Psychedelic Therapy
Schools Are Popping Up Like Mushrooms
For hundreds or thousands of dollars, you can get certified
to administer mind-altering—and some say, mind-healing—drugs.
By Michelle Lhooq
January 18, 2021, 1:00 AM EST
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Even before Oregon and Washington, D.C., decriminalized
medical psilocybin, the active ingredient in “magic mushrooms,” in November, a
market was emerging for schools that teach mental and medical health
professionals how to use psychedelics in their treatment. The vanguard industry
is booming despite a host of regulatory unknowns, as practitioners educate
themselves on the therapeutic potential of psilocybin—and other drugs such as
cannabis and methylenedioxymethamphetamine (MDMA)—while betting on imminent
federal legalization.
There are dozens of these schools, including the California
Institute of Integral Studies, which offers a certificate in
psychedelic-assisted therapies and research. Naropa, a Buddhist university in
Boulder, Colo., began offering a course in MDMA-assisted psychotherapy last
year. Compass Pathways Plc, which received a “breakthrough therapy” designation
from the U.S. Food and Drug Administration, also offers a core training
curriculum.
These virtual and in-person courses can range in length,
from several weeks to months, and cost several hundred dollars or thousands,
with some companies developing their own proprietary and trademarked programs.
The classes have names like “Foundations in MDMA and Psilocybin Safety” and
“Psychedelics and Social Justice,” and some schools offer retreats featuring
flotation tanks, sweat lodges, and holotropic breathwork sessions.
A Push to Legalize Psilocybin Mushrooms
Psilocybin, the active ingredient in “magic mushrooms,” is touted by mental health professionals as a treatment for depression, PTSD, and other disorders.Photographer: Jahi Chikwendiu/The Washington
“It’s like a gold rush,” says Julie Holland, psychiatrist
and author of Good Chemistry: The Science of Connection, From Soul to
Psychedelics. “The green rush for cannabis happened over decades. But for
psychedelics it’s happening over a few months.” For risk-happy investors,
they’re an edgy favorite for disrupting the $70 billion mental health market:
Peter Thiel-backed Compass has surged more than 150% since its trading debut in
September.
Because no legal opportunities exist—yet—for U.S.
health-care workers to administer psychedelics beyond cannabis and ketamine,
most programs focus on teaching professionals how to support their patients
before and after their trips, a practice known as psychedelic integration.
“Clinicians are not recommending psychedelics but rather supporting the
autonomy of patients who might, for example, go to Peru for an ayahuasca
ceremony,” says Ingmar Gorman, who co-founded the psychedelic school Fluence in
2019.
“The market is huge, and it’s kind of a free-for-all, which
is scary. There are training spaces on the West Coast where everyone and their
mother is a shaman”
Gorman declines to discuss Fluence’s revenue, though he does
say it increased sevenfold over the course of 2020. It currently hosts dozens
of virtual courses ranging from $550 to $1,200, as well as a $7,450 certificate
program that includes an in-person retreat in New York’s Catskill Mountains. He
estimates that the school has enrolled more than 640 students, with 60% being
social workers or psychologists, 30% therapists or medical providers, and 10%
coaches or miscellaneous professionals, such as engineers, lawyers, and clergy.
“Psychedelics put people in a very vulnerable state, and
that’s why this training is so important,” he says. “A big lesson from current
clinical trials is that clinicians should not insert their own perspectives too
much and instead support the patients’ own intuition and healing intelligence.”
Perhaps the most well-known of these centers is the MDMA
Therapy Training Program at the Multidisciplinary Association for Psychedelic
Studies (MAPS). Since beginning in 2012, the $7,500 program has enrolled 920
students; the institution recently raised $30 million from donors such as
lifestyle guru Tim Ferriss to fund the training of future MDMA therapists. This
year it will roll out a 100-hour program that includes virtual retreats and
online coursework. Enrollment opens in February.
There’s no standard-setting body for psychedelic training.
Some clinicians worry that the lack of governance can make it difficult for
prospective students to choose reliable programs; some self-identified experts’
main qualifications are simply having done a lot of psychedelics.
“It’s like a gold rush,” says author Julie Holland of the
market for psychedelics
“There are tremendous disparities between programs,” Holland
says. “Everyone is reinventing the wheel and doing it their own way. On the
other hand, you also have a lot of innovation and options.”
Another question is whether it’s important, or even
necessary, for trainees to use psychedelics themselves. Although the Johns
Hopkins Psychedelic Research Unit and other research centers don’t require
scientists to have personal experience with mind-altering substances, schools
such as the Psychedelic Somatic Institute say the experiences are essential for
aspiring practitioners. “Psychedelics are such nonrational experiences,” says
PSI co-founder Saj Razvi. “As a therapist, there’s no way to know what that’s
like unless you go in yourself.”
PSI opened its doors in fall 2020, with five-day, in-person
courses in Los Angeles and Minneapolis, followed by eight-month online
sessions, for a total cost of $6,200. Incoming students who wish to
self-administer psychedelics are usually prescribed ketamine by a psychiatrist
or bring their own cannabis from a legal dispensary, then participate in
therapeutic sessions with other students. “This particular training model is
where you can get a lot of your own work done,” Razvi says.
He also cautions prospective students to do their research
before selecting a school. “The market is huge, and it’s kind of a
free-for-all, which is scary,” he says. “There are training spaces on the West
Coast where everyone and their mother is a shaman. They’ve had powerful
experiences in psychedelics and assume their process is the same as others, but
it’s not.”
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