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Re:Compass Pathways' Phase IIb psilocybin trial shows reduce... by dorchadas on Wednesday November 10, 2021 @11:46AM (#29176824)
But is it solely the chemical changes in the brain that "fix" the depression, or does it also have to do with integrating what you've seen and experienced into your worldview?
Re:Compass Pathways' Phase IIb psilocybin trial shows reduce... by abrichr on Wednesday November 10, 2021 @12:10PM (#29177169)
Apologies in advance for the formatting, copied and pasted from YouTube transcript:

https://youtu.be/Xu1FMCxoEFc?t=5928

99:33 But one of the things that came up

99:35 and is a fundamental question that I had,

99:37 that I think probably many of you are asking,

99:38 is does the experience that one has on these compounds

99:43 make a difference for whether or not somebody gains relief

99:46 from depression, from these psilocybin journeys or not?

99:50 In other words, does it matter what they talk about?

99:52 Does it matter what they think about?

99:53 Does it matter if they have a good trip or a bad trip?

99:56 And I don't want to hold you in too much suspense,

99:58 I'll let Matthew provide the more thorough answer.

100:00 But what's really interesting

100:02 is there are some common themes to psilocybin administration

100:08 and experience that lead to relief from depressive symptoms,

100:11 but they are subjectively very varied,

100:17 meaning that whether or not people feel

100:20 they had a good experience or a bad experience,

100:22 whether or not people thought about their parents

100:24 or thought about the color of the ceiling,

100:27 doesn't seem to have too much of an impact

100:30 on whether or not they receive relief

100:32 during these studies in these clinical studies.

100:37 It seems like different people can have

100:38 lots of different experiences and still receive benefit.

100:42 And that points to something deeper.

100:45 It points to the fact that these drugs,

100:48 which is really what they are,

100:49 are rewiring neural circuitry in a common way

100:53 despite a diversity of experience while on the drug.

100:57 And that itself is really interesting.

100:58 And it takes us back to a place that we've been before

101:01 in this discussion, which is layer five of the cortex.

101:04 This area that ketamine seems to impact as well

101:06 by generating rhythms of the,

101:08 I mentioned one to three Hertz activity

101:10 in layer five of certain areas of the cortex.