Latest / Miss Understood with Rachel Uchitel / NUSHAMA CEO Jay Godfrey Explores Therapeutic Benefits of Ketamine for Mental Health
Transcript
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- 0:55Speaker 1: real conversations in a new language today. I'm sure you
- 0:59Speaker 1: guys have heard about the You might see articles popping
- 1:07Speaker 1: up about psychedelics, but what does it all mean? You've
- 1:10Speaker 1: probably heard recently that Elon Musk uses the psychedelic drug
- 1:13Speaker 1: ketamine and openly supports the drug's use in treating depression.
- 1:17Speaker 1: Today we have Jay Godfrey on the show. He's founder
- 1:20Speaker 1: of Nushama Wellness, a treatment center in New York that
- 1:23Speaker 1: uses ketamine therapy as groundbreaking treatment for many people who
- 1:26Speaker 1: have become resistant to all other types of treatment like
- 1:30Speaker 1: talk therapy and even some medications and are sick and
- 1:33Speaker 1: tired of being sick and tired. I thoroughly enjoyed my
- 1:37Speaker 1: hour-long conversation with Jay. I am not a drug user
- 1:41Speaker 1: and I'm a little bit scared of psychedelics in general.
- 1:44Speaker 1: And he laid it all out for me of why
- 1:46Speaker 1: this therapy is going to be the new and improved
- 1:49Speaker 1: way for people to really get to the bottom of
- 1:52Speaker 1: feeling better. So I am so excited to introduce Jay Godfrey,
- 1:56Speaker 1: the CEO of New Shama. And I really hope that
- 1:59Speaker 1: you guys take a moment to listen to what is
- 2:01Speaker 1: misunderstood about psychedelics and its uses in mental health.
- 2:06Speaker 2: Hi Jay, thanks for joining me. My pleasure. Thanks for
- 2:20Speaker 2: having me.
- 2:21Speaker 3: Of course.
- 2:22Speaker 2: Of course.
- 2:33Speaker 1: So I wanted to ask you, Nushama, that's an interesting name.
- 2:37Speaker 1: What does it mean?
- 2:38Speaker 3: So it's a take on the Hebrew word Neshama, which
- 2:41Speaker 3: means soul. Okay. And it's a take on the words
- 2:45Speaker 3: new shaman. And shamans were the original plant medicine healers
- 2:50Speaker 3: and the original healers who used psychedelic medicine to treat
- 2:55Speaker 3: what they referred to as ailments of the spirit. What
- 2:59Speaker 3: medicine today or psychiatry today would refer to as depression, anxiety, PTSD, addiction,
- 3:06Speaker 3: eating disorders, etc.
- 3:09Speaker 1: So psychedelics seem to be going through like a renaissance
- 3:12Speaker 1: right now. I think for a long time, obviously, people
- 3:15Speaker 1: didn't know what they were for beyond just having fun, right?
- 3:19Speaker 1: And still to this day, I think a lot of
- 3:21Speaker 1: people are scared to try anything. Why all of a
- 3:23Speaker 1: sudden has this become something where wellness companies are popping
- 3:26Speaker 1: up with psychedelics as the medicine to heal?
- 3:29Speaker 3: It's a great question. So These are not new in
- 3:33Speaker 3: a sense. They've been around 6,000 years. Mazatec tribe in Mexico,
- 3:38Speaker 3: Western African groups have used psychedelics to, again, treat ailments
- 3:43Speaker 3: of the spirit. Then in the 50s and 60s, Timothy
- 3:47Speaker 3: Leary and Richard Alpert, who became Ram Dass, started doing
- 3:50Speaker 3: research at Harvard with psilocybin, which is the active ingredient
- 3:53Speaker 3: in magic mushrooms, as well as LSD. They found some
- 3:58Speaker 3: great things they found some great evidence that these medicines
- 4:04Speaker 3: when used properly with the right supervision could be incredibly
- 4:10Speaker 3: beneficial in the reduction of symptoms of depression and anxiety
- 4:16Speaker 3: and addiction but one problem happened in the 60s which
- 4:19Speaker 3: was timothy leary thought everybody should have these medicines not
- 4:22Speaker 3: just those under medical supervision so you know the old
- 4:26Speaker 3: tale of you know, the Woodstockification of the 60s, free love,
- 4:32Speaker 3: free LSD. It became an issue for the federal government
- 4:37Speaker 3: and it became an issue for our society that you
- 4:39Speaker 3: had all these people strung out on LSD. And the
- 4:44Speaker 3: war on drugs started at the beginning of the 1970s,
- 4:47Speaker 3: which basically banned and scheduled all drugs of all sorts,
- 4:51Speaker 3: including those that when used properly under medical supervision could
- 4:56Speaker 3: really help people who are struggling. Fast forward to 2018.
- 5:01Speaker 3: Why was 2018 different? Well, there was a guy by
- 5:06Speaker 3: the name of Michael Pollan who wrote a book, How
- 5:08Speaker 3: to Change Your Mind, which really talked about the new
- 5:11Speaker 3: science behind psychedelic medicine, how it can help people with depression, anxiety, addiction,
- 5:16Speaker 3: and even end of life. And that was really the major,
- 5:22Speaker 3: major catalyst for why this third wave of psychedelic medicine
- 5:27Speaker 3: is becoming a real thing. We are about one year
- 5:32Speaker 3: away approximately from MDMA or what they call in the
- 5:35Speaker 3: street as ecstasy being approved by the FDA for post-traumatic
- 5:40Speaker 3: stress disorder or PTSD. And currently, we're fortunate to have
- 5:45Speaker 3: one molecule in ketamine that is a legal and aesthetic medication,
- 5:50Speaker 3: but also used as a psychedelic in clinics like Nushama. Right.
- 5:55Speaker 1: And it's also important to point out that All medicines,
- 5:58Speaker 1: I would think, when not taken the right way or
- 6:01Speaker 1: the prescribed way, can be very dangerous.
- 6:03Speaker 3: Morphine happens to be one of the most essential medicines
- 6:08Speaker 3: of our time. If you have a back surgery and
- 6:11Speaker 3: you're going to want and need morphine in order to
- 6:15Speaker 3: deal with the pain, there's context for it. You would
- 6:20Speaker 3: not want people on the street using morphine. You would
- 6:23Speaker 3: not want people on the street using propofol, which is
- 6:25Speaker 3: what They anesthetize you to go to sleep in a surgery.
- 6:29Speaker 3: Michael Jackson used it inappropriately and he paid the price.
- 6:32Speaker 3: So context, medical supervision, screening, they're all very, very important things. Okay.
- 6:37Speaker 1: So talk about Nushama. How did you get involved in
- 6:39Speaker 1: it first?
- 6:40Speaker 3: So it's interesting. I'm a former investment banker and a
- 6:43Speaker 3: former fashion designer, which is kind of an unusual combination.
- 6:47Speaker 3: In about 2015, I started going to talk therapy. which
- 6:52Speaker 3: is something that nobody talked about in my family. Like,
- 6:54Speaker 3: you were punished with talk therapy. You didn't go to
- 6:57Speaker 3: talk therapy and talk about it openly. But I went
- 6:59Speaker 3: in any case, and in typical kind of Upper East Side,
- 7:03Speaker 3: New York, therapy was $ 300 every single week, and I
- 7:09Speaker 3: never missed a week for three years. So there's 156
- 7:12Speaker 3: appointments of me talking. My therapist happened to be quite good.
- 7:17Speaker 3: I was just really good at putting on a bit
- 7:19Speaker 3: of a charade and a show for her. really never
- 7:24Speaker 3: getting to the heart of the matter of what was
- 7:26Speaker 3: giving me anxiety and why I was living in worry
- 7:29Speaker 3: and why I was living in scarcity.
- 7:32Speaker 1: And did she put you on any medication?
- 7:34Speaker 3: Fortunately not, although that is a major issue that I'm
- 7:39Speaker 3: sure we could probably get into. But she didn't put
- 7:43Speaker 3: me on any medication. And at the end of three years,
- 7:47Speaker 3: I'd recognized I'd spent About $ 50, 000 on therapy. And I
- 7:52Speaker 3: did have good coping mechanisms. But there was still something
- 7:57Speaker 3: underlying it all that was unsettled, that was unfinished, that
- 8:02Speaker 3: was undiscovered. And a friend of mine gifted me How
- 8:06Speaker 3: to Change Your Mind by Michael Pollan. And I actually
- 8:10Speaker 3: didn't read it for a while because why am I
- 8:13Speaker 3: going to read a book about drugs? I've never done
- 8:15Speaker 3: any drugs. I'm college. I think I smoked pot three times.
- 8:19Speaker 3: It was okay. It was fine. I have nothing against it,
- 8:22Speaker 3: but it wasn't, I'm not the guy who was snorting
- 8:25Speaker 3: lines of cocaine, uh, at Lotus in the nineties at
- 8:29Speaker 3: New York. It just wasn't my thing. I'm, I'm, I'm
- 8:32Speaker 3: a pretty straight arrow. And, um, after reading the book,
- 8:37Speaker 3: I was absolutely convinced that this was the future of
- 8:42Speaker 3: how people with mood disorders like depression and anxiety could
- 8:46Speaker 3: and PTSD and addiction would be transcending these issues. And
- 8:55Speaker 3: I was very, very lucky to get introduced to plant medicine.
- 9:00Speaker 3: Shortly thereafter, in 2019, August 2019, I had my very,
- 9:03Speaker 3: very first psychedelic journey. I was terrified going in. It
- 9:08Speaker 3: was psilocybin, or the active ingredient in magic mushrooms. Mm-hmm.
- 9:14Speaker 3: And as I went through this first journey in August 2019,
- 9:18Speaker 3: my whole world was completely shattered in the best possible way.
- 9:27Speaker 3: There was no feelings of really being high or anything.
- 9:31Speaker 3: It was really about an inward experience of examining the
- 9:35Speaker 3: belief systems, the stories that I had grown up with.
- 9:41Speaker 3: the assumptions that I made that were proven to be incorrect,
- 9:46Speaker 3: the blame that I put on others and didn't take
- 9:49Speaker 3: responsibility for. And so I came out of that first
- 9:53Speaker 3: one almost a new person, but somebody who definitely had
- 9:58Speaker 3: more patience, more compassion for myself, you know, more love
- 10:04Speaker 3: for myself. And really, it started me looking within on
- 10:13Speaker 3: a monthly basis with psychedelic medicine to the point that
- 10:18Speaker 3: in about June 2020, I was on my seventh or
- 10:21Speaker 3: eighth experience.
- 10:23Speaker 1: And let me just clarify for one second. When you
- 10:25Speaker 1: say experience, you aren't just like doing this in your
- 10:28Speaker 1: living room by yourself.
- 10:29Speaker 3: No, this is done in nature with music playing.
- 10:32Speaker 4: The car is beautiful. Where did you end up going
- 10:35Speaker 4: for it?
- 10:35Speaker 5: This exclusive place that Dada's connections with. They have more
- 10:39Speaker 5: cars for more dealerships than like anywhere else.
- 10:41Speaker 4: You have to put me in touch. What's it called?
- 10:43Speaker 6: It's Dune ADL.
- 10:45Speaker 3: Where?
- 10:47Speaker 4: Dune ADL.
- 10:48Speaker 6: There's an accent on the E.
- 10:51Speaker 4: Do you mean.
- 10:51Speaker 6: Yes, I got it on Done Deal Cars.
- 10:53Speaker 3: Lift, please.
- 10:55Speaker 4: You're going past Kimmage. Oh, Kimmage.
- 10:57Speaker 3: No.
- 10:58Speaker 6: Done Deal Cars. You couldn't possibly go anywhere else.
- 11:02Speaker 3: With a guide, with an eye mask, and you are
- 11:06Speaker 3: on a mat, and you are going within, not talking
- 11:10Speaker 3: to anybody, for five or six hours. Okay. And, I mean,
- 11:16Speaker 3: you have no track. You have no concept of time during.
- 11:18Speaker 3: You could think it'd be 35 minutes, and you could...
- 11:20Speaker 3: I think you're there for three weeks. Right. You just
- 11:22Speaker 3: don't know. But in June 2020, it's right in the
- 11:26Speaker 3: thick of COVID.
- 11:27Speaker 1: Yeah.
- 11:27Speaker 3: And I'm a former women's wear dress designer. And there
- 11:32Speaker 3: were no events. Yeah. So nobody was buying sequined cocktail
- 11:36Speaker 3: dresses or gowns or going to weddings or bar mitzvahs
- 11:39Speaker 3: or whatever. And somehow, seven or eight journeys in, you
- 11:46Speaker 3: think– that I would be devastated because my business was
- 11:51Speaker 3: going right into the ground. And at that moment, I
- 11:56Speaker 3: really felt, you know, some people when they have, when
- 11:59Speaker 3: they're on it, under the influence of a psychedelic medicine
- 12:02Speaker 3: in a journey, feel like they've met God, where they
- 12:05Speaker 3: feel the presence of something else. I don't know what
- 12:07Speaker 3: I felt the presence of that day, but I knew
- 12:10Speaker 3: that I was chosen to do this in a way
- 12:13Speaker 3: that I thought it was profoundly unfair. that in the
- 12:20Speaker 3: middle of COVID, while everybody else was double and triple
- 12:22Speaker 3: and quadruple masking, and everybody was terrified, and I should
- 12:28Speaker 3: have been terrified because my livelihood was somewhat being blown
- 12:31Speaker 3: to smithereens, I was okay in an unexplainable way. And
- 12:39Speaker 3: so I resolved on that day to bring these medicines
- 12:44Speaker 3: above ground and find a way to do To blend
- 12:49Speaker 3: the science of psychedelic medicine with some of the shamanic
- 12:54Speaker 3: rituals that occur in the rainforests of Costa Rica or Peru,
- 13:00Speaker 3: as well as doing it in an environment that is
- 13:03Speaker 3: profoundly nurturing and designed not as a doctor's office, but
- 13:12Speaker 3: as a place where people can go to heal from within. Mm-hmm.
- 13:17Speaker 3: So it's not about the medicine itself. Medicine is a
- 13:20Speaker 3: tool to open you up so you can see. And
- 13:22Speaker 3: once you see, you cannot unsee.
- 13:24Speaker 1: So when did you open Nushama?
- 13:26Speaker 3: So we opened Nushama in 2021. The kind of tail
- 13:30Speaker 3: end of COVID in late 2021 got us a few
- 13:36Speaker 3: false starts. So we really started seeing patients in January 2022.
- 13:41Speaker 3: So it's been about a year and a half.
- 13:42Speaker 1: And where is it located exactly?
- 13:43Speaker 3: It's at Madison Avenue and 53rd Street in New York.
- 13:47Speaker 3: And in retrospect, I think we were a little ballsy.
- 13:51Speaker 3: We not only opened a psychedelic clinic right in the
- 13:54Speaker 3: middle of New York City, but we opened a really
- 13:57Speaker 3: big one. And so it's the largest clinic of its
- 14:01Speaker 3: kind in the world. It's 7,500 square feet. And if
- 14:05Speaker 3: you would have told me kind of at the beginning,
- 14:07Speaker 3: you know, am I going to fill this space up?
- 14:11Speaker 3: I probably would have said, no, I'm happy to report
- 14:13Speaker 3: a year later, a year and a half later, I
- 14:15Speaker 3: should say. that many people are seeking redemption and renewal
- 14:19Speaker 3: and rebirth, which is a story I know you know
- 14:21Speaker 3: a lot about, through these medicines with us.
- 14:27Speaker 1: So at what point do you think people are finally
- 14:30Speaker 1: coming through your office, like that they've decided, I want
- 14:33Speaker 1: to try this journey? Because I know there's a lot
- 14:36Speaker 1: of fear for people. Like you even said, the first
- 14:38Speaker 1: time you tried it, I mean, maybe there are people
- 14:40Speaker 1: that come in that have experienced drugs before psychedelics, but
- 14:44Speaker 1: maybe there's a lot of people that haven't. So what
- 14:46Speaker 1: is the point that you're seeing that people finally come
- 14:49Speaker 1: into you?
- 14:49Speaker 3: Most people who come to us at the moment are
- 14:51Speaker 3: what they call treatment resistant. These are people who've tried
- 14:54Speaker 3: more than two antidepressants or benzodiazepines like Xanax and failed.
- 15:01Speaker 3: And they don't come to us because they say, I
- 15:04Speaker 3: want to go on a psychedelic journey in the middle
- 15:06Speaker 3: of New York City and do it legally. They really
- 15:09Speaker 3: are sick and tired of being sick and tired.
- 15:11Speaker 1: Yeah.
- 15:11Speaker 3: And they'll try anything. And some of the stories that
- 15:16Speaker 3: you see are just stunning. And as MDMA becomes legalized
- 15:22Speaker 3: next year and psilocybin a few years down the road
- 15:24Speaker 3: and potentially versions of LSD and Ibogaine and DMT, people
- 15:30Speaker 3: are reading about this more and they're discussing their experiences more.
- 15:33Speaker 3: And the 50 years of stigma since the drug war
- 15:37Speaker 3: started in the early 1970s and billions if not trillions
- 15:41Speaker 3: of dollars of government money that have been spent to
- 15:44Speaker 3: convince us that these are dangerous and you'll fry your
- 15:48Speaker 3: freaking brains and just say no. That's starting to melt
- 15:55Speaker 3: because people are seeing the results from the proper therapeutic
- 16:00Speaker 3: use of these medicines.
- 16:02Speaker 1: So what exactly do you guys use there? Is it
- 16:04Speaker 1: ketamine-assisted therapy?
- 16:06Speaker 3: It's ketamine-assisted therapy. That's the only thing that's legal right now. Oh, okay.
- 16:12Speaker 3: But we deliver ketamine via an IV. So one of
- 16:15Speaker 3: the benefits of that is if you're having a bad trip,
- 16:20Speaker 3: because that's what people are worried about, you can stop it.
- 16:24Speaker 3: So it's the only delivery mechanism where you can actually
- 16:27Speaker 3: stop a psychedelic trip. You just turn the IV off. Uh-huh.
- 16:30Speaker 3: And you're out of it in five or six minutes.
- 16:33Speaker 1: So let's break down for people that are listening. What
- 16:35Speaker 1: is ketamine?
- 16:36Speaker 3: Ketamine is an anesthetic that was legalized or approved by
- 16:40Speaker 3: the FDA in about 1970 as an anesthetic. Okay. The
- 16:45Speaker 3: naysayers out there say it's a horse tranquilizer and that's BS.
- 16:49Speaker 3: I mean, it's true. They do use it to tranquilize horses.
- 16:52Speaker 3: But the most important thing that ketamine is used for
- 16:56Speaker 3: is pediatric surgeries where they anesthetize children under the age
- 17:01Speaker 3: of 12 with ketamine. Adults get propofol, children get ketamine.
- 17:06Speaker 3: So it's been used for 50 years as a children's
- 17:11Speaker 3: anesthetic at much, much higher doses than psychedelic doses. It's
- 17:15Speaker 3: also used as an analgesic, which is just a pain reliever.
- 17:19Speaker 3: So people who've got really chronic, um, Pain conditions like
- 17:24Speaker 3: fibromyalgia or migraines or CRPS, they'll use much higher doses
- 17:29Speaker 3: of ketamine to manage chronic pain conditions. And it wasn't
- 17:34Speaker 3: until in Russia in like the early 80s where one
- 17:40Speaker 3: researcher found out that people were getting anesthetized with this
- 17:44Speaker 3: to go into surgeries who had depression and they were
- 17:47Speaker 3: coming out with far– where there's symptoms of the depression–
- 17:53Speaker 3: either have disappeared or have been dramatically reduced. And so
- 17:58Speaker 3: what we do is we have a protocol of six
- 18:01Speaker 3: sessions where if you come in with depression, you'll meet
- 18:04Speaker 3: with a therapist before every single journey or treatment. You'll
- 18:08Speaker 3: go into your treatment. You get attached to the IV.
- 18:11Speaker 3: You're in your psychedelic experience in about 90 seconds. And
- 18:15Speaker 3: you stay there for about an hour. And the therapist
- 18:19Speaker 3: meets with you after to determine, all right, You had
- 18:22Speaker 3: this psychedelic experience. Physiologically, it's creating all these new neural
- 18:28Speaker 3: connections in your brain, which has been proven by fMRIs
- 18:34Speaker 3: that either have never connected before or haven't connected since
- 18:38Speaker 3: you were a child. Okay.
- 18:40Speaker 1: I have so many questions. So hold on. One thing
- 18:43Speaker 1: you said, you were talking about pediatric care. We talked
- 18:46Speaker 1: about briefly Netflix. One of their biggest shows right now
- 18:50Speaker 1: is Take Care of Maya. which was about a 10-year-old
- 18:53Speaker 1: at the time who was feeling all sorts of pain
- 18:58Speaker 1: and was finally diagnosed after seeing five doctors with some
- 19:02Speaker 1: disease that I'm forgetting the names of it now, but
- 19:06Speaker 1: whatever it was. And they prescribed a ketamine-induced coma for
- 19:10Speaker 1: 10 days or something. And after that, doses of ketamine
- 19:14Speaker 1: to keep her pain at bay. And it seemed to
- 19:18Speaker 1: work for her. And then After a year, she sort
- 19:20Speaker 1: of relapsed. The father brought her into Johns Hopkins. And
- 19:24Speaker 1: when the mother said, well, she needs her ketamine dose,
- 19:28Speaker 1: they ended up thinking this was Munchausen's by proxy. They
- 19:31Speaker 1: thought that she was abusing her child, ended up taking
- 19:34Speaker 1: her or giving the child to the state for three
- 19:37Speaker 1: months while the courts got involved. And the mother ended
- 19:39Speaker 1: up killing herself from being taken away from the daughter,
- 19:42Speaker 1: all because of this situation with being prescribed ketamine, which
- 19:46Speaker 1: she the mother really believed in and thought it helped
- 19:48Speaker 1: her daughter and the hospital thought it was abuse so
- 19:52Speaker 1: what are your thoughts on that kind of thing or
- 19:54Speaker 1: that kind of treatment.
- 19:55Speaker 3: I think after a couple years of covid and all
- 20:04Speaker 3: listening to all the experts and We have to question
- 20:07Speaker 3: every time we hear somebody is an expert. I think
- 20:10Speaker 3: that's one thing that I would say. The second thing
- 20:12Speaker 3: I would say is any new idea is going to
- 20:19Speaker 3: face resistance. And if it doesn't, it's not a good idea. Yeah,
- 20:23Speaker 3: that's a good point. So ketamine fundamentally, when used properly,
- 20:32Speaker 3: is a safe medication. Mm-hmm. It is, in fact, one
- 20:36Speaker 3: of the world's... The car is beautiful.
- 20:39Speaker 4: Where did you end up going for it?
- 20:40Speaker 5: This exclusive place that Dad has connections with. They have
- 20:43Speaker 5: more cars for more dealerships than, like, anywhere else.
- 20:46Speaker 4: You have to put me in touch. What's it called?
- 20:48Speaker 6: It's Dune-A-D-L.
- 20:50Speaker 4: Where?
- 20:52Speaker 6: Dune-A-D-L. There's an accent on the E.
- 20:56Speaker 4: Do you mean.
- 20:56Speaker 6: Yes, I got it on Dune-A-D-L cars.
- 20:58Speaker 3: Lift? Please.
- 21:00Speaker 4: You going past Kimmage?
- 21:01Speaker 5: Oh, Kimmage!
- 21:02Speaker 3: No. No.
- 21:03Speaker 6: Done deal cars. You couldn't possibly go anywhere else.
- 21:07Speaker 3: Health organizations, top 10 essential medicines on the face of
- 21:12Speaker 3: the earth because of its use in pediatric populations. So
- 21:18Speaker 3: it sounds like, and I haven't watched this show, the
- 21:23Speaker 3: mother was in an enormous amount of despair because she
- 21:26Speaker 3: found a solution for her daughter that the system took
- 21:31Speaker 3: away from her. Right. And it's really that.
- 21:34Speaker 1: Because they didn't believe in it because it was a
- 21:36Speaker 1: totally different type of drug.
- 21:37Speaker 3: And it was a threat to their whole existence. And
- 21:40Speaker 3: that's why, you know, the drug war started in the beginning.
- 21:45Speaker 3: You know, we wouldn't want people to possibly think for themselves. Right.
- 21:49Speaker 3: We wouldn't want people to be, you know, don't forget
- 21:52Speaker 3: it was a time when the draft was still a
- 21:53Speaker 3: big thing and they were going to war in Vietnam.
- 21:56Speaker 3: And what if people didn't want to go to war
- 21:59Speaker 3: and they wanted to You know, have free love. That's
- 22:02Speaker 3: a threat to the basic structure of our democracy. Right.
- 22:10Speaker 3: So the system has always been against psychedelic medicine. But
- 22:15Speaker 3: now the genie's out of the bottle. Johns Hopkins is
- 22:19Speaker 3: actually doing research on psychedelics, specifically psilocybin. Imperial College of London, NYU, UCLA...
- 22:28Speaker 3: University of Exeter, and the list goes on and on
- 22:31Speaker 3: and on. And if you're an academic institution and a
- 22:34Speaker 3: serious one, and you're not doing research right now on
- 22:38Speaker 3: how these medicines in some way, shape, or form can
- 22:42Speaker 3: help mood disorders, then you're not a serious academic institution. Right.
- 22:49Speaker 1: This episode is brought to you by BetterHelp. Sometimes in life,
- 22:53Speaker 1: we're faced with tough choices and the path forward isn't
- 22:55Speaker 1: always clear. I personally have been through a lot of
- 22:58Speaker 1: trying times in my life. Trauma, grief, for example. I
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- 26:20Speaker 1: the difference between a ketamine-infused therapy and like somebody doing ayahuasca?
- 26:27Speaker 3: Yeah. Get that question all the time. I'll start with
- 26:32Speaker 3: a similarity with all psychedelics and then go in specific
- 26:35Speaker 3: difference to address your question. So the point of a
- 26:40Speaker 3: psychedelic journey is not to get effed up. It's not
- 26:44Speaker 3: to see rainbows and butterflies, although that can happen. It's
- 26:48Speaker 3: about dimming the switch on an area of your brain
- 26:52Speaker 3: called the default mode network. It's the area that houses
- 26:56Speaker 3: the ego, our opinions, our judgments, our search for validation,
- 27:00Speaker 3: our anger. it dims that switch while you're under the influence.
- 27:06Speaker 3: Why is dimming the switch important? It's because that's what
- 27:09Speaker 3: keeps us in our thinking brain. When we get out
- 27:11Speaker 3: of our thinking brain and into our hearts, we get
- 27:13Speaker 3: to see things as they are. So a lot of
- 27:17Speaker 3: people come out of these psychedelic experiences that, you know,
- 27:20Speaker 3: my whole life I've been thinking that my mother or
- 27:22Speaker 3: father or brother did this to me. And what I
- 27:24Speaker 3: recognized is I actually embellished and made up a story
- 27:28Speaker 3: that just wasn't true. And... So dimming the ego is really,
- 27:34Speaker 3: really helpful for the therapeutic process. And so you asked
- 27:39Speaker 3: how ayahuasca compares. Well, ayahuasca also will dim your ego,
- 27:45Speaker 3: as will ketamine and LSD and ibogaine and all the
- 27:48Speaker 3: other ones that aren't currently legal. Ayahuasca happens to be
- 27:53Speaker 3: a brew, a concoction of sorts that is typically used
- 27:57Speaker 3: in Peru or Costa Rica and other countries. And It
- 28:03Speaker 3: contains DMT. DMT is a psychedelic that, again, is very,
- 28:08Speaker 3: very strong. They refer to it as the god particle
- 28:10Speaker 3: or the god molecule. And many people have intense visuals
- 28:13Speaker 3: with ayahuasca but also experience the present of a godlike existence.
- 28:21Speaker 3: Some people feel that they are a god during the
- 28:24Speaker 3: experience or that they're speaking to some sort of divine power.
- 28:28Speaker 3: Ketamine is legal or ayahuasca is illegal. and is also
- 28:34Speaker 3: a much shorter experience. Ketamine's a one-hour journey. You can
- 28:38Speaker 3: have very, very intense visuals. But one of the main,
- 28:43Speaker 3: main differences in clinical practice is that ketamine's had kind
- 28:48Speaker 3: of 50-year safety record being used in a variety of
- 28:50Speaker 3: different methods. The ayahuasca supporters will say, well, ayahuasca's had 6,000
- 28:56Speaker 3: years in the jungle, and that is true. It just
- 28:58Speaker 3: hasn't been done under the auspices of the FDA or
- 29:03Speaker 3: or the medical authorities in the United States. But it's
- 29:05Speaker 3: being researched, and it's very, very exciting that it's being researched.
- 29:08Speaker 1: One of the things I know about ayahuasca is that
- 29:11Speaker 1: a lot of people's fears going into it is the
- 29:13Speaker 1: purging aspect. And I think a lot of people believe
- 29:16Speaker 1: that's part of it, and it's good to purge. That's
- 29:19Speaker 1: not something that happens in the ketamine treatment, is it?
- 29:23Speaker 3: So ayahuasca, it's common to purge, throw up, or something else. Mm-hmm.
- 29:30Speaker 1: Just as devastating. Even more.
- 29:32Speaker 3: I will tell you from my own experience, whatever fears
- 29:38Speaker 3: that go into them, once your ego is dissolved, fear
- 29:41Speaker 3: is ego in manifestation. So once your ego is gone,
- 29:45Speaker 3: you're not worried about throwing up. It is part of it.
- 29:48Speaker 3: Can it happen with ketamine? It does, but very, very,
- 29:52Speaker 3: very infrequently. And the benefit of doing it in a
- 29:55Speaker 3: clinical environment is you can give somebody– you know, Zofran,
- 29:59Speaker 3: which is something that reduces nausea. So it almost never
- 30:03Speaker 3: happens with ketamine. But even if it does, the people
- 30:07Speaker 3: who are egoless are like, oh, well, I just threw up. Right, right.
- 30:12Speaker 1: Okay. So I know most people will want to know
- 30:14Speaker 1: like the dirty details of if I was walking into
- 30:17Speaker 1: your clinic and How do I make sure I'm in
- 30:20Speaker 1: the right frame of mind? Do you organize the set,
- 30:24Speaker 1: as that was called? So you're in the mindset. You're
- 30:27Speaker 1: also making sure that everything around you is good. Tell
- 30:29Speaker 1: me the whole thing of how to prepare.
- 30:31Speaker 3: So prior to even coming in, everybody gets a medical intake.
- 30:35Speaker 3: That's to make sure it's safe for you. Not every
- 30:39Speaker 3: person is a good candidate.
- 30:41Speaker 4: The car is beautiful. Where did you end up going
- 30:44Speaker 4: for it?
- 30:45Speaker 5: This exclusive place that Dada's connections with. They have more
- 30:48Speaker 5: cars for more dealerships than like anywhere else.
- 30:50Speaker 4: You have to put me in touch. What's it called?
- 30:52Speaker 6: It's Dune-A-D-L.
- 30:54Speaker 3: Where?
- 30:56Speaker 6: Dune-A-D-L. There's an accent on the E.
- 31:00Speaker 4: Do you mean.
- 31:01Speaker 6: Yes, I got it on Dune-A-D-L cars.
- 31:02Speaker 3: Lift? Please.
- 31:03Speaker 4: Are you going past Kimmage?
- 31:05Speaker 5: Oh, Kimmage.
- 31:06Speaker 3: No.
- 31:08Speaker 6: Dune-A-D-L cars. You couldn't possibly go anywhere else.
- 31:11Speaker 3: Between 80 and 90% of the people get approved for treatment.
- 31:15Speaker 3: Who doesn't? People with out-of-control blood pressure, people with schizophrenia
- 31:20Speaker 3: or a family history of certain types of bipolar. Those
- 31:23Speaker 3: are kind of– unfortunately, those screen you out. But assuming
- 31:27Speaker 3: you get approved for treatment and pass, you come in, you.
- 31:33Speaker 1: And is that over the phone or is that in
- 31:35Speaker 1: person also?
- 31:35Speaker 5: Either.
- 31:36Speaker 3: The initial medical intake can be done either virtually or
- 31:39Speaker 3: in person. Then people come into our clinic at Madison
- 31:44Speaker 3: and 53rd And it doesn't look anything like a doctor's office.
- 31:48Speaker 1: Okay.
- 31:49Speaker 3: There's silk flowers hanging from the ceilings and Jessica Lichtenstein's
- 31:54Speaker 3: murals all over the place. And it's really quite a
- 31:57Speaker 3: lovely environment to be in. People say they don't want
- 32:03Speaker 3: to leave, but they'll get escorted to a private room
- 32:05Speaker 3: that's no smaller than this. And there's a zero gravity
- 32:09Speaker 3: chair and blankets and inspirational books. And- that person or journeyer,
- 32:17Speaker 3: as we like to call them, will get all their
- 32:19Speaker 3: vitals taken just to be sure that, you know, there's
- 32:22Speaker 3: been no spike in blood pressure. People get nervous. It's natural.
- 32:25Speaker 3: And then the therapist comes in and they sit down
- 32:28Speaker 3: with you and they'll say, Rachel, well, tell me about
- 32:31Speaker 3: what's going on with you right now. And, you know,
- 32:34Speaker 3: people say, well, I'm very, very nervous. I've never done
- 32:37Speaker 3: this before. Or last time I did it recreationally, it
- 32:40Speaker 3: didn't go well, whatever it is. Or I'm just feeling
- 32:43Speaker 3: very anxious because I'm mother is bothering me, my father,
- 32:47Speaker 3: whatever it is. Yeah. And the idea would be to
- 32:52Speaker 3: establish a proper mindset going in, which is what Timothy
- 32:56Speaker 3: Leary talked about is the two most important things about
- 32:58Speaker 3: a psychedelic journey are the set and the setting. So
- 33:02Speaker 3: the mindset refers to the set. This is about planting
- 33:06Speaker 3: some seeds within you so that when your ego is dissolved,
- 33:11Speaker 3: maybe they'll blossom or show up for you. Right. You know,
- 33:15Speaker 3: one example of a seed planting that I like going
- 33:19Speaker 3: into my journey, and it can be very simple. Today
- 33:22Speaker 3: is not the day to find all the things that
- 33:25Speaker 3: are wrong with you. Go in and find all the
- 33:28Speaker 3: things that are right with you. Look within and see
- 33:32Speaker 3: yourself the way people who love you see you. And
- 33:35Speaker 3: so those are the types of seed planting we'll do.
- 33:38Speaker 3: We'll do some breath work with them to relax their bodies.
- 33:41Speaker 3: The IV will be placed. We'll turn the ketamine on.
- 33:45Speaker 3: You'll put noise canceling headphones on the most beautiful soundtracks
- 33:49Speaker 3: that really are intended to guide you through the treatment.
- 33:52Speaker 3: And you'll put on an eye mask. You'll recline the
- 33:55Speaker 3: chair to zero gravity position, and then you're off into
- 33:59Speaker 3: the cosmos. And that lasts for about an hour. And
- 34:03Speaker 3: some people experience the most intense visuals, um, Some people
- 34:10Speaker 3: don't have any visuals and just experience an overwhelming amount
- 34:13Speaker 3: of love for themselves and others. People come out of
- 34:16Speaker 3: their experiences sometimes with a sense of forgiveness for people
- 34:20Speaker 3: they felt like they've wronged. So it's quite lovely. And
- 34:23Speaker 3: people do this six times over three weeks as part
- 34:25Speaker 3: of our protocol. Okay.
- 34:28Speaker 1: And so how do they come off it? Is it
- 34:30Speaker 1: like a drip that sort of starts to slow down?
- 34:33Speaker 3: After the hour, the drip ends. And then it takes
- 34:36Speaker 3: somewhere between 10 and 20 minutes. To come back to
- 34:39Speaker 3: this consciousness. Got it. And when you come back, a
- 34:42Speaker 3: lot of people will say, what was that? You'll never
- 34:46Speaker 3: believe what I just saw or experienced. Right. Or I
- 34:49Speaker 3: can't believe I've thought my entire life that I assume
- 34:54Speaker 3: this and the opposite is true.
- 34:56Speaker 1: Okay.
- 34:57Speaker 3: And then the therapist will sit with you and discuss it.
- 35:00Speaker 3: And it's called integration. And integration is the most important
- 35:04Speaker 3: part of a psychedelic experience. Because it's really about taking
- 35:07Speaker 3: the learnings from that experience and incorporating it or integrating
- 35:11Speaker 3: it in your daily life. So it's not enough that
- 35:14Speaker 3: you saw that you were not nice to your brother
- 35:17Speaker 3: or sister when you're a child and you feel guilty
- 35:19Speaker 3: and you're carrying that guilt. It's okay. Now that you know,
- 35:23Speaker 3: what are you going to do?
- 35:25Speaker 1: Do a lot of people go in it hoping to
- 35:28Speaker 1: see someone from their past and connect with them or
- 35:31Speaker 1: whatever that is for them? Do you see people in
- 35:34Speaker 1: this kind of journey?
- 35:36Speaker 3: We had a lady in recently who I think is
- 35:41Speaker 3: in her late 50s. And when she was in her 40s,
- 35:44Speaker 3: she lost an eight-year-old child to cancer. Oh. Just horrible trauma.
- 35:49Speaker 1: Terrible.
- 35:50Speaker 3: And she was hoping to see her son and didn't
- 35:54Speaker 3: for the first either four or five experiences. And then finally,
- 36:01Speaker 3: she felt his presence. Mm-hmm. And when she integrated, and
- 36:05Speaker 3: this always gets me, so if I get a little misty.
- 36:10Speaker 1: No, it's making me, it's like touching me.
- 36:12Speaker 3: Yeah.
- 36:13Speaker 1: I feel it.
- 36:13Speaker 3: She said that, if I recall exactly the story, she
- 36:19Speaker 3: said that her eight-year-old son came to her as a
- 36:21Speaker 3: grown-up in her journey and basically said, Mom, it's time
- 36:25Speaker 3: to move on.
- 36:26Speaker 1: Oh, that's so special. And that must have been so
- 36:29Speaker 1: nice for her.
- 36:29Speaker 3: Oh, it was.
- 36:31Speaker 1: Or freeing.
- 36:34Speaker 3: You know, I can't speak to the pain that's involved
- 36:40Speaker 3: in losing a child. Mm-hmm. But to let go of it, just... Yeah. Okay.
- 36:50Speaker 1: I know, that's a lot. We're both tearing up here.
- 36:54Speaker 1: I've read that music has a lot of an effect
- 36:57Speaker 1: on psychedelic therapy. Is that true?
- 36:59Speaker 3: It is true. Yeah. You do not want to bring
- 37:03Speaker 3: your own playlist of Big Floyd or Led Zeppelin.
- 37:06Speaker 4: Or Hall and Oates.
- 37:08Speaker 3: Yeah, any of those. Really, the playlists that we have
- 37:11Speaker 3: are intended to guide you through the experience. People without
- 37:14Speaker 3: psychedelic experience say, well, what does that mean? Effectively, you're
- 37:18Speaker 3: going in anxious. You're going in with doubts and you're
- 37:21Speaker 3: going in with your ego self. All of us.
- 37:22Speaker 1: And I think that's important to point out that everyone's nervous.
- 37:26Speaker 3: I am still nervous to this day.
- 37:27Speaker 1: Yeah.
- 37:30Speaker 3: But– The music itself guides you in in such a
- 37:35Speaker 3: way that is inspirational at the beginning. It encourages you
- 37:38Speaker 3: to surrender to the experience, which is a good microcosm
- 37:41Speaker 3: for life, to let it go and surrender. But to
- 37:44Speaker 3: really surrender, to know that you're safe, to know that
- 37:47Speaker 3: what you see, good or bad, is you. So if
- 37:52Speaker 3: you see something you don't like, you know this is
- 37:55Speaker 3: where you sit most of the time. Right. And you'll
- 37:58Speaker 3: know you'll be resolved to change things. Or if you
- 38:01Speaker 3: see something that you don't normally see, which is a
- 38:05Speaker 3: being filled with love and compassion and generosity, but you
- 38:11Speaker 3: don't behave like that in your life, again, you can
- 38:14Speaker 3: resolve to change that. And then the music gets very
- 38:17Speaker 3: chill for most of the hour. And then as the
- 38:20Speaker 3: drip ends, as the journey ends, it's really about taking
- 38:24Speaker 3: you out of it and lifting you up and elevating
- 38:27Speaker 3: you because that is the purpose of this work. It's not.
- 38:31Speaker 3: about getting high and it's not about, you know, escapism actually.
- 38:34Speaker 3: It's quite the opposite. It's about going within and it's
- 38:37Speaker 3: about really touching the part of you that you built
- 38:41Speaker 3: walls around. Yeah.
- 38:43Speaker 1: And what I'm hearing is that, you know, I've been
- 38:45Speaker 1: on antidepressants before and, you know, they don't really get
- 38:49Speaker 1: to the heart of why you feel that way. They
- 38:51Speaker 1: cover up those feelings so you don't have to feel them.
- 38:53Speaker 1: They kind of help in that way. But you can
- 38:55Speaker 1: stay on those drugs for a really long time because
- 38:57Speaker 1: it's not addressing why you feel that way. And talk
- 39:01Speaker 1: therapy might not be enough to get to that root.
- 39:04Speaker 1: And it sounds like in these kind of treatments, you
- 39:06Speaker 1: get to the root much quicker. And it's almost like
- 39:09Speaker 1: you're not overthinking it. It's just coming to you or
- 39:11Speaker 1: you're able to immerse yourself in the experience to let
- 39:16Speaker 1: your mind open up because so many of us are
- 39:18Speaker 1: trapped in our own thoughts, right?
- 39:20Speaker 3: That's very astute. I like to say that successful psychedelic
- 39:26Speaker 3: experiences are about playing the witness. Mm-hmm. or becoming your
- 39:31Speaker 3: own observer. And so you just get to see. I
- 39:35Speaker 3: had a few experiences in my childhood that weren't capital
- 39:39Speaker 3: T trauma, but they were lowercase T trauma. And I
- 39:42Speaker 3: revisited them. I was re-exposed in a way during my journeys.
- 39:46Speaker 3: And I wasn't upset by what I saw. It was, oh,
- 39:49Speaker 3: that happened. Okay. I get it. And, you know, I
- 39:53Speaker 3: was upset at the time and I built walls around
- 39:55Speaker 3: me and defense mechanisms that served me well when I
- 39:58Speaker 3: was eight or nine to prevent it from happening again.
- 40:01Speaker 3: But I'm in my 40s now. I've got enough already. Yeah.
- 40:04Speaker 3: And it really becomes you take a sense of ownership
- 40:08Speaker 3: and a sense of responsibility. And one great thing that
- 40:13Speaker 3: this work really does, because it is work. Mm-hmm. that
- 40:17Speaker 3: it does really shift you out of blame and into responsibility. Right.
- 40:21Speaker 1: You just said something that made me think of the
- 40:22Speaker 1: fact that I've actually talked to a lot more people
- 40:25Speaker 1: about ayahuasca, let's say, and some of them will say, well,
- 40:28Speaker 1: I don't need that. There's nothing wrong with my life.
- 40:30Speaker 1: I like who I am. I don't need something like
- 40:32Speaker 1: that to help me. I don't know what would come.
- 40:34Speaker 3: Out of that. A lot of those people, too.
- 40:36Speaker 1: Yeah, it would be a waste of my time. But
- 40:38Speaker 1: so you don't need to be coming into New Shama
- 40:40Speaker 1: just because you're at your wits end and you need
- 40:43Speaker 1: to figure out your life. I mean, it could be.
- 40:45Speaker 4: The car is beautiful. Where did you end up going
- 40:48Speaker 4: for it?
- 40:49Speaker 5: This exclusive place that Dad has connections with. They have
- 40:51Speaker 5: more cars for more dealerships than like anywhere else.
- 40:54Speaker 4: You have to put me in touch. What's it called?
- 40:56Speaker 6: It's Dune DL.
- 40:58Speaker 3: Where?
- 41:00Speaker 6: Dune DL. There's an accent on the E.
- 41:04Speaker 4: Do you mean.
- 41:05Speaker 6: Yes, I got it on Dune DL cars.
- 41:06Speaker 3: Lyft? please.
- 41:08Speaker 4: You're going past Kimmage.
- 41:09Speaker 1: Oh, Kimmage.
- 41:10Speaker 6: No, don't deal cars. You couldn't possibly go anywhere else.
- 41:15Speaker 1: Be for the everyday average person and still get something
- 41:18Speaker 1: out of it. Right?
- 41:19Speaker 3: So right now, just because of the regulations, we do
- 41:22Speaker 3: have people with diagnoses, but in New York city, generalized
- 41:25Speaker 3: anxiety is a huge percentage of the population.
- 41:28Speaker 1: So do you have to get a prescription from someone
- 41:31Speaker 1: to come in?
- 41:31Speaker 3: So our, our, our medical professionals, our doctors, um, If
- 41:36Speaker 3: you come with a diagnosis, they'll reconfirm it, or they
- 41:41Speaker 3: have the ability to diagnose you as well. We don't
- 41:44Speaker 3: really want people coming at this point in time for fun,
- 41:49Speaker 3: but what I will say is that I'm a believer
- 41:56Speaker 3: that in five or ten years' time, once a few
- 42:00Speaker 3: more psychedelic molecules are legalized, And there's more of these
- 42:04Speaker 3: types of discussions that bring awareness to people who are suffering.
- 42:07Speaker 3: I don't think we have to wait till somebody's treatment
- 42:10Speaker 3: resistant or wait till they've got anxiety or an addiction
- 42:14Speaker 3: or wait till they've got PTSD. Right. That is cruel.
- 42:18Speaker 3: And that's what the system does now. And so I'm
- 42:22Speaker 3: hoping that people can use these journeys as preventative medicine
- 42:26Speaker 3: so they don't have to be struggling. It's unnecessary. Right.
- 42:30Speaker 1: Um, how do you know that it's working? How do,
- 42:33Speaker 1: how do people get like a tangible effect or moment?
- 42:36Speaker 1: Could it be after that first treatment?
- 42:38Speaker 3: It can be, it's not normally, uh, after the first,
- 42:41Speaker 3: it does take, there's kind of a compounding effect, uh,
- 42:44Speaker 3: at least with ketamine. I know there's lots of stories
- 42:47Speaker 3: in the research trials about, um, psilocybin or one or
- 42:51Speaker 3: two or three doses of it can really take your
- 42:54Speaker 3: depression from, from serious to, to minor or major to minor. Um,
- 42:58Speaker 3: People can get mystical and beautiful experiences after one, but
- 43:02Speaker 3: really it's about continuing to do the work. It does
- 43:07Speaker 3: take time.
- 43:09Speaker 1: And you said people come in for six treatments. How
- 43:11Speaker 1: do they split them up?
- 43:12Speaker 3: Generally, they're over three weeks. That's two a week. And
- 43:17Speaker 3: then what typically happens is the research, not only the
- 43:21Speaker 3: clinical research, but our internal research has shown that But
- 43:24Speaker 3: after about three or four months, if somebody's got depression
- 43:27Speaker 3: and they came in with major depression, the depression, if
- 43:30Speaker 3: it's not completely gone, it'll go from kind of major scores.
- 43:35Speaker 3: There's scoring questionnaires like the GAD-7 and the PHQ-9 where
- 43:40Speaker 3: they'll fill out these questionnaires and their depression will go
- 43:43Speaker 3: from major to minor. And then generally after a few months,
- 43:46Speaker 3: you start to actually see a little bit of an uptick. Oh,
- 43:50Speaker 3: I feel myself getting a little bit more triggered or
- 43:52Speaker 3: I feel myself– getting agitated a little more. And we
- 43:57Speaker 3: offer kind of what's called a booster program or a
- 43:59Speaker 3: refresher where they'll just come in for one treatment or
- 44:02Speaker 3: two treatments, you know, over time. And I think long-term
- 44:07Speaker 3: these types of things where people are going to come
- 44:08Speaker 3: in with diagnoses, I call them below the line. They're
- 44:11Speaker 3: going to get to the baseline where they're going to
- 44:13Speaker 3: be okay. And then maybe once a year, twice a year,
- 44:17Speaker 3: they're going to come in to work on specific things
- 44:20Speaker 3: like revenge or the work on jealousy or things that,
- 44:24Speaker 3: people become aware of after they do these experiences.
- 44:27Speaker 1: Um, what could go wrong besides the bad trip? I mean,
- 44:31Speaker 1: I know that's kind of like the obvious one or,
- 44:33Speaker 1: or actually tell me about what a bad trip is actually.
- 44:36Speaker 3: So a bad trip, uh, and I'll, I'll give you
- 44:38Speaker 3: an example of one for me. Okay. Um, a bad trip.
- 44:44Speaker 3: I was scared. Visually. I saw things that made me
- 44:49Speaker 3: very frightened. Um, And I resisted the medicine and I
- 44:57Speaker 3: started to, I wanted to get out of it. You know,
- 45:00Speaker 3: you got to get this out of me. Stop, stop it.
- 45:02Speaker 1: Can you speak during this?
- 45:04Speaker 3: Ketamine is a little more difficult to speak. Some of
- 45:06Speaker 3: the plant medicines, yeah, you can speak and move and talk.
- 45:10Speaker 3: It's not recommended, but.
- 45:12Speaker 1: Yeah.
- 45:14Speaker 3: And I was very angry. Just a lot of anger
- 45:18Speaker 3: came up and I didn't like it. And as I
- 45:21Speaker 3: was integrating it, I recognized, and I was with a
- 45:24Speaker 3: professional who really knew their stuff, and he said, Jay,
- 45:27Speaker 3: I'm not expecting you in this anger right now to understand,
- 45:33Speaker 3: but your anger is coming up to show you this
- 45:36Speaker 3: is where you live. You live in this anger. You
- 45:39Speaker 3: just don't see it because you've got blinders on. So
- 45:43Speaker 3: just let that sit and sit with it for a
- 45:46Speaker 3: couple weeks. And I recognized that in order to let
- 45:51Speaker 3: go of my anger, And I had anger issues. In
- 45:54Speaker 3: order to let go of it, I had to re-experience
- 45:56Speaker 3: and see them for myself. And when I saw them
- 45:59Speaker 3: for myself, I was not proud. I looked at it like,
- 46:05Speaker 3: that's not me. Yeah. And we're not born that way.
- 46:08Speaker 3: We're not born jealous or pissed off or competitive or
- 46:12Speaker 3: sarcastic or any of these things. You look at a baby,
- 46:16Speaker 3: they're wondrous. They're all about discovery. We have to return
- 46:24Speaker 3: to that consciousness. Right.
- 46:27Speaker 1: So besides a bad trip.
- 46:28Speaker 3: Are there any other things? So what could go wrong? Well,
- 46:31Speaker 3: if someone's improperly screened, so we screen out again for
- 46:36Speaker 3: uncontrolled hypertension or high blood pressure. So if somebody is
- 46:39Speaker 3: not properly screened and they have a psychedelic experience, whether
- 46:44Speaker 3: legally with ketamine or illegally with the list of other psychedelics,
- 46:48Speaker 3: there's risks of elevated blood pressure. Elevated blood pressure. at
- 46:53Speaker 3: a breaking point, could cause a stroke. So if you–
- 46:57Speaker 3: let me just say this for your audience. If you've
- 46:59Speaker 3: got high blood pressure, don't consider doing a psychedelic experience
- 47:02Speaker 3: without getting yourself screened by a doctor. That's a must.
- 47:05Speaker 1: And also don't lie on your screening test or whatever
- 47:08Speaker 1: about anything.
- 47:09Speaker 3: Not unless you want a stroke. Right. What else could
- 47:13Speaker 3: go wrong? With ketamine, you can be on an antidepressant
- 47:16Speaker 3: while you do your journey. Most of the other psychedelics,
- 47:20Speaker 3: you cannot. So– there are reports of people being on
- 47:25Speaker 3: these psychotropic medications. At best, it's not working. But on
- 47:30Speaker 3: the flip side, some kind of negative outcomes, just really,
- 47:33Speaker 3: really tough experiences. And, you know, outside of medical context,
- 47:38Speaker 3: all sorts of stuff can go wrong. You know, if
- 47:42Speaker 3: I've been hearing stories of people who go to these
- 47:45Speaker 3: nightclubs or dance clubs and buying whatever they're buying and
- 47:48Speaker 3: it's laced with something else. So that obviously can go
- 47:51Speaker 3: wrong and that's kind of out of the range of
- 47:54Speaker 3: what we do since ours is medically supervised. But these
- 47:58Speaker 3: are very powerful medicines. They need to be treated with reverence.
- 48:04Speaker 3: They need to be administered safely to the right people
- 48:07Speaker 3: and they're not for everybody. But if you take the
- 48:13Speaker 3: proper precautions... you know, you can really do well and
- 48:17Speaker 3: transcend your mood disorders with them.
- 48:19Speaker 1: Is ketamine addictive?
- 48:21Speaker 3: It's a great question as well. So ketamine under medical
- 48:23Speaker 3: supervision at these doses has never been shown to be addictive.
- 48:28Speaker 3: You know, our chief medical officer talks about the idea
- 48:31Speaker 3: of physical addiction and emotional addiction. Physical addiction is like,
- 48:37Speaker 3: you know, Heroin, you need your heroin or whatever it is.
- 48:41Speaker 3: Ketamine has not been shown to do that at all.
- 48:43Speaker 3: There's no proof that ketamine is physically addictive. Some people
- 48:47Speaker 3: say that taken in the wrong context, like people snort
- 48:50Speaker 3: ketamine at nightclubs, they could be attached to the emotional part.
- 48:55Speaker 3: But we, again, we've not seen it been addictive. In fact,
- 49:00Speaker 3: the opposite could be true is we use ketamine in
- 49:04Speaker 3: a medical context to counteract addictions like alcohol use disorder
- 49:09Speaker 3: and opiate use disorder.
- 49:12Speaker 1: You've done a great job explaining all of this, but
- 49:16Speaker 1: in general, what would you say is one of the
- 49:18Speaker 1: most misunderstood things about either ketamine or psychedelics or its
- 49:24Speaker 1: use in treatment and in depression? What would you say
- 49:28Speaker 1: is most misunderstood about it?
- 49:29Speaker 3: Well, when I talk about it with friends of mine
- 49:31Speaker 3: who haven't tried it, will I ever be the same? Yeah.
- 49:35Speaker 1: I was going to say, are they nervous about who
- 49:37Speaker 1: they're going to become when they come out. Even if
- 49:40Speaker 1: they might not like themselves going in, they're like, but
- 49:42Speaker 1: I'm okay with this. I just don't know on the
- 49:45Speaker 1: other side what that will be. That's my fear.
- 49:47Speaker 3: I have a lot of finance bro friends and they're
- 49:49Speaker 3: worried about losing their edge. The world wants them to
- 49:54Speaker 3: lose their edge. Right. But they'll say, will I ever
- 49:58Speaker 3: be the same? Am I just going to become this airy, fairy, hippie?
- 50:03Speaker 3: And the truth is that you become more of who
- 50:06Speaker 3: you are. So I've always been a very type A person.
- 50:12Speaker 3: I'm ambitious. I just don't get caught up as much
- 50:19Speaker 3: in the storytelling of why I need this watch or
- 50:23Speaker 3: that car to need to be seen at this party
- 50:28Speaker 3: the way I used to. And it does not take
- 50:31Speaker 3: away from my ability to work extremely hard and it
- 50:36Speaker 3: does not take away from my ability. In fact, it
- 50:39Speaker 3: enhances my ability because I've got a greater level of awareness.
- 50:43Speaker 3: I'm not distracted by thinking about, oh, what's that person
- 50:49Speaker 3: going to think? Or how is this person going to
- 50:51Speaker 3: judge me? Right, right.
- 50:53Speaker 1: What about people that are not drug users? Like I
- 50:56Speaker 1: don't use drugs. Our friend Adam does not use drugs.
- 50:59Speaker 3: Yeah, that's right.
- 50:59Speaker 1: But Because he's your partner.
- 51:02Speaker 3: Neither do I.
- 51:02Speaker 4: Yeah.
- 51:03Speaker 3: Okay.
- 51:03Speaker 1: So, but because he's your partner, it would be very
- 51:05Speaker 1: interesting to have him experience what he's supporting. I would
- 51:09Speaker 1: love him to do it. I want to do it.
- 51:11Speaker 3: He's tried it.
- 51:12Speaker 6: Oh, he has tried it.
- 51:12Speaker 3: Yeah, he has tried it because he said, you know,
- 51:14Speaker 3: and we're talking about Adam Weitzman, who's a friend of
- 51:16Speaker 3: both of ours. And he said, look, like, you know,
- 51:20Speaker 3: I feel like I need to try it in order
- 51:22Speaker 3: to talk about it. Good. You know, because he's a
- 51:25Speaker 3: high profile guy and he knows a lot of people.
- 51:27Speaker 2: Yeah.
- 51:28Speaker 3: I remember after his experience, he's like, wow, that was
- 51:32Speaker 3: really cool. And he's spoken about it on the record.
- 51:38Speaker 3: I think it was the Wall Street Journal that did
- 51:40Speaker 3: an article on investing in the psychedelic movement. And he
- 51:44Speaker 3: talked about how it opened him up and really made
- 51:50Speaker 3: him more aware of his own behaviors and own patterns
- 51:54Speaker 3: that we all have. Yeah. So Adam's a lovely guy
- 51:57Speaker 3: to begin with, and I think this only helped him
- 52:02Speaker 3: kind of become more of who he is.
- 52:04Speaker 1: I love that for him.
- 52:05Speaker 3: Okay.
- 52:06Speaker 1: Also, I'm just curious, what does something like this cost,
- 52:09Speaker 1: the person walking in?
- 52:10Speaker 3: So ketamine at Nishama is about $ 4, 800 for six treatments.
- 52:16Speaker 3: We do have a lot of access programs where veterans
- 52:21Speaker 3: and frontline workers get a third or about 35% off.
- 52:25Speaker 3: We have scholarships for people in need, so we do
- 52:27Speaker 3: four of those every month where people get a full
- 52:30Speaker 3: scholarship if they can't afford it. And the letters that
- 52:33Speaker 3: we get about the scholarship program are just extraordinary. The
- 52:39Speaker 3: trauma that people have experienced out there and have managed
- 52:42Speaker 3: to transcend is I won't tell you about the beginning
- 52:45Speaker 3: because I'll probably cry again. But it's just extraordinary. We
- 52:48Speaker 3: do group therapy. So people will go into a group
- 52:51Speaker 3: and they'll do eight people in a room. Oh, wow.
- 52:54Speaker 3: And they do their preparation and their journey and their
- 52:58Speaker 3: integration together, which is amazing. And then we have these
- 53:01Speaker 3: financing programs where you can Spread your payments out over
- 53:04Speaker 3: 12 or 24 months. So we do our best to
- 53:07Speaker 3: make it accessible.
- 53:08Speaker 1: You brought up something about vets. And it's funny. I
- 53:11Speaker 1: was mentioning that I was going to be interviewing you
- 53:13Speaker 1: to someone the other night. And I didn't even know
- 53:16Speaker 1: that they were a veteran. And they said, you know,
- 53:20Speaker 1: I've done that. I've done ketamine therapy at the vet clinic, basically.
- 53:25Speaker 1: And he said that was the only way that I
- 53:29Speaker 1: got through my PTSD therapy. And it's been really hard
- 53:33Speaker 1: for me returning back into normal life. And he said
- 53:38Speaker 1: that that has been something so huge for him personally.
- 53:42Speaker 1: And he's not a drug user. He's, you know, at all. He's,
- 53:45Speaker 1: you know, doesn't believe it. And he said that that
- 53:49Speaker 1: was very, very helpful to people that had come back
- 53:51Speaker 1: from war. And he was hoping that that would become
- 53:55Speaker 1: more of something that was given to these men and
- 53:59Speaker 1: women coming back into America to help them get through
- 54:02Speaker 1: the process.
- 54:03Speaker 3: The Veterans Administration issues every single year $ 17 billion of
- 54:10Speaker 3: checks to veterans as disability payments for PTSD alone. $ 17
- 54:17Speaker 3: billion a year. That's obviously also excluding the people who've
- 54:21Speaker 3: had horrible traumas that don't involve being a vet. So
- 54:24Speaker 3: PTSD is a very, very major issue in the here
- 54:27Speaker 3: and now. and ketamine and other psychedelics like MDMA are
- 54:31Speaker 3: enormously helpful. Part of the reason that these medicines are
- 54:36Speaker 3: helpful is PTSD is a very, very interesting diagnosis underneath
- 54:45Speaker 3: the umbrella of mood disorders because people often re-experience most
- 54:51Speaker 3: of their trauma every single day and they go right
- 54:55Speaker 3: up to the edge of the cliff and don't fully
- 54:57Speaker 3: experience it. So it keeps them in this loop of
- 55:00Speaker 3: fear and trauma. What the psychedelic therapy allows them to do,
- 55:05Speaker 3: it dims their ego and it allows them to go
- 55:08Speaker 3: over the cliff without the fear. And so they see
- 55:13Speaker 3: it for what it is and why PTSD is so,
- 55:16Speaker 3: I don't want to say easily broken, but broken with
- 55:20Speaker 3: psychedelic medicine is because it's a form of a re-exposure therapy,
- 55:24Speaker 3: but without the judgments, without the opinions. You hear stories like, oh, yeah,
- 55:29Speaker 3: that was tough. That really did hurt. That really was scary.
- 55:34Speaker 3: But I'm okay now. Mm-hmm. Mm-hmm.
- 55:37Speaker 1: Okay, so for people that have been listening, if they
- 55:39Speaker 1: really are interested in starting their journey, what would you suggest,
- 55:44Speaker 1: not only for them to reach out to you guys,
- 55:46Speaker 1: but for them personally to get themselves prepared?
- 55:49Speaker 3: I think it's a great, you know, before I did
- 55:50Speaker 3: my first journey, I did a lot of research and
- 55:52Speaker 3: there's a wealth of information. How to Change Your Mind
- 55:55Speaker 3: is an amazing book. If your listeners haven't read it,
- 55:58Speaker 3: it's really a great history of the three waves of
- 56:03Speaker 3: the psychedelic renaissance, the 6,000 years ago, the 50s and 60s.
- 56:07Speaker 3: And then the here and now, and it talks about
- 56:10Speaker 3: why there's nothing to be afraid of if they are
- 56:14Speaker 3: used properly. And so I think that's a good starting point.
- 56:18Speaker 3: And before doing any experience or any medically supervised psychedelic journey,
- 56:28Speaker 3: it's important to have intentions. The intention could very well be,
- 56:32Speaker 3: I just want to be open-minded and surrender and see
- 56:35Speaker 3: what I learn. But it could also be, you know what?
- 56:39Speaker 3: I got to tell myself the truth. Most people who
- 56:42Speaker 3: come to us say they're not enjoying their lives. And
- 56:46Speaker 3: the purpose of coming here, not to get all biblical,
- 56:49Speaker 3: is joy. We're supposed to experience love and joy and
- 56:53Speaker 3: live from a place of compassion and generosity. And most
- 56:56Speaker 3: people aren't living that way. So if people can come
- 56:59Speaker 3: in before their sessions with the intention to find that
- 57:04Speaker 3: within them, because we all have it within them. then
- 57:06Speaker 3: that's a very, very good start.
- 57:08Speaker 1: And where can people reach out to your clinic, find
- 57:11Speaker 1: you guys, get approved if they are?
- 57:13Speaker 3: Yep, we're at nushama.com. Our Instagram is nushamawellness or at nushamawellness.
- 57:19Speaker 1: Spell it just so I know.
- 57:20Speaker 3: N-U-S-H-A-M-A, wellness, W-E-L-L-N-E-S-S. And there's a wealth of information on
- 57:28Speaker 3: our website about some of the things that you asked,
- 57:30Speaker 3: how it compares to other psychedelics, what to do to
- 57:33Speaker 3: properly prepare people. what integration means, the do's and don'ts
- 57:38Speaker 3: of before and after. Great.
- 57:42Speaker 1: And do you listen or do you read your DMs
- 57:46Speaker 1: if people have questions for you now that they've heard you?
- 57:48Speaker 3: You can absolutely DM us. We get back to people
- 57:52Speaker 3: as soon as we can, but it's generally within 24 hours.
- 57:56Speaker 3: It's always a great thing. And look, you can always,
- 57:59Speaker 3: on our website, people can click request a consultation and
- 58:03Speaker 3: a live human being, We'll call you within 24, 48
- 58:07Speaker 3: hours and walk you through the program in a much
- 58:11Speaker 3: more detailed way than I did free of charge.
- 58:14Speaker 1: And out of curiosity, are you personally there? Are you
- 58:18Speaker 1: leading anyone through these journeys?
- 58:20Speaker 3: So I'm at the clinic most days. No, I leave
- 58:24Speaker 3: it to the professionals to guide people through these journeys.
- 58:27Speaker 3: These are all people who are therapists that are licensed
- 58:30Speaker 3: therapists or they've had a lot of training sessions. with
- 58:36Speaker 3: psychedelic medicine in one way, shape, or form. I happen
- 58:40Speaker 3: to be a person who's been deeply moved. My family's
- 58:43Speaker 3: been deeply moved by working with these medicines. And I've
- 58:48Speaker 3: experienced a sense of rebirth to the point where I
- 58:51Speaker 3: wanted to create a career out of this. But I'm
- 58:55Speaker 3: not qualified to sit with somebody and talk about their trauma.
- 59:00Speaker 1: Out of curiosity, has your family come in and tried it?
- 59:03Speaker 3: Yes, there are members. My wife has tried it a
- 59:07Speaker 3: number of times, and she has had some of the
- 59:10Speaker 3: most profound experiences. Her mental health was pretty good to
- 59:15Speaker 3: start with, but she's really seen deeply into some of
- 59:23Speaker 3: the things that maybe hold her back and some of
- 59:27Speaker 3: the patterns that And belief systems that are in need
- 59:32Speaker 3: of disintermediating. Right.
- 59:35Speaker 1: Well, I hope I see you again, hopefully at New Shama,
- 59:37Speaker 1: because I want to be trying this. Maybe I'll bring
- 59:40Speaker 1: Adam with me. We'll do it in a group therapy setting.
- 59:43Speaker 1: But it's been a pleasure and an honor to meet you.
- 59:46Speaker 1: And I'm really excited about what you're doing.
- 59:48Speaker 4: So thank you.
- 59:49Speaker 3: Thank you.
- 59:53Speaker 1: Thank you so much for listening to Misunderstood. I'm your host,
- 59:56Speaker 1: Rachel Yucatel. Please be sure to subscribe to the show
- 59:59Speaker 1: and give us a five-star rating and review. You can
- 1:00:02Speaker 1: support the show by joining our Patreon at patreon.com slash
- 1:00:06Speaker 1: misunderstood with Rachel Yucatel. Do you have ideas for the
- 1:00:09Speaker 1: show or want to reach out? Email us at infomisunderstoodpodcast
- 1:00:13Speaker 1: at gmail.com. That's spelled M-I-S-S understood. Thank you so much,
- 1:00:19Speaker 1: and I'll see you next time.
- 1:00:20Speaker 3: Misunderstood.
- 1:00:20Speaker 5: Misunderstood.
- 1:00:24Speaker 4: The car is beautiful. Where did you end up going
- 1:00:27Speaker 4: for it?
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- 1:00:31Speaker 5: more cars for more dealerships than like anywhere else.
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- 1:00:35Speaker 6: It's Dunaidial.
- 1:00:38Speaker 5: Where?
- 1:00:39Speaker 4: Dunaidial.
- 1:00:40Speaker 6: There's an accent on the E.
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