Monthly Archives: May 2022

Psychedelics for Anxiety, Depression, and PTSD, Part 2

File:FerndalePoliceStop102415.jpg

Drug paraphernalia including marijuana/cannabis and a methamphetamine pipe, following a police stop in Ferndale, CA, Author Ferndale Police Dept., Source https://kymkemp.com
(PD per California Public Records Act)

We continue our discussion of the risks and benefits of a drug-based psychiatric approach utilizing psychedelics to treat anxiety, depression, and post-traumatic stress disorder (PTSD).

Despite growing enthusiasm for the use of psychedelics, the evidence is far from in.

LSD

Lysergic acid diethylamide (LSD) – one of the most potent hallucinogens – was studied from the 1950s to 1970s in order to assess behavioral and personality changes, as well as relief from psychiatric symptoms [1][2A].

LSD was originally used in the treatment of anxiety, depression, addiction, and psychosomatic illness.  Readers may recall that the US Army and CIA, also, experimented with LSD as a truth serum.  But most early studies were not performed to today’s standards.

Across 11 randomized-controlled studies (involving a combined total of 567 patients) positive outcomes were observed, particularly with regard to alcoholism [2B].

In rare instances, however, psychedelics such as psilocybin and LSD can evoke a lasting psychotic reaction (more frequently in patients with a family history of psychosis) [3A].  Adequate screening of a patient’s vulnerability and prior psychotic episodes before the use of LSD is, therefore, emphasized. Continue reading

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Psychedelics for Anxiety, Depression, and PTSD, Part 1

File:Ecstasy monogram.jpg

Ecstacy a/k/a Molly, Author DEA, Source https://www.dea.gov, (PD as work product of federal govt.)

“I am more convinced than ever that psychiatric medications, over the long term, cause net harm.  I wish that weren’t the case, but the evidence just keeps mounting that these drugs, on the whole, worsen long-term outcomes…The inventor of frontal lobotomy…was awarded a Nobel Prize for inventing that surgery, which today we understand as a mutilation.”

-Award-winning science author and journalist, Robert Whitaker [1][2]

Recently, a number of drug trials have been conducted re-assessing the effectiveness of psychedelics for anxiety, depression, and post-traumatic stress disorder (PTSD).

While the results of these trials have been heralded as providing new treatment options for tenacious illnesses, there are serious dangers associated with psychedelics.

Serotonin

Psychedelics act on receptors in the brain for serotonin, a neurotransmitter that effects mood.

There is some thinking that psychedelics enhance the brain’s capacity to form and reorganize synaptic connections, especially following injury [3A].  But this hypothesis needs further research.

In the therapeutic setting, psychedelics cause a receptive, dream-like state during which memories are readily accessible [3B].  The theory is that this state opens the door to fresh ideas the therapist can introduce.

Unsupervised use is not recommended. Continue reading

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“A Mother’s Love” by Kelly Fratamico

https://upload.wikimedia.org/wikipedia/commons/6/68/Mary_Cassatt_-_Mother_and_Child_%28The_Goodnight_Hug%29.jpg

“Mother and Child (A Goodnight Hug)” (1880) by Mary Cassatt, Source https://www.wikiart.org/en/mary-cassatt/mother-and-child-1880 (PD)

Readers of my other blog A Lawyer’s Prayers will be familiar with Christian Legal Clinics of Philadelphia https://www.clcphila.org/, a non-profit whose predecessor I had the opportunity of co-founding.

Through the efforts of volunteer Christian attorneys and paralegals, CLCP provides the poor of Philadelphia with legal services at no charge.

This is one story [1]:

“In 2016 Maria, a native of the Dominican Republic, sent her two young sons, to live with their father in the US.  She could not afford to come with them, so stayed behind…Maria made this sacrifice so her sons could receive a better education and not be influenced by violence in their town.

Maria was finally able to join her sons and their father in the United States…in the summer of 2021.  However, their father became abusive with Maria and tried to keep the boys from her.  With the help of the police and her sister, she was able to retrieve her sons and move into a place of her own.  However, Maria…was scared that he would use the court system to take  her sons from her.” Continue reading

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Reliving Trauma, Part 2

https://upload.wikimedia.org/wikipedia/commons/f/fb/Spaghetti_%26_Meatballs_%284%29_%2838218925246%29.jpgSpaghetti and Meatballs, Author John Freeman
(CC Attribution-2.0 Generic)

The Weight-Loss Battle

Again and again, you resolve to lose weight.  At times, you make heroic efforts in this direction.  You try fad diets, and supervised weight loss programs.  You try home exercise equipment and gym memberships.  You fast, may occasionally purge.

And you do lose weight, sometimes substantial amounts.  But as soon as you have acquired an attractive wardrobe in a smaller size, your weight shoots up again.  It is as if you were fighting a force outside yourself.

The pain of this is excruciating.  Giving away – one after another – the pretty items of clothing that no longer fit, you feel as if the flesh were being ripped from your bones, piece by piece.

This happens time after time, over the years, stripping you of hope.

Self-Control and a Negative Inner Dialog

Disciplined in other areas of life, you revile yourself for a lack of self-control where food is concerned, further contributing to an inner dialog which is already wholly negative.

You do your best to live a life of integrity.  But nothing you accomplish has value in your eyes, so long as you continue to have weight issues.

Scalding encounters with those who make clear their disgust at your appearance only reinforce your sense of worthlessness.

Weight Issues/Eating Disorders as a Substitute

Weight problems and eating disorders (anorexia, bulimia, binge eating, etc.) can arise from other causes than abuse [1].  But when abuse of some kind has occurred, they frequently serve as substitutes – an alternate focus for our shame, safer places to put our pain.

We may agonize over the difficulty of losing weight.  But, chances are, that is preferable to agonizing over the incest to which we were subjected.  The difficulty of the struggle reflects the depth of the wound. Continue reading

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Reliving Trauma, Part 1

https://upload.wikimedia.org/wikipedia/commons/e/e3/Sugar_in_Junk_Food_-_Doughnuts%2C_Biscuits%2C_Chocolate_and_Cake.jpgJunk Food, Author formulatehealth, Source https://www.flickr.com/photos/189590028@N07/50191150823/ (CC Attribution-2.0 Generic)

Food as Comfort

You endure a childhood of sexual abuse.  Food is a comfort, solace for this inexplicable violation you have repeatedly experienced but cannot understand.

The Roots of an Eating Disorder

By your teens, you develop a weight problem, along with an eating disorder.  Though you do not realize it, both these are related to the abuse.  You deal with all the usual adolescent turmoil and the pain you carry around inside by bingeing.

Shame and Lack of Support

You have no emotional support, no one to guide you toward adulthood.  And virtually no clothes, since there is little thought given by the adults around you to the needs of a growing child.

You try on your mother’s clothes – in part so that you will have something to wear, in part to see what it feels like to be a grown woman.  But your mother is shorter in stature than you, and the clothes are too small.

You feel ashamed, unworthy to be a woman at all. Continue reading

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