Psychedelic medicine is coming—but who’s going to guide your trip?

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Psychedelic medicine is coming—but who’s going to guide your trip?
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The U.S. may approve therapies using MDMA and psilocybin—aka ecstasy and magic mushrooms. The medical community is preparing for the deluge of demand.

Results like these inspired Anthony Back, a doctor at the University of Washington School of Medicine, to take the California Institute training in 2020. The 60-year-old Back says growing up in the 1980s around prominent antidrug ads kept him from experimenting in his youth. But the scientific research convinced him “there’s something really important here.”

Administering psychedelic-assisted therapy is vastly different for professionals used to conventional mental-health treatments, says Bit Yaden, a psychiatrist at Johns Hopkins Medicine, who is working on a pilot curriculum for Hopkins, Yale, and New York University psychiatry students. “When I prescribe Lexapro, my patient picks up the prescription and I hear in a month how it’s going,” she says.

Some encourage students to try ketamine under supervision to understand the extreme vulnerability of a being under the influence. Others attempt to simulate the state with a breathing practice known as Holotropic breathwork, which employs fast respiration to yield temporarily altered consciousness. Other medical professionals apparently feel similarly. In the California Institute’s first class of 42 students, several doctors and nurses insisted their participation be kept quiet to avoid potential harm to their professional reputations. But this year, some 800 people competed for the school’s 400 slots.

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