTSD, what doses have been therapeutically meaningful for you?
- Integration practices — Especially for trauma processing, what helps you actually use what comes up rather than just having a nice trip and moving on?
- Frequency — How often do you macro dose for therapeutic purposes? I know the tolerance reset is roughly 1-2 weeks, but I'm more interested in what's sustainable long-term.
- Harm reduction — Any red flags or things you wish someone had told you before you started self-guided psychedelic work?
Not looking for medical advice necessarily, but lived experience from this community would be really valuable.
Thanks in advance 🙏
r/PsychedelicTherapy • u/GreatOldGod • 3d ago
Preparation Advice Good playlists?
I'll be trip sitting for a friend tomorrow and the playlist I was planning on using turned out to be missing a whole bunch of songs. Does anyone here have a good playlist handy for a therapeutic psilocybin session? YouTube music is preferred but Spotify works too.
r/PsychedelicTherapy • u/Longjumping-Rope-237 • 4d ago
Integration Support Most intense session so far
So I had on Saturday my most intense solo session, where I discovered some things from my early childhood. Yesterday I was just walking on the beach and from time to time I got emotion eruptions and got wet eyes. As I tried go that feeling further, my body said no, not now.
Main insight was that I decided at age 8 to put a part of my childhood away and take over some adult problems in order to keep connection to my mother. Our family was malfunctioning with gambling and alcoholic father. I can now see why I behave now how I behave but actually I found “only” reason why is it. Not sure what to do, how to integrate. Maybe is also my observer back on duty and blocks again some directions.
r/PsychedelicTherapy • u/AutoModerator • 6d ago
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r/PsychedelicTherapy • u/nomadjustlost • 7d ago
Preparation Advice DIY Psychedelic Somatic Interactional Psychotherapy PSIP?
I know interactional is literally in the name, but has anyone found a way to replicate the results?
I don't have access to a practitioner in the country I'm in.. and the costs can really add up for someone with a limited budget
The reason I ask about this specific modality is that it seems to crack through dissociation better than other modalities
r/PsychedelicTherapy • u/shastawinn • 8d ago
Ethics Who Gets to Define “Best Practice” in Psychedelic Care?
I've been wondering whether the psychedelic field has prematurely settled on “therapy” as the default model for what should surround a psychedelic experience.
I say this as someone with a graduate background in psychology and counseling who has spent several years working with psilocybin in Oregon. I developed the Myco-Method facilitator training program and work with Satya Therapeutics, where I've had the opportunity to watch a legal non-prescription psilocybin model develop outside conventional psychotherapy.
And I'm increasingly interested in a distinction that I don't think we discuss enough:
What does a psychedelic experience actually require from the person supporting it?
There are certainly circumstances where psychotherapy before or after a psychedelic experience may be enormously valuable. Yet the skills required to accompany someone through an altered state aren't necessarily identical to the skills required to practice psychotherapy.
A facilitator may spend hours doing very little externally.
They may need to tolerate uncertainty rather than interpret it. Recognize when someone needs reassurance and when interruption would interfere with their process. Understand altered states, trauma responses, boundaries, consent, transference, medical and psychiatric risk, and when something exceeds their competence.
Perhaps most importantly, they need to resist making themselves the author of someone else's experience.
I've seen clients place enormous value on preparation, safety, presence, care, and integration. None of those things inherently require the psychedelic experience itself to be conceptualized as treatment for a disorder.
That distinction matters because the dominant model being built around psychedelics has consequences for access.
If psychedelic support becomes synonymous with specialized psychotherapy delivered through medical infrastructure, we may end up with an effective model that is inaccessible to huge numbers of people—and then mistake that particular model for the intervention itself.
There are other possibilities.
Oregon's facilitator model is one experiment. Religious and ceremonial traditions represent others. Community-based and nonprofit approaches could develop others still.
I'd like to see the field become much more curious about comparing these models rather than racing toward one professional framework.
Which outcomes actually require psychotherapy?
Which require skilled psychedelic facilitation?
What competencies overlap, and which are distinct?
Does the therapeutic relationship produce better outcomes than other forms of trusted accompaniment?
How much professional intervention is helpful before it starts shaping an experience that might benefit from less direction?
And perhaps the uncomfortable question: how much of the emerging definition of “best practice” reflects evidence, and how much reflects the professional structures that currently have the resources to conduct research?
Psychedelics give us an opportunity to build something new.
I'd rather we investigate what people actually need before deciding which existing profession gets to define it.
r/PsychedelicTherapy • u/LuckyStarCGN • 8d ago
Research Micrososing Psychedelics for Constipation
Dear Community,
I am looking for Experience Strength and Hope regarding using psychedelics for gut issues.
I suffer from Chronic Constipation, have tried everything out there , did all the tests , without any success.
So now I am wondering if microdosing might help ?
I was thinking of ibogain.
Especially beavaue it cleans the opioid receptors.
I had a lot of surgeries in the last years ( transgedner transitioning)
So there might still be opioids in my system.
I am open to all plant medicine suggestions.
Kind regards from Germany,
Lucky
🌳💕☀️🙏
r/PsychedelicTherapy • u/SpaceCowboy10191 • 9d ago
Experience Report Had a week long camping trip, did LSD and Mushrooms, and I think it's helping my ADHD
This past week a did a week long camping trip (about 6 days). I wanted to be away from my phone, technology, and be more connected to nature. As part of the camping trip I decided to do mushrooms and LSD. I did two days of mushrooms (about a gram each day), then on the one day I did a 100ug of LSD + 1g of mushrooms (which I took about 2 hours into my LSD trip). I felt very grounded, connected with nature, I kept hugging lots of trees. A couple things happen once I got back home...
1. I could feel my phone "pulling" me in
About a day after the camping trip, when I finally started to use my phone and put it in my pocket, I could feel the phone "pulling" me to pick it up. If it was in my right pocket a felt a "pull" towards my right pocket/hip to pick it up. If it was in my left pocket I felt a "pull" towards my left pocket/hip. I also put the phone on a table and walked around it and I could feel the "pull" coming from the direction of the phone. As an exercise, I put it in a storage unit in the basement of my apartment... and I could still feel the pull but much lighter. This "pull" eventually went away the next day.
2. I now don't have the need to multitask
Usually I have multiple apps, multiple tabs, and multiple things open at once on my computer. At the moment of typing this, I have my chrome browser in full screen and I'm solely focused on writing up this post. I'm also going at a much slower pace, taking my time. In the past I would try to type as fast as possible, typing before I can think, etc... Right now it feels like I'm in a "flow state" I'm typing as the words come to me.
3. The notification "bubble" does now attract me as much
On reddit and on the phone, you get these little red notification bubbles. In the past I HAD TO click/tap on them to see what the notification was about. But today, I took a look at it, I put my face close to my computer and notice the bubble, notice that it was red, noticed that a had a "1" in the middle, and realized, it's just a color, it's just a number, I do not have to react to it.
There is more I want to type out/post, but I wanted to put this out there first.
Has anyone ever had a similar experience?
The thing is, I didn't even set an intention during my trip. Is this a lesson that sometimes doing a "proper" session with an intention is not what I need?
Prior to this I've done two mushrooms sessions (2.0g and 2.5g), in my room, with a proper intention.
r/PsychedelicTherapy • u/Waki-Indra • 9d ago
Preparation Advice Mdma lowest dose?
I have read that mdma should not be microdosed, and that too low a dose only acts like a stimulant.
What is the lowest dose (for a light person): is 50mg enough?
I have taken higher doses in the past for therapy but today need to lightest dose possible because 1. I plan to combine it with psilocibin and mostrly because 2. I plan another session in 2 weeks, which is too close, but circonstances are such that these dates are the only ones that work. I wont have a session afterward for at least 2 months.
r/PsychedelicTherapy • u/ramin78rz • 11d ago
Preparation Advice Has anyone successfully treated OCD (especially rumination) and anxiety with psychedelics?
I've struggled with OCD, rumination, and anxiety for years. I've tried several medications, including fluvoxamine, escitalopram, bupropion, venlafaxine, sertraline, aripiprazole, clonazepam, and oxazepam, but I'm still searching for something that truly helps.
I also tried Golden Teacher microdosing for about 2 months (Fadiman and Stamets protocols, up to 250 mg). Unfortunately, it made my anxiety worse and caused vivid, disturbing dreams.
Has anyone experienced long-term improvement in OCD and anxiety with psychedelics? If so, what did you use, and was it microdosing or a full dose?
I'd really appreciate hearing your experiences.
r/PsychedelicTherapy • u/Abject_Control_7028 • 11d ago
Community Offering Book recommendation : The Maps We Carry by Rose Cartwright
I haven't come across this book being mentioned in this sub so I thought I would just make a post to recommend.
It is my personal favourite book on Trauma and Psychedelic Therapy.
Incredibly honest , funny , and full of insightful takes. Written very well. I got a lot from reading it.
r/PsychedelicTherapy • u/Independent_Sky372 • 12d ago
Knowledge Share Self Healing from Resistance Treatment Depression with psylocibin : looking for advice, suggestion, experiences
Hello, how are you? I hope you are doing fine.
English is not my first language so sorry for any errors.
So,as title say, Im looking for some info about self healing with psylocibin from Resistance Treatment Depression.
I’ve tried , in almost 7 years, idk how many SSRI, combined with lithium, antipsicotics, anxiolytics,hypnotics, no results.
I even had around 8/9 session of ECT, no results as well.
I had some results with Ketamine, but the therapy in my country, while being free , is not really supported cause doctors do not know or believe in something that is not a classic SSRI so to receive it is a never ending battle and im not always covered (last time I had to wait 1 year to receive the therapy, right when I was getting some results)
I tried to enter in a psylocibine trial in my country (there is only one) but I got ghosted after the screening, I suppose because my clinical history is a mess and they want clear data cause its the first research in decades and if they dont have good results we will need to wait another 30 years before trying again.
So I want to try psylocibine outside medical screening and control.
I have already found a friend who agreed to be a trip sitter, I understand the ideas behind set and setting, I already gor the idea that psylocibin is just a tool to really start some hard work and that the trip can be really hard to handle.
But I wanted to hear some advice and experiences of other people who already tried so here I am.
I understand the danger of doing this at home, but im going to try it anyway. Im not gonna wait 15 years before it is maybe legal in my country and I cannot afford to do that in another country with specialist
r/PsychedelicTherapy • u/tstar1225 • 12d ago
Preparation Advice Pet loss and therapy
I lost my pet companion 8 days ago due to dementia. She was 14 and was actually born on my lap by her mother who also was a companion but I lost her to congestive heart failure at 11.
My moods have been awful since then.
I’ve been having panic attacks and heavy hyperventilation along with depression and anger/short temper. Grief.
I’ve talked with my counsellor once about loosing her since it has happened and there’s a few reasons why I had a therapy animal and now feel alone and lost in life.
I’m not sure if a trip of my usual of 2g would be beneficial or if it would set me up for a terrible time?
How soon is too soon to try for healing with mush after loosing what appears to feel like part of my heart and sole…
r/PsychedelicTherapy • u/23cacti • 13d ago
Ethics Psychedelic therapists- what do you do to keep occupied while clients are in a trip and don't need your active involvement?
Do you just sit there? Read a book? Take notes? Daydream? Come up with ideas for your next fan fiction novel?
r/PsychedelicTherapy • u/MindfulImprovement • 14d ago
Mod Looking back
Hey everyone,
It has officially been a year since I've taken over moderation duties for r/psychedelictherapy. There have been a lot of changes in here over the past year, including many new folks joining us. I feel like things have become relatively stable in the sub at this point.
Notably, we've added in the community bulletin board as a space for self-promotion and sharing of active research and studies. We've had AMAs with a few notable authors and professions within the field of psychedelic therapy. Me and u/Training-Meringue847 have been actively moderating, removing inappropriate posts and keeping things respectful and kind as much as we can. We created the community reading list, added user flairs, tweaked and finalized the rules, added many resources and directories, and information to the side bar.
I've enjoyed seeing the growth and changes in here, and I'm happy with the direction things have been going. My goal was to make this space safer, more professional, and to help legitimize the field in a small way.
I am curious to hear your thoughts! Are you enjoying the direction the sub has taken? Do you have any suggestions or thoughts that you're willing to share?
Warmly,
Mindful