Can psychedelic-assisted therapy help people living with trauma, depression, anxiety, or chronic pain?
In this episode, licensed professional counselor Josh Korac speaks with clinical psychologist Dr. Peter Addy about psychedelic therapy, altered states of consciousness, chronic pain, harm reduction, and the potential benefits and risks of substances such as psilocybin, MDMA, and ketamine.
Dr. Addy explains how psychedelic-assisted therapy differs from simply taking a psychedelic substance. These experiences may bring difficult emotions, memories, beliefs, and patterns into greater awareness, which is why preparation, therapeutic support, and integration can be important parts of the process.
Josh and Dr. Addy discuss emerging research on psychedelic treatments for post-traumatic stress, depression, anxiety, substance use, and chronic pain. They explore how psychedelic therapy may help some people change their relationship with pain, distress, or difficult experiences, even when it does not remove symptoms entirely.
The conversation also takes a careful look at risk. Psychedelic use can involve medication interactions, physical health concerns, overwhelming psychological experiences, unknown drug purity, legal consequences, and the possibility of worsening certain mental health conditions. Dr. Addy emphasizes that these treatments are not appropriate for everyone and should not be approached casually.
In this episode, you will learn about:
• What psychedelic-assisted therapy is
• Psilocybin, MDMA, ketamine, and other psychedelic substances
• The difference between psychedelic-informed and psychedelic-assisted therapy
• Psychedelic therapy for trauma, depression, anxiety, substance use, and chronic pain
• How altered states may affect emotions, memories, beliefs, and perception
• Why preparation, support, and integration matter
• Psychological and physical risks of psychedelic use
• Medication interactions and other health considerations
• When psychedelic treatment may not be appropriate
• Legal risks and changing psychedelic laws
• Harm-reduction practices involving dosage, setting, trusted support, and substance testing
• The importance of slowing down, resting, and listening to the body
Dr. Peter Addy is a licensed therapist and clinical psychologist who specializes in nonordinary states of consciousness, mindfulness-based therapies, psychedelic education, preparation, harm reduction, and integration. He previously served on the faculty at Yale School of Medicine, where his work included mindfulness-based treatment and research involving psychoactive substances. His clinical work often supports people living with chronic pain and those seeking to understand or integrate psychedelic experiences.
Learn more about Dr. Addy at peterhaddy.com and psychedelicaffirmingeducation.com.
About the host:
Josh Korac is a licensed professional counselor in Colorado who specializes in trauma, family estrangement, loneliness, and complex relationship concerns. He is also the Lead Moderator of Estrangement.com, where he has worked with thousands of adult children and parents affected by family estrangement.
Learn more about Josh and his therapy practice at joshuakorac.com.
Content note: This episode discusses psychedelic substances, trauma, chronic pain, mental health conditions, and substance-related risks.
This podcast is for educational purposes and does not constitute medical advice, mental health treatment, diagnosis, or a recommendation to use psychedelic substances. Psychedelic laws vary by location, and these substances may carry significant medical, psychological, and legal risks. Consult qualified medical and mental health professionals before making treatment decisions.