Back from the Abyss: Psychiatry in Stories

Conversation with an underground psilocybin therapist


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As we are now coming to realize the impressive potential of psychedelics to treat trauma and depression, we also have to face the fact that they are still illegal. This reality has led to an explosion of underground therapy, a Wild West where anyone can set up shop as a shaman or therapist or healer and the buyer must beware.

Some people are finding healing in the underground psychedelic world, while others are encountering ethically-challenged and/or naive underground practitioners who are causing more harm than good.  Here Dr. H sits down with Sarah, an underground therapist who is  doing this important work in a mindful and ethical way.

Sarah has been doing underground psilocybin work for seven years and comes from a place of her own severe childhood trauma, a journey where she found healing with psilocybin and was then compelled to offer this path to others. Sarah and Dr. H explore whom she works with and why, how she thinks about psilocybin in the therapeutic toolkit, how other underground therapists get themselves into trouble, and finally she offers wisdom about how one might enter into underground therapy in a thoughtful way.

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Back from the Abyss: Psychiatry in StoriesBy Craig Heacock MD

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