On The Same Paige with Paige Leacey

E33. Your Psychedelic Therapist Has Never Taken Psychedelics (And That's a Problem)


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Is the Western medical model about to regulate away the very thing that makes psychedelics transformative? In this episode, I share my three burning questions about where psychedelic therapy is headed β€” and what we might be losing as we scale it.

Here's what I cover:

🩷 Therapist vs. Guide β€” The real difference between sitting with a clinical therapist and a traditional ceremonial guide, and why it matters more than most people realize.

🩷 The quality of trust β€” I think the facilitator's ability to hold uncertainty without flinching is what actually does the deep healing in a psychedelic session. Is that something you can learn from a textbook?

🩷 Apprenticeship vs. credentials β€” Shamanic traditions apprentice their guides for decades. We're fast-tracking facilitators through clinical trials and certifications. Are those the same thing?

I also get into Robert Carhart-Harris's concept of the entropic brain β€” how psychedelics push the brain's default mode network (the seat of your sense of self) into a high-entropy state that makes transformation possible. And why the conditions that allow that transformation may be incompatible with a tightly regulated medical environment.

This isn't an anti-therapy take. It's a question about what gets lost when we try to make the unpredictable... predictable.


Drop your thoughts in the comments β€” I genuinely want to know what you think.

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πŸ• TIMESTAMPS

0:00 Why psychedelics are having their moment

1:32 Who's most excited to talk about consciousness (and why)

2:00 Therapist vs. Guide β€” the key distinction

4:45 The Entropic Brain: Robert Carhart-Harris explained

6:48 Default Mode Network, ego dissolution & self-narrative

9:00 Trust as the active ingredient in transformation

12:05 What the Western medical model demands

12:57 Apprenticeship vs. PhDs and peer-reviewed papers

15:15 The big question: Can we scale without losing the magic?

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πŸ“š REFERENCES

β†’ Robert Carhart-Harris β€” Entropic Brain theory

β†’ Sara Imari Walker β€” physicist, "humans are small objects but deep in time."

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On The Same Paige with Paige LeaceyBy Paige Leacey