Psychedelics: Lifting the veil | Robin Carhart-Harris | TEDxWarwick

Psychedelics: Lifting the veil | Robin Carhart-Harris | TEDxWarwick

The Power of Psychedelic Drugs

In this talk, the speaker discusses his research on psychedelic drugs and their ability to reveal the depths of our minds. He explains how these drugs can facilitate access to the unconscious mind and compares their potential significance for psychiatry and psychology to that of the microscope for medicine or the telescope for astronomy.

The Origins of Psychedelic Drugs

  • The word "psychedelic" was coined in the 1950s by British psychiatrist Humphry Osmond with reference to a class of drugs that have a unique ability to reveal the soul or make the mind manifest.
  • The capacity of psychedelic drugs to exteriorize otherwise invisible phenomena and make them the subject of scientific investigation gives these substances a unique potential as research tools for exploring the human mind.

Accessing the Unconscious Mind

  • Many phenomena in LSD sessions could be understood in psychological and psychoanalytic terms; they had a structure not dissimilar to that of dreams.
  • Brain-imaging research with psilocybin and LSD has shown that these drugs disrupt normal communication pathways in the brain, leading to increased connectivity between regions that are normally separate. This may explain why people report experiencing profound insights, mystical experiences, and feelings of unity with others while under their influence.

Potential Significance for Psychiatry and Psychology

  • Psychedelic drugs have a unique potential as research tools for exploring the human mind. They may help us better understand mental illnesses such as depression, anxiety, addiction, and PTSD.
  • By revealing aspects of our minds that are normally hidden from view, psychedelic drugs may also help us better understand the nature of consciousness itself.

Conclusion

  • Psychedelic drugs have a unique ability to reveal the depths of our minds and facilitate access to the unconscious. They have enormous potential as research tools for exploring the human mind and may help us better understand mental illnesses and the nature of consciousness itself.

How Psychedelics Affect the Brain

In this section, the speaker discusses how psychedelics affect the brain and compares it to an infant's brain and a dream state.

Psychedelic Brain vs. Ordinary Brain

  • The psychedelic brain has less cliquing and more open conversation across the brain.

Infant Brain vs. Psychedelic Brain

  • An infant's brain experiences everything as novel, is emotionally labile, has an overactive imagination, and is mesmerized by things like Iggle Piggle or Makka Pakka.
  • The psychedelic brain becomes simpler and freer in its functioning compared to a more sophisticated adult brain.

Dream State vs. Psychedelic State

  • Under LSD, much more of the brain contributes to visual experience than usual, similar to a dream state.
  • Both dream state and psychedelic state are conditions where the brain becomes untethered from incoming sensory information and can operate in a freewheeling way conjuring up imagery from the mind rather than relying on sensory information coming into the brain.

Potential Applications of Psychedelics

In this section, the speaker discusses potential applications of psychedelics in treating depression.

Depression Statistics

  • Depression affects 350 million people worldwide and is a leading cause of disability globally.
  • It is also costly; it's the most expensive brain disorder in Europe with an annual cost of $200 billion in the US alone (roughly equivalent to Ireland's GDP).
  • Depression can be insidious; it often manifests as an absence of pleasure or positive mood or even as absenteeism from work. It is the leading cause of absenteeism in the workplace.
  • 15% of patients with major depression will take their own lives, and suicide is the leading cause of death among males under 45 in the UK.

Current Treatments for Depression

  • Antidepressant medications, psychotherapy, and placebo all have pretty large effect sizes in treating depression.
  • However, around 50% of patients won't respond to antidepressants prescribed by doctors, and as many as 20% fail to respond to any treatment at all.

Psychedelics as a Treatment for Depression

  • The speaker's team completed the first phase of a clinical trial looking at psilocybin (magic mushrooms) as a treatment for major depression.
  • An experience with psychedelics can be among the most profound experiences of one's life.

Psilocybin and Depression

In this section, the speaker discusses the use of psilocybin as a treatment for depression.

Psilocybin as a Treatment for Depression

  • Psilocybin is not a party drug but an incredibly powerful substance that should be treated with respect.
  • Patients are given psilocybin with full legal and ethical approval and are carefully prepared for their experiences.
  • Patients have two sessions with psilocybin and are looked after by a trained team of therapists who help them make sense of things afterwards.
  • The magnitude of the effect seen with psilocybin is considerable, even at three months post-treatment period where they haven't received any treatments from us for that duration of time.
  • All patients showed some improvement in their depressive symptoms for at least three weeks after the treatment.
  • 67% of patients met criteria for remission one week post-treatment, while 42% maintained that status of being depression-free for three months after the treatment.

Patient Case Report

  • A male patient aged 52 had severe depression stretching back to his 20s. He tried different medications and psychotherapy without success.
  • After receiving psilocybin treatment, he reported that his negative self-narration vanished completely. He felt like he was learning without being taught; intuition was being fed. Memories too came back, both of which had seemed long forgotten.
  • A couple of weeks after completing the trial, he reported feeling more confident and calm than he has in such a long time. His outlook has changed significantly too. He feels like he's had a second chance, like a survivor.

The Power of Psychedelic Therapy

In this section, the speaker discusses how psychedelic therapy can be effective in treating mental health issues when done properly.

Psychedelic Therapy Done Properly

  • When psychedelic therapy is done properly with the right level of preparation, good drug effects working in synergy with good therapy can lift the veil on the mind and exorcise what lies beneath.

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Video description

Robin has been conducting pioneering brain imaging studies of psychedelic drugs. Most recently, he has completed the first phase of a clinical trial looking at the potential of psilocybin to treat depression, and his talk looks at how these drugs can be used in treatment. After completing his PhD at the University of Bristol in 2009, Robin moved to Imperial College London, where he has worked for the last few years on the brain effects of LSD, psilocybin (magic mushrooms) and MDMA, conducting some pioneering brain imaging studies of these drugs. Most recently he has completed the first phase of a clinical trial looking at the potential of psilocybin to treat major depression. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at http://ted.com/tedx