What I want psychedelic-assisted therapy providers to know

What I Want Psychedelic-Assisted Providers to Know.

 

By Irene Borngraeber

Numinus wanted to share a personal story of healing from our community. Irene is one of our training participants and came to us with the desire to deepen her understanding of these medicines for her own development and to potentially help others navigate their own healing path. Numinus Training is for licensed and unlicensed individuals on traditional and alternative paths. Thank you, Irene, for sharing your story.

Two years ago, psilocybin changed my life. I came to the medicine out of desperation after surgical, holistic, and esoteric modalities failed to help me find a path forward through chronic pain and anxiety. I have a form of skeletal dysplasia (a malformation of all my joints), and I live with chronic pain and limited mobility that has worsened over time. The only corrective option was a joint replacement. Two years after I had both my hips replaced, I was still struggling to walk or move comfortably. My knees were buckling and slipping out of joint, and I did not feel like the left side of my body was “mine.” I couldn’t manage the stairs to do laundry or sit or stand comfortably. I was chronically on edge, literally trying to “grin and bear it,” clenching my jaw and grinding my teeth so hard they cracked.

Like many people who find plant medicine, I came as a last resort after the American medical system failed to help me live a life worth living. After my hip replacements, from an orthopedic standpoint, I was fine (or at least far better than I was before surgery). My joints were in the right place, and I was told I just needed to “give things time.” But I was not fine. I wanted to jump out of my skin: nothing could make me feel ok in my body. I could not relax; I could not sleep; I was trapped in a physical form that was painfully foreign and dysfunctional. Despite the efforts of well-meaning providers, the experiences I had with “traditional medicine” bored me, beat me down, and left me physically whole but unable to function: emotionally hopeless and spiritually dead.

"I could not relax; I could not sleep; I was trapped in a physical form that was painfully foreign and dysfunctional."

Psilocybin brought me back to life. It gave me back control of my body and allowed me to realize that although my physical pain had some very real roots, it was also a symptom of distress that ran much deeper. Psilocybin allowed me to remember how to heal and love myself. It reminded me how much I did not know about the universe.

I initially went to Mexico in order to access this healing. I took time off work and paid out of pocket because I had to find a way to heal. I write this knowing that it is not an option for many people struggling with physical limitations, severe health issues, and financial constraints. Although I am thrilled by the prospect of greater therapeutic access made possible through psychedelic legalization, I can’t help but marvel at just how structurally different these “healing” experiences have been for me. In one instance, I was alone in a hospital or therapist’s office, monitored and measured, and then billed by the hour after jumping through insurance hoops. In the other instance, I was staring at the jungle night sky in a circle of fellow travelers while a Shaman sang for hours on end to clean our spirits and guide us in soothing our souls.    

The American medical system made me feel like something broken to be “fixed”; Shamanistic traditions helped me find wholeness by empowering me to uncover and put together the pieces of my own puzzle. Psychedelics made me realize that I carry deep trauma and revealed just how desperate I had been —to not feel anything. My persistent denial of my own feelings was causing me to collapse physically; my body was screaming for help in the only way it knew how. It took this level of physical distress for me to realize how much emotional and spiritual healing I needed to move forward. I had to change my life. I had to figure out how to acknowledge and give voice to my pain to become whole.

Healing with psychedelics gave me back my autonomy and choice: two things I did not feel I had when subjecting myself to medical interventions from within the current healthcare system. Psychedelic healing is participatory. It works best when there is a mutual effort and, yes, surrender to the medicine and the feelings it brings forward. It’s uncomfortable. It’s messy. And it’s ultimately beautiful.

Since my first experience with psilocybin in Mexico, I have since become a student along this path and entered into what I imagine will be a lifelong process of learning from the plants. I have had many more medicine experiences, ranging from Western-centric science-based retreats to Indigenous ceremonies. While I initially felt more comfortable with a Westernized approach to psychedelic healing, my most profound evolution has come from Shamanistic practices.

Here are the top 5 personal lessons I’ve learned from Shamanism and how practitioners can approach and better understand them in order to empower their clients.

1. Denial Makes You Sick

In the Shamanistic worldview, dis-ease leads to disease. Our individual and collective repression, denial, anxiety, and mental/emotional discomfort build in our bodies and eventually emerge as physical illnesses. This is part of why people in the West are so “sick.” So many of us are constantly covering our feelings and discomfort with alcohol, food, exercise, shopping, and truly, any distraction we can get our hands on. These efforts are made to not feel the cosmic unrest simmering just below the surface.  We tell ourselves that we “should” be ok and have no “reason” to be unhappy. Eventually, the energy needed to maintain that delusion leaves us chronically depleted, just trying to survive. I’m not saying that physical illness and disease aren’t real or that they don’t have biological or genetic markers, but in Shamanism, these are all transmutable. By gently allowing the true source of your discomfort to become known to you and by looking at it with compassion, you can begin the process of releasing what has been poisoning you and start to become better. For me, acknowledging the roots of my chronic stress and anxiety started me on the path of being able to walk comfortably again.

2. Purging is Detoxing

In the West, we’re conditioned to see vomiting, diarrhea, sweating, and many other bodily functions as something to hide. We are used to unconsciously holding them in and attempting to self-regulate through mental control and physical tension or the use of pharmaceuticals (like anti-nausea medication). This is another symptom of chronic repression and stress, and something that is a barrier to initial psychedelic healing. In the Shamanistic worldview, these natural functions are the body’s way of detoxing the physical and spiritual energies that are making us sick, as well as drawing our attention to the fact that we have a need for more energetic cleansing. We need to allow them to happen, and that is not easy. Vomiting, specifically, is said to be good for the release of trauma, and many Shamanistic “dietas” begin by ingesting plants that make you vomit. Think of it as a radical form of letting go. It was scary, and for me, it was even difficult to figure out how to do it at first. My body was in a state of chronic, unconscious contraction that I needed to overcome. Once I was able to actually purge, I was also able to enter into the medicine more deeply and welcome the next stage of healing. I knew I was in good hands should anything get out of hand or if I was in medical distress, and I learned to lean in.

3. Trauma is Energy, and Disassociation is a Coping Mechanism

This was a big one for me. Despite being able to acknowledge I had traumatic experiences, I did not know I had trauma. I remembered everything; I could talk about everything, and I thought I was fine. I had no idea that what I called “anxiety” was actually called “panic attacks” by others and that my coping mechanism had been complete disassociation from my body and my feelings. What I did know was that I had pain. A lot of it. And when I was in ceremony that pain often got worse, building to intolerable levels. I would also get intense surges of energy, like seizures, that I could not control and simply had to allow to move through my body. I would often flop around my mat like a fish out of water. I did not have an explanation for this, but I felt I was desperately trying to rid my body of stagnant/negative energy. It was not until I began working with a very experienced Indigenous healer in Peru that I learned this twitching was known to him as trauma. That was the first time my experience was validated or explained in all of my ceremonies, and it was a huge relief. Trauma is energy. For some of us, it is purely physical. We cannot talk our way out of it; we cannot fully understand it, and often, somatic techniques are not enough to rid ourselves of it. Massage and hands-on techniques were crucial to my progression and the continued work of clearing out these stores of physical trauma.

4. Healing Requires an Undoing

Most of us construct our physical, mental, and emotional lives in order to avoid internal aspects of ourselves that are too difficult or too painful to face. We soothe our bodies and minds in any way we can, creating “safe” containers for us to live with this level of denial. I surrounded myself with work, responsibility, duty, and service to others in order to avoid my own deeply unmet needs. I couldn’t even name them. Daring to strip away these layers of coping, one by one, required me to take a hard look at how I had engineered my life in ways that were essentially not respectful or healthy for my true being. Many of those realizations were devastating. Healing involves significant periods of mourning and grief. For who we were, for how we damaged ourselves for the sake of keeping up appearances, and for all that we denied. It is hard, and it is lonely. I had to undo so many knots, one at a time, to have the opportunity to conceive of a different way forward. This is not a quick fix. It is not a panacea. It is an invitation to dare to change your existence for your own good.

5. Community is Crucial

We are ultimately responsible for our own healing, but that doesn’t mean we have to be alone. Shamanic medicine ceremonies are usually conducted with multiple participants, with opening and closing rituals that encourage openness and the sharing of experiences. Healing in community is powerful, and having the opportunity to bond with fellow seekers and trauma survivors has been one of the most validating experiences I’ve had along this path. I’ve seen how my words and physical experiences have impacted and inspired others, and hearing about their struggles and processes has made me feel stronger, more empowered, and so much less alone. Being honest, raw, and messy around other people who understood trauma allowed me to find my voice and speak my truth in a way I had not been able to before. It helped me own my pain and not be ashamed of my experiences or needs; it gave me perspective and enabled me to see how my story could help others as they walk along this difficult path. I’m so grateful to have been able to learn from these brave seekers, many of whom I’m still in contact with to this day. They are why I feel compelled to go out on this enormous "limb" and speak publicly about my own healing journey.

My own path of self-discovery continues, and building a community that supports this level of healing is increasingly important to me. We are not alone in this work. We are not broken. We simply need to find a better way to honor ourselves and our truths in this complicated world. I hope that medical practitioners will respect and learn from the Shamanic traditions that have kept this knowledge alive and learn into this wisdom-- for the good of their patients and for the good of the world.

Numinus is leading the way in balancing traditional and Western approaches to psychedelic-assisted therapy through psychedelic facilitator training. That starts with their thoughtfully curated education and training programs. Their approach is to weave cultural safety and cultural humility throughout their entire curriculum and offer wisdom from Indigenous voices on ways of knowing and providing healing to humanity. If you are looking to immerse yourself in this type of learning, I would check out their Fundamentals of PAT program. I look forward to learning and growing with Numinus and feel hopeful for the future of this work.

Irene Borngraeber is a recovering non-profit executive, student of the plants, and a companion to those seeking support along their healing journeys. Connect with Irene on LinkedIn.

Episode 34: Dr. Devon Christie on Psychedelics as a New Paradigm for Medicine

“As therapists and guides, we’re holding that space for the location of healing to be intrinsic to that person.”

In this episode of the Numinus podcast, Dr. Joe speaks with Dr. Devon Christie. Dr. Christie is a family physician with a focused practice in Multidisciplinary Pain Management and the Senior Lead of Psychedelic Programs at Numinus. She is also a clinical instructor with the UBC Department of Medicine, Kundalini Yoga instructor, Mindfulness-Based Stress Reduction (MBSR) teacher, Relational Somatic Therapist and MDMA-assisted and ketamine-assisted psychotherapist.

She also has first hand experience recovering from chronic pain, traumatic brain injury, PTSD, bulimia, anorexia, and depression. These experiences have served as the foundation for her work.

Dr. Christie and Dr. Joe spoke about:

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Connect with Dr. Devon Christie on Facebook and Instagram.

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Here are some highlights from their conversation:

 

I think you and I both believe that psychedelics have the potential to bring about very, very meaningful change in our health care systems, maybe even more broadly than that.

Why do you think there’s so much promise here in mental health or maybe even health more broadly?

There are a lot of ways I could go in answering that question. I mean, the first thing that comes up is just this notion of a paradigm shift where, in my view, what psychedelic assisted psychotherapy proposes, is that we can have the intention of helping individuals to heal, to deeply heal from mental health conditions, from chronic illness in that the location of that healing is inside them.

We talk about this concept of an inner healing, inner healer, or innate healing intelligence as part of preparation for people going into these experiences to trust that that’s there and to allow that to guide the process. And that is as therapists and guides, we’re holding space for that, the location of healing to be intrinsic to that person. Like you cut yourself and then you keep the conditions clean and dry and your cells know how to knit themselves back together. There is an intelligence there.

But I think what our broader system has sort of conditioned us into perceiving is that we need to be fixed somehow by external people or modalities or surgeries or drugs, people that know more than us. And there’s this almost like a victim–there’s just less empowerment. It’s much more passive. And I think the way our system is set up almost kind of encourages that.

So it’s this active–you’re the source of healing. We’re going to create the optimal conditions. Do our best to do that. And so that to me is really powerful, empowering, and I think will lead to a lot of support for motivation and health behavior change. And so that’s just one aspect of the paradigm shift.

Another is, as I mentioned, with respect to how much I respect Gabor and his work is just this breaking–quitting this view that comes from biological reductionism that the mind and the body are separate. And that it’s all like–Western medicine is very materialistic and there’s a lot of benefit from that. We’ve learned so much. It’s amazing how much we understand our cellular biology and yet it sort of parses things apart and creates silos of specialties.

For example, where this doctor treats this system and this doctor treats this system and it’s all very focused on the physical. So there’s all these kinds of discrete categorizations, and people get many different diagnoses and go to see many different specialists for each of those separate things.

Yet when you really zoom out and take this more systems approach–which I actually didn’t mention as well, I’m a certified functional medicine practitioner, which is a systems biology view. It’s like, actually, no, it’s all interconnected. We’re alive ecosystems, and mind and body are absolutely intricately simultaneously co-arising. They can’t be separated. I have a thought that is producing chemicals that are influencing my state.

So I really see that psychedelic assisted psychotherapy is going to really support this awareness–approaches that are targeting our emotional well-being and our nervous system regulation and our what we term mental wellbeing will translate into physical, like positive physical outcomes.

Because we know and this is again in Gabor’s work. The stress response is just this common underlying factor between a multiplicity of different expressions of illness, whether we call them mental or physical.

So I’m really excited for that and for the ways that as we continue to research different applications of psychedelic assisted psychotherapy that we’re going to see and learn how much more broadly, this type of intervention may be applicable.

And the final tag on that is to actually support more systemic funding for psychotherapy in general. You know, psychedelics aside, right? We already have evidence for that. We already know that if people have access to psychotherapy, they visit their family physician less.

Psychotherapy as opposed to pharmacotherapy for mental illnesses. The research shows that it likely has much longer term benefits, more impact on quality of life for people rather than just symptom management, and that people prefer it and there are less side effects. So even if psychedelic assisted psychotherapy can also just usher this change in our system to bring parity to approaches that support individuals mental well-being, that would be a win, in my perspective.