Plant Medicine Podcast

On this episode of the Psychedelic Medicine Podcast, Juliana Milligan joins to discuss her recent article (co-authored with Joshua White of Fireside Project) on warning signs when selecting a psychedelic facilitator. Juliana is an ibogaine specialist who has been working in the ibogaine treatment community for 10 years. Having been formerly opioid-dependent and incarcerated herself, she currently works at the Center for Optimal Living where she runs the psychedelic education and training program. Juliana additionally works with clients doing preparation and integration of Ibogaine treatments through her business Inner Vision Ibogaine.

In this conversation, Juliana discusses each of the 10 red flags she identified in her article. First, she discusses potential issues around sexual misconduct on the part of facilitators, emphasizing that this is a topic which always requires careful and explicit discussion well prior to the psychedelic experience. One ought to also do some individual research, as potential allegations against a facilitator are also a red flag to take seriously.

Next, Juliana talks about the importance of facilitators doing a thorough medical intake. This involves getting a medical history from a potential client and checking if there are any contraindications for this person to take a psychedelic, such as dangerous interactions with prescription medications. In a similar vein, Juliana also stresses the necessity of facilitators testing the psychedelics their clients will be consuming whether they themselves provided the psychedelics or if the client brought their own substances. Willingness to test the substances in the presence of the client is definitely a good sign and shows that the facilitator values both transparency and safety. 

In terms of training, Juliana highly recommends ensuring that a facilitator is trauma-informed before committing to a journey under their guidance. Knowing that a guide will be conscientious and empathetic around issues of trauma helps to ensure that the psychedelic experience doesn’t itself turn in a traumatic direction. Similarly, Juliana emphasizes that facilitators should be open about the training they’ve received—even underground facilitators should ideally have mentors and be involved in a community of practitioners that encourages continued training.

In closing, Juliana discusses the dangers of having inflated and unrealistic expectations around the healing potential of psychedelics. Facilitators who use hyperbolic language like “ten years of therapy in one night” may actually be setting up clients for more difficult experiences than they otherwise may have had due to these fantastical claims. Juliana emphasizes that psychedelic healing is a cooperative endeavor, and neither the substance nor the facilitator is solely responsible for any healing that results from the experience. Ultimately, it is the person themselves who does this work, so Juliana highly recommends finding a facilitator who acknowledges their role as primarily supportive of this healing journey, rather than someone who presents themselves as a miracle worker responsible for these positive results.

In this episode:

• Why having a trauma-informed facilitator is important, and what this means

• The dangers of psychedelic narcissism

• The importance of the harm reduction practice of chemically testing psychedelics

• Trusting your intuition and building this capacity

• Having healthy and reasonable expectations around the healing potential of psychedelics

Quotes:

“Once you are on a psychedelic, you cannot properly consent to touch—it must be established in advance. And if [a facilitator] is saying ‘well no I need freedom in my work, I need to use my intuition’ that is a major red flag.” [7:19]

“It’s really important that the facilitator knows exactly what is contraindicated with the medicine they’re administering, and if they’re not evaluating for this and if they’re not familiar with medical conditions and how they interact with the medicine they’re giving then they’re not properly trained to be giving this medicine.” [10:14]

“The only person that can really heal you is yourself and a facilitator is just there to help empower you and support you in guiding yourself. It’s a collaborative relationship.” [13:44]

“If a person isn’t willing to be receptive to feedback, self-reflective, and take accountability, psychedelics aren’t necessarily going to make them do that. And so you give psychedelics to somebody with those kinds of narcissistic traits and it can just make the narcissism worse.” [20:15]

Links:

Juliana's Article with Fireside Project: Warning Signs When Selecting a Psychedelic Facilitator 

Inner Vision Ibogaine: Guide to Finding an Ibogaine Clinic

The Root Ibogaine Collective

The Psychedelic Program at The Center for Optimal Living

Juliana on Instagram

Previous episode: Navigating Psychedelic Narcissism with Adam Aronovich

Previous episode: Harm Reduction Through Testing Your Psychedelics with Mitchell Gomez

Previous episode: When *Not* to Proceed with a Planned Psychedelic Journey with Rick Barnett, PsyD

Previous episode: Fireside Project: The World’s First Psychedelic Hotline with Joshua White and Hanifa Nayo Washington

Previous episode: Insights Gained from the First Year of Fireside Project with Joshua White

Psychedelic Medicine Association

Porangui

On this episode of the Psychedelic Medicine Podcast, Juliana Milligan joins to discuss her recent article (co-authored with Joshua White of Fireside Project) on warning signs when selecting a psychedelic facilitator. Juliana is an ibogaine specialist who has been working in the ibogaine treatment community for 10 years. Having been formerly opioid-dependent and incarcerated herself, she currently works at the Center for Optimal Living where she runs the psychedelic education and training program. Juliana additionally works with clients doing preparation and integration of Ibogaine treatments through her business Inner Vision Ibogaine.

In this conversation, Juliana discusses each of the 10 red flags she identified in her article. First, she discusses potential issues around sexual misconduct on the part of facilitators, emphasizing that this is a topic which always requires careful and explicit discussion well prior to the psychedelic experience. One ought to also do some individual research, as potential allegations against a facilitator are also a red flag to take seriously.

Next, Juliana talks about the importance of facilitators doing a thorough medical intake. This involves getting a medical history from a potential client and checking if there are any contraindications for this person to take a psychedelic, such as dangerous interactions with prescription medications. In a similar vein, Juliana also stresses the necessity of facilitators testing the psychedelics their clients will be consuming whether they themselves provided the psychedelics or if the client brought their own substances. Willingness to test the substances in the presence of the client is definitely a good sign and shows that the facilitator values both transparency and safety. 

In terms of training, Juliana highly recommends ensuring that a facilitator is trauma-informed before committing to a journey under their guidance. Knowing that a guide will be conscientious and empathetic around issues of trauma helps to ensure that the psychedelic experience doesn’t itself turn in a traumatic direction. Similarly, Juliana emphasizes that facilitators should be open about the training they’ve received—even underground facilitators should ideally have mentors and be involved in a community of practitioners that encourages continued training.

In closing, Juliana discusses the dangers of having inflated and unrealistic expectations around the healing potential of psychedelics. Facilitators who use hyperbolic language like “ten years of therapy in one night” may actually be setting up clients for more difficult experiences than they otherwise may have had due to these fantastical claims. Juliana emphasizes that psychedelic healing is a cooperative endeavor, and neither the substance nor the facilitator is solely responsible for any healing that results from the experience. Ultimately, it is the person themselves who does this work, so Juliana highly recommends finding a facilitator who acknowledges their role as primarily supportive of this healing journey, rather than someone who presents themselves as a miracle worker responsible for these positive results.

In this episode:

• Why having a trauma-informed facilitator is important, and what this means

• The dangers of psychedelic narcissism

• The importance of the harm reduction practice of chemically testing psychedelics

• Trusting your intuition and building this capacity

• Having healthy and reasonable expectations around the healing potential of psychedelics

Quotes:

“Once you are on a psychedelic, you cannot properly consent to touch—it must be established in advance. And if [a facilitator] is saying ‘well no I need freedom in my work, I need to use my intuition’ that is a major red flag.” [7:19]

“It’s really important that the facilitator knows exactly what is contraindicated with the medicine they’re administering, and if they’re not evaluating for this and if they’re not familiar with medical conditions and how they interact with the medicine they’re giving then they’re not properly trained to be giving this medicine.” [10:14]

“The only person that can really heal you is yourself and a facilitator is just there to help empower you and support you in guiding yourself. It’s a collaborative relationship.” [13:44]

“If a person isn’t willing to be receptive to feedback, self-reflective, and take accountability, psychedelics aren’t necessarily going to make them do that. And so you give psychedelics to somebody with those kinds of narcissistic traits and it can just make the narcissism worse.” [20:15]

Links:

Juliana's Article with Fireside Project: Warning Signs When Selecting a Psychedelic Facilitator 

Inner Vision Ibogaine: Guide to Finding an Ibogaine Clinic

The Root Ibogaine Collective

The Psychedelic Program at The Center for Optimal Living

Juliana on Instagram

Previous episode: Navigating Psychedelic Narcissism with Adam Aronovich

Previous episode: Harm Reduction Through Testing Your Psychedelics with Mitchell Gomez

Previous episode: When *Not* to Proceed with a Planned Psychedelic Journey with Rick Barnett, PsyD

Previous episode: Fireside Project: The World’s First Psychedelic Hotline with Joshua White and Hanifa Nayo Washington

Previous episode: Insights Gained from the First Year of Fireside Project with Joshua White

Psychedelic Medicine Association

Porangui

On this episode of the Psychedelic Medicine Podcast, Juliana Milligan joins to discuss her recent article (co-authored with Joshua White of Fireside Project) on warning signs when selecting a psychedelic facilitator. Juliana is an ibogaine specialist who has been working in the ibogaine treatment community for 10 years. Having been formerly opioid-dependent and incarcerated herself, she currently works at the Center for Optimal Living where she runs the psychedelic education and training program. Juliana additionally works with clients doing preparation and integration of Ibogaine treatments through her business Inner Vision Ibogaine.

In this conversation, Juliana discusses each of the 10 red flags she identified in her article. First, she discusses potential issues around sexual misconduct on the part of facilitators, emphasizing that this is a topic which always requires careful and explicit discussion well prior to the psychedelic experience. One ought to also do some individual research, as potential allegations against a facilitator are also a red flag to take seriously.

Next, Juliana talks about the importance of facilitators doing a thorough medical intake. This involves getting a medical history from a potential client and checking if there are any contraindications for this person to take a psychedelic, such as dangerous interactions with prescription medications. In a similar vein, Juliana also stresses the necessity of facilitators testing the psychedelics their clients will be consuming whether they themselves provided the psychedelics or if the client brought their own substances. Willingness to test the substances in the presence of the client is definitely a good sign and shows that the facilitator values both transparency and safety. 

In terms of training, Juliana highly recommends ensuring that a facilitator is trauma-informed before committing to a journey under their guidance. Knowing that a guide will be conscientious and empathetic around issues of trauma helps to ensure that the psychedelic experience doesn’t itself turn in a traumatic direction. Similarly, Juliana emphasizes that facilitators should be open about the training they’ve received—even underground facilitators should ideally have mentors and be involved in a community of practitioners that encourages continued training.

In closing, Juliana discusses the dangers of having inflated and unrealistic expectations around the healing potential of psychedelics. Facilitators who use hyperbolic language like “ten years of therapy in one night” may actually be setting up clients for more difficult experiences than they otherwise may have had due to these fantastical claims. Juliana emphasizes that psychedelic healing is a cooperative endeavor, and neither the substance nor the facilitator is solely responsible for any healing that results from the experience. Ultimately, it is the person themselves who does this work, so Juliana highly recommends finding a facilitator who acknowledges their role as primarily supportive of this healing journey, rather than someone who presents themselves as a miracle worker responsible for these positive results.

In this episode:

• Why having a trauma-informed facilitator is important, and what this means

• The dangers of psychedelic narcissism

• The importance of the harm reduction practice of chemically testing psychedelics

• Trusting your intuition and building this capacity

• Having healthy and reasonable expectations around the healing potential of psychedelics

Quotes:

“Once you are on a psychedelic, you cannot properly consent to touch—it must be established in advance. And if [a facilitator] is saying ‘well no I need freedom in my work, I need to use my intuition’ that is a major red flag.” [7:19]

“It’s really important that the facilitator knows exactly what is contraindicated with the medicine they’re administering, and if they’re not evaluating for this and if they’re not familiar with medical conditions and how they interact with the medicine they’re giving then they’re not properly trained to be giving this medicine.” [10:14]

“The only person that can really heal you is yourself and a facilitator is just there to help empower you and support you in guiding yourself. It’s a collaborative relationship.” [13:44]

“If a person isn’t willing to be receptive to feedback, self-reflective, and take accountability, psychedelics aren’t necessarily going to make them do that. And so you give psychedelics to somebody with those kinds of narcissistic traits and it can just make the narcissism worse.” [20:15]

Links:

Juliana's Article with Fireside Project: Warning Signs When Selecting a Psychedelic Facilitator 

Inner Vision Ibogaine: Guide to Finding an Ibogaine Clinic

The Root Ibogaine Collective

The Psychedelic Program at The Center for Optimal Living

Juliana on Instagram

Previous episode: Navigating Psychedelic Narcissism with Adam Aronovich

Previous episode: Harm Reduction Through Testing Your Psychedelics with Mitchell Gomez

Previous episode: When *Not* to Proceed with a Planned Psychedelic Journey with Rick Barnett, PsyD

Previous episode: Fireside Project: The World’s First Psychedelic Hotline with Joshua White and Hanifa Nayo Washington

Previous episode: Insights Gained from the First Year of Fireside Project with Joshua White

Psychedelic Medicine Association

Porangui

On this episode of the Psychedelic Medicine Podcast, Juliana Milligan joins to discuss her recent article (co-authored with Joshua White of Fireside Project) on warning signs when selecting a psychedelic facilitator. Juliana is an ibogaine specialist who has been working in the ibogaine treatment community for 10 years. Having been formerly opioid-dependent and incarcerated herself, she currently works at the Center for Optimal Living where she runs the psychedelic education and training program. Juliana additionally works with clients doing preparation and integration of Ibogaine treatments through her business Inner Vision Ibogaine.

In this conversation, Juliana discusses each of the 10 red flags she identified in her article. First, she discusses potential issues around sexual misconduct on the part of facilitators, emphasizing that this is a topic which always requires careful and explicit discussion well prior to the psychedelic experience. One ought to also do some individual research, as potential allegations against a facilitator are also a red flag to take seriously.

Next, Juliana talks about the importance of facilitators doing a thorough medical intake. This involves getting a medical history from a potential client and checking if there are any contraindications for this person to take a psychedelic, such as dangerous interactions with prescription medications. In a similar vein, Juliana also stresses the necessity of facilitators testing the psychedelics their clients will be consuming whether they themselves provided the psychedelics or if the client brought their own substances. Willingness to test the substances in the presence of the client is definitely a good sign and shows that the facilitator values both transparency and safety. 

In terms of training, Juliana highly recommends ensuring that a facilitator is trauma-informed before committing to a journey under their guidance. Knowing that a guide will be conscientious and empathetic around issues of trauma helps to ensure that the psychedelic experience doesn’t itself turn in a traumatic direction. Similarly, Juliana emphasizes that facilitators should be open about the training they’ve received—even underground facilitators should ideally have mentors and be involved in a community of practitioners that encourages continued training.

In closing, Juliana discusses the dangers of having inflated and unrealistic expectations around the healing potential of psychedelics. Facilitators who use hyperbolic language like “ten years of therapy in one night” may actually be setting up clients for more difficult experiences than they otherwise may have had due to these fantastical claims. Juliana emphasizes that psychedelic healing is a cooperative endeavor, and neither the substance nor the facilitator is solely responsible for any healing that results from the experience. Ultimately, it is the person themselves who does this work, so Juliana highly recommends finding a facilitator who acknowledges their role as primarily supportive of this healing journey, rather than someone who presents themselves as a miracle worker responsible for these positive results.

In this episode:

• Why having a trauma-informed facilitator is important, and what this means

• The dangers of psychedelic narcissism

• The importance of the harm reduction practice of chemically testing psychedelics

• Trusting your intuition and building this capacity

• Having healthy and reasonable expectations around the healing potential of psychedelics

Quotes:

“Once you are on a psychedelic, you cannot properly consent to touch—it must be established in advance. And if [a facilitator] is saying ‘well no I need freedom in my work, I need to use my intuition’ that is a major red flag.” [7:19]

“It’s really important that the facilitator knows exactly what is contraindicated with the medicine they’re administering, and if they’re not evaluating for this and if they’re not familiar with medical conditions and how they interact with the medicine they’re giving then they’re not properly trained to be giving this medicine.” [10:14]

“The only person that can really heal you is yourself and a facilitator is just there to help empower you and support you in guiding yourself. It’s a collaborative relationship.” [13:44]

“If a person isn’t willing to be receptive to feedback, self-reflective, and take accountability, psychedelics aren’t necessarily going to make them do that. And so you give psychedelics to somebody with those kinds of narcissistic traits and it can just make the narcissism worse.” [20:15]

Links:

Juliana's Article with Fireside Project: Warning Signs When Selecting a Psychedelic Facilitator 

Inner Vision Ibogaine: Guide to Finding an Ibogaine Clinic

The Root Ibogaine Collective

The Psychedelic Program at The Center for Optimal Living

Juliana on Instagram

Previous episode: Navigating Psychedelic Narcissism with Adam Aronovich

Previous episode: Harm Reduction Through Testing Your Psychedelics with Mitchell Gomez

Previous episode: When *Not* to Proceed with a Planned Psychedelic Journey with Rick Barnett, PsyD

Previous episode: Fireside Project: The World’s First Psychedelic Hotline with Joshua White and Hanifa Nayo Washington

Previous episode: Insights Gained from the First Year of Fireside Project with Joshua White

Psychedelic Medicine Association

Porangui

On this episode of the Psychedelic Medicine Podcast, Juliana Milligan joins to discuss her recent article (co-authored with Joshua White of Fireside Project) on warning signs when selecting a psychedelic facilitator. Juliana is an ibogaine specialist who has been working in the ibogaine treatment community for 10 years. Having been formerly opioid-dependent and incarcerated herself, she currently works at the Center for Optimal Living where she runs the psychedelic education and training program. Juliana additionally works with clients doing preparation and integration of Ibogaine treatments through her business Inner Vision Ibogaine.

In this conversation, Juliana discusses each of the 10 red flags she identified in her article. First, she discusses potential issues around sexual misconduct on the part of facilitators, emphasizing that this is a topic which always requires careful and explicit discussion well prior to the psychedelic experience. One ought to also do some individual research, as potential allegations against a facilitator are also a red flag to take seriously.

Next, Juliana talks about the importance of facilitators doing a thorough medical intake. This involves getting a medical history from a potential client and checking if there are any contraindications for this person to take a psychedelic, such as dangerous interactions with prescription medications. In a similar vein, Juliana also stresses the necessity of facilitators testing the psychedelics their clients will be consuming whether they themselves provided the psychedelics or if the client brought their own substances. Willingness to test the substances in the presence of the client is definitely a good sign and shows that the facilitator values both transparency and safety. 

In terms of training, Juliana highly recommends ensuring that a facilitator is trauma-informed before committing to a journey under their guidance. Knowing that a guide will be conscientious and empathetic around issues of trauma helps to ensure that the psychedelic experience doesn’t itself turn in a traumatic direction. Similarly, Juliana emphasizes that facilitators should be open about the training they’ve received—even underground facilitators should ideally have mentors and be involved in a community of practitioners that encourages continued training.

In closing, Juliana discusses the dangers of having inflated and unrealistic expectations around the healing potential of psychedelics. Facilitators who use hyperbolic language like “ten years of therapy in one night” may actually be setting up clients for more difficult experiences than they otherwise may have had due to these fantastical claims. Juliana emphasizes that psychedelic healing is a cooperative endeavor, and neither the substance nor the facilitator is solely responsible for any healing that results from the experience. Ultimately, it is the person themselves who does this work, so Juliana highly recommends finding a facilitator who acknowledges their role as primarily supportive of this healing journey, rather than someone who presents themselves as a miracle worker responsible for these positive results.

In this episode:

• Why having a trauma-informed facilitator is important, and what this means

• The dangers of psychedelic narcissism

• The importance of the harm reduction practice of chemically testing psychedelics

• Trusting your intuition and building this capacity

• Having healthy and reasonable expectations around the healing potential of psychedelics

Quotes:

“Once you are on a psychedelic, you cannot properly consent to touch—it must be established in advance. And if [a facilitator] is saying ‘well no I need freedom in my work, I need to use my intuition’ that is a major red flag.” [7:19]

“It’s really important that the facilitator knows exactly what is contraindicated with the medicine they’re administering, and if they’re not evaluating for this and if they’re not familiar with medical conditions and how they interact with the medicine they’re giving then they’re not properly trained to be giving this medicine.” [10:14]

“The only person that can really heal you is yourself and a facilitator is just there to help empower you and support you in guiding yourself. It’s a collaborative relationship.” [13:44]

“If a person isn’t willing to be receptive to feedback, self-reflective, and take accountability, psychedelics aren’t necessarily going to make them do that. And so you give psychedelics to somebody with those kinds of narcissistic traits and it can just make the narcissism worse.” [20:15]

Links:

Juliana's Article with Fireside Project: Warning Signs When Selecting a Psychedelic Facilitator 

Inner Vision Ibogaine: Guide to Finding an Ibogaine Clinic

The Root Ibogaine Collective

The Psychedelic Program at The Center for Optimal Living

Juliana on Instagram

Previous episode: Navigating Psychedelic Narcissism with Adam Aronovich

Previous episode: Harm Reduction Through Testing Your Psychedelics with Mitchell Gomez

Previous episode: When *Not* to Proceed with a Planned Psychedelic Journey with Rick Barnett, PsyD

Previous episode: Fireside Project: The World’s First Psychedelic Hotline with Joshua White and Hanifa Nayo Washington

Previous episode: Insights Gained from the First Year of Fireside Project with Joshua White

Psychedelic Medicine Association

Porangui

On this episode of the Psychedelic Medicine Podcast, Juliana Milligan joins to discuss her recent article (co-authored with Joshua White of Fireside Project) on warning signs when selecting a psychedelic facilitator. Juliana is an ibogaine specialist who has been working in the ibogaine treatment community for 10 years. Having been formerly opioid-dependent and incarcerated herself, she currently works at the Center for Optimal Living where she runs the psychedelic education and training program. Juliana additionally works with clients doing preparation and integration of Ibogaine treatments through her business Inner Vision Ibogaine.

In this conversation, Juliana discusses each of the 10 red flags she identified in her article. First, she discusses potential issues around sexual misconduct on the part of facilitators, emphasizing that this is a topic which always requires careful and explicit discussion well prior to the psychedelic experience. One ought to also do some individual research, as potential allegations against a facilitator are also a red flag to take seriously.

Next, Juliana talks about the importance of facilitators doing a thorough medical intake. This involves getting a medical history from a potential client and checking if there are any contraindications for this person to take a psychedelic, such as dangerous interactions with prescription medications. In a similar vein, Juliana also stresses the necessity of facilitators testing the psychedelics their clients will be consuming whether they themselves provided the psychedelics or if the client brought their own substances. Willingness to test the substances in the presence of the client is definitely a good sign and shows that the facilitator values both transparency and safety. 

In terms of training, Juliana highly recommends ensuring that a facilitator is trauma-informed before committing to a journey under their guidance. Knowing that a guide will be conscientious and empathetic around issues of trauma helps to ensure that the psychedelic experience doesn’t itself turn in a traumatic direction. Similarly, Juliana emphasizes that facilitators should be open about the training they’ve received—even underground facilitators should ideally have mentors and be involved in a community of practitioners that encourages continued training.

In closing, Juliana discusses the dangers of having inflated and unrealistic expectations around the healing potential of psychedelics. Facilitators who use hyperbolic language like “ten years of therapy in one night” may actually be setting up clients for more difficult experiences than they otherwise may have had due to these fantastical claims. Juliana emphasizes that psychedelic healing is a cooperative endeavor, and neither the substance nor the facilitator is solely responsible for any healing that results from the experience. Ultimately, it is the person themselves who does this work, so Juliana highly recommends finding a facilitator who acknowledges their role as primarily supportive of this healing journey, rather than someone who presents themselves as a miracle worker responsible for these positive results.

In this episode:

• Why having a trauma-informed facilitator is important, and what this means

• The dangers of psychedelic narcissism

• The importance of the harm reduction practice of chemically testing psychedelics

• Trusting your intuition and building this capacity

• Having healthy and reasonable expectations around the healing potential of psychedelics

Quotes:

“Once you are on a psychedelic, you cannot properly consent to touch—it must be established in advance. And if [a facilitator] is saying ‘well no I need freedom in my work, I need to use my intuition’ that is a major red flag.” [7:19]

“It’s really important that the facilitator knows exactly what is contraindicated with the medicine they’re administering, and if they’re not evaluating for this and if they’re not familiar with medical conditions and how they interact with the medicine they’re giving then they’re not properly trained to be giving this medicine.” [10:14]

“The only person that can really heal you is yourself and a facilitator is just there to help empower you and support you in guiding yourself. It’s a collaborative relationship.” [13:44]

“If a person isn’t willing to be receptive to feedback, self-reflective, and take accountability, psychedelics aren’t necessarily going to make them do that. And so you give psychedelics to somebody with those kinds of narcissistic traits and it can just make the narcissism worse.” [20:15]

Links:

Juliana's Article with Fireside Project: Warning Signs When Selecting a Psychedelic Facilitator 

Inner Vision Ibogaine: Guide to Finding an Ibogaine Clinic

The Root Ibogaine Collective

The Psychedelic Program at The Center for Optimal Living

Juliana on Instagram

Previous episode: Navigating Psychedelic Narcissism with Adam Aronovich

Previous episode: Harm Reduction Through Testing Your Psychedelics with Mitchell Gomez

Previous episode: When *Not* to Proceed with a Planned Psychedelic Journey with Rick Barnett, PsyD

Previous episode: Fireside Project: The World’s First Psychedelic Hotline with Joshua White and Hanifa Nayo Washington

Previous episode: Insights Gained from the First Year of Fireside Project with Joshua White

Psychedelic Medicine Association

Porangui

On this episode of the Psychedelic Medicine Podcast, Juliana Milligan joins to discuss her recent article (co-authored with Joshua White of Fireside Project) on warning signs when selecting a psychedelic facilitator. Juliana is an ibogaine specialist who has been working in the ibogaine treatment community for 10 years. Having been formerly opioid-dependent and incarcerated herself, she currently works at the Center for Optimal Living where she runs the psychedelic education and training program. Juliana additionally works with clients doing preparation and integration of Ibogaine treatments through her business Inner Vision Ibogaine.

In this conversation, Juliana discusses each of the 10 red flags she identified in her article. First, she discusses potential issues around sexual misconduct on the part of facilitators, emphasizing that this is a topic which always requires careful and explicit discussion well prior to the psychedelic experience. One ought to also do some individual research, as potential allegations against a facilitator are also a red flag to take seriously.

Next, Juliana talks about the importance of facilitators doing a thorough medical intake. This involves getting a medical history from a potential client and checking if there are any contraindications for this person to take a psychedelic, such as dangerous interactions with prescription medications. In a similar vein, Juliana also stresses the necessity of facilitators testing the psychedelics their clients will be consuming whether they themselves provided the psychedelics or if the client brought their own substances. Willingness to test the substances in the presence of the client is definitely a good sign and shows that the facilitator values both transparency and safety. 

In terms of training, Juliana highly recommends ensuring that a facilitator is trauma-informed before committing to a journey under their guidance. Knowing that a guide will be conscientious and empathetic around issues of trauma helps to ensure that the psychedelic experience doesn’t itself turn in a traumatic direction. Similarly, Juliana emphasizes that facilitators should be open about the training they’ve received—even underground facilitators should ideally have mentors and be involved in a community of practitioners that encourages continued training.

In closing, Juliana discusses the dangers of having inflated and unrealistic expectations around the healing potential of psychedelics. Facilitators who use hyperbolic language like “ten years of therapy in one night” may actually be setting up clients for more difficult experiences than they otherwise may have had due to these fantastical claims. Juliana emphasizes that psychedelic healing is a cooperative endeavor, and neither the substance nor the facilitator is solely responsible for any healing that results from the experience. Ultimately, it is the person themselves who does this work, so Juliana highly recommends finding a facilitator who acknowledges their role as primarily supportive of this healing journey, rather than someone who presents themselves as a miracle worker responsible for these positive results.

In this episode:

• Why having a trauma-informed facilitator is important, and what this means

• The dangers of psychedelic narcissism

• The importance of the harm reduction practice of chemically testing psychedelics

• Trusting your intuition and building this capacity

• Having healthy and reasonable expectations around the healing potential of psychedelics

Quotes:

“Once you are on a psychedelic, you cannot properly consent to touch—it must be established in advance. And if [a facilitator] is saying ‘well no I need freedom in my work, I need to use my intuition’ that is a major red flag.” [7:19]

“It’s really important that the facilitator knows exactly what is contraindicated with the medicine they’re administering, and if they’re not evaluating for this and if they’re not familiar with medical conditions and how they interact with the medicine they’re giving then they’re not properly trained to be giving this medicine.” [10:14]

“The only person that can really heal you is yourself and a facilitator is just there to help empower you and support you in guiding yourself. It’s a collaborative relationship.” [13:44]

“If a person isn’t willing to be receptive to feedback, self-reflective, and take accountability, psychedelics aren’t necessarily going to make them do that. And so you give psychedelics to somebody with those kinds of narcissistic traits and it can just make the narcissism worse.” [20:15]

Links:

Juliana's Article with Fireside Project: Warning Signs When Selecting a Psychedelic Facilitator 

Inner Vision Ibogaine: Guide to Finding an Ibogaine Clinic

The Root Ibogaine Collective

The Psychedelic Program at The Center for Optimal Living

Juliana on Instagram

Previous episode: Navigating Psychedelic Narcissism with Adam Aronovich

Previous episode: Harm Reduction Through Testing Your Psychedelics with Mitchell Gomez

Previous episode: When *Not* to Proceed with a Planned Psychedelic Journey with Rick Barnett, PsyD

Previous episode: Fireside Project: The World’s First Psychedelic Hotline with Joshua White and Hanifa Nayo Washington

Previous episode: Insights Gained from the First Year of Fireside Project with Joshua White

Psychedelic Medicine Association

Porangui

On this episode of the Psychedelic Medicine Podcast, Juliana Milligan joins to discuss her recent article (co-authored with Joshua White of Fireside Project) on warning signs when selecting a psychedelic facilitator. Juliana is an ibogaine specialist who has been working in the ibogaine treatment community for 10 years. Having been formerly opioid-dependent and incarcerated herself, she currently works at the Center for Optimal Living where she runs the psychedelic education and training program. Juliana additionally works with clients doing preparation and integration of Ibogaine treatments through her business Inner Vision Ibogaine.

In this conversation, Juliana discusses each of the 10 red flags she identified in her article. First, she discusses potential issues around sexual misconduct on the part of facilitators, emphasizing that this is a topic which always requires careful and explicit discussion well prior to the psychedelic experience. One ought to also do some individual research, as potential allegations against a facilitator are also a red flag to take seriously.

Next, Juliana talks about the importance of facilitators doing a thorough medical intake. This involves getting a medical history from a potential client and checking if there are any contraindications for this person to take a psychedelic, such as dangerous interactions with prescription medications. In a similar vein, Juliana also stresses the necessity of facilitators testing the psychedelics their clients will be consuming whether they themselves provided the psychedelics or if the client brought their own substances. Willingness to test the substances in the presence of the client is definitely a good sign and shows that the facilitator values both transparency and safety. 

In terms of training, Juliana highly recommends ensuring that a facilitator is trauma-informed before committing to a journey under their guidance. Knowing that a guide will be conscientious and empathetic around issues of trauma helps to ensure that the psychedelic experience doesn’t itself turn in a traumatic direction. Similarly, Juliana emphasizes that facilitators should be open about the training they’ve received—even underground facilitators should ideally have mentors and be involved in a community of practitioners that encourages continued training.

In closing, Juliana discusses the dangers of having inflated and unrealistic expectations around the healing potential of psychedelics. Facilitators who use hyperbolic language like “ten years of therapy in one night” may actually be setting up clients for more difficult experiences than they otherwise may have had due to these fantastical claims. Juliana emphasizes that psychedelic healing is a cooperative endeavor, and neither the substance nor the facilitator is solely responsible for any healing that results from the experience. Ultimately, it is the person themselves who does this work, so Juliana highly recommends finding a facilitator who acknowledges their role as primarily supportive of this healing journey, rather than someone who presents themselves as a miracle worker responsible for these positive results.

In this episode:

• Why having a trauma-informed facilitator is important, and what this means

• The dangers of psychedelic narcissism

• The importance of the harm reduction practice of chemically testing psychedelics

• Trusting your intuition and building this capacity

• Having healthy and reasonable expectations around the healing potential of psychedelics

Quotes:

“Once you are on a psychedelic, you cannot properly consent to touch—it must be established in advance. And if [a facilitator] is saying ‘well no I need freedom in my work, I need to use my intuition’ that is a major red flag.” [7:19]

“It’s really important that the facilitator knows exactly what is contraindicated with the medicine they’re administering, and if they’re not evaluating for this and if they’re not familiar with medical conditions and how they interact with the medicine they’re giving then they’re not properly trained to be giving this medicine.” [10:14]

“The only person that can really heal you is yourself and a facilitator is just there to help empower you and support you in guiding yourself. It’s a collaborative relationship.” [13:44]

“If a person isn’t willing to be receptive to feedback, self-reflective, and take accountability, psychedelics aren’t necessarily going to make them do that. And so you give psychedelics to somebody with those kinds of narcissistic traits and it can just make the narcissism worse.” [20:15]

Links:

Juliana's Article with Fireside Project: Warning Signs When Selecting a Psychedelic Facilitator 

Inner Vision Ibogaine: Guide to Finding an Ibogaine Clinic

The Root Ibogaine Collective

The Psychedelic Program at The Center for Optimal Living

Juliana on Instagram

Previous episode: Navigating Psychedelic Narcissism with Adam Aronovich

Previous episode: Harm Reduction Through Testing Your Psychedelics with Mitchell Gomez

Previous episode: When *Not* to Proceed with a Planned Psychedelic Journey with Rick Barnett, PsyD

Previous episode: Fireside Project: The World’s First Psychedelic Hotline with Joshua White and Hanifa Nayo Washington

Previous episode: Insights Gained from the First Year of Fireside Project with Joshua White

Psychedelic Medicine Association

Porangui

On this episode of the Psychedelic Medicine Podcast, Juliana Milligan joins to discuss her recent article (co-authored with Joshua White of Fireside Project) on warning signs when selecting a psychedelic facilitator. Juliana is an ibogaine specialist who has been working in the ibogaine treatment community for 10 years. Having been formerly opioid-dependent and incarcerated herself, she currently works at the Center for Optimal Living where she runs the psychedelic education and training program. Juliana additionally works with clients doing preparation and integration of Ibogaine treatments through her business Inner Vision Ibogaine.

In this conversation, Juliana discusses each of the 10 red flags she identified in her article. First, she discusses potential issues around sexual misconduct on the part of facilitators, emphasizing that this is a topic which always requires careful and explicit discussion well prior to the psychedelic experience. One ought to also do some individual research, as potential allegations against a facilitator are also a red flag to take seriously.

Next, Juliana talks about the importance of facilitators doing a thorough medical intake. This involves getting a medical history from a potential client and checking if there are any contraindications for this person to take a psychedelic, such as dangerous interactions with prescription medications. In a similar vein, Juliana also stresses the necessity of facilitators testing the psychedelics their clients will be consuming whether they themselves provided the psychedelics or if the client brought their own substances. Willingness to test the substances in the presence of the client is definitely a good sign and shows that the facilitator values both transparency and safety. 

In terms of training, Juliana highly recommends ensuring that a facilitator is trauma-informed before committing to a journey under their guidance. Knowing that a guide will be conscientious and empathetic around issues of trauma helps to ensure that the psychedelic experience doesn’t itself turn in a traumatic direction. Similarly, Juliana emphasizes that facilitators should be open about the training they’ve received—even underground facilitators should ideally have mentors and be involved in a community of practitioners that encourages continued training.

In closing, Juliana discusses the dangers of having inflated and unrealistic expectations around the healing potential of psychedelics. Facilitators who use hyperbolic language like “ten years of therapy in one night” may actually be setting up clients for more difficult experiences than they otherwise may have had due to these fantastical claims. Juliana emphasizes that psychedelic healing is a cooperative endeavor, and neither the substance nor the facilitator is solely responsible for any healing that results from the experience. Ultimately, it is the person themselves who does this work, so Juliana highly recommends finding a facilitator who acknowledges their role as primarily supportive of this healing journey, rather than someone who presents themselves as a miracle worker responsible for these positive results.

In this episode:

• Why having a trauma-informed facilitator is important, and what this means

• The dangers of psychedelic narcissism

• The importance of the harm reduction practice of chemically testing psychedelics

• Trusting your intuition and building this capacity

• Having healthy and reasonable expectations around the healing potential of psychedelics

Quotes:

“Once you are on a psychedelic, you cannot properly consent to touch—it must be established in advance. And if [a facilitator] is saying ‘well no I need freedom in my work, I need to use my intuition’ that is a major red flag.” [7:19]

“It’s really important that the facilitator knows exactly what is contraindicated with the medicine they’re administering, and if they’re not evaluating for this and if they’re not familiar with medical conditions and how they interact with the medicine they’re giving then they’re not properly trained to be giving this medicine.” [10:14]

“The only person that can really heal you is yourself and a facilitator is just there to help empower you and support you in guiding yourself. It’s a collaborative relationship.” [13:44]

“If a person isn’t willing to be receptive to feedback, self-reflective, and take accountability, psychedelics aren’t necessarily going to make them do that. And so you give psychedelics to somebody with those kinds of narcissistic traits and it can just make the narcissism worse.” [20:15]

Links:

Juliana's Article with Fireside Project: Warning Signs When Selecting a Psychedelic Facilitator 

Inner Vision Ibogaine: Guide to Finding an Ibogaine Clinic

The Root Ibogaine Collective

The Psychedelic Program at The Center for Optimal Living

Juliana on Instagram

Previous episode: Navigating Psychedelic Narcissism with Adam Aronovich

Previous episode: Harm Reduction Through Testing Your Psychedelics with Mitchell Gomez

Previous episode: When *Not* to Proceed with a Planned Psychedelic Journey with Rick Barnett, PsyD

Previous episode: Fireside Project: The World’s First Psychedelic Hotline with Joshua White and Hanifa Nayo Washington

Previous episode: Insights Gained from the First Year of Fireside Project with Joshua White

Psychedelic Medicine Association

Porangui

On this episode of the Psychedelic Medicine Podcast, Juliana Milligan joins to discuss her recent article (co-authored with Joshua White of Fireside Project) on warning signs when selecting a psychedelic facilitator. Juliana is an ibogaine specialist who has been working in the ibogaine treatment community for 10 years. Having been formerly opioid-dependent and incarcerated herself, she currently works at the Center for Optimal Living where she runs the psychedelic education and training program. Juliana additionally works with clients doing preparation and integration of Ibogaine treatments through her business Inner Vision Ibogaine.

In this conversation, Juliana discusses each of the 10 red flags she identified in her article. First, she discusses potential issues around sexual misconduct on the part of facilitators, emphasizing that this is a topic which always requires careful and explicit discussion well prior to the psychedelic experience. One ought to also do some individual research, as potential allegations against a facilitator are also a red flag to take seriously.

Next, Juliana talks about the importance of facilitators doing a thorough medical intake. This involves getting a medical history from a potential client and checking if there are any contraindications for this person to take a psychedelic, such as dangerous interactions with prescription medications. In a similar vein, Juliana also stresses the necessity of facilitators testing the psychedelics their clients will be consuming whether they themselves provided the psychedelics or if the client brought their own substances. Willingness to test the substances in the presence of the client is definitely a good sign and shows that the facilitator values both transparency and safety. 

In terms of training, Juliana highly recommends ensuring that a facilitator is trauma-informed before committing to a journey under their guidance. Knowing that a guide will be conscientious and empathetic around issues of trauma helps to ensure that the psychedelic experience doesn’t itself turn in a traumatic direction. Similarly, Juliana emphasizes that facilitators should be open about the training they’ve received—even underground facilitators should ideally have mentors and be involved in a community of practitioners that encourages continued training.

In closing, Juliana discusses the dangers of having inflated and unrealistic expectations around the healing potential of psychedelics. Facilitators who use hyperbolic language like “ten years of therapy in one night” may actually be setting up clients for more difficult experiences than they otherwise may have had due to these fantastical claims. Juliana emphasizes that psychedelic healing is a cooperative endeavor, and neither the substance nor the facilitator is solely responsible for any healing that results from the experience. Ultimately, it is the person themselves who does this work, so Juliana highly recommends finding a facilitator who acknowledges their role as primarily supportive of this healing journey, rather than someone who presents themselves as a miracle worker responsible for these positive results.

In this episode:

• Why having a trauma-informed facilitator is important, and what this means

• The dangers of psychedelic narcissism

• The importance of the harm reduction practice of chemically testing psychedelics

• Trusting your intuition and building this capacity

• Having healthy and reasonable expectations around the healing potential of psychedelics

Quotes:

“Once you are on a psychedelic, you cannot properly consent to touch—it must be established in advance. And if [a facilitator] is saying ‘well no I need freedom in my work, I need to use my intuition’ that is a major red flag.” [7:19]

“It’s really important that the facilitator knows exactly what is contraindicated with the medicine they’re administering, and if they’re not evaluating for this and if they’re not familiar with medical conditions and how they interact with the medicine they’re giving then they’re not properly trained to be giving this medicine.” [10:14]

“The only person that can really heal you is yourself and a facilitator is just there to help empower you and support you in guiding yourself. It’s a collaborative relationship.” [13:44]

“If a person isn’t willing to be receptive to feedback, self-reflective, and take accountability, psychedelics aren’t necessarily going to make them do that. And so you give psychedelics to somebody with those kinds of narcissistic traits and it can just make the narcissism worse.” [20:15]

Links:

Juliana's Article with Fireside Project: Warning Signs When Selecting a Psychedelic Facilitator 

Inner Vision Ibogaine: Guide to Finding an Ibogaine Clinic

The Root Ibogaine Collective

The Psychedelic Program at The Center for Optimal Living

Juliana on Instagram

Previous episode: Navigating Psychedelic Narcissism with Adam Aronovich

Previous episode: Harm Reduction Through Testing Your Psychedelics with Mitchell Gomez

Previous episode: When *Not* to Proceed with a Planned Psychedelic Journey with Rick Barnett, PsyD

Previous episode: Fireside Project: The World’s First Psychedelic Hotline with Joshua White and Hanifa Nayo Washington

Previous episode: Insights Gained from the First Year of Fireside Project with Joshua White

Psychedelic Medicine Association

Porangui

On this episode of the Psychedelic Medicine Podcast, Juliana Milligan joins to discuss her recent article (co-authored with Joshua White of Fireside Project) on warning signs when selecting a psychedelic facilitator. Juliana is an ibogaine specialist who has been working in the ibogaine treatment community for 10 years. Having been formerly opioid-dependent and incarcerated herself, she currently works at the Center for Optimal Living where she runs the psychedelic education and training program. Juliana additionally works with clients doing preparation and integration of Ibogaine treatments through her business Inner Vision Ibogaine.

In this conversation, Juliana discusses each of the 10 red flags she identified in her article. First, she discusses potential issues around sexual misconduct on the part of facilitators, emphasizing that this is a topic which always requires careful and explicit discussion well prior to the psychedelic experience. One ought to also do some individual research, as potential allegations against a facilitator are also a red flag to take seriously.

Next, Juliana talks about the importance of facilitators doing a thorough medical intake. This involves getting a medical history from a potential client and checking if there are any contraindications for this person to take a psychedelic, such as dangerous interactions with prescription medications. In a similar vein, Juliana also stresses the necessity of facilitators testing the psychedelics their clients will be consuming whether they themselves provided the psychedelics or if the client brought their own substances. Willingness to test the substances in the presence of the client is definitely a good sign and shows that the facilitator values both transparency and safety. 

In terms of training, Juliana highly recommends ensuring that a facilitator is trauma-informed before committing to a journey under their guidance. Knowing that a guide will be conscientious and empathetic around issues of trauma helps to ensure that the psychedelic experience doesn’t itself turn in a traumatic direction. Similarly, Juliana emphasizes that facilitators should be open about the training they’ve received—even underground facilitators should ideally have mentors and be involved in a community of practitioners that encourages continued training.

In closing, Juliana discusses the dangers of having inflated and unrealistic expectations around the healing potential of psychedelics. Facilitators who use hyperbolic language like “ten years of therapy in one night” may actually be setting up clients for more difficult experiences than they otherwise may have had due to these fantastical claims. Juliana emphasizes that psychedelic healing is a cooperative endeavor, and neither the substance nor the facilitator is solely responsible for any healing that results from the experience. Ultimately, it is the person themselves who does this work, so Juliana highly recommends finding a facilitator who acknowledges their role as primarily supportive of this healing journey, rather than someone who presents themselves as a miracle worker responsible for these positive results.

In this episode:

• Why having a trauma-informed facilitator is important, and what this means

• The dangers of psychedelic narcissism

• The importance of the harm reduction practice of chemically testing psychedelics

• Trusting your intuition and building this capacity

• Having healthy and reasonable expectations around the healing potential of psychedelics

Quotes:

“Once you are on a psychedelic, you cannot properly consent to touch—it must be established in advance. And if [a facilitator] is saying ‘well no I need freedom in my work, I need to use my intuition’ that is a major red flag.” [7:19]

“It’s really important that the facilitator knows exactly what is contraindicated with the medicine they’re administering, and if they’re not evaluating for this and if they’re not familiar with medical conditions and how they interact with the medicine they’re giving then they’re not properly trained to be giving this medicine.” [10:14]

“The only person that can really heal you is yourself and a facilitator is just there to help empower you and support you in guiding yourself. It’s a collaborative relationship.” [13:44]

“If a person isn’t willing to be receptive to feedback, self-reflective, and take accountability, psychedelics aren’t necessarily going to make them do that. And so you give psychedelics to somebody with those kinds of narcissistic traits and it can just make the narcissism worse.” [20:15]

Links:

Juliana's Article with Fireside Project: Warning Signs When Selecting a Psychedelic Facilitator 

Inner Vision Ibogaine: Guide to Finding an Ibogaine Clinic

The Root Ibogaine Collective

The Psychedelic Program at The Center for Optimal Living

Juliana on Instagram

Previous episode: Navigating Psychedelic Narcissism with Adam Aronovich

Previous episode: Harm Reduction Through Testing Your Psychedelics with Mitchell Gomez

Previous episode: When *Not* to Proceed with a Planned Psychedelic Journey with Rick Barnett, PsyD

Previous episode: Fireside Project: The World’s First Psychedelic Hotline with Joshua White and Hanifa Nayo Washington

Previous episode: Insights Gained from the First Year of Fireside Project with Joshua White

Psychedelic Medicine Association

Porangui

On this episode of the Psychedelic Medicine Podcast, Juliana Milligan joins to discuss her recent article (co-authored with Joshua White of Fireside Project) on warning signs when selecting a psychedelic facilitator. Juliana is an ibogaine specialist who has been working in the ibogaine treatment community for 10 years. Having been formerly opioid-dependent and incarcerated herself, she currently works at the Center for Optimal Living where she runs the psychedelic education and training program. Juliana additionally works with clients doing preparation and integration of Ibogaine treatments through her business Inner Vision Ibogaine.

In this conversation, Juliana discusses each of the 10 red flags she identified in her article. First, she discusses potential issues around sexual misconduct on the part of facilitators, emphasizing that this is a topic which always requires careful and explicit discussion well prior to the psychedelic experience. One ought to also do some individual research, as potential allegations against a facilitator are also a red flag to take seriously.

Next, Juliana talks about the importance of facilitators doing a thorough medical intake. This involves getting a medical history from a potential client and checking if there are any contraindications for this person to take a psychedelic, such as dangerous interactions with prescription medications. In a similar vein, Juliana also stresses the necessity of facilitators testing the psychedelics their clients will be consuming whether they themselves provided the psychedelics or if the client brought their own substances. Willingness to test the substances in the presence of the client is definitely a good sign and shows that the facilitator values both transparency and safety. 

In terms of training, Juliana highly recommends ensuring that a facilitator is trauma-informed before committing to a journey under their guidance. Knowing that a guide will be conscientious and empathetic around issues of trauma helps to ensure that the psychedelic experience doesn’t itself turn in a traumatic direction. Similarly, Juliana emphasizes that facilitators should be open about the training they’ve received—even underground facilitators should ideally have mentors and be involved in a community of practitioners that encourages continued training.

In closing, Juliana discusses the dangers of having inflated and unrealistic expectations around the healing potential of psychedelics. Facilitators who use hyperbolic language like “ten years of therapy in one night” may actually be setting up clients for more difficult experiences than they otherwise may have had due to these fantastical claims. Juliana emphasizes that psychedelic healing is a cooperative endeavor, and neither the substance nor the facilitator is solely responsible for any healing that results from the experience. Ultimately, it is the person themselves who does this work, so Juliana highly recommends finding a facilitator who acknowledges their role as primarily supportive of this healing journey, rather than someone who presents themselves as a miracle worker responsible for these positive results.

In this episode:

• Why having a trauma-informed facilitator is important, and what this means

• The dangers of psychedelic narcissism

• The importance of the harm reduction practice of chemically testing psychedelics

• Trusting your intuition and building this capacity

• Having healthy and reasonable expectations around the healing potential of psychedelics

Quotes:

“Once you are on a psychedelic, you cannot properly consent to touch—it must be established in advance. And if [a facilitator] is saying ‘well no I need freedom in my work, I need to use my intuition’ that is a major red flag.” [7:19]

“It’s really important that the facilitator knows exactly what is contraindicated with the medicine they’re administering, and if they’re not evaluating for this and if they’re not familiar with medical conditions and how they interact with the medicine they’re giving then they’re not properly trained to be giving this medicine.” [10:14]

“The only person that can really heal you is yourself and a facilitator is just there to help empower you and support you in guiding yourself. It’s a collaborative relationship.” [13:44]

“If a person isn’t willing to be receptive to feedback, self-reflective, and take accountability, psychedelics aren’t necessarily going to make them do that. And so you give psychedelics to somebody with those kinds of narcissistic traits and it can just make the narcissism worse.” [20:15]

Links:

Juliana's Article with Fireside Project: Warning Signs When Selecting a Psychedelic Facilitator 

Inner Vision Ibogaine: Guide to Finding an Ibogaine Clinic

The Root Ibogaine Collective

The Psychedelic Program at The Center for Optimal Living

Juliana on Instagram

Previous episode: Navigating Psychedelic Narcissism with Adam Aronovich

Previous episode: Harm Reduction Through Testing Your Psychedelics with Mitchell Gomez

Previous episode: When *Not* to Proceed with a Planned Psychedelic Journey with Rick Barnett, PsyD

Previous episode: Fireside Project: The World’s First Psychedelic Hotline with Joshua White and Hanifa Nayo Washington

Previous episode: Insights Gained from the First Year of Fireside Project with Joshua White

Psychedelic Medicine Association

Porangui

On this episode of the Psychedelic Medicine Podcast, Juliana Milligan joins to discuss her recent article (co-authored with Joshua White of Fireside Project) on warning signs when selecting a psychedelic facilitator. Juliana is an ibogaine specialist who has been working in the ibogaine treatment community for 10 years. Having been formerly opioid-dependent and incarcerated herself, she currently works at the Center for Optimal Living where she runs the psychedelic education and training program. Juliana additionally works with clients doing preparation and integration of Ibogaine treatments through her business Inner Vision Ibogaine.

In this conversation, Juliana discusses each of the 10 red flags she identified in her article. First, she discusses potential issues around sexual misconduct on the part of facilitators, emphasizing that this is a topic which always requires careful and explicit discussion well prior to the psychedelic experience. One ought to also do some individual research, as potential allegations against a facilitator are also a red flag to take seriously.

Next, Juliana talks about the importance of facilitators doing a thorough medical intake. This involves getting a medical history from a potential client and checking if there are any contraindications for this person to take a psychedelic, such as dangerous interactions with prescription medications. In a similar vein, Juliana also stresses the necessity of facilitators testing the psychedelics their clients will be consuming whether they themselves provided the psychedelics or if the client brought their own substances. Willingness to test the substances in the presence of the client is definitely a good sign and shows that the facilitator values both transparency and safety. 

In terms of training, Juliana highly recommends ensuring that a facilitator is trauma-informed before committing to a journey under their guidance. Knowing that a guide will be conscientious and empathetic around issues of trauma helps to ensure that the psychedelic experience doesn’t itself turn in a traumatic direction. Similarly, Juliana emphasizes that facilitators should be open about the training they’ve received—even underground facilitators should ideally have mentors and be involved in a community of practitioners that encourages continued training.

In closing, Juliana discusses the dangers of having inflated and unrealistic expectations around the healing potential of psychedelics. Facilitators who use hyperbolic language like “ten years of therapy in one night” may actually be setting up clients for more difficult experiences than they otherwise may have had due to these fantastical claims. Juliana emphasizes that psychedelic healing is a cooperative endeavor, and neither the substance nor the facilitator is solely responsible for any healing that results from the experience. Ultimately, it is the person themselves who does this work, so Juliana highly recommends finding a facilitator who acknowledges their role as primarily supportive of this healing journey, rather than someone who presents themselves as a miracle worker responsible for these positive results.

In this episode:

• Why having a trauma-informed facilitator is important, and what this means

• The dangers of psychedelic narcissism

• The importance of the harm reduction practice of chemically testing psychedelics

• Trusting your intuition and building this capacity

• Having healthy and reasonable expectations around the healing potential of psychedelics

Quotes:

“Once you are on a psychedelic, you cannot properly consent to touch—it must be established in advance. And if [a facilitator] is saying ‘well no I need freedom in my work, I need to use my intuition’ that is a major red flag.” [7:19]

“It’s really important that the facilitator knows exactly what is contraindicated with the medicine they’re administering, and if they’re not evaluating for this and if they’re not familiar with medical conditions and how they interact with the medicine they’re giving then they’re not properly trained to be giving this medicine.” [10:14]

“The only person that can really heal you is yourself and a facilitator is just there to help empower you and support you in guiding yourself. It’s a collaborative relationship.” [13:44]

“If a person isn’t willing to be receptive to feedback, self-reflective, and take accountability, psychedelics aren’t necessarily going to make them do that. And so you give psychedelics to somebody with those kinds of narcissistic traits and it can just make the narcissism worse.” [20:15]

Links:

Juliana's Article with Fireside Project: Warning Signs When Selecting a Psychedelic Facilitator 

Inner Vision Ibogaine: Guide to Finding an Ibogaine Clinic

The Root Ibogaine Collective

The Psychedelic Program at The Center for Optimal Living

Juliana on Instagram

Previous episode: Navigating Psychedelic Narcissism with Adam Aronovich

Previous episode: Harm Reduction Through Testing Your Psychedelics with Mitchell Gomez

Previous episode: When *Not* to Proceed with a Planned Psychedelic Journey with Rick Barnett, PsyD

Previous episode: Fireside Project: The World’s First Psychedelic Hotline with Joshua White and Hanifa Nayo Washington

Previous episode: Insights Gained from the First Year of Fireside Project with Joshua White

Psychedelic Medicine Association

Porangui

On this episode of the Psychedelic Medicine Podcast, Juliana Milligan joins to discuss her recent article (co-authored with Joshua White of Fireside Project) on warning signs when selecting a psychedelic facilitator. Juliana is an ibogaine specialist who has been working in the ibogaine treatment community for 10 years. Having been formerly opioid-dependent and incarcerated herself, she currently works at the Center for Optimal Living where she runs the psychedelic education and training program. Juliana additionally works with clients doing preparation and integration of Ibogaine treatments through her business Inner Vision Ibogaine.

In this conversation, Juliana discusses each of the 10 red flags she identified in her article. First, she discusses potential issues around sexual misconduct on the part of facilitators, emphasizing that this is a topic which always requires careful and explicit discussion well prior to the psychedelic experience. One ought to also do some individual research, as potential allegations against a facilitator are also a red flag to take seriously.

Next, Juliana talks about the importance of facilitators doing a thorough medical intake. This involves getting a medical history from a potential client and checking if there are any contraindications for this person to take a psychedelic, such as dangerous interactions with prescription medications. In a similar vein, Juliana also stresses the necessity of facilitators testing the psychedelics their clients will be consuming whether they themselves provided the psychedelics or if the client brought their own substances. Willingness to test the substances in the presence of the client is definitely a good sign and shows that the facilitator values both transparency and safety. 

In terms of training, Juliana highly recommends ensuring that a facilitator is trauma-informed before committing to a journey under their guidance. Knowing that a guide will be conscientious and empathetic around issues of trauma helps to ensure that the psychedelic experience doesn’t itself turn in a traumatic direction. Similarly, Juliana emphasizes that facilitators should be open about the training they’ve received—even underground facilitators should ideally have mentors and be involved in a community of practitioners that encourages continued training.

In closing, Juliana discusses the dangers of having inflated and unrealistic expectations around the healing potential of psychedelics. Facilitators who use hyperbolic language like “ten years of therapy in one night” may actually be setting up clients for more difficult experiences than they otherwise may have had due to these fantastical claims. Juliana emphasizes that psychedelic healing is a cooperative endeavor, and neither the substance nor the facilitator is solely responsible for any healing that results from the experience. Ultimately, it is the person themselves who does this work, so Juliana highly recommends finding a facilitator who acknowledges their role as primarily supportive of this healing journey, rather than someone who presents themselves as a miracle worker responsible for these positive results.

In this episode:

• Why having a trauma-informed facilitator is important, and what this means

• The dangers of psychedelic narcissism

• The importance of the harm reduction practice of chemically testing psychedelics

• Trusting your intuition and building this capacity

• Having healthy and reasonable expectations around the healing potential of psychedelics

Quotes:

“Once you are on a psychedelic, you cannot properly consent to touch—it must be established in advance. And if [a facilitator] is saying ‘well no I need freedom in my work, I need to use my intuition’ that is a major red flag.” [7:19]

“It’s really important that the facilitator knows exactly what is contraindicated with the medicine they’re administering, and if they’re not evaluating for this and if they’re not familiar with medical conditions and how they interact with the medicine they’re giving then they’re not properly trained to be giving this medicine.” [10:14]

“The only person that can really heal you is yourself and a facilitator is just there to help empower you and support you in guiding yourself. It’s a collaborative relationship.” [13:44]

“If a person isn’t willing to be receptive to feedback, self-reflective, and take accountability, psychedelics aren’t necessarily going to make them do that. And so you give psychedelics to somebody with those kinds of narcissistic traits and it can just make the narcissism worse.” [20:15]

Links:

Juliana's Article with Fireside Project: Warning Signs When Selecting a Psychedelic Facilitator 

Inner Vision Ibogaine: Guide to Finding an Ibogaine Clinic

The Root Ibogaine Collective

The Psychedelic Program at The Center for Optimal Living

Juliana on Instagram

Previous episode: Navigating Psychedelic Narcissism with Adam Aronovich

Previous episode: Harm Reduction Through Testing Your Psychedelics with Mitchell Gomez

Previous episode: When *Not* to Proceed with a Planned Psychedelic Journey with Rick Barnett, PsyD

Previous episode: Fireside Project: The World’s First Psychedelic Hotline with Joshua White and Hanifa Nayo Washington

Previous episode: Insights Gained from the First Year of Fireside Project with Joshua White

Psychedelic Medicine Association

Porangui

On this episode of the Psychedelic Medicine Podcast, Juliana Milligan joins to discuss her recent article (co-authored with Joshua White of Fireside Project) on warning signs when selecting a psychedelic facilitator. Juliana is an ibogaine specialist who has been working in the ibogaine treatment community for 10 years. Having been formerly opioid-dependent and incarcerated herself, she currently works at the Center for Optimal Living where she runs the psychedelic education and training program. Juliana additionally works with clients doing preparation and integration of Ibogaine treatments through her business Inner Vision Ibogaine.

In this conversation, Juliana discusses each of the 10 red flags she identified in her article. First, she discusses potential issues around sexual misconduct on the part of facilitators, emphasizing that this is a topic which always requires careful and explicit discussion well prior to the psychedelic experience. One ought to also do some individual research, as potential allegations against a facilitator are also a red flag to take seriously.

Next, Juliana talks about the importance of facilitators doing a thorough medical intake. This involves getting a medical history from a potential client and checking if there are any contraindications for this person to take a psychedelic, such as dangerous interactions with prescription medications. In a similar vein, Juliana also stresses the necessity of facilitators testing the psychedelics their clients will be consuming whether they themselves provided the psychedelics or if the client brought their own substances. Willingness to test the substances in the presence of the client is definitely a good sign and shows that the facilitator values both transparency and safety. 

In terms of training, Juliana highly recommends ensuring that a facilitator is trauma-informed before committing to a journey under their guidance. Knowing that a guide will be conscientious and empathetic around issues of trauma helps to ensure that the psychedelic experience doesn’t itself turn in a traumatic direction. Similarly, Juliana emphasizes that facilitators should be open about the training they’ve received—even underground facilitators should ideally have mentors and be involved in a community of practitioners that encourages continued training.

In closing, Juliana discusses the dangers of having inflated and unrealistic expectations around the healing potential of psychedelics. Facilitators who use hyperbolic language like “ten years of therapy in one night” may actually be setting up clients for more difficult experiences than they otherwise may have had due to these fantastical claims. Juliana emphasizes that psychedelic healing is a cooperative endeavor, and neither the substance nor the facilitator is solely responsible for any healing that results from the experience. Ultimately, it is the person themselves who does this work, so Juliana highly recommends finding a facilitator who acknowledges their role as primarily supportive of this healing journey, rather than someone who presents themselves as a miracle worker responsible for these positive results.

In this episode:

• Why having a trauma-informed facilitator is important, and what this means

• The dangers of psychedelic narcissism

• The importance of the harm reduction practice of chemically testing psychedelics

• Trusting your intuition and building this capacity

• Having healthy and reasonable expectations around the healing potential of psychedelics

Quotes:

“Once you are on a psychedelic, you cannot properly consent to touch—it must be established in advance. And if [a facilitator] is saying ‘well no I need freedom in my work, I need to use my intuition’ that is a major red flag.” [7:19]

“It’s really important that the facilitator knows exactly what is contraindicated with the medicine they’re administering, and if they’re not evaluating for this and if they’re not familiar with medical conditions and how they interact with the medicine they’re giving then they’re not properly trained to be giving this medicine.” [10:14]

“The only person that can really heal you is yourself and a facilitator is just there to help empower you and support you in guiding yourself. It’s a collaborative relationship.” [13:44]

“If a person isn’t willing to be receptive to feedback, self-reflective, and take accountability, psychedelics aren’t necessarily going to make them do that. And so you give psychedelics to somebody with those kinds of narcissistic traits and it can just make the narcissism worse.” [20:15]

Links:

Juliana's Article with Fireside Project: Warning Signs When Selecting a Psychedelic Facilitator 

Inner Vision Ibogaine: Guide to Finding an Ibogaine Clinic

The Root Ibogaine Collective

The Psychedelic Program at The Center for Optimal Living

Juliana on Instagram

Previous episode: Navigating Psychedelic Narcissism with Adam Aronovich

Previous episode: Harm Reduction Through Testing Your Psychedelics with Mitchell Gomez

Previous episode: When *Not* to Proceed with a Planned Psychedelic Journey with Rick Barnett, PsyD

Previous episode: Fireside Project: The World’s First Psychedelic Hotline with Joshua White and Hanifa Nayo Washington

Previous episode: Insights Gained from the First Year of Fireside Project with Joshua White

Psychedelic Medicine Association

Porangui

On this episode of the Psychedelic Medicine Podcast, Juliana Milligan joins to discuss her recent article (co-authored with Joshua White of Fireside Project) on warning signs when selecting a psychedelic facilitator. Juliana is an ibogaine specialist who has been working in the ibogaine treatment community for 10 years. Having been formerly opioid-dependent and incarcerated herself, she currently works at the Center for Optimal Living where she runs the psychedelic education and training program. Juliana additionally works with clients doing preparation and integration of Ibogaine treatments through her business Inner Vision Ibogaine.

In this conversation, Juliana discusses each of the 10 red flags she identified in her article. First, she discusses potential issues around sexual misconduct on the part of facilitators, emphasizing that this is a topic which always requires careful and explicit discussion well prior to the psychedelic experience. One ought to also do some individual research, as potential allegations against a facilitator are also a red flag to take seriously.

Next, Juliana talks about the importance of facilitators doing a thorough medical intake. This involves getting a medical history from a potential client and checking if there are any contraindications for this person to take a psychedelic, such as dangerous interactions with prescription medications. In a similar vein, Juliana also stresses the necessity of facilitators testing the psychedelics their clients will be consuming whether they themselves provided the psychedelics or if the client brought their own substances. Willingness to test the substances in the presence of the client is definitely a good sign and shows that the facilitator values both transparency and safety. 

In terms of training, Juliana highly recommends ensuring that a facilitator is trauma-informed before committing to a journey under their guidance. Knowing that a guide will be conscientious and empathetic around issues of trauma helps to ensure that the psychedelic experience doesn’t itself turn in a traumatic direction. Similarly, Juliana emphasizes that facilitators should be open about the training they’ve received—even underground facilitators should ideally have mentors and be involved in a community of practitioners that encourages continued training.

In closing, Juliana discusses the dangers of having inflated and unrealistic expectations around the healing potential of psychedelics. Facilitators who use hyperbolic language like “ten years of therapy in one night” may actually be setting up clients for more difficult experiences than they otherwise may have had due to these fantastical claims. Juliana emphasizes that psychedelic healing is a cooperative endeavor, and neither the substance nor the facilitator is solely responsible for any healing that results from the experience. Ultimately, it is the person themselves who does this work, so Juliana highly recommends finding a facilitator who acknowledges their role as primarily supportive of this healing journey, rather than someone who presents themselves as a miracle worker responsible for these positive results.

In this episode:

• Why having a trauma-informed facilitator is important, and what this means

• The dangers of psychedelic narcissism

• The importance of the harm reduction practice of chemically testing psychedelics

• Trusting your intuition and building this capacity

• Having healthy and reasonable expectations around the healing potential of psychedelics

Quotes:

“Once you are on a psychedelic, you cannot properly consent to touch—it must be established in advance. And if [a facilitator] is saying ‘well no I need freedom in my work, I need to use my intuition’ that is a major red flag.” [7:19]

“It’s really important that the facilitator knows exactly what is contraindicated with the medicine they’re administering, and if they’re not evaluating for this and if they’re not familiar with medical conditions and how they interact with the medicine they’re giving then they’re not properly trained to be giving this medicine.” [10:14]

“The only person that can really heal you is yourself and a facilitator is just there to help empower you and support you in guiding yourself. It’s a collaborative relationship.” [13:44]

“If a person isn’t willing to be receptive to feedback, self-reflective, and take accountability, psychedelics aren’t necessarily going to make them do that. And so you give psychedelics to somebody with those kinds of narcissistic traits and it can just make the narcissism worse.” [20:15]

Links:

Juliana's Article with Fireside Project: Warning Signs When Selecting a Psychedelic Facilitator 

Inner Vision Ibogaine: Guide to Finding an Ibogaine Clinic

The Root Ibogaine Collective

The Psychedelic Program at The Center for Optimal Living

Juliana on Instagram

Previous episode: Navigating Psychedelic Narcissism with Adam Aronovich

Previous episode: Harm Reduction Through Testing Your Psychedelics with Mitchell Gomez

Previous episode: When *Not* to Proceed with a Planned Psychedelic Journey with Rick Barnett, PsyD

Previous episode: Fireside Project: The World’s First Psychedelic Hotline with Joshua White and Hanifa Nayo Washington

Previous episode: Insights Gained from the First Year of Fireside Project with Joshua White

Psychedelic Medicine Association

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In this episode of the Psychedelic Medicine Podcast, Balázs Szigeti, PhD, joins to discuss his research on the intersection of microdosing psychedelics and the placebo effect. Dr. Szigeti studied physics at Imperial College, after which he earned a PhD in computational neuroscience from the University of Edinburgh. He has worked as a biomedical software engineer at the Icahn Genomics Institute and he has conducted the largest placebo-controlled study on psychedelics to date. In his research, Dr. Szigeti uses novel statistical and experimental techniques to explore the intersection of psychedelics and placebo effects.

Dr. Szigeti begins this conversation by discussing the design of his placebo-controlled microdosing study, “Self-blinding citizen science to explore psychedelic microdosing” which appeared in the journal eLife in March 2021. For this study, Dr. Szigeti and his team employed citizen science to collect placebo-controlled observational data from participants, allowing this experiment to take place outside of a clinical environment. Participants self-blinded by preparing identical psychedelic and placebo microdose capsules and data was submitted using QR codes so that the researchers were knew whether the participant was in the psychedelic group or the control group, while the participants themselves remained in the dark.

The results from this study showed a statistically significant improvement of wellbeing among both the microdose and placebo groups, with no statistical significant difference between the two groups in terms of any of the outcomes. Dr. Szigeti talks about the media reception of his research, which tended to present the findings as suggesting microdosing is ineffective since there was no difference between the two groups. However, Dr. Szigeti has a different takeaway. He suggests that the practice of microdosing can indeed lead to improved wellness as the study showed—the takeaway is simply that this effect is harder to distinguish from a placebo than originally anticipated. He emphasizes the very real medical power of this placebo effect, and discusses how triggering one’s own placebo effect either through microdosing or some other practice can be transformative. 

However, beyond what the data may suggest about the impact of microdosing psychedelics, Dr. Szigeti emphasizes the broader takeaways from his study, which bring into question the efficacy of placebo-controlled studies as a gold-standard in the context of psychedelic trials. Because psychedelics cause notable shifts in perception, trial participants will quickly become aware whether they are in placebo or psychedelic groups, particularly in the case of trials exploring doses beyond the microdose range. This causes an immediate unblinding effect, and makes control groups less useful than in other contexts where a participant does not find out which group they were a part of until the trial’s conclusion. Dr. Szigeti affirms the methodology of placebo-controlled trials as an essential tool for researchers which deserves its reputation for providing high-quality evidence, but he urges the field of psychedelic studies to pay closer attention to questions of methodology, as there may be yet undiscovered modes of scientific investigation which would be better-suited to psychedelic trials. 

Dr. Szigeti is currently working on a follow-up blinded study on microdosing which he hopes will address some of the shortcomings of the original investigation. In particular, he mentioned that the participants in the original study had high levels of well-being already at the start of the trial, so improvements may have been less significant than in a population with a lower level of well-being to start. As such, he and his team hope to recruit a more diverse sample in this upcoming trial to further explore the extent of both placebo and microdosing impacts on wellness. Information for the upcoming study can be found at the website: https://selfblinding-microdose.org/

In this episode:

• How Dr. Szigeti set up his self-blinded placebo-controlled study of microdosing outside of a clinical environment

• What is “citizen science” and how this differs from other methodologies

• The issue of tolerance in microdosing and how this may differ between LSD and psilocybin

• How Dr. Szigeti uses statistical analysis to further interpret data where participants realize which group of the study they are in

Quotes:

“The results of this microdose trial were mixed because you can make an argument that this change over time is the more important outcome and that was statistically significant, but the comparison of the magnitude of change in the placebo group versus the magnitude of change in the microdose group, that was not significant anymore. It was not significant on any of the scales, I should add.”  [14:45]

“Nobody ever checks whether the placebo control was really working as intended, which is just like—I don’t know how it could have happened. There is such a big emphasis on the methodological superiority of placebo-controlled trials and then nobody is checking whether its really working or not.” [21:09]

“With psychedelics this issue [of placebo groups] is going to come to the forefront because, yes with microdosing there is some wiggle room in people recognizing their treatment, but when it comes to 200μg of LDS versus placebo, there is zero uncertainty. Everybody will recognize when you’re in the active placebo treatment.” [28:13]

Links:

Upcoming trial website

Dr. Szigeti’s study: “Self-blinding citizen science to explore psychedelic microdosing"

Dr. Szigeti’s recent article: “On the fallibility of placebo control and how to address it: a case study in psychedelic microdosing"

Dr. Szigeti on Twitter

Psychedelic Medicine Association

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In this episode of the Psychedelic Medicine Podcast, Joshua White returns to discuss the first year of the psychedelic peer-support line, Fireside Project. Joshua (he/him) is founder and executive director of Fireside Project and has prior experience as a volunteer counselor on a hotline and as a volunteer at the Zendo Project. He has also practiced law as a deputy city attorney at the San Francisco City Attorney’s Office, where he focused on suing business exploiting vulnerable communities. He also co-taught a nationally-renowned clinic at Yale Law School.

Joshua begins this conversation by sharing the success of Fireside Project in its first year of operation. The peer support line has been called over 3,100 times in the 14 months since the launch of Fireside Project, where callers have been able to receive open-ended support from compassionate peers as they navigate a psychedelic experience or attempt to integrate a previous experience. 

Joshua also shares some details about the kinds of calls the line has received, such as which psychedelic substances were involved in the caller’s experience, how callers were describing their experiences, and what mental health conditions callers self-reported. In terms of substances, psilocybin was the most commonly used by callers, though a wide range of different psychedelics were reported. For mental health conditions, PTSD stood out as the most frequently mentioned, though depression and anxiety were also common. Joshua mentions that he’s hopeful that this data may be incredibly useful in further developing harm reduction strategies, as the dataset may help uncover previously unknown correlations. 

Another aspiration for Fireside Project is ensuring equity through their Equity Initiative, which allows callers to process past psychedelic experiences with someone of a similar background. Joshua shares that this initiative will also produce original research on this topic, showing for example the kinds of benefits a caller from the BIPOC community might get through having the opportunity to integrate a past experience with a BIPOC peer. 

Joshua closes this conversation with powerful words about integration and harm reduction, saying that integration is a form of harm reduction. To that end, Joshua is hopeful Fireside Project can continue offering crucial harm reduction and integration services as the organization grows and reaches beyond the niche of psychedelic enthusiasts. 

In this episode:

• Who has been calling the peer-support line and what kind of support they are seeking

• How Fireside Project could potentially offset the burden on emergency services in the case of negative psychedelic experiences

• The diversity of Fireside Project volunteers

• The problems of facilitator abuse and neglect in the psychedelic space

• The future of Fireside Project

Quotes:

“Reflective listening—which is the core, the foundation of holding space—this is really a skill that we can continue to cultivate.” [8:03]

“My hope is that there’s no barrier, there’s no stigma, and there’s no shame to reaching out.”  [12:53]

“All of the lessons we learn, we really just want to share those with the public in the hope that this will lead to less risky and more fulfilling psychedelic experiences.” [17:30]

“One of the things that I’ve noticed is—that we’ve noticed is—even though every single call is different in its own way, especially when someone reaches out to us in a heightened state, really validation, normalization, and reassurance often happen at the very beginning.” [25:34]

“It’s amazing how some of our calls are just so short because someone just wants to know that we are there.” [28:44]

“As a psychedelic community, people need to stop saying that psychedelics are ten years of therapy in one night. It’s just not true, and it sets people up for serious disappointment and can even be really dangerous for that reason.” [30:01]

Links:

Fireside Project website

Fireside Project app

Fireside Project Instagram

Fireside Project Twitter

Fireside Project Tik Tok

Psychedelic Medicine Association

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In this episode of the Psychedelic Medicine Podcast, Dr. Felipe Malacara joins to discuss the safety considerations surrounding ibogaine therapy. Dr. Malacara is the chief clinical operations director for Beond, a Mexico-based Ibogaine clinic. He is also a general practice physician with a medical degree from Universidad Autónoma Metropolitana in Mexico City and has over 17 years of experience treating over 1,200 patients with Ibogaine therapy. 

In this conversation, Dr. Malacara shares important safety information about ibogaine, starting with major contraindications to using the powerful substance. These contraindications fall into three main groups: heart issues, electrolyte deficiencies, and liver problems. As Dr. Malacara explains, all of these have the potential to make Ibogaine dangerous due to the way it interacts with the heart, particularly if there is a metabolism issue. In terms of negative outcomes, cardiac issues are the most common as ibogaine can cause bradycardia—a dangerous slowing of the heart rate. 

Due to these potential risks, Dr. Malacara encourages a thorough evaluation prior to ibogaine therapy, including full blood work, an EKG, and occasionally an ultrasound of the heart. Another crucial part of the evaluation is taking an inventory of the patient’s prescription medication and drug use. Dr. Malacara explains that patients may need to be weaned off a particular drug or be given a shorter-acting alternative so that they can come into the ibogaine therapy without any substances in their system which could lead to dangerous interactions or render the treatment less effective. In particular, Dr. Malacara notes that SSRIs could interact with ibogaine to produce serotonin syndrome, and while this can be straightforward to treat, diagnosis can be difficult, so avoiding this entirely by weaning off the medication under the direction of a physician is strongly suggested prior to treatment. 

In closing, Dr. Malacara emphasizes that Ibogaine is not a magic bullet despite its unique efficacy for treating addiction. The will to change on the part of the patient is still crucial, especially as preparation for ibogaine therapy itself requires a lot of commitment and dedication. If that is present, however, Dr. Malacara maintains that the treatment can be extremely effective.

In this episode:

• How Dr. Malacara got involved in Ibogaine therapy

• The inherent risks of Ibogaine

• What patients should be evaluated for prior to receiving Ibogaine therapy

• Weaning patients off drugs or onto different, shorter acting substances in preparation for Ibogaine

• The types of addictions may be successfully addressed by Ibogaine

• Monitoring a patient’s heart following Ibogaine, and when they can be released

Quotes:

“In the event [that a patient] is not able to metabolize ibogaine in an appropriate way, the risk of heart toxicity of the Ibogaine increases.” [9:25]

“Something which is important is drug screening before the treatment. We need to know that the patient has no traces of the drugs that we are going to treat in the system, because otherwise the treatment will be more difficult, the recovery will be more difficult, or it will be even ineffective.”  [26:48]

Links:

Beond

Psychedelic Medicine Association

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In this episode of the Psychedelic Medicine Podcast, Wyly Gray and Dr. Andrea Lucie join to discuss the issue of healing military sexual trauma (MST) through ayahuasca. Wyly Gray is a former Marine and founding executive director of Veterans of War, a nonprofit which connects teams of veterans to psychedelic-assisted guided group therapy designed to heal the scars of war in community. Dr. Andrea Lucie is a native of Chile and a third generation healer who has been traditionally and non-traditionally trained in ancient healing practices in the United States and Mexico. She also holds a PhD in mind-body medicine.

This conversation begins by discussing the tragic phenomenon of military sexual trauma and the current treatment modalities available for veteran survivors. Wyly explains that the current treatments, which primarily take a talk therapy approach, often fall short of what survivors need as they focus on treating the symptoms as they arise rather than being able to address these conditions at their root causes. Dr. Lucie explains the science behind ayahuasca as a treatment for trauma, highlighting the profound neurological and psychological impacts of this psychedelic medicine. 

Seeing the particular need for better treatment options among the veteran population, and the potential for ayahuasca to have such a profound positive impact, Wyly founded Veterans of War with the hope of better addressing this need. He shares the details of the six-month fellowship program, which involves a small cohort of veterans who do significant preparatory work together prior to a communal ayahuasca ceremony, followed by many integration sessions after the ceremony. Dr. Lucie explains different forms of mind-body work that may be effective supports before and after ceremony, citing things such as Tai Chi, meditation, and even close relationships with animals. 

Towards the end of this conversation, Wyly shares some profound stories of transformation he has witnessed first-hand through his work with Veterans of War. He has seen veterans who’ve struggled profoundly with panic attacks become incredibly joyful people, and others who were on the brink of suicide begin to heal and form deep and meaningful relationships. In closing, Wyly discusses plans to establish a healing center in Oregon for Veterans of War to further increase access to these opportunities without the need for international travel.

In this episode:

• The problems of the civilian service-member divide, and how ayahuasca can help break down these barriers

• The importance of supportive community in the context of ayahuasca therapy for veterans with MST

• Mind-body practices that can support veterans working through MST before and after an ayahuasca ceremony

• How trauma changes the brain and the neurological effects of psychedelics that can help reverse these changes

• Why tackling issues of sexual assault within the military can be so difficult 

Quotes:

“I think that Ayahuasca is unparalleled in its ability to create a safe and effective path towards recovery, but I deeply believe it also needs bookends on either side, or a structure to get the most out of it.” [8:19]

“Sometimes we just don’t want to talk. We just want to feel and when we feel and we identify where in the body the trauma is stuck—because the trauma gets stuck in the body—then we know how to release it with movement.” [27:16]

“Our response to trauma has seemed to be very one-dimensional. This is an effort to shift that, to start looking at people as whole units and at the same time, start speaking to the needs of that whole unit. If you are able to heal the trigger point of that trauma, you don’t have to heal its expression.” [31:18]

Links:

Veterans of War website

Veterans of War on Instagram

Veterans of War on Twitter

Psychedelic Medicine Association

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