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Re:Psilocybin for treatment-resistant depression: fMRI-measu... by ComputerGuru on Friday October 13, 2017 @09:18PM (#15470171)
Before self-medicating based on this combined with a self-diagnosis, consider that LSD and psilocybin have a nasty tendency of triggering latent psychological conditions if not taken in the appropriate dosage and in a controlled environment.

[ref: http://www.nationaldrugstrategy.gov.au/internet/drugstrategy... ]

Re:Psilocybin for treatment-resistant depression: fMRI-measu... by cheshire_cat on Friday October 13, 2017 @09:59PM (#15470272)
I'd definitely advise anyone thinking about this to do their research but the risk doesn't seem to be as large as often suggested. There was a large US study that showed no correlation between lifetime psychedelic use and mental health problems.

"[...] lifetime use of LSD, psilocybin, mescaline, or peyote, or past year use of LSD, was not associated with a higher rate of mental health problems."

https://www.nature.com/news/no-link-found-between-psychedeli... https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3747247/

Re:Psilocybin for treatment-resistant depression: fMRI-measu... by CardenB on Saturday October 14, 2017 @01:39AM (#15470953)
“Life time use” and “one time use triggering latent psychological conditions” are very different. Of course those who use over a long period of time aren’t showing adverse conditions. The ones who were triggered stayed away.
Re:Psilocybin for treatment-resistant depression: fMRI-measu... by amelius on Saturday October 14, 2017 @09:12AM (#15472003)
From the linked article:

> Of those, 14% described themselves as having used at any point in their lives any of the three ‘classic’ psychedelics: LSD, psilocybin (the active ingredient in so-called magic mushrooms) and mescaline (found in the peyote and San Pedro cacti). The researchers found that individuals in this group were not at increased risk of developing 11 indicators of mental-health problems such as schizophrenia, psychosis, depression, anxiety disorders and suicide attempts.

Emphasis on "at any point in their lives".

Re:Psilocybin for treatment-resistant depression: fMRI-measu... by mulvya on Saturday October 14, 2017 @02:33AM (#15471056)
“Life time use” != "use over a long period of time"

In epidemiological surveys, lifetime use == reports using at least once.

Re:Psilocybin for treatment-resistant depression: fMRI-measu... by Alex3917 on Saturday October 14, 2017 @02:42PM (#15473541)
> In epidemiological surveys, lifetime use == reports using at least once.

Not necessarily. For smoking you need to smoke 100 cigarettes before qualifying for lifetime use.

Re:Psilocybin for treatment-resistant depression: fMRI-measu... by clappski on Sunday October 15, 2017 @04:16AM (#15476342)
100 cigarettes seems like a very low threshold, that’s 5 packs of 20, even moderate smokers (>10 per day) could go through 200 in a month.
Re:Psilocybin for treatment-resistant depression: fMRI-measu... by benevol on Sunday October 15, 2017 @03:36AM (#15476266)
> the risk doesn't seem to be as large as often suggested

The anti-depressant business model is genius: (a) They're sold at a very high price point, (b) they generally make you factually dependent for quite some time (and they're quite hard to quit). It's one of big pharma's preferred multi-billion cash cows.

Now you know who's interested in spreading fear, doubt and uncertainty regarding cheap and effective competing substances such as LSD and psilocybin. And this industry has the resources to effectively influence public discussion forums such as HN, Reddit, Slashdot, etc.

Re:Psilocybin for treatment-resistant depression: fMRI-measu... by DanBC on Sunday October 15, 2017 @06:39AM (#15476603)
None of this is true.

Anti-depressant meds are very cheap. This is one of the problems of meds, they're much cheaper than a course of talking therapy.

They don't cause dependence.

Most people don't have problems coming off SSRIs, SNRIs, NASAs etc.

> And this industry has the resources to effectively influence public discussion forums such as HN, Reddit, Slashdot, etc.

You might want to read any of the posts dang has mad about accusing people of astroturfing: https://hn.algolia.com/?query=by:dang%20astroturfing&sort=by...

That's also in the guidelines: https://news.ycombinator.com/newsguidelines.html

> Don't accuse others of astroturfing or shillage. Email us and we'll look into it.

Re:Psilocybin for treatment-resistant depression: fMRI-measu... by jamiewilson on Sunday October 15, 2017 @11:02AM (#15477378)
> They don't cause dependence.

You say that with such authority, but in my personal experience they can absolutely cause dependency. I've had long-lasting withdrawal effects from certain SSRIs that were both physically and mentally painful.

Re:Psilocybin for treatment-resistant depression: fMRI-measu... by DanBC on Friday October 20, 2017 @05:47AM (#15514593)
It's not just me saying it. It's anyone who works in dependency services.

Discontinuation effects exist, are unpleasant, require correct tapering, but are not dependency.

Re:Psilocybin for treatment-resistant depression: fMRI-measu... by jamiewilson on Sunday October 22, 2017 @06:54PM (#15529483)
I understand the word "dependency" to be synonymous with what you're calling discontinuation effects. So, I think I agree with you now. Thanks for the following up with your clarification.
Re:Psilocybin for treatment-resistant depression: fMRI-measu... by anythingnonidin on Saturday October 14, 2017 @03:23AM (#15471164)
Yes, and also:

'Classic psychedelic use is associated with reduced psychological distress and suicidality in the United States adult population.'

https://www.ncbi.nlm.nih.gov/pubmed/25586402

Re:Psilocybin for treatment-resistant depression: fMRI-measu... by anythingnonidin on Saturday October 14, 2017 @03:03AM (#15471112)
Tendency: "an inclination toward a particular characteristic or type of behavior." "a strong chance that something will happen in a particular way"

> “Since the early 1990s, approximately 2000 doses of psilocybin (ranging from low to high doses) have been safely administered to humans in the United States and Europe, in carefully controlled scientific settings, with no reports of any medical or psychiatric serious AEs, including no reported cases of prolonged psychosis or HPPD (Studerus et al., 2011).”1

Then, to address 'controlled environment':

> “Lifetime classic psychedelic use was associated with a significantly reduced odds of past month psychological distress (weighted odds ratio (OR)=0.81 (0.72–0.91)), past year suicidal thinking (weighted OR=0.86 (0.78–0.94)), past year suicidal planning (weighted OR=0.71 (0.54–0.94)), and past year suicide attempt (weighted OR=0.64 (0.46–0.89))”13

And

> According to US government statistics, magic mushrooms have been used by 22.8 million Americans at least once.12

https://tripsafe.org/shrooms/

While they can lead to this, tendency doesn't seem to be the right word to use.

I'm quite passionate about this topic and I think it's very important that people writing publicly and sharing opinions on these substances are accurately informed, and try to present statics and put references into context.

Does the above change your mind on this? If not, what would change your mind a little bit towards thinking that they don't have a tendency to do this?

Re:Psilocybin for treatment-resistant depression: fMRI-measu... by sdfin on Friday October 13, 2017 @10:27PM (#15470350)
Is there proof that they have a tendency of triggering "latent" conditions, instead of generating the conditions? How can it be demonstated that conditions were latent before the use?

Could it also be the case that people with potential mental illnesses is more likely to try drugs? Therefore being a correlational relationship instead of a causal one?

Re:Psilocybin for treatment-resistant depression: fMRI-measu... by pdkl95 on Friday October 13, 2017 @10:52PM (#15470420)
Most of this effect is survivor bias. The people that don't have a problem - regardless of their past or future mental health - don't attract as much attention.
Re:Psilocybin for treatment-resistant depression: fMRI-measu... by zamalek on Saturday October 14, 2017 @03:09AM (#15471133)
"Reefer Madness" is inconclusive [1] (so far as agitating an underlying psychosis). Many proponents would regard this as a affirmative result, however it does go both ways.

> Is there proof that they have a tendency of triggering "latent" conditions, instead of generating the conditions?

Personally, I've had panic attacks (originating from paranoia) bought on by historical heavy use - the correlation isn't subtle at all. Did my paranoia drive me to the initial peace associated with the drug? I'd have a hard time arguing otherwise - it really, really helped at first. My life was altered positively days after the previous dosage. If I take it now the situation becomes unbearable in less than 5 seconds. Anecdote disclaimer, as well as not being the same psychoactive drug (but it is psychoactive).

[1]: https://jamanetwork.com/journals/jamapsychiatry/fullarticle/...

Re:Psilocybin for treatment-resistant depression: fMRI-measu... by nylonstrung on Sunday October 15, 2017 @06:04PM (#15479588)
They definitely can potential prodromal cases that might not otherwise progress to a full blown case of mental illness and do so in a way that exacerbates it. Many cases of schizophrenia in the prodromal phase don't necessarily develop into a clinical case so it isn't simply isn't a matter of psychedelic use being net neutral since they would have gotten it anyways

Psychosis is literally damaging and the earlier and more violently one is subjected to it the worse their lifetime prognosis will be.

Re:Psilocybin for treatment-resistant depression: fMRI-measu... by WalterSear on Saturday October 14, 2017 @01:13AM (#15470892)
Lifetime prevalence remains the same.
Re:Psilocybin for treatment-resistant depression: fMRI-measu... by celticninja on Saturday October 14, 2017 @07:17AM (#15471685)
That applies to many thing though, cannabis, alcohol an ecstasy can all be triggers but people think that psilocybin or LSD are worse because of their heightened effects.
Re:Psilocybin for treatment-resistant depression: fMRI-measu... by lawpoop on Friday October 13, 2017 @09:59PM (#15470270)
Actually, I think this is more a risk of marijuana, which in the US, is prescribable in several states, legal in a few, and decriminalized in most.

Which is not to say that I encourage recklessness with psychedelics, but that forasmuch as that is a concern with LSD or psilocybin, we're got bigger fish on our hands. Marijuana is much more available than either of those.

Re:Psilocybin for treatment-resistant depression: fMRI-measu... by capsulehotel on Sunday October 15, 2017 @06:37AM (#15476601)
I have suffered from depression all my life and given that hash in combination with a hostile environment brought out some type of paranoid schizophrenia in me (auditory and possibly visual hallucinations), I'm very weary about irreversible mental damage as well and won't try it due to this.
Re:Psilocybin for treatment-resistant depression: fMRI-measu... by fapjacks on Sunday October 15, 2017 @07:54AM (#15476777)
Or, you know, you had too much.
Re:Psilocybin for treatment-resistant depression: fMRI-measu... by capsulehotel on Sunday October 15, 2017 @11:30AM (#15477536)
Of hash? No. That happened a month or two after I took it.
Re:Psilocybin for treatment-resistant depression: fMRI-measu... by WhitneyLand on Sunday October 15, 2017 @02:35AM (#15476156)
What your saying is largely horse shit, it’s irresponsible to give misleading impressions, good or bad, of any drugs. Ive seen nothing to prove causation, including what you linked to.

Correlations can be very useful in providing clues about how all these things work together, but determining what “triggers” what takes an incredible amount of carefully teasing out the real meaning of the data.

There are anecdotal reports of problems with these drugs, but that’s true for all drugs. Currently there is no just significant weight of evidence to draw the conclusions your making.

Re:Psilocybin for treatment-resistant depression: fMRI-measu... by nugga on Saturday October 14, 2017 @12:40PM (#15472951)
One theory is that combined with shitty set & setting the people who went haywire after using psychedelics had some seriously strong energies/stuff unlocked from their subconscious that they weren't yet prepared to process. There's some indication that great stress can be a trigger for psychiatric illnessess as well.
Re:Psilocybin for treatment-resistant depression: fMRI-measu... by dtawfik1 on Friday October 13, 2017 @09:21PM (#15470177)
Definitely. Probably is a good resource for psychiatrist as a treatment strategy rather than a protocol for patients to self direct.
Re:Psilocybin for treatment-resistant depression: fMRI-measu... by wallace_f on Friday October 13, 2017 @09:54PM (#15470260)
I can swear I came across a study I found, I believe, on Erowid, which noted this link had a lower instance of increased mental illness than religious "meccas" do.

In light of that evidence, it's entirely possible the human experience itself, and not some more mechanistic action or first order effect of the drug, cause the increase in mental illness.

I'm trying to find this source, but am coming up short and on mobile, but will look into it later.