Psychedelics and Psychotherapy
How is it that psychedelics can change the way we think? Some neuroscientists think of the psychedelic experience biochemically; serotonin excitation creates an opening to question deeply held beliefs. That opening can lead to a dopamine-driven “wait, there are so many other possibilities” moment, which can shift how we think. This made me wonder: is the therapeutic change driven more by neural excitation and inhibition than by the experience itself? There are ongoing studies looking at whether psychedelics still work without the psychomimetic component. I’m curious—if we remove the altered state, does the change still happen? Or is the intensity of the altered experience relative to the healing potential? Abraham Maslow spoke about peak experiences—those moments that feel almost perfect. They can come from a [...]
KRATOM: A Wellness Trend with Hidden Risks
I feel compelled to share a public service announcement about something I've been noticing more often in my clinical work: a surprising rise in Kratom use. Some people are intentionally using Kratom, aware that it's a plant with opioid-like properties. But more concerning are those who are unknowingly consuming it—often through "health drinks" sold at upscale health food stores, where Kratom is just one ingredient on the label. Kratom is derived from the leaves of the Mitragyna speciosa tree, native to Southeast Asia. While it has traditional uses and can act as a pain reliever or even help with opioid withdrawal, it also carries serious risks. In fact, it's banned in countries like Malaysia and Thailand due to its addictive potential, yet its availability in [...]
Ketamine Assisted Psychotherapy as Published in Los Angeles Psychotherapy Association Digest, Spring Volume 2024
Eva Altobelli, MD David Laramie, PhD We are experiencing a mental health crisis, and rates of depression and suicide continue to rise. According to the Surgeon General, Dr. Vivek Murthy, “Mental health has become the defining public health and societal challenge of our time ” (CDC, 2023). Over 30% of the population is suffering from mental health disorders and addiction (SAMHSA, 2021), and seventy percent of those suffering do not receive any mental health treatment. (Chatterjee, 2023). In the face of this, it is imperative that the field of mental health broaden its horizons in search of potential treatments.
Exploring the Potential of Psychedelic Assisted Therapy
This one-day conference provides a research-backed overview of psychedelic-assisted therapies, clarifying safe and effective integration into mental health and addiction services. We will examine their healing potential through psychodynamic, biochemical, somatic, relational, and spiritual lenses. Dr. Eva Altobelli Discusses the mental health and addiction epidemic, limited efficacy of current treatment and research indicating the potential benefit of psychedelic medicine. Clinical description of ketamine therapy as well as potential use of MDMA and psilocybin. Dr. David Laramie: Will present on some of the possible therapeutic and philosophical implications of working clinically with expanded states as well as associated tensions with the current modes of thought and practice. Topics include entropic brain, placebo, expectations, set and setting. LMU Conference Panel and Community [...]
Returning to the Fire: A Story of Psychedelic Healing Across Time
From the first humans who painted visions onto cave walls, to today’s clinical trials with psilocybin and MDMA, our species has always sought meaning, healing, and connection through extraordinary states of consciousness. What we now call “psychedelic medicine” is not a modern invention—it’s a remembering. A return. A fire that’s never fully gone out. The story begins long before there were borders, empires, or even language as we know it. Across the continents, early humans gathered in circles, guided by dreams, instinct, and the natural world. In some of the oldest cave art found—like the mushroom figures painted 7,000 years ago in the Tassili n’Ajjer caves of North Africa—scholars see clues that our ancestors were already exploring plant-based altered states. These weren’t recreational experiences. They [...]
Humanizing Psychiatry and Alternative Treatment Options
Psychiatry can get a bad reputation as psychiatrists we are relegated to the role of pill pushers. I know many of us do work that way, with a quick conversation and then out comes the prescription pads. On some level, that has been dictated by the insurance industry, which will only compensate a short medication management visit and not compensate at all if medications are not part of the picture. I would like to try and put a more human face to psychiatry and change our role from drug pushers to actual health care providers. To me, humanizing psychiatry includes recognizing that everything that happens to us since we came into this world leaves a mark. Our responses can be adaptive, maladaptive, or just survivalist. [...]
ARTICLES:
Analysis of the concept of Psychedelic Integration and its practice. (15-20 min read)
https://www.frontiersin.org/