Latest / Aired Out / Dr. Rick Barnett - prescribing psychedelics in Vermont and MUCH more!
Transcript
- 0:26Speaker 2: Us as you.
- 1:48Speaker 1: Checked out the old new Berry Tobacco and Beer shop
- 1:53Speaker 1: on North Main Street right here in Burry. It is
- 1:57Speaker 1: packed wall to wall the brands, the flavors and the
- 2:02Speaker 1: deals that Central Verman is talking about. And the cooler
- 2:07Speaker 1: selection is absolutely amazing. We're talking down East craft siders
- 2:12Speaker 1: in all flavors, June Shine, tequila, marks and vodka mules, Yeah,
- 2:20Speaker 1: and sola and very Day one point five thc beverages,
- 2:28Speaker 1: good stuff. Grand opening ribbon cutting is gonna be Thursday
- 2:33Speaker 1: at ten am. I'll be there. I'll take you there
- 2:35Speaker 1: if you can't be, But it is gonna be. It's
- 2:39Speaker 1: gonna be fantastic. I can't wait. Happy Tuesday morning. Weather
- 2:46Speaker 1: is sunny, it is chilly. I think a little bit
- 2:49Speaker 1: of a kind of a carbon copy of yesterday, about
- 2:53Speaker 1: fifty six or so for a daytime high mixes sun
- 2:58Speaker 1: and clouds, maybe more clouds than sun today like it
- 3:03Speaker 1: was yesterday. And then we get into the wet weather
- 3:06Speaker 1: for Wednesday and Thursday pretty much going to be a
- 3:09Speaker 1: wash out. Keeping an eye on things. But if you
- 3:13Speaker 1: have plans to do anything indoors Wednesday and Thursday, are
- 3:19Speaker 1: you day I have with me on the curvy couch,
- 3:25Speaker 1: doctor Rick Barnett, And first of all, welcome, my good friend.
- 3:30Speaker 1: I am so happy to see you here. It has
- 3:34Speaker 1: been a very long time since you've been in here,
- 3:38Speaker 1: and a ton of stuff has happened.
- 3:41Speaker 2: Never a dull moment. Welcome, I'm so happy to be back.
- 3:44Speaker 2: Thanks for having me, JD.
- 3:46Speaker 1: You are a First of all, let's set this up
- 3:51Speaker 1: the right way for folks that may not be familiar
- 3:55Speaker 1: with who you are, so that when they tune in
- 3:59Speaker 1: and they hear you speaking, they're not going to be like, well, well,
- 4:03Speaker 1: hold on a second, who is this guy you are?
- 4:07Speaker 1: You know what you're talking about with with the subject
- 4:11Speaker 1: matter that we're going to go into. You're a licensed psychologist.
- 4:16Speaker 1: You're a doctor. You're licensed in alcohol and drug counseling.
- 4:22Speaker 1: You've got an additional master's degree in clinical psycho pharmacology.
- 4:31Speaker 1: Did I get that right?
- 4:31Speaker 2: You got it pretty much right. The only thing is
- 4:34Speaker 2: some people get confused because when you say doctor, doctor
- 4:37Speaker 2: Rick Barnett, they they may think of a physician an MD.
- 4:41Speaker 2: I have a doctor. You have a doctorate in psychology. Yes,
- 4:44Speaker 2: since so officially you know the title is doctor, but
- 4:48Speaker 2: not to confuse with a medical doctor, physician. I am
- 4:51Speaker 2: a licensed psychologist doctorate. Wow.
- 4:53Speaker 1: Man, uh, you've been on aired out several times. But again,
- 4:57Speaker 1: like I said, it's been a while. You have expanded
- 5:01Speaker 1: your practice to include and I'm going to say the
- 5:05Speaker 1: K word here because it's a hot button. In any
- 5:07Speaker 1: time anyone says this, it gets people's attention. Ketamine assisted psychotherapy.
- 5:15Speaker 2: That is correct.
- 5:16Speaker 1: Wow, that's wow.
- 5:20Speaker 2: Very different model of treatment than people are used to,
- 5:22Speaker 2: that's for sure.
- 5:24Speaker 1: What is your affiliation with the Vermont Psychological Association? What
- 5:30Speaker 1: is your affiliation with the Psychedelic Society of Vermont.
- 5:37Speaker 2: Yeah, this Vermont Psychological Association is a membership organization. It's
- 5:42Speaker 2: been around here in Vermont for over sixty years and
- 5:46Speaker 2: for the last gosh, I want to say, almost twenty years.
- 5:49Speaker 2: I've served on their board of directors and in multiple capacities,
- 5:53Speaker 2: but most consistently and for the longest time the chair
- 5:57Speaker 2: of the Legislative Committee, so working on legislation of issues
- 6:00Speaker 2: in the state House, some of which we'll talk about today.
- 6:04Speaker 2: And then the Psychedelic Society of Vermont is a separate
- 6:07Speaker 2: organization that I co founded back in twenty twenty one
- 6:10Speaker 2: with the surge of interest and research in psychedelic medicine
- 6:15Speaker 2: and therapy. We needed a professional organizations, sort of informal,
- 6:21Speaker 2: but you know, consists of healthcare professionals who are interested
- 6:25Speaker 2: in this topic, are interested in the safe and effective
- 6:28Speaker 2: rollout of these new medicines, this new paradigm in mental health.
- 6:33Speaker 2: It's a strange new world that we're entering into. It's
- 6:36Speaker 2: really exciting.
- 6:37Speaker 1: We have had a lot of chat here on the
- 6:41Speaker 1: airwaves over the last year about the suicide rates with
- 6:48Speaker 1: electrical alignment number one in the nation highest suicide rates,
- 6:54Speaker 1: with the military close behind them, construction, the medical field,
- 7:03Speaker 1: veteran suicide rates are at an all time high. Our
- 7:08Speaker 1: general huge blanket statement here and I know that, but
- 7:12Speaker 1: our general mental health, not just here in America but
- 7:17Speaker 1: in the world's pretty shitty right now. I think most
- 7:24Speaker 1: of us would agree on that statement, but maybe not.
- 7:30Speaker 1: There's no as you and I have elluded in the
- 7:34Speaker 1: past when you've been on the air, there is no
- 7:36Speaker 1: quick fix to the escalating mental health crisis that I
- 7:42Speaker 1: think and I did. I'm using the word crisis. Some
- 7:46Speaker 1: say a mental health pandemic. What say you, what word
- 7:51Speaker 1: do you tag on to that? In your opinion?
- 7:55Speaker 2: All the above. I mean, I think it's fair to
- 7:58Speaker 2: say that we're definitely seeing rising rates of suicide, depression, anxiety, alcohol,
- 8:04Speaker 2: and substance use disorders. It's really uh, it's an area
- 8:08Speaker 2: that has hasn't got enough attention, but seemingly in the
- 8:13Speaker 2: last i would say ten to twenty years, there's a
- 8:16Speaker 2: real push to bring mental health issues center stage, you know,
- 8:21Speaker 2: competing with all the attention that we have on physical
- 8:23Speaker 2: health conditions. Really bringing mental health, mind, body together, not
- 8:28Speaker 2: separate entities, but working together to try to improve people's solf.
- 8:31Speaker 2: Why is it? Why is it that we're seeing this
- 8:34Speaker 2: rise in mental health issues? And it's you know, it's
- 8:36Speaker 2: a combination of factors. There's not one thing. There's just
- 8:39Speaker 2: a it's a wild and crazy world that we're we're
- 8:44Speaker 2: entering into. I think COVID really did accelerate some of
- 8:48Speaker 2: that attention on mental health issues. The social isolation, the
- 8:52Speaker 2: reliance on technology. I think there's the AI revolution both
- 9:00Speaker 2: optimizing human functioning and stuff, but also probably having some
- 9:06Speaker 2: negative side effects that may contribute to mental health issues.
- 9:09Speaker 2: We've we've seen that in sort of you know chatbots
- 9:12Speaker 2: and chat ept encouraging people to kill themselves or smoke
- 9:15Speaker 2: crystal meth or whatever. You know, these cases, it's really serious.
- 9:19Speaker 2: So it's also some legislation that that we were working
- 9:22Speaker 2: on in the state House this year, a lot of
- 9:24Speaker 2: a lot of work around AI. So there's no there's
- 9:26Speaker 2: no one thing that's contributing to it, and there's no
- 9:28Speaker 2: one solution. We need all the tools, we need all
- 9:31Speaker 2: the help we can get, you know, all hands on
- 9:33Speaker 2: deck to try to help each other.
- 9:34Speaker 1: It's it's the battle between uh, it seems anyway, uh
- 9:39Speaker 1: look good versus feel good. And all you got to
- 9:43Speaker 1: do is open up an Instagram feed for anyone, but
- 9:50Speaker 1: especially you get into the algorithms of young kids, and
- 9:54Speaker 1: it's all about looking good. It's the lips, it's the
- 10:00Speaker 1: the nose, it's the body, it's the clothes, the fashion.
- 10:06Speaker 1: But feeling good, I think looking good is kind of
- 10:10Speaker 1: winning right now.
- 10:11Speaker 2: Yeah, yeah, And I think that you know, we see
- 10:14Speaker 2: research showing that use of social media and technology can
- 10:18Speaker 2: have a negative impact on kids' mental health, and you know,
- 10:23Speaker 2: partially because of that kind of thing, the outward appearance
- 10:27Speaker 2: of you know, trying to keep up with the joneses,
- 10:29Speaker 2: so to speak, be as cool as an ex person,
- 10:31Speaker 2: and I think, you know, one of the things that happens, unfortunately,
- 10:34Speaker 2: is that there's this massive backlash where, you know, people
- 10:37Speaker 2: are so freaked out by this that all of a sudden,
- 10:40Speaker 2: it's just like, let's just ban everything. Let's just ban
- 10:42Speaker 2: all social media, let's ban ai. And I don't think
- 10:46Speaker 2: that's the solution either. We can't just ban these things,
- 10:49Speaker 2: you know, we have to find more nuanced and thoughtful
- 10:53Speaker 2: solutions these things, not just you know, yeah, not just
- 10:57Speaker 2: ban things. I think that's it.
- 10:58Speaker 1: And you know what, we're going down a rabbit hole
- 11:00Speaker 1: because this all comes down to, you know, parenting and
- 11:04Speaker 1: making sure that you're doing a great job as an
- 11:07Speaker 1: adult and as a parent or a parent figure to
- 11:11Speaker 1: make sure that your kids aren't getting subjected to the
- 11:14Speaker 1: negative side of this. And I understand it's a huge,
- 11:18Speaker 1: deep rabbit hole. But mental health, man is it's the
- 11:23Speaker 1: foundation of this. And it doesn't matter how good you're looking,
- 11:29Speaker 1: if you're not feeling well, if you're not mentally as
- 11:34Speaker 1: healthy as you could be, even if you got some
- 11:38Speaker 1: bad shit going on in your life, if you're not
- 11:41Speaker 1: able to navigate that effectively with help or without, you're
- 11:48Speaker 1: losing you're losing, and it doesn't matter what you have
- 11:51Speaker 1: for a job, car, house, doesn't matter, what your weight is,
- 11:55Speaker 1: doesn't matter how good you look. At some point, it's
- 11:59Speaker 1: going to catch up with you. In the middle of April,
- 12:02Speaker 1: President Trump signed an executive order to kind of ease
- 12:07Speaker 1: the research restrictions on psychedelics, including the drug i Begain,
- 12:14Speaker 1: which we're going to talk about this morning, which is
- 12:16Speaker 1: used in some countries to treat post traumatic stress disorder.
- 12:20Speaker 1: He said, with the federal government opening this pathway for
- 12:26Speaker 1: i Begain, that it will be administered to desperately ill patients.
- 12:35Speaker 1: Those were the words that he used under the Food
- 12:38Speaker 1: and Drug Administration's Right to Try rule and even considered
- 12:45Speaker 1: I began to be quoting here life saving. Did that
- 12:51Speaker 1: get your attention middle of April?
- 12:54Speaker 2: Oh yeah, that was all over the news. The executive
- 12:57Speaker 2: order that basically did a number of things. What it
- 13:01Speaker 2: actually will translate into practically still remains to be seen.
- 13:07Speaker 2: But there were a lot of There's a lot of
- 13:10Speaker 2: attention and energy and basically a kind of endorsement in
- 13:16Speaker 2: a way at that level of government, an endorsement of
- 13:20Speaker 2: psychedelic drug research unlike we've ever seen and that that's profound,
- 13:26Speaker 2: you know, likehimer hatim. You know, independent of I guess
- 13:30Speaker 2: who who the president is at the time, the fact
- 13:32Speaker 2: that a president would sign an executive order like that
- 13:36Speaker 2: is really significant. Again, what that translates into practically, we
- 13:40Speaker 2: don't know yet. You mentioned I Begain interesting. I Begain
- 13:44Speaker 2: definitely showing promise for treating opioid use disorder, treating post
- 13:50Speaker 2: traumatic stress disorder, even traumatic brain injury, with specific attention
- 13:54Speaker 2: on veterans, which is why this this drug has garnered
- 13:58Speaker 2: so much attention. But it's actually of the psychedelics, if
- 14:02Speaker 2: you consider a psychedelic which it kind of is, is
- 14:04Speaker 2: just a unique one. It's the least studied so far.
- 14:08Speaker 2: So in terms of the right to try laws, we
- 14:12Speaker 2: don't even have. I think we've had some phase one
- 14:15Speaker 2: clinical trials, and keep in mind, to get a drug
- 14:17Speaker 2: approved you have to go through well now one, but
- 14:21Speaker 2: two phase three clinical trials. So I Begain of all
- 14:24Speaker 2: the psychedelic drugs, is the furthest from getting any kind
- 14:27Speaker 2: of approval, let alone the right to try act. So
- 14:31Speaker 2: basically it does throw some attention on I Begain to
- 14:34Speaker 2: let's get some of this research really going. But they
- 14:37Speaker 2: were just citing one study out of Stanford from twenty
- 14:40Speaker 2: twenty three, an open label study, not randomized controlled, not
- 14:45Speaker 2: a very rigorous study, but it just showed I mean,
- 14:48Speaker 2: it showed amazing results, like eighty percent of veterans who
- 14:51Speaker 2: received I begain had you know, a huge reduction of
- 14:58Speaker 2: post traumatic stress disorders symptoms, really did some profound healing.
- 15:04Speaker 2: And so that's garnered so much attention. It made it
- 15:07Speaker 2: into the Executive Order, and I think that's very significant,
- 15:10Speaker 2: but it also does a lot in terms of the
- 15:12Speaker 2: psychedelic drug approval process.
- 15:14Speaker 1: To get that going a little bit quicker, you say significant,
- 15:18Speaker 1: do you also say historic?
- 15:20Speaker 2: Oh yeah, definitely historic.
- 15:23Speaker 1: You know, I wasn't familiar with I begame, didn't know
- 15:26Speaker 1: anything about it, never even heard of it. But in
- 15:29Speaker 1: the story that was that came out nationally about all
- 15:33Speaker 1: of this, and I've pulled it up here right in
- 15:36Speaker 1: front of me. I begain is a naturally occurring compound
- 15:40Speaker 1: found in a shrub native to Africa. It's been used
- 15:45Speaker 1: to treat depression, anxiety, addiction, post traumatic stress disorder, as
- 15:48Speaker 1: you mentioned, brain trauma. As you mentioned, Researchers say that
- 15:52Speaker 1: I began could eventually fill a gap in addiction treatment,
- 15:56Speaker 1: particularly for opioid tendance WOW and on a more large scale,
- 16:04Speaker 1: clinical trials are needed before it can be considered safe
- 16:07Speaker 1: and effective for any condition.
- 16:09Speaker 2: What say you, Yeah, it's a complicated compound because of
- 16:13Speaker 2: the cardiac risks, so they're compared to other psychedelic drugs,
- 16:19Speaker 2: it has a slightly higher risk profile because of its
- 16:23Speaker 2: effects on the heart, and that's something that basically it
- 16:29Speaker 2: requires a higher level of clinical care. It's more expensive,
- 16:33Speaker 2: it's more resource and intensive, and that makes it a
- 16:37Speaker 2: little bit more complicated to study and to scale to
- 16:40Speaker 2: roll out. You know, you need to have a physician
- 16:43Speaker 2: on staff, you need to have heart monitoring. You know,
- 16:45Speaker 2: get this JD. This psychedelic experience is twenty four to
- 16:50Speaker 2: thirty six hours long. This is a long time that
- 16:55Speaker 2: you are tripping or you are under the influence of
- 16:57Speaker 2: this drug, and that requires monitoring throughout that whole twenty
- 17:01Speaker 2: four to thirty six hour period. It is no joke.
- 17:04Speaker 2: It's very different than some of these other compounds that
- 17:07Speaker 2: we know about. We know about magic mushroom psilocybin, we
- 17:10Speaker 2: know about LSD, we know about ketemie, we know about MDMA.
- 17:14Speaker 2: These are all compounds that have a much lower risk profile,
- 17:18Speaker 2: and they don't last as long in the system compared
- 17:20Speaker 2: to ibogain. Although they do, they still are sort of
- 17:24Speaker 2: longer experiences. Ketymine is a shorter one, and there's a
- 17:26Speaker 2: new one that people don't talk about very much. It's
- 17:29Speaker 2: actually involved in some of this. It's called five meo
- 17:33Speaker 2: DMT five methoxy dimethyl trip tomine, and that's a compound
- 17:38Speaker 2: that's extremely powerful, but it's extremely short, acting almost the
- 17:42Speaker 2: opposite of ibogain fifteen to twenty minutes. It's a very
- 17:46Speaker 2: short but extremely powerful experience. So you know, all these
- 17:49Speaker 2: psychedelic compounds, all these drugs have different pharmacological profiles, they
- 17:54Speaker 2: have different durations of action, very different subjective experiences. And
- 17:58Speaker 2: it's one of the reasons why I'm delighted to have
- 18:00Speaker 2: this conversation with you, is like we can raise the
- 18:03Speaker 2: education of people who are curious about these compounds, curious
- 18:07Speaker 2: about the research research, maybe getting access to them and
- 18:10Speaker 2: using them without knowing what they need to know about them.
- 18:13Speaker 2: So we do need to raise our sort of psychedelic IQ,
- 18:16Speaker 2: so to speak, on what these compounds do, how they
- 18:20Speaker 2: work in the body, and how to have experiences that
- 18:23Speaker 2: are safe and you know, prevent you know, bad outcomes
- 18:28Speaker 2: or risk risks associated with them. And that's that's a
- 18:30Speaker 2: real that's a real issue, and I think that needs
- 18:33Speaker 2: to get talked about.
- 18:34Speaker 1: So I begain schedule one.
- 18:37Speaker 2: They're all scheduled one.
- 18:38Speaker 1: Okay, so right up there with ecstasy, heroin caroine, Yeah, okay, cocaine.
- 18:43Speaker 2: Well, actually cocaine might be scheduled two. I don't know.
- 18:46Speaker 1: Is cocaine schedule too.
- 18:49Speaker 2: I don't know. I actually have to look at that. Wow,
- 18:52Speaker 2: back in the day it was I don't think. I
- 18:54Speaker 2: think it's schedule one. I shouldn't say.
- 18:55Speaker 1: That, But Americans are traveling to on regulated clinics, often
- 19:04Speaker 1: in Mexico in parts of the Caribbean.
- 19:07Speaker 2: Yeah, to do this. Yeah. Ambio Life Sciences was featured
- 19:10Speaker 2: in that movie in Waves of War on Netflix. I
- 19:13Speaker 2: don't know if anybody's heard of that, but in Waves
- 19:15Speaker 2: of War on Netflix, it's a it's a documentary showing
- 19:19Speaker 2: veterans going through an IBA gain treatment experience down in
- 19:23Speaker 2: Mexico at Ambio Life Sciences. And a friend of mine
- 19:26Speaker 2: actually is a co founder of that or was the
- 19:28Speaker 2: co founder of that operation down there, and they have
- 19:32Speaker 2: a good reputation. So when you say these unregulated places
- 19:35Speaker 2: offshore in Mexico and Costa Rica, for sure, there are
- 19:39Speaker 2: some bad actors out there. I don't want to say
- 19:41Speaker 2: that that, but but you know, some of these people
- 19:43Speaker 2: are setting up, you know, pretty high standards of clinical
- 19:47Speaker 2: care to make sure that risks are addressed and people
- 19:51Speaker 2: are are held, you know, are held appropriately without you know,
- 19:55Speaker 2: just going completely rogue.
- 19:56Speaker 1: And we're going to talk about Vermont here obviously in
- 20:00Speaker 1: just a little bit. But I'm just seeing here. A
- 20:01Speaker 1: twenty twenty three review of twenty four studies including seven
- 20:06Speaker 1: hundred and five people called the risk of death from
- 20:11Speaker 1: heart problems connected to the administration of I Begain worrying
- 20:18Speaker 1: and showed that at least twenty seven people have died
- 20:22Speaker 1: taking I begain.
- 20:26Speaker 2: Wow.
- 20:27Speaker 1: And the federal government is they've got their hands full
- 20:32Speaker 1: trying to figure this whole thing out. Man, Just I
- 20:35Speaker 1: begin alone. Yeah, yeah, it was a big deal in
- 20:40Speaker 1: the Oval office a couple of weeks ago. Joe Rogan
- 20:47Speaker 1: Health and Human Services Secretary Robert F. Kennedy Junior was there.
- 20:53Speaker 2: Doctor Oz, Doctor Oz.
- 20:54Speaker 1: I forgot about him. Yeah, lots of big name health
- 20:58Speaker 1: officials were there. The federal government is going to be
- 21:04Speaker 1: making a fifty million dollar research investment into psychedelic research.
- 21:13Speaker 1: Greg Abbott, the Texas governor, signed a bill approving fifty
- 21:18Speaker 1: million dollars for research just last year. FDA says that
- 21:29Speaker 1: three psychedelics are going to be added to the National
- 21:33Speaker 1: Priority Voucher Pilot program, which is kind of a pathway
- 21:38Speaker 1: to what dramatically review some of these drugs, really put
- 21:48Speaker 1: them under the magnifying class, which they'd done.
- 21:52Speaker 2: They did that there was one random drug, believe it
- 21:55Speaker 2: or not, that got that special voucher. So they announced
- 21:58Speaker 2: that three pharmaceutical psychedelics would get a voucher for accelerated
- 22:05Speaker 2: progress through the approval system, and one of them was
- 22:11Speaker 2: a drug called methylone. Methylone is a cathanone that no
- 22:15Speaker 2: one's ever heard about, but this article came out in
- 22:17Speaker 2: the Journal of the American Medical Association recently showing promise
- 22:22Speaker 2: for methylone, which is somewhat similar in the subjective effects
- 22:28Speaker 2: like MDMA, like ecstasy, so a sort of a love drug,
- 22:31Speaker 2: an empathic you know, drug to treat post traumatic stress disorder,
- 22:37Speaker 2: fire to quiet the fear response in the brain, similar
- 22:40Speaker 2: to what MDMA does, so methylone, this sort of random
- 22:44Speaker 2: other psychedelic like molecule was included in that voucher program.
- 22:49Speaker 2: So that was one of the other things. And also
- 22:51Speaker 2: what you said about the fifty million dollars that Health
- 22:55Speaker 2: and Human Services is supposed to allocate towards states to
- 22:59Speaker 2: match state funding for research on psychedelic drugs. So I
- 23:05Speaker 2: don't know if you know this, but I was the
- 23:06Speaker 2: chair of the Psychedelic Therapy Advisory Group in twenty twenty four.
- 23:11Speaker 2: So the legislature here in Vermont set up this Psychedelic
- 23:16Speaker 2: Therapy Advisory Group and I chaired that group, consisting of
- 23:19Speaker 2: folks from UVM Medical Center, from you know, doctor Mark Levine,
- 23:25Speaker 2: the former Commissioner of Health, the Department of Mental Health,
- 23:30Speaker 2: the Vermont Medical Society, Brattleborough Retreat, and you know, we
- 23:35Speaker 2: determined at that time that Vermont just wanted to continue
- 23:38Speaker 2: to monitor progress in other areas, monitor the research. We
- 23:41Speaker 2: weren't ready to make an aggressive suggestion to set something
- 23:45Speaker 2: up here in Vermont. But now with this executive order
- 23:48Speaker 2: and fifty million dollars to match state funding, I think
- 23:52Speaker 2: the time is now to prop up a bill. As
- 23:56Speaker 2: Representative Brian Chena tried to do in the state House
- 23:59Speaker 2: this year on ibegain joining this Texas I began initiative.
- 24:02Speaker 1: Yeah, has anyone else joined Texas?
- 24:05Speaker 2: Yeah, there's a few other states, I think, miss Missouri
- 24:07Speaker 2: and maybe Illinois. I'm not sure. There's about five states
- 24:13Speaker 2: I think that have joined that initiative. So I think
- 24:15Speaker 2: Representative China was trying to get on board with that
- 24:18Speaker 2: that Obviously, this is the end of the biennium, so
- 24:20Speaker 2: that bill didn't go anywhere. But now is the time
- 24:23Speaker 2: I think, you know, for people in the state house, lawmakers,
- 24:27Speaker 2: people who believe in this, if there are federal funds
- 24:31Speaker 2: that will match our state funds to do something more
- 24:35Speaker 2: significant here in Vermont, I really hope that that happens,
- 24:37Speaker 2: and I'll be I'll be at the front of the
- 24:39Speaker 2: line trying to get that happen.
- 24:41Speaker 1: The debate here in Vermont over Bill H two thirty seven,
- 24:48Speaker 1: which is the debate continues. I mean, there's a lot
- 24:53Speaker 1: of talk about this, but this is a bill that
- 24:55Speaker 1: basically gives a green light for or prescribing physicians to
- 25:04Speaker 1: prescribe psychedelics, prescribing psychologists.
- 25:08Speaker 2: Psychologists, right, yeah, yeah, So switching gears a little bit
- 25:12Speaker 2: from psychedelics over to age two thirty seven, something that
- 25:16Speaker 2: I've been on aired out with you before over many years,
- 25:20Speaker 2: going back to twenty seventeen.
- 25:22Speaker 1: I know, and you had your fingers crossed everything on
- 25:26Speaker 1: the air.
- 25:27Speaker 2: Yeah. So finally the governor signed that bill into law.
- 25:30Speaker 2: So basically what the law says is that a psychologist
- 25:33Speaker 2: who has a doctoral degree in psychology, who has a
- 25:37Speaker 2: master's degree in clinical psychopharmacology, who does fourteen months of
- 25:42Speaker 2: clinical rotations in five different medical disciplines, who passes a
- 25:47Speaker 2: national exam certifying their competency to prescribe psychiatric medications, can
- 25:54Speaker 2: in collaboration with a physician, prescribe psychiatric medication. And I
- 26:00Speaker 2: would like to point out deep prescribe psychiatric medications because
- 26:05Speaker 2: a lot of people think, why do these people want
- 26:07Speaker 2: to prescribe drugs? They're therapists. We've got enough prescribers out there.
- 26:12Speaker 2: Everyone's prescribed psychiatric medications. We don't need yet another prescriber
- 26:17Speaker 2: out there just prescribeing more drugs. And that couldn't be
- 26:20Speaker 2: further from what this effort has been all about for
- 26:23Speaker 2: the last ten years. It's really about getting the prescription
- 26:27Speaker 2: pad in a place where the kind of prescribing that
- 26:34Speaker 2: needs to take place can take place. That's in the
- 26:36Speaker 2: context of a psychotherapy relationship with a psychologist who sees
- 26:41Speaker 2: you every week for forty five minutes to an hour,
- 26:44Speaker 2: every other week for forty five minutes to an hour,
- 26:46Speaker 2: gets to know you. How are you doing, how are
- 26:49Speaker 2: you feeling, what's going on in your life? Do you
- 26:52Speaker 2: still think you need to take that zoloft? You've been
- 26:54Speaker 2: on it for ten years, You have any sense of
- 26:57Speaker 2: whene you want to come off of it? Do you
- 26:59Speaker 2: think it's still working? Let's meet together. Maybe we can
- 27:02Speaker 2: come up with a taper schedule to have you come
- 27:05Speaker 2: off of the You've been on it for ten years,
- 27:07Speaker 2: you've been on it for twenty years. Do you think
- 27:09Speaker 2: it's time to try to come up? Because they're not
- 27:11Speaker 2: having that conversation in depth with a psychiatrist or a
- 27:15Speaker 2: nurse practitioner who typically sees them for ten or fifteen minutes,
- 27:19Speaker 2: maybe once a month, maybe once every three months, or
- 27:22Speaker 2: in the context of a primary care visit with their
- 27:24Speaker 2: primary care physician or nurse who sees them once a
- 27:27Speaker 2: month or once every six months for a primary care checkup.
- 27:31Speaker 2: How's your medication doing? Just continue that. You know, it's
- 27:34Speaker 2: a checklist kind of thing, very quick visit, that's very different.
- 27:37Speaker 2: It works for some people. That's fine, and that can
- 27:40Speaker 2: be appropriate. But to be able to do it in
- 27:43Speaker 2: the context of psychotherapy, save that person the visit to
- 27:46Speaker 2: the psychiatrist, to the primary care and to the psychologist.
- 27:50Speaker 2: Just do it in one place. Go see your psychologist.
- 27:52Speaker 2: That's the person for mental health where people really get
- 27:56Speaker 2: seen and heard for what they're going through, and where
- 28:00Speaker 2: else is that more appropriate to help them either come
- 28:02Speaker 2: off of a psychiatric medication or if and when appropriate,
- 28:07Speaker 2: try a psychiatric medication. That's what this bill has been
- 28:09Speaker 2: all about for a long time.
- 28:11Speaker 1: I'm confused. We may have to dumb it down a
- 28:14Speaker 1: little bit for this old fella you keep saying a psychologist.
- 28:19Speaker 1: I thought that a psychiatrist was the one that could
- 28:24Speaker 1: prescribe and a psychologist could not. Am I missing something.
- 28:30Speaker 2: That historically is true? But now in Vermont and seven
- 28:34Speaker 2: other states in the country, psychologists with this advanced training
- 28:38Speaker 2: that I just told you about, a doctoral degree in psychology,
- 28:42Speaker 2: a master's degree in psychopharmacology, fourteen months of clinical rotations
- 28:48Speaker 2: in these medical disciplines, passing a national board exam to
- 28:51Speaker 2: show competency and prescribing. That's what I'm talking about. Psychiatrists
- 28:55Speaker 2: go to medical school. Psychiatrists go to four years of
- 28:58Speaker 2: medical school, they do a three four year residency, and
- 29:02Speaker 2: they're out there in the world and they're doing basically
- 29:05Speaker 2: biomedical psychiatric prescribing. They're not doing therapy. Eighty percent of
- 29:11Speaker 2: them aren't doing therapy. They're just doing medchecks. They're checking
- 29:14Speaker 2: in on symptoms, and they're prescribing or changing people's medications.
- 29:19Speaker 2: In some cases, you have psychiatrists going into primary care
- 29:23Speaker 2: practices not even seeing patients JD, just looking at their
- 29:27Speaker 2: charts seeing, Oh, this person's on twenty five milligrams is
- 29:31Speaker 2: zoll off. That sounds good. We're just going to continue that.
- 29:33Speaker 2: Oh this person's taking lithium. Okay, we'll just continue that. Oh,
- 29:37Speaker 2: this person seems like they're struggling a little bit, let's
- 29:39Speaker 2: add an antipsychotic to their depression medication to see if
- 29:42Speaker 2: that can boost. They haven't even seen them, they haven't
- 29:44Speaker 2: seen them, no hands on, and they just go through
- 29:47Speaker 2: twenty five charts in an hour. And I don't know
- 29:49Speaker 2: if that's good. Maybe in some cases that's really helpful.
- 29:52Speaker 2: In terms of workflow and people getting the meds that
- 29:54Speaker 2: they need. In other cases, I don't know if that's
- 29:56Speaker 2: the best model. What about seeing a person for forty
- 29:59Speaker 2: five minutes once a week, once every couple of weeks
- 30:03Speaker 2: and making those decisions around medications in a little bit
- 30:06Speaker 2: more thoughtful way. That's what this is about.
- 30:08Speaker 1: Well, why have some of the opposition groups here in
- 30:13Speaker 1: Vermont been tapping the brakes on this H two thirty seven.
- 30:19Speaker 2: Well, they tried, and they tried for a decade, and
- 30:22Speaker 2: they eventually failed, and we succeeded, thank god. But I
- 30:27Speaker 2: really think the concerns the opposition points were largely unfounded, misunderstood,
- 30:35Speaker 2: must misunderstood. They they didn't really understand what the training
- 30:39Speaker 2: was all about. And then when people did go into
- 30:42Speaker 2: the details of what is this training? Can psychologists truly
- 30:45Speaker 2: learn to prescribe psychiatric medications competently without going to medical school,
- 30:50Speaker 2: without going to nursing school? What is this model of
- 30:53Speaker 2: training that they're presenting. They will say categorically, if you
- 30:58Speaker 2: want to prescribe psychiatric medications, this training model that you're
- 31:01Speaker 2: presenting sucks, and it's inadequate, and you're gonna kill patients
- 31:05Speaker 2: you're gonna harm patients. And if you really want to prescribe,
- 31:09Speaker 2: go to medical school, go to nursing school, go to
- 31:11Speaker 2: PA school. But the fact is is that just by
- 31:14Speaker 2: me listing medical school, PA school, nursing school, well, you
- 31:18Speaker 2: know what, there wasn't PA school at one point in time.
- 31:21Speaker 2: There wasn't a nursing school at one point in time
- 31:23Speaker 2: for psychiatric prescribing, and now there are. So now there's
- 31:26Speaker 2: a prescribing psychologist curriculum that is just as robust as
- 31:30Speaker 2: these other disciplines. So why can't we present new models
- 31:33Speaker 2: that can show competency across the board and work together
- 31:37Speaker 2: in a collaborative way versus like, oh no, you're over there,
- 31:40Speaker 2: stay in your lane. You do therapy. You're really good
- 31:42Speaker 2: at doing therapy. You shouldn't do anything else but therapy
- 31:45Speaker 2: and assessments because that's what you're good at. If you
- 31:47Speaker 2: try to do anything else, you're really you know, you're
- 31:50Speaker 2: really unprofessional and it's going to harm people. And that's
- 31:54Speaker 2: just that's what physicians have done against nurses, against anybody
- 31:59Speaker 2: where there's a scope of practice change where they feel
- 32:01Speaker 2: like people who don't have their training can't do what
- 32:05Speaker 2: they do and that's just not true.
- 32:07Speaker 1: This, this is, this is not like the experiments that
- 32:11Speaker 1: were going on in the thirties and forties.
- 32:14Speaker 2: No, no, no, you mean what I mean, like lobotomies
- 32:19Speaker 2: and shits. Yeah, no, this.
- 32:20Speaker 1: Is this is this is is not barbaric crazy.
- 32:24Speaker 2: No, no shit. These are powerful medicines in some cases,
- 32:28Speaker 2: some of the antipsychotics, and and there's a lot of
- 32:30Speaker 2: you know, you mentioned Robert F. Kennedy Junior just last
- 32:33Speaker 2: week that all this this attention on deep prescribing antidepressants,
- 32:38Speaker 2: it just came out in the New York Times. Now
- 32:40Speaker 2: the American Psychiatric Association is coming up with tapering models,
- 32:43Speaker 2: So all of a sudden, now there's an acknowledgment of
- 32:47Speaker 2: the fact that there has been some overprescribing. And that's
- 32:50Speaker 2: what this whole thing around prescribing psychologists has been all about.
- 32:53Speaker 2: You could just as well call them deep prescribing psychologists.
- 32:56Speaker 2: Get the education and training, learn the path of physiology,
- 32:59Speaker 2: learn how these medications interact with the body and with
- 33:02Speaker 2: other drugs, and help people make better medical decisions about
- 33:06Speaker 2: what they're putting into their body.
- 33:08Speaker 1: You know, one of the comments that we have here
- 33:11Speaker 1: is just from Glenn Is just all dollar signs, and
- 33:16Speaker 1: I'm not sure. I'm assuming that what he's alluding to.
- 33:20Speaker 2: Is prescribing psychologists want to make more money.
- 33:23Speaker 1: Yeah, either that or that. It's how does this affect
- 33:27Speaker 1: big pharmat Are they scratching their head saying how can
- 33:32Speaker 1: we get in on this?
- 33:33Speaker 2: Well, you would think, right, so you would think for
- 33:36Speaker 2: all of that, I believe Glenn's comment is spot on.
- 33:40Speaker 2: If the comment about dollar signs is because of pharmaceutical
- 33:43Speaker 2: companies wanting to get more drugs out there so they
- 33:46Speaker 2: can sell their product, well you would would have thought
- 33:49Speaker 2: the pharmaceutical companies would have gotten behind our efforts as
- 33:53Speaker 2: prescribing psychologists to pass this legislation. We did not get
- 33:56Speaker 2: one dollar from any pharmaceutical company in any of this
- 34:00Speaker 2: states that have passed this law because they're not interested
- 34:03Speaker 2: in psychologists prescribing. So you know, there's no pharma conflict
- 34:07Speaker 2: here because we've not received any money. You know, pharma.
- 34:10Speaker 2: Actually there's laws that have been passed to prevent pharma
- 34:14Speaker 2: companies from taking doctors out to dinner and giving them
- 34:17Speaker 2: gifts so they will prescribe their medication. Like farmer, companies
- 34:20Speaker 2: are definitely in it for the profit. No doubt.
- 34:23Speaker 1: So they're still getting Christmas cards, yeah, in the mailbox.
- 34:26Speaker 2: Yeah, but prescribing psychologists have had no pharmaceutical influence at all,
- 34:29Speaker 2: no money coming from pharma at all. And in terms
- 34:32Speaker 2: of like psychologists looking to make more money from prescribing,
- 34:38Speaker 2: if you look at the salaries of prescribing psychologists compared
- 34:41Speaker 2: to regular psychologists, it's a wash. There's no bump, there's
- 34:45Speaker 2: no major bump in salary. So we're not doing it
- 34:48Speaker 2: for the money. We're doing it for our patients to
- 34:50Speaker 2: get better care, that's all.
- 34:51Speaker 1: Yeah. The folks that are tapping the brakes on what's
- 34:57Speaker 1: happening in framat, I think what're you're kind of saying
- 35:01Speaker 1: is there they need to they need to better become
- 35:07Speaker 1: better educated with the risks and the realities. What are
- 35:14Speaker 1: what's the real factual risks here and what are the
- 35:18Speaker 1: real realities that this is a huge shift and it's global.
- 35:27Speaker 1: This isn't just something happened in the in the States.
- 35:31Speaker 1: This is big man.
- 35:33Speaker 2: Yeah, are you talking about the prescribing psychologists? Yeah, yeah,
- 35:38Speaker 2: I mean, because we're talking about psychedelics earlier on the show,
- 35:41Speaker 2: and then we're talking about prescribing psychologists. Actually, one of
- 35:43Speaker 2: the criticisms I got while I was fighting for this
- 35:46Speaker 2: was that people knew that I was interested in psychedelic
- 35:49Speaker 2: research and medicine, and I was pursuing prescriptive authority. So
- 35:53Speaker 2: people were just saying, oh, Rick, doctor Barnett just wants
- 35:56Speaker 2: to get prescriptive authorities so he could prescribe psychedelics to everybody.
- 36:00Speaker 2: And the fact is that these are two completely separate,
- 36:02Speaker 2: separate efforts. It just so happens that they're sort of
- 36:05Speaker 2: colliding at the same time. But yeah, I mean there
- 36:09Speaker 2: are risks. I think there are risks anytime somebody takes
- 36:12Speaker 2: a psychedelic drug, anytime someone takes a psychiatric medication, there
- 36:16Speaker 2: are risks associated with it, just like there's risk taking
- 36:19Speaker 2: tail and all. There's risk taking ad though, there's risk
- 36:22Speaker 2: taking supplements. There are risks taking anything into your body.
- 36:26Speaker 1: There are risks right are There are there risks spunking cigarettes.
- 36:29Speaker 2: There's risks smoking. They're drinking alcohol alcohol exactly.
- 36:33Speaker 1: What's worse?
- 36:36Speaker 2: They both suck. They both have the highest rates of
- 36:39Speaker 2: problems associated with them. I think I think tobacco nicotine
- 36:44Speaker 2: addiction is probably in terms of healthcare costs and Jesus
- 36:52Speaker 2: addiction is just that's Nicotine's pretty tough.
- 36:55Speaker 1: Throw a whole shitload of processed foods in there too.
- 36:59Speaker 2: Yeah exactly right, Yeah, we're all addicted to something.
- 37:03Speaker 1: I think in some respects here we have bigger fish
- 37:07Speaker 1: to fry. Yeah, then worrying about this shit.
- 37:11Speaker 2: Yeah exactly exactly. It's not rocket science. If you can
- 37:15Speaker 2: understand how the body works and how medicines work. You
- 37:17Speaker 2: do your master's degree in psychopharmacology, you've done six years
- 37:21Speaker 2: to get a doctorate in psychology, and you're working with
- 37:24Speaker 2: patients every day for forty five minutes at a pop.
- 37:28Speaker 2: Like you can learn how to work with people safely
- 37:30Speaker 2: and effectively. The risks that have been suggested is that again,
- 37:34Speaker 2: psychologists don't have the capacity to learn how to prescribe
- 37:38Speaker 2: safely unless they go to medical school and be like
- 37:42Speaker 2: every other you know, discipline that prescribes meds. And that's
- 37:45Speaker 2: just not what we want to do. We want to
- 37:46Speaker 2: retain our identity as psychologists with psychotherapy first, and to
- 37:51Speaker 2: have this adjunctive skill, this additional skill to be able
- 37:54Speaker 2: to help people come off of medications or prescribe them
- 37:57Speaker 2: as needed, but not not like in a sort of
- 38:02Speaker 2: a flipping kind of way.
- 38:03Speaker 1: But Rick, how do you how do you personally respond
- 38:08Speaker 1: to an email or somebody bumping into you at the
- 38:13Speaker 1: grocery store, or even a friend that you're hanging out
- 38:17Speaker 1: with who says to you, oh, yeah, Rick, there you go.
- 38:21Speaker 1: Let's uh, let's let's fight drug problems with more drugs. Right,
- 38:27Speaker 1: what do you say, how do you respond to that?
- 38:30Speaker 1: Because I saw a little bit of that last night
- 38:32Speaker 1: on Facebook, but I put up a promo right that
- 38:36Speaker 1: you were coming on today.
- 38:38Speaker 2: I say, well, yeah, I mean it's a legitimate, it's
- 38:41Speaker 2: a legitimate sort of surface level argument against why that's
- 38:45Speaker 2: a bad idea, But like you have to think about,
- 38:49Speaker 2: think about, you know, I myself actually had that opinion
- 38:53Speaker 2: at one point in time. I wrote an article for
- 38:55Speaker 2: The Vermont Digger back in I think twenty sixteen or
- 38:59Speaker 2: twenty four teen criticizing the uh, the push to get
- 39:04Speaker 2: everybody on suboxone. And I was really critical. I was like, well,
- 39:09Speaker 2: I don't think just prescribing suboxone to everybody as the
- 39:13Speaker 2: end all be all for opioid use disorder is the solution.
- 39:17Speaker 2: It's part of the solution. But if we're investing all
- 39:19Speaker 2: those dollars just in prescribing this one drug. It's it's
- 39:24Speaker 2: not the whole thing. And I think that's the argument
- 39:27Speaker 2: against people who say, oh, yeah, that's what we need
- 39:30Speaker 2: just you know, fight drugs with drugs. No, it's delivering
- 39:34Speaker 2: a kind of care that offers more than just drugs.
- 39:39Speaker 2: As psychologists, for example, is somebody who doesn't focus just
- 39:43Speaker 2: on the psychiatrists and the medical system, they focus on prescribing.
- 39:48Speaker 2: Think about psychedelics. One of the reasons why MDMA ecstasy
- 39:52Speaker 2: was rejected by the FDA, the Food and Drug Administration
- 39:56Speaker 2: in twenty twenty four was because the application to get
- 40:00Speaker 2: MDMA ecstasy approved for post traumatic stress disorder included psychotherapy.
- 40:06Speaker 2: It included psychotherapy, and you know what the FDA said, Well,
- 40:09Speaker 2: we don't approve psychotherapy. We approve drugs. Right, So when
- 40:16Speaker 2: people say, you know, oh great, fight drugs with drugs,
- 40:19Speaker 2: it's like, well, that's what our system is set up for.
- 40:22Speaker 1: Yeah, I mean, Chuck just wrote you don't need to
- 40:24Speaker 1: throw a pill at everything.
- 40:26Speaker 2: Yeah, you don't. You don't. And that's why I think
- 40:29Speaker 2: psychologists are in a better position. I think that's also
- 40:31Speaker 2: why psychedelics seem interesting because one of the promising aspects
- 40:35Speaker 2: of psychedelic research and medicine. Unlike your daily prozac, unlike
- 40:41Speaker 2: your daily lexipro unlike your daily mood stabilizer pill, your
- 40:45Speaker 2: daily psychmed Psychedelic medicines are delivered one time for lasting results,
- 40:53Speaker 2: maybe three sessions over the course of three months. That
- 40:58Speaker 2: has lasting effects. You don't have to take a pill
- 41:00Speaker 2: every day. It's not just a drug. It's about the experience.
- 41:04Speaker 2: It's about the relationship with the therapist, the setting that
- 41:07Speaker 2: it takes place in. It's a totally new paradigm, not
- 41:10Speaker 2: just taking a pill every day. I think that's the
- 41:12Speaker 2: problem with the current system is that you get lexaprophy
- 41:15Speaker 2: primary care physician, they say, come back in a month
- 41:18Speaker 2: and tell me how you're doing. There's no therapy, there's
- 41:20Speaker 2: no follow up, there's no there's no contextual variables at all.
- 41:23Speaker 2: There's nothing. And that's the problem. That's why this bill
- 41:26Speaker 2: is good. It's not just the drug. It's about the therapy.
- 41:28Speaker 2: It's about the relationship, it's about the context.
- 41:31Speaker 1: The Governor signed the bill hearing fromat April twenty seventh,
- 41:36Speaker 1: twenty seventh. What other names in our legislature have given
- 41:43Speaker 1: support to H two thirty seven hearing fromant.
- 41:47Speaker 2: Yeah Topper mcfaughon just total, total champion. Without his support,
- 41:55Speaker 2: his helping with this bill, explaining it to his fellow
- 41:59Speaker 2: lawmakers Gina Galfetti also down here in Barry, those two
- 42:03Speaker 2: were instrumental. Without their support and their backing of this,
- 42:07Speaker 2: this bill would not have passed absolutely and Topper actually
- 42:12Speaker 2: had to step down at the beginning of April before
- 42:15Speaker 2: he could see this bill go all the way over
- 42:17Speaker 2: the finish line. He had to step down because of
- 42:19Speaker 2: some family issues, a long time representative here in Barry.
- 42:25Speaker 2: I have such a strong debt of gratitude to Representative
- 42:29Speaker 2: mcfaughn and Gina Galfetti for this.
- 42:34Speaker 1: We have a comment here. First of all, where do
- 42:36Speaker 1: you find a psychologist available to administer this treatment? And
- 42:44Speaker 1: another comment here saying you need to free your mind
- 42:47Speaker 1: before you can fix your mind. Psychedelics helps free your mind.
- 42:52Speaker 1: Years of programming has got us all backwards. They made
- 42:57Speaker 1: us this way. The only way to fix it is
- 43:00Speaker 1: to free your mind and break the chains.
- 43:03Speaker 2: I love it whoever that is spot on. You know, change,
- 43:06Speaker 2: change your perspective. You know, it's not just taking a
- 43:09Speaker 2: drug or taking a pill or whatever. It's about it's
- 43:11Speaker 2: about change, it's about a new perspective.
- 43:13Speaker 1: Yeah.
- 43:14Speaker 2: A funny comment I heard somebody say in a podcast
- 43:16Speaker 2: once was a mind blown? Is a mind shown?
- 43:23Speaker 1: Wow? Where do you find a psychologist to administer these treatments?
- 43:32Speaker 2: So the bill is so, this bill was a decade
- 43:35Speaker 2: long effort to finally get signed into law. And one
- 43:39Speaker 2: of the stipulations in the law is that it doesn't
- 43:42Speaker 2: go into effect until twenty twenty nine, so we've got
- 43:45Speaker 2: three more years before this actually goes into effect. Yeah.
- 43:50Speaker 1: Yeah, oh boy.
- 43:52Speaker 2: Thankfully I started this in my early forties because by
- 43:56Speaker 2: the time I'm sixty, I might be able to join
- 43:59Speaker 2: ace of prescribing psychologists in Vermont.
- 44:02Speaker 1: But are you eating well and staying in the gym?
- 44:06Speaker 1: So stick around long enough? Yes?
- 44:08Speaker 2: I am?
- 44:10Speaker 1: Why so long? Why?
- 44:12Speaker 2: Well? One of the other reasons why this bill passed
- 44:14Speaker 2: was because we got support from the Office of Professional Regulations.
- 44:17Speaker 2: So the Secretary of State's office has a body called
- 44:21Speaker 2: the Office of Professional Regulation. They license something like fifty
- 44:25Speaker 2: professions in the state of Vermont, some of which are
- 44:27Speaker 2: mental health professionals nurses. So they license some of these
- 44:31Speaker 2: healthcare professions and they're going through this major overhaul process
- 44:35Speaker 2: of looking at how they issue licenses for different healthcare professionals.
- 44:40Speaker 2: Because they're in the middle of this major overhaul process,
- 44:43Speaker 2: they wanted to make sure that they developed the rules
- 44:46Speaker 2: for this new prescribing psychologist thing in the context of
- 44:49Speaker 2: that overhaul, and they move a little bit slowly, so,
- 44:53Speaker 2: you know, was one of our concessions. It's like, look,
- 44:56Speaker 2: they support this bill. They did a lot of work
- 44:58Speaker 2: and a lot of advocacy to show the legislature that
- 45:03Speaker 2: this is a safe and viable model that they support.
- 45:07Speaker 2: So because they're going through their own internal review process,
- 45:11Speaker 2: we just get lumped into that and so in twenty
- 45:14Speaker 2: twenty nine we'll be ready to go.
- 45:16Speaker 1: What about But what is it that you do? I mean,
- 45:20Speaker 1: you can prescribe some things?
- 45:23Speaker 2: No, can't do anything. What about KENEMYE can't prescribe kenemy
- 45:27Speaker 2: have I work with a prescribing provider who does a
- 45:30Speaker 2: medical evow and prescribes Ketymine to patients who self administer
- 45:37Speaker 2: Ketymine in my office.
- 45:40Speaker 1: Different, that's very different.
- 45:42Speaker 2: Yeah, I don't prescribe it.
- 45:45Speaker 1: Wow, what's your opinions on that?
- 45:50Speaker 2: Well, again, it's a fascinating model. You're not taking ketemine
- 45:52Speaker 2: every day, like you're taking year Soloft every day or
- 45:55Speaker 2: taking Prozac every day. You come into my office with
- 45:58Speaker 2: a couple of lozenges, and we've gone through several sessions
- 46:02Speaker 2: of preparation to explain the whole process, to understand what's involved,
- 46:06Speaker 2: safety measures, bathroom, physical considerations, mementos, they might bring in,
- 46:14Speaker 2: any experiences they might have, just to prepare for that.
- 46:17Speaker 2: They come into my office, they self administer these lozenges,
- 46:20Speaker 2: They sit on my couch for three hours. They have
- 46:23Speaker 2: a complete trip. They have a full, full experience and
- 46:26Speaker 2: internal experience with headphones on like you have on right now.
- 46:30Speaker 2: They have eye shades on so they can't see anything,
- 46:32Speaker 2: and they have a very profound experience. And they do
- 46:35Speaker 2: it maybe once every two weeks for a few sessions.
- 46:40Speaker 2: It's not an everyday thing, and that has lasting effects.
- 46:43Speaker 1: And you're right there with them.
- 46:44Speaker 2: I'm right there with them the whole time, just in
- 46:47Speaker 2: case if they get a little nauseous, which can happen
- 46:50Speaker 2: very occasionally, if they feel a little unsafe, because basically
- 46:54Speaker 2: ketamine is called a dissociated of anesthetics, So when you
- 46:58Speaker 2: take ketamine, you lose a sense of your body like
- 47:01Speaker 2: your whole body's under anesthesia, and that can be disorienting
- 47:04Speaker 2: for people. So they might be like, WHOA, what's happening?
- 47:06Speaker 2: Where am I? You know, and they might raise their hand.
- 47:09Speaker 2: I might hold their hand for a second just to
- 47:11Speaker 2: get grounded. But that doesn't happen very often. It's usually
- 47:14Speaker 2: a pleasant experience for people. They usually feel like they
- 47:17Speaker 2: come out of it, they feel refreshed, they feel I mean,
- 47:19Speaker 2: they feel a little woozy, but they feel like in
- 47:22Speaker 2: a calm, pleasant, you know, place of peace and quiet.
- 47:29Speaker 2: Able to drive, not able to drive, they have to
- 47:32Speaker 2: have someone drop them off and pick them up. Addictive,
- 47:35Speaker 2: It can be very addictive. Yeah, there are people that,
- 47:38Speaker 2: without careful monitoring, can develop problems with ketemine addiction. And
- 47:42Speaker 2: that's why, you know, I typically really prefer people to
- 47:47Speaker 2: not do ketymine at home by themselves or have access
- 47:51Speaker 2: to it in case they might be at risk for
- 47:54Speaker 2: developing a bad habit around it, an unhealthy relationship with ketamine.
- 47:59Speaker 2: It doesn't happen a lot, and I think some of
- 48:01Speaker 2: the risks of addiction are overblown, but it does happen.
- 48:06Speaker 1: And I think Chase in the Dragon.
- 48:08Speaker 2: That yeah, a little bit. I mean again, I think
- 48:10Speaker 2: if it's done with you know, professional oversight and supervision.
- 48:15Speaker 2: I think there's problem is you can call up a
- 48:17Speaker 2: company right now and do a five minute screening and
- 48:20Speaker 2: they'll send you a bunch of ketamine at home and
- 48:22Speaker 2: you can just have at it. You know. That's a model,
- 48:25Speaker 2: a telehealth model that for some people that works. They're
- 48:27Speaker 2: doing it therapeutically, but I don't think that's great. I
- 48:29Speaker 2: think you need to do it with a professional.
- 48:31Speaker 1: Glenn says, I've been taking the same crap for twenty
- 48:34Speaker 1: years and I don't even know if it's working anymore.
- 48:39Speaker 1: I'm not sure what the names of those those drugs are.
- 48:45Speaker 1: But he's got to wait till twenty twenty nine before
- 48:49Speaker 1: he can get prescribed psychedelics.
- 48:55Speaker 2: So we're confusing two different things. We don't know when
- 48:57Speaker 2: psychedelics are going to roll out. The prescribing psychologist thing
- 49:02Speaker 2: is not till twenty twenty nine. That's independent of psychedelics psychedelics.
- 49:06Speaker 2: That's a great question actually, leading into like what this
- 49:09Speaker 2: executive order that Trump signed is that are we going
- 49:12Speaker 2: to get medical access to something like psilocybin or MDMA
- 49:17Speaker 2: in the next six to nine months. We might the
- 49:20Speaker 2: FDA might approve a pharmaceutical magic mushroom pill that someone
- 49:25Speaker 2: can take in the context of a well controlled environment
- 49:28Speaker 2: with a therapist or two present with them, and you know,
- 49:32Speaker 2: for someone like Glenn, you know there's going to be
- 49:35Speaker 2: risk management profiles to see if somebody's appropriate for this
- 49:38Speaker 2: kind of treatment. And in some cases, some of the
- 49:41Speaker 2: medicines that people might be taking don't allow them to
- 49:45Speaker 2: have a psychedelic experience. But if they can taper off,
- 49:48Speaker 2: if they need to or taper down and still have
- 49:50Speaker 2: the experience, then having a professional who knows how to
- 49:54Speaker 2: do that is really critical. So it's not a rule
- 49:56Speaker 2: out if you're on certain medications to have a psycho
- 50:00Speaker 2: gadelic experience, but it does need to be carefully evaluated.
- 50:04Speaker 1: Another comment here mother nature. Mother nature is the Lord,
- 50:12Speaker 1: however you want to describe. It provides everything we need.
- 50:18Speaker 1: Our bodies were designed to absorb what Mother Nature gives
- 50:22Speaker 1: to us.
- 50:25Speaker 2: Yeah, well, there's certainly poisonous plants out there that we
- 50:28Speaker 2: don't want to absorb or they'll kill us. But there
- 50:31Speaker 2: are also there are also products in nature, like natural
- 50:34Speaker 2: foods and natural what we call plant medicines or fungal
- 50:37Speaker 2: medicines like magic mushrooms or where ayahuasca comes from, or
- 50:43Speaker 2: other like this iba gain is from an African shrub.
- 50:47Speaker 2: So this is the mother Nature that they're talking about.
- 50:49Speaker 2: And that's really a point of real tension in the
- 50:53Speaker 2: psychedelic space. Why do we need a pharmaceutical product? Why
- 50:56Speaker 2: do we need a medical model? These compounds have been
- 50:59Speaker 2: used for millennia, for centuries and indigenous cultures, and in fact,
- 51:04Speaker 2: there's been some you know, appropriation of various cultural practices
- 51:10Speaker 2: and lack of reciprocity and acknowledging indigenous cultures, whether it's
- 51:13Speaker 2: peyote mescalin from the peyote cactus or like I said,
- 51:18Speaker 2: mushrooms or these other compounds. And you know, mother Nature
- 51:22Speaker 2: is like the in charge of in charge of it all.
- 51:25Speaker 2: And so I'm somebody who, even though I'm talking very
- 51:28Speaker 2: much from the medical model, we need to make efforts
- 51:32Speaker 2: to get people access to these compounds outside of a
- 51:36Speaker 2: medical model. I said that outside of a medical model. Wow,
- 51:39Speaker 2: people think the medical model is the only way to
- 51:41Speaker 2: do it, it's the only safe way to do it.
- 51:43Speaker 2: The fact is is that that's not true. There are
- 51:45Speaker 2: safe ways to have these experiences outside of the you
- 51:48Speaker 2: know they mushrooms. People can grow mushrooms in their closet,
- 51:52Speaker 2: they can take it at home, but can they do
- 51:53Speaker 2: it safely? And can they do it therapeutically or are
- 51:55Speaker 2: they just you know, tripping and whatever? You know, So
- 51:59Speaker 2: there's just content, actual variables that people need to consider
- 52:01Speaker 2: for sure.
- 52:02Speaker 1: Yeah, using it recreationally, do you do you believe that
- 52:09Speaker 1: that the blanket question here? But that the the the solution,
- 52:16Speaker 1: the fix to cancer is right under our nose, right
- 52:21Speaker 1: in front of us.
- 52:23Speaker 2: And I don't know, that's a great question. What what's
- 52:27Speaker 2: what's the right here right next? I know we never
- 52:29Speaker 2: know it's true. Yeah, did someone write that in the comments?
- 52:33Speaker 1: No, that's just one one that I'm I'm curious about.
- 52:36Speaker 2: It could be. It's really puzzling that, you know. I
- 52:39Speaker 2: have a patient recently was diagnosed with stage three breast
- 52:42Speaker 2: stage three breast cancer and she was faced with this,
- 52:45Speaker 2: She was faced with this real quandary like do I
- 52:47Speaker 2: go the traditional chemotherapy, radiation root or what about all
- 52:52Speaker 2: these alternative methods that talk about the macrobiotic diet or
- 52:57Speaker 2: different things offered in Mexico that are alternative that don't
- 53:01Speaker 2: involve heavy doses of chemo or radiation, and she didn't
- 53:04Speaker 2: She honestly didn't know what to do. Some people go
- 53:06Speaker 2: the alternative route and get miraculous results that, you know,
- 53:10Speaker 2: the cure for cancers right under our nose, and then
- 53:12Speaker 2: other people are just like, Nope, I'm going to go
- 53:14Speaker 2: I'm going to go the chemotherapy route because that's what
- 53:17Speaker 2: my physician has said, that's where all the evidence says.
- 53:19Speaker 1: And that's where most people and that's.
- 53:21Speaker 2: What most people go. And I know it's hard to
- 53:22Speaker 2: say what you know, who's right, who's wrong. It's not
- 53:25Speaker 2: it's not a it's not a black or white kind
- 53:27Speaker 2: of thing.
- 53:27Speaker 1: Yeah, and big pharma, like Glenn is alluding to, may
- 53:32Speaker 1: may have the.
- 53:33Speaker 2: They have say in it for sure.
- 53:35Speaker 1: Well, and they may have the this the fix the remedy.
- 53:40Speaker 2: Oh they might yeah. Yeah, and they don't want to
- 53:44Speaker 2: fix it maybe yeah, I don't know.
- 53:46Speaker 1: Big business maybe yeah, big big money. Yeah. Got a
- 53:51Speaker 1: comment here from Joseph last night says this is a
- 53:58Speaker 1: big pharma, this is big farm are using the media
- 54:01Speaker 1: to control the narrative on drugs. I begin it's currently
- 54:04Speaker 1: illegal despite its well recorded history of successful treatments of
- 54:09Speaker 1: opioid addiction. But heaven forbid, we don't get people to
- 54:15Speaker 1: take their drugs. It's sad how big pharma, or how
- 54:19Speaker 1: badly big pharma can use the media to manipulate public opinion.
- 54:26Speaker 1: Also a comment here saying those who criticize this need
- 54:31Speaker 1: to watch the documentary series The Mind Unleashed, specifically the
- 54:36Speaker 1: episode on hallucinogenics.
- 54:40Speaker 2: Yeah, and also How to Change Your Mind on Netflix
- 54:44Speaker 2: came out of a few years ago.
- 54:46Speaker 1: That's amazing. I've seen them.
- 54:48Speaker 2: Based on Michael Pollan's book. Yeah. Interesting. Yeah, there's a
- 54:52Speaker 2: lot of good stuff out there. Even there's a movie
- 54:55Speaker 2: called uh about I began I believe it was came
- 55:00Speaker 2: out a while ago called Gosh, It's Escaping Me. Shoot,
- 55:04Speaker 2: it'll come back to me. But there's another one that
- 55:07Speaker 2: came out of it.
- 55:07Speaker 1: And what's the one that you Well, first of all,
- 55:10Speaker 1: you told me about how to Change your Mind? I
- 55:11Speaker 1: watched that.
- 55:12Speaker 2: But fun Guy, fantastic fun Guy. That's a great one.
- 55:16Speaker 2: That's an old older that's from twenty nineteen. I think
- 55:20Speaker 2: it's dosed. Dost is the one that I think. There's
- 55:23Speaker 2: two dosed movies d s ed And the first one
- 55:27Speaker 2: was a woman who was heroin dependence, was on methadone,
- 55:33Speaker 2: tried mushrooms to come off of it, it was unsuccessful,
- 55:37Speaker 2: and then went down to Do I Begain and lied
- 55:41Speaker 2: to the facilitator, said that she had weaned herself down
- 55:45Speaker 2: off of the methadone, but she actually hadn't, so she
- 55:47Speaker 2: had a very bad reaction. That's why, that's why there
- 55:51Speaker 2: can be deaths. It's not so much only about the
- 55:54Speaker 2: cardiac risks. It's about accurate history taking and honesty in
- 55:58Speaker 2: patients reporting what are actually taking so that they facilitators
- 56:02Speaker 2: know what's in their bodies, making sure they're drug tested
- 56:05Speaker 2: to see check the levels and stuff like that. So
- 56:08Speaker 2: you know, I think, yeah, I think it's it's true
- 56:12Speaker 2: that there's pharmaceutical influences in this field big time. And
- 56:16Speaker 2: that's why I think we need to actively advocate both
- 56:20Speaker 2: for the medical model and for the decriminalization or safe
- 56:24Speaker 2: access models as we have an Oregon in Colorado. You know,
- 56:28Speaker 2: they didn't wait for FD approval and they're facilitating mushroom
- 56:32Speaker 2: journeys all the time in those states. Legally.
- 56:36Speaker 1: What what what ring through your mind when you saw
- 56:42Speaker 1: the recent reports, Whether you opened up the Burlington Free
- 56:45Speaker 1: press or you saw it online or digger or whatever
- 56:48Speaker 1: about the safe injection sites and the overdose prevention centers
- 56:56Speaker 1: that are starting to pop up in Vermont, specifically Berlin.
- 57:00Speaker 2: Yeah, I know. I've had conversations with friends of mine
- 57:03Speaker 2: on this, and some people really support it, other people don't.
- 57:06Speaker 2: I don't know what the hold up is. I know
- 57:08Speaker 2: that the funds were allocated to the Department of Health
- 57:10Speaker 2: a long time ago, a million dollars to set up
- 57:13Speaker 2: a safe injection site in Burlington. It's been held up
- 57:18Speaker 2: for whatever reason. They need more money. And now there's
- 57:20Speaker 2: a bill, I think in the state House to try
- 57:22Speaker 2: to scale back on some of these harm reduction measures.
- 57:26Speaker 2: I'm a believer in safe injection sites, you know, talk
- 57:30Speaker 2: about a drug for a drug like I'd rather have
- 57:34Speaker 2: somebody go to a safe place with a clean needle
- 57:36Speaker 2: and a clean supply of drugs and have their drug
- 57:39Speaker 2: experience in an overdose prevention site than to have dirty
- 57:43Speaker 2: needles and untested products where people are overdosing and dying.
- 57:48Speaker 2: So I'm somebody who supports that model, but I can
- 57:53Speaker 2: also be neutral on it. I can understand both sides.
- 57:55Speaker 2: It's not the thing about all these things whether it's
- 57:58Speaker 2: psychedelics or proscribe being psychologists or safe injection sites. What
- 58:02Speaker 2: we said at the beginning of the show, JD. We
- 58:04Speaker 2: need all tools, we need all these options. They're not
- 58:08Speaker 2: going to work for everybody, right, but they're going to
- 58:10Speaker 2: help some people, right, And I think that's what's what's
- 58:13Speaker 2: at stake here, you.
- 58:15Speaker 1: Know, as Donna is kind of suggesting here though, you know,
- 58:18Speaker 1: it's like we have this going on, but we also
- 58:21Speaker 1: have all of these prevention measures that are happening in fromont.
- 58:28Speaker 1: I mean it's yeah, are we are we counterproductive here?
- 58:35Speaker 2: It's you know, well, Donna, I like Donna's comment. I
- 58:38Speaker 2: was thinking about that earlier. Actually, you know, a lot
- 58:40Speaker 2: of money should be allocated towards prevention so we don't
- 58:44Speaker 2: have these problems in the first place, whether it's kids
- 58:46Speaker 2: access to you know, over using video games or social
- 58:49Speaker 2: media or unhealthy foods. Uh. You know, there's so many
- 58:54Speaker 2: things that we can do for prevention, teaching mindfulness, exercises,
- 58:58Speaker 2: exercise itself, healthy eat, you know, socialization, socializing outdoor activities.
- 59:05Speaker 1: But it's so easy to get heroin, it's so easy
- 59:08Speaker 1: to get pot, it's so easy to start drinking young.
- 59:14Speaker 2: Yeah, I mean, our job is to make it less attractive,
- 59:18Speaker 2: and it's also our job to make it seem less
- 59:22Speaker 2: not less accessible, but less popular. You know, there's this
- 59:26Speaker 2: there's this image that like, you know, alcohol, everybody drinks alcohol,
- 59:31Speaker 2: everybody smokes weed, everybody you know does these things, you know,
- 59:34Speaker 2: vapes and all that kind of stuff. If you look
- 59:36Speaker 2: at the data, you know, especially for young people, the
- 59:40Speaker 2: majority of people aren't actually doing those things. So to
- 59:42Speaker 2: normalize the healthy stuff and not normalize the unhealthy stuff.
- 59:47Speaker 2: I think that's what they did with this smoking campaign
- 59:50Speaker 2: over the years. They they really you know, helped kids
- 59:54Speaker 2: look at smoking through a different lens. Unfortunately, that's the
- 59:57Speaker 2: same time vaping came came by, and more there are
- 1:00:00Speaker 2: vaping because they were so successful showing how smoking, you know,
- 1:00:04Speaker 2: tobacco was bad for you and and so vaping took
- 1:00:08Speaker 2: the place of that. But I think, you know, prevention
- 1:00:11Speaker 2: can be done in different ways, and allocating a lot
- 1:00:14Speaker 2: more resources to prevention, as Donna said, is is a
- 1:00:17Speaker 2: huge part of the solution.
- 1:00:20Speaker 1: Yeah, you know, we we we talk about dependency, and
- 1:00:33Speaker 1: you know it's like as as a as a parent,
- 1:00:39Speaker 1: even not apparent as an adult, try to try to
- 1:00:47Speaker 1: put out there to our youth by setting an example
- 1:00:52Speaker 1: that to be addicted or to be dependent on different
- 1:01:01Speaker 1: kinds of a high sports. You looked an adrenaline rush.
- 1:01:12Speaker 1: Do something that releases that chemical in your brain. Skydiving,
- 1:01:17Speaker 1: bungee jumping, Yeah, motorcross get addicted to that.
- 1:01:26Speaker 2: Yeah.
- 1:01:26Speaker 1: There was a guy, Oh my god, years ago was
- 1:01:29Speaker 1: when I first started this podcast in twenty eighteen, and
- 1:01:35Speaker 1: he was a Heroin addict and got addicted to skydiving.
- 1:01:46Speaker 2: Did he live?
- 1:01:47Speaker 1: He not only lived, but he was thriving. And I've
- 1:01:53Speaker 1: lost touch with him, but he joked that he was
- 1:02:00Speaker 1: being more money on the high skydiving than he was
- 1:02:06Speaker 1: on Heroin rights. Wow, I'm so glad that that Chuck
- 1:02:14Speaker 1: just mentioned this because I was. I forgot about this,
- 1:02:16Speaker 1: and I was thinking about it last night, about saying
- 1:02:18Speaker 1: this to you in ice bath will do the same
- 1:02:21Speaker 1: thing ice bathing.
- 1:02:22Speaker 2: Oh yeah, I do that.
- 1:02:24Speaker 1: I have too, not that much. I did one two
- 1:02:27Speaker 1: or three nights ago in the river in my backyard
- 1:02:29Speaker 1: and I was singing very loudly some Italian songs that
- 1:02:34Speaker 1: I think I was making up when I got into
- 1:02:36Speaker 1: the river.
- 1:02:37Speaker 2: But I've really gotten into contrast therapy recently last five
- 1:02:42Speaker 2: six years, Sauna cold plunged so again hot Chinese, Yeah,
- 1:02:47Speaker 2: hot cold, hot cold. It's talk about a.
- 1:02:50Speaker 1: High I've okay, so I'm not familiar with that one. Wow.
- 1:02:54Speaker 1: But the what is it that's dumped dopamine? There's those
- 1:03:00Speaker 1: There are all kinds of chemicals in your brain.
- 1:03:01Speaker 2: Kinds of stuff.
- 1:03:02Speaker 1: Yeah, it's dumped.
- 1:03:03Speaker 2: Yeah. It's good for your mood, it's good for your
- 1:03:06Speaker 2: uh skin inflammation, inflammation, you have all kinds of things.
- 1:03:10Speaker 1: Blood flow, all of that stuff. But the high that
- 1:03:13Speaker 1: you get, I mean, it's unbelievable.
- 1:03:15Speaker 2: Yeah. It's good training for the mind too. The cold
- 1:03:17Speaker 2: plant when you went in the river there. Yeah, like
- 1:03:19Speaker 2: to train yourself to breathe under those circumstances. You're cold
- 1:03:23Speaker 2: and you're but if you get used to it, you can.
- 1:03:28Speaker 2: And so anything that stresses you out, you've got an
- 1:03:30Speaker 2: interpersonal conflict, you've got uh stress and traffic, you've got
- 1:03:34Speaker 2: whatever it is that's stressing you out in the moment.
- 1:03:36Speaker 2: If you've trained yourself through these cold cold experiences to
- 1:03:40Speaker 2: just breathe for you know, thirty seconds, a minute, two minutes,
- 1:03:44Speaker 2: you you know, that can help in other areas of
- 1:03:46Speaker 2: your life.
- 1:03:46Speaker 1: Sure, are you familiar with Arctic bliss?
- 1:03:51Speaker 2: No?
- 1:03:51Speaker 1: Down in Woodstock. No, our young vendor shoot the East,
- 1:03:57Speaker 1: the Vermont iceman. Oh yeah, you should check. Check.
- 1:04:00Speaker 2: That's awesome.
- 1:04:00Speaker 1: He knows what he's talking about. He does this all
- 1:04:02Speaker 1: the time. He's got he's got a community of ice,
- 1:04:05Speaker 1: ploy of ice bath bathers.
- 1:04:08Speaker 2: I love it.
- 1:04:09Speaker 1: Yeah, it's great stuff.
- 1:04:10Speaker 2: Popular.
- 1:04:11Speaker 1: Yeah, fascinating stuff that we're uh, we're unpacking here. Yea fascinating.
- 1:04:17Speaker 2: One thing also not mentioned is breath work. So wim
- 1:04:19Speaker 2: Hoff is a wim Hof, right, So there's wim Hoff
- 1:04:22Speaker 2: breathing he does he does the cold in the hot,
- 1:04:24Speaker 2: but he also does the breathing. There's holotropic breath work.
- 1:04:27Speaker 2: There's all kinds of unique breathing exercises that you can
- 1:04:31Speaker 2: do to produce chemicals in your body, to have altered
- 1:04:35Speaker 2: states of consciousness, to release, you know, healthy energies in
- 1:04:40Speaker 2: your system.
- 1:04:41Speaker 1: See Lindsey Vaughn just before she dumps out of the
- 1:04:43Speaker 1: chute breathing. Yeah, yeah, incredible, Yeah, good stuff. Man. Folks
- 1:04:52Speaker 1: that want to get in touch with you, they're looking
- 1:04:55Speaker 1: at you now, they're hearing you. I got to talk
- 1:04:58Speaker 1: to this guy. How do they do it well.
- 1:05:01Speaker 2: One thing I got to make clear to people is that,
- 1:05:04Speaker 2: you know, people think psychedelics or psilocybin mushrooms wherever it's
- 1:05:08Speaker 2: legal already that you know it's psychedelic therapy is available,
- 1:05:13Speaker 2: and that's just not true. They're still waiting FD approval.
- 1:05:19Speaker 2: People are doing them illegally. People have access to them illegally.
- 1:05:24Speaker 2: So there is no such thing as legal psychedelic therapy
- 1:05:28Speaker 2: except for ketamine, as we talked about. So people need
- 1:05:31Speaker 2: to know that you can't just call me up and
- 1:05:32Speaker 2: be like, hey, I want to have a mushroom experience
- 1:05:34Speaker 2: in your office. I just don't. I can't do that
- 1:05:37Speaker 2: because it's not legal. But I think if people wanted
- 1:05:42Speaker 2: to learn more about it, there's actually a group here
- 1:05:44Speaker 2: in Barry coming up this weekend at the Barry Library,
- 1:05:49Speaker 2: Spark in Vermont dot org. It's a new group, an
- 1:05:54Speaker 2: offshoot of the Psychedelic Society of Vermont. They started, this
- 1:05:57Speaker 2: group of women started it's called the Society for Psychic Access,
- 1:06:01Speaker 2: Research and Knowledge, and it's really just raising education about
- 1:06:05Speaker 2: psychedelics to the two communities going across all these Vermont libraries,
- 1:06:09Speaker 2: spark INVT dot org. That is a great group. They're
- 1:06:14Speaker 2: they're doing an event in Barry. Look it up and
- 1:06:16Speaker 2: maybe put it in your uh put it in your
- 1:06:19Speaker 2: show notes. It's this weekend, I believe, uh.
- 1:06:22Speaker 1: And at yeah, I think so.
- 1:06:24Speaker 2: Yeah, yep, I forgot. I think it's Saturday mid morning
- 1:06:28Speaker 2: or something like that. So yeah, people can reach out
- 1:06:30Speaker 2: to me on LinkedIn or Twitter X. I'm on Instagram.
- 1:06:35Speaker 2: Look me up. That's the best way to reach me.
- 1:06:37Speaker 1: All right, It's that simple. That's simple, all right, man. Jeez,
- 1:06:42Speaker 1: I love halfing you on here.
- 1:06:43Speaker 2: Bro.
- 1:06:44Speaker 1: I just I really do you. You bring so much,
- 1:06:50Speaker 1: so much.
- 1:06:50Speaker 2: Some of it's a touchy subject, right. People brings up
- 1:06:54Speaker 2: a lot of controversies. People make some good points and
- 1:06:56Speaker 2: they have some real concerns about whether it's psychedelics or
- 1:06:59Speaker 2: prescribing see chiatric medications, all the things that we've talked about.
- 1:07:02Speaker 2: They conjure up a lot of associations for people, and
- 1:07:05Speaker 2: so to be able to handle those conversations, understanding where
- 1:07:08Speaker 2: people are coming from and recognizing that there isn't one
- 1:07:12Speaker 2: one right or wrong way. There's so many variables involved,
- 1:07:14Speaker 2: so let's keep the conversation going.
- 1:07:16Speaker 1: Yeah, be respectful and have an open mind to what
- 1:07:21Speaker 1: other people think or feel, and we all have different
- 1:07:25Speaker 1: life experiences. Some of us are coming from family members
- 1:07:29Speaker 1: who have overdosed on drugs where or have drug and
- 1:07:33Speaker 1: alcohol addictions and it's ruined their family. There's some real
- 1:07:38Speaker 1: sensitive hotspots.
- 1:07:39Speaker 2: Yes, very much, so I recognize that I work with
- 1:07:41Speaker 2: it every day.
- 1:07:42Speaker 1: Yeah.
- 1:07:43Speaker 2: Amazing my clinical practice.
- 1:07:44Speaker 1: Yeah, Doctor Rick Barnett, amazing. I'm so glad I met you.
- 1:07:48Speaker 1: I'm so glad you've been on this podcast so many
- 1:07:51Speaker 1: times and appreciate you coming in here again.
- 1:07:54Speaker 2: Thanks Jadie.
- 1:07:55Speaker 1: If there's anything that's going on, any developments or anything
- 1:07:59Speaker 1: that is worthy of passing on to the audience here
- 1:08:03Speaker 1: on aired out, please let me know.
- 1:08:04Speaker 2: I will.
- 1:08:05Speaker 1: All right, Thanks brother, so much. Amazing, amazing conversation this morning. Listen,
- 1:08:10Speaker 1: stay well tomorrow morning, Sweethearts and Heroes day here on
- 1:08:13Speaker 1: the podcast. Remember to stop in Effecto Homes today three
- 1:08:18Speaker 1: point fifty River Street, month Pillier. They're giving away one
- 1:08:22Speaker 1: hundred dollars gift certificate to a different restaurant every single
- 1:08:29Speaker 1: week and it is absolutely free to sign up, but
- 1:08:33Speaker 1: the deadline is coming up on Friday, so get on it,
- 1:08:37Speaker 1: don't wait. Thanks so much again to doctor Rick Barnett
- 1:08:41Speaker 1: our guest this morning here in the aired out podcast,
- 1:08:44Speaker 1: Stay well, God bless between between T