Heilende Drogen
ID | 13187695 |
---|---|
Movie Name | Heilende Drogen |
Release Name | Drugs that Heal ARTE |
Year | 2023 |
Kind | movie |
Language | English |
IMDB ID | 25814780 |
Format | srt |
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Psychedelic drugs are
back in the limelight,
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00:00:08,800 --> 00:00:11,200
but where nobody expected them:
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medicine.
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Psychedelics definitely have
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the potential to transform
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the lives of many people
suffering from mental illness.
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It's the most
life changing experience
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I've ever had.
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By the time they were banned
in the 1970s,
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00:00:31,560 --> 00:00:34,080
the substances
had already been tested
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on around 40,000 patients.
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LSD and psilocybin
from magic mushrooms
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have a special effect on the brain.
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Psychedelics have the ability
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to shake things up. Wham!
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This could also have
a positive effect
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when dealing with addictions.
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They are our hope
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because there isn't much else
left to try.
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One of the largest studies to date
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is examining
the effects of psychedelics
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on major depression.
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A journey into the unknown.
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Yes, I have to say
I'm pretty nervous.
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The search is not just
for a new drug,
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but for a new therapeutic approach.
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I believe that we are facing
a paradigm shift in psychiatry.
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Watch Online Movies and Series for FREE
www.osdb.link/lm
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The Charité Hospital in Berlin.
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Here, as part of a study,
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people suffering from depression
are given
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a substance that triggers
hallucinations: psilocybin.
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The substance that gives magic
mushrooms their intoxicating effect.
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The day before, the subjects
are readied for their trip.
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Do you hear me? I would like
to take your blood pressure.
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- Is that in order?
- Yes, that's fine.
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That would be the process
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- if I were to approach you.
- OK.
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Yes, that feels good!
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You'll notice...
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With 144 participants, the study is
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one of the largest in the world.
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Previous smaller studies showed
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the effectiveness
of psychedelic substances
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in treating depression.
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Its potential is now
being explored further.
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And your only job tomorrow
is just to be here.
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You don't have to do anything.
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There's a beautiful saying
in English:
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You are a human being,
not a human doing.
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Andreas: Subject number 24
of the study.
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It started
shortly before our daughter died.
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At the time, we had cared for her
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around the clock
for more than five years.
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She couldn't move or speak.
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It felt like I was behind
a glass wall.
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As if I couldn't fully reach
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other people.
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And that probably contributed to the
fact that I always had the feeling
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that I couldn't feel or sense
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the meaning or significance
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of anything I did
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or anything I experienced.
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Klaus: Subject number 27.
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I had a difficult childhood
and was also abused,
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and I always felt somehow inferior
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and unlovable.
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The worst thing was being
cut off from my feelings
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and the indifference,
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so I didn't care what was going on
with other people or anything.
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And then there was
the feeling of guilt,
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because it wasn't a nice feeling,
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well, and that was
actually the worst, not being able
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to actually feel anymore,
being able to only function.
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Hans-Christian: Subject number 10.
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It can't be like this.
It can't be a permanent condition.
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It's not life, it's an existence,
but it's not life.
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I told friends, and I mean that,
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I really mean that:
If someone came today and said,
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"Have your leg amputated and then
the depression will be gone",
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I'd say give me the release,
I'll sign it.
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I can't think anymore.
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Lia: Subject number 5.
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Depression is a kind of
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grey cloud that takes over my brain.
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When I'm feeling really bad,
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I usually stay in bed.
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I don't answer the phone.
I don't answer messages.
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I generally withdraw
and can't manage anything.
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I have no energy.
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Then I realise
that it's really getting bad.
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The study is occurring
simultaneously at two locations.
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In Mannheim at the
Central Institute for Mental Health,
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a so-called "substance session"
will take place the next day.
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The study is carried out
at the clinic,
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but for the trip to be effective,
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it is important for the treatment to
take place in a pleasant atmosphere.
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The therapists prepare the room
for this.
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{\an8}In taking the substance, people
get into a very vulnerable state,
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{\an8}where certain things that you
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{\an8}may already feel or perceive
simply become
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{\an8}much more important and meaningful.
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So that's why we made sure
that the space is open, of course.
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This is where Lia will have
her first session tomorrow.
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I have a lot of hope.
I'm going into the study
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with great expectations,
but at the same time,
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I don't want to expect too much
from it. So I'm also aware
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that nothing good
may come out of it.
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But I'm not really expecting
anything bad.
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Yes, I have to say
I'm pretty nervous.
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Because various antidepressants
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have not helped her for years,
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she wants to embark
on this unfamiliar experience.
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{\an8}Psychedelics have the ability
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{\an8}to shake things up. Wham!
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{\an8}And that's the reason
why they work so wonderfully
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with all illnesses that have to do
with rigidity,
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with tightness, with immobility,
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like depression, like fear,
like compulsions,
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because then things suddenly
go somewhere completely different
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than they were before.
All of a sudden, thoughts
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flash through my brain from
a different perspective and so on.
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What I have afterwards is, at best,
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a prettier mosaic of the old order,
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perhaps without some of the barriers
that have been holding me back.
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But the crucial phase is
precisely this:
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what happens in there
and swirls around.
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The study, led by Gerhard Gründer,
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was developed jointly by the
Central Institute for Mental Health
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in Mannheim,
the Charité in Berlin
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and the organisation
Mind Foundation.
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It is funded
by the federal government.
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280 million people worldwide
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suffer from depression.
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Many of them can be helped
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with standard antidepressants
and treatments.
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But they have no effect
on more than a third,
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that is,
more than 90 million people.
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This group also includes
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the 144 subjects in the study.
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{\an8}The pharmaceutical industry has
spent the last 20 or 30 years
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{\an8}trying to develop new drugs
that are better,
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{\an8}that are more effective
than the old ones,
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at great expense, billions.
Most substances were
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then stopped in development
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because they were no better
than what we already have.
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So, an incredible amount
of money
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was burnt up
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without leading
to any new substances.
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You also have to say,
what we can
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really call a crisis
is that we are
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still unable to help many patients,
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neither with psychotherapy
nor with pharmacotherapy.
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Worldwide, the focus is once again
on the mind-altering power
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of plants and mushrooms
with their psychoactive substances:
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DMT in lianas,
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ibogaine in root bark,
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mescaline in cacti,
LSD in ergot fungi
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and psilocybin in magic mushrooms.
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Psychedelics or hallucinogens,
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that is, substances
that trigger hallucinations,
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have always been used
by indigenous peoples
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for shamanic rituals.
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Microbiologist Felix Blei
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researches
these psychoactive substances.
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So, there really is a great variety
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of different classes
of natural substances that
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{\an8}are psychoactive. As scientists,
we keep finding new plants
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{\an8}that simply surprise us. And I'm
also sure that a lot of cool things
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{\an8}will still be found
in terms of mushrooms
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because they have
some amazing properties.
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Together with a research group
from the University of Jena,
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Felix Blei found out
how the mushrooms
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produce the psychoactive
substance psilocybin.
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But for what purpose
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the over 100 different mushrooms
around the world
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produce a substance that induces
such powerful hallucinations
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remains a mystery.
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The psilocybin contained
in the mushrooms
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is converted in the body
into the substance psilocin,
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which then reveals
its intoxicating effect.
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Psilocybin is
a very simple natural substance.
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The basic structure consists
of an indole ring,
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you can see it very nicely
here and here,
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that is the basic structure
of the indole. The exciting thing
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is that this basic structure is
not only found in psilocybin,
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but also in LSD -
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I've circled them -
in psilocin
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and, of course, also super exciting,
in serotonin,
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in the body's own neurotransmitter.
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And then you get
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a bit of a feeling for why
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all of them can dock
to the same receptors.
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Psilocybin and LSD are
"psychedelics,"
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which translates
to "revealing the soul".
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ZURICH
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{\an8}In Zurich, a research team from
the university's psychiatric clinic
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is investigating how psychedelics
change the way regions of the brain
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communicate with each other.
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Neurotransmitters, messenger
substances that transmit information
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between the nerve cells
in our brain,
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play an important role here.
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Franz Vollenweider and Katrin
Preller use imaging techniques
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to study the effects
of psychedelics on the brain.
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The first studies were conducted
with healthy volunteers.
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When we have taken a psychedelic,
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it first enters the bloodstream,
and from the bloodstream,
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it is transported to our brain.
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Now the thing is that, in our brain,
we have receptors
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and neurotransmitters.
The receptors are
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the keyholes, so to speak, and
the neurotransmitters are the keys.
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And with psilocybin or LSD,
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once they're in the brain,
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they unlock
a very special keyhole,
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and that's the
serotonin 2A receptor.
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00:12:07,280 --> 00:12:09,480
Serotonin is
an important messenger substance,
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also known as the happiness hormone.
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When psychedelics are docked
to their receptor,
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the brain is greatly stimulated.
It begins
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00:12:19,040 --> 00:12:21,760
to send unfamiliar impulses
back and forth.
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00:12:21,960 --> 00:12:25,000
And new connections are created
between brain regions
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00:12:25,200 --> 00:12:28,320
that normally seldom communicate
with each other.
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00:12:31,720 --> 00:12:34,360
Psychedelics also affect
the thalamus.
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In sober everyday life,
it protects us from sensory overload
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00:12:38,040 --> 00:12:40,360
and only lets
important information through.
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What we've seen here is that, under
the influence of LSD and psilocybin,
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00:12:46,040 --> 00:12:49,040
the thalamus simply doesn't filter
information
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00:12:49,240 --> 00:12:51,000
as well as it normally does.
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This means that it directs
more information
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00:12:54,360 --> 00:12:57,160
to the rest of the brain
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and, quite specifically,
it is more closely connected
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00:13:00,800 --> 00:13:03,160
to the sensory areas of the brain,
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00:13:03,360 --> 00:13:06,800
for example, vision, but also
to other areas of the brain
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that are responsible for motor
functions and feeling,
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for example.
These are the ones
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that communicate
with each other very strongly,
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more than they normally would.
238
00:13:17,880 --> 00:13:20,200
And, of course,
that also explains
239
00:13:20,400 --> 00:13:23,720
why most people
under the influence of psychedelics
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00:13:23,920 --> 00:13:26,120
have such a very strong
sensory perception,
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00:13:26,320 --> 00:13:28,520
that is,
they perceive their environment
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and themselves very strongly.
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For example, you hear colours
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and a forest begins to speak.
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You hallucinate.
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The microphone is all red.
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How ironic!
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It said, "No".
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Your red mic said no.
250
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Hallucinations aren't always funny.
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They can trigger fears
and "bad trips",
252
00:13:59,920 --> 00:14:02,400
which is a horrifying trip,
253
00:14:02,600 --> 00:14:05,920
or bring back deeply repressed
things to one's consciousness.
254
00:14:09,720 --> 00:14:12,040
{\an8}Don't expect that when you
255
00:14:12,240 --> 00:14:15,000
{\an8}take psychedelics,
it's just pink unicorns galloping
256
00:14:15,560 --> 00:14:19,280
{\an8}through your brain.
It's just not like that!
257
00:14:19,480 --> 00:14:22,000
You deal with dark topics,
258
00:14:22,200 --> 00:14:24,520
with things that arise in you,
with primal fears.
259
00:14:24,840 --> 00:14:28,200
But not everything that is difficult
260
00:14:28,400 --> 00:14:30,520
constitutes a bad trip.
261
00:14:30,720 --> 00:14:32,960
And a challenging experience can be
262
00:14:33,160 --> 00:14:36,360
a wonderful basis for finding out
a lot about yourself,
263
00:14:36,560 --> 00:14:38,120
your own inner mechanisms
264
00:14:38,320 --> 00:14:40,440
and also areas
from which you can learn.
265
00:14:49,320 --> 00:14:52,840
Andreas is on his way
to his first session.
266
00:14:53,040 --> 00:14:56,600
He was well prepared
for the fear he may experience.
267
00:14:57,640 --> 00:14:59,360
He is daring
to step into the unknown
268
00:14:59,560 --> 00:15:01,920
because he sees no other options.
269
00:15:02,440 --> 00:15:04,880
In the end, after so many years,
270
00:15:05,080 --> 00:15:08,160
I admitted to myself
271
00:15:08,360 --> 00:15:10,600
that I should try something
completely different
272
00:15:11,160 --> 00:15:13,280
than just psychotherapy
273
00:15:14,240 --> 00:15:15,880
and psychotropic drugs.
274
00:15:16,080 --> 00:15:18,440
And then I became aware of the study
275
00:15:18,640 --> 00:15:20,680
and thought, this is the opportunity
276
00:15:20,880 --> 00:15:23,080
to try something
completely different.
277
00:15:24,600 --> 00:15:26,760
All subjects receive two sessions
278
00:15:27,080 --> 00:15:29,120
six weeks apart.
279
00:15:29,720 --> 00:15:33,680
Study coordinator Michael Koslowski
administers the substance.
280
00:15:34,200 --> 00:15:36,520
The psilocybin capsules,
or the psilocybin
281
00:15:36,720 --> 00:15:40,320
or placebo capsule - we don't know
what's in it ourselves -
282
00:15:40,520 --> 00:15:42,560
they're brought to us.
I think he's here.
283
00:15:43,120 --> 00:15:46,560
But it came from the pharmacy,
was given to us here
284
00:15:46,760 --> 00:15:48,640
- and kept in a safe.
- Hello.
285
00:15:49,880 --> 00:15:50,920
Hi.
286
00:15:52,320 --> 00:15:55,120
How are you today?
Do you have any questions?
287
00:15:55,320 --> 00:15:56,840
Is everything clear?
How do you feel?
288
00:15:57,000 --> 00:15:59,560
A little nervous.
But thanks to
289
00:15:59,760 --> 00:16:02,520
the many conversations,
I've found my centre,
290
00:16:02,720 --> 00:16:04,560
calmed down and,
291
00:16:04,760 --> 00:16:06,600
as I said, I'm in good hands.
292
00:16:06,800 --> 00:16:09,440
Then I wish you
a good experience today
293
00:16:09,640 --> 00:16:12,720
and I'll hear from you later.
294
00:16:12,920 --> 00:16:14,520
Bye.
295
00:16:14,720 --> 00:16:17,600
The study is designed in such a way
that all subjects are guaranteed
296
00:16:17,800 --> 00:16:21,200
to receive a high dose
in one of the two sessions.
297
00:16:22,680 --> 00:16:25,240
These are usually patients who have
298
00:16:25,440 --> 00:16:28,600
already had a lot of treatments.
Most come having tried
299
00:16:28,800 --> 00:16:31,560
over ten different substances
over the course of their life.
300
00:16:31,880 --> 00:16:35,120
{\an8}And it is indeed the case
that many come to us
301
00:16:35,320 --> 00:16:37,640
{\an8}with great expectations.
302
00:16:38,160 --> 00:16:41,240
{\an8}"You are my last resort".
303
00:16:41,440 --> 00:16:42,920
We've heard that a few times.
304
00:16:46,960 --> 00:16:51,400
The next morning.
Andreas is back from his trip.
305
00:16:54,160 --> 00:16:56,480
The most intense,
306
00:16:56,680 --> 00:16:59,680
what I would call a trip
through space,
307
00:16:59,880 --> 00:17:03,040
where I was moving through
unknown dimensions.
308
00:17:06,360 --> 00:17:08,880
Such an experience
must be processed.
309
00:17:09,200 --> 00:17:10,920
The therapists support him in this.
310
00:17:14,000 --> 00:17:15,680
The most significant thing
311
00:17:15,880 --> 00:17:18,120
about the experience yesterday was
312
00:17:18,320 --> 00:17:20,360
such a sudden reversal
of perspective.
313
00:17:21,560 --> 00:17:24,320
I suddenly felt that
314
00:17:24,520 --> 00:17:27,600
the sick child was trapped
in the illness,
315
00:17:27,800 --> 00:17:31,040
that it was related to me,
316
00:17:31,240 --> 00:17:33,360
that I feel trapped
317
00:17:33,560 --> 00:17:36,000
and have always felt trapped
318
00:17:36,600 --> 00:17:39,520
in this reality, in this world
in which I grew up.
319
00:17:39,720 --> 00:17:42,960
And that suddenly arose,
this feeling
320
00:17:43,880 --> 00:17:44,600
of being trapped.
321
00:17:46,280 --> 00:17:50,040
The effect of the substance has
helped Andreas to gain new insight.
322
00:17:50,240 --> 00:17:53,640
And it is precisely such insights
into forgotten, repressed feelings
323
00:17:53,840 --> 00:17:56,400
that should trigger
the healing process.
324
00:17:56,920 --> 00:17:59,240
The fact is that
patients with depression
325
00:17:59,440 --> 00:18:01,880
often look at their lives
through a keyhole.
326
00:18:02,080 --> 00:18:04,840
And during these experiences,
the keyhole widens.
327
00:18:05,040 --> 00:18:07,160
New perspectives become possible,
328
00:18:07,360 --> 00:18:10,120
new perspectives, new connections,
new interpretations.
329
00:18:10,320 --> 00:18:12,240
And that can trigger
eye-opening effects
330
00:18:12,440 --> 00:18:14,840
that can be very healing
in the medium to long term.
331
00:18:15,160 --> 00:18:18,120
And then sometimes, it isn't
the huge fireworks
332
00:18:18,320 --> 00:18:20,760
but rather these small things
333
00:18:21,280 --> 00:18:23,200
that have a big impact.
334
00:18:23,400 --> 00:18:25,080
Like throwing
a pebble into the water.
335
00:18:26,280 --> 00:18:28,000
Just a small stone,
336
00:18:28,200 --> 00:18:31,320
but the ripples
can affect the whole lake.
337
00:18:38,000 --> 00:18:40,800
Lia also had
her first session.
338
00:18:41,000 --> 00:18:44,000
Like Andreas, she experienced
a psilocybin trip.
339
00:18:45,240 --> 00:18:48,280
The next morning, she is picked up
by her mother Maria.
340
00:18:50,840 --> 00:18:52,160
Hello!
341
00:18:53,240 --> 00:18:54,480
How was your trip?
342
00:18:54,680 --> 00:18:56,280
Very nice.
343
00:18:58,280 --> 00:19:00,000
I'm so glad.
344
00:19:07,280 --> 00:19:09,200
- How do you feel now?
- Very good.
345
00:19:09,400 --> 00:19:11,720
Thank you very much.
I am a bit tired.
346
00:19:12,720 --> 00:19:15,160
I hope you weren't worried?
347
00:19:15,360 --> 00:19:16,960
No.
348
00:19:17,160 --> 00:19:18,360
You were in good hands.
349
00:19:18,560 --> 00:19:21,040
Yes, I was very well looked after.
350
00:19:21,240 --> 00:19:22,040
Very.
351
00:19:22,240 --> 00:19:23,720
Thank you very much.
352
00:19:25,000 --> 00:19:28,520
Next week, Lia will meet
with her therapists again
353
00:19:28,720 --> 00:19:30,640
to discuss her experience.
354
00:19:31,320 --> 00:19:32,800
Good.
355
00:19:33,000 --> 00:19:36,320
Take things slowly the next
few days. Take care of yourself.
356
00:19:36,520 --> 00:19:38,520
And then we'll see each other again
next week.
357
00:19:38,720 --> 00:19:39,760
Thank you so much.
358
00:19:39,960 --> 00:19:42,120
Yes, thank you all.
359
00:19:42,440 --> 00:19:44,240
- I'm so glad.
- Yes,
360
00:19:44,440 --> 00:19:46,840
me too.
It was a good experience.
361
00:19:47,040 --> 00:19:49,240
You look like
362
00:19:49,440 --> 00:19:51,520
- you've recovered.
- Yeah.
363
00:19:52,120 --> 00:19:54,160
Like you have energy.
364
00:19:54,360 --> 00:19:57,080
Yes. I'm very tired,
365
00:19:57,280 --> 00:19:59,800
but I'm doing pretty well, I'd say.
366
00:20:00,000 --> 00:20:04,160
There were such strong emotions
that I found it very,
367
00:20:04,920 --> 00:20:08,480
very beautiful.
So actually, the crying
368
00:20:08,680 --> 00:20:10,680
or the grief also felt
369
00:20:12,040 --> 00:20:14,960
really beautiful in that moment.
370
00:20:15,280 --> 00:20:18,680
I just didn't have access
to that before,
371
00:20:18,880 --> 00:20:21,000
I didn't have the same access
to myself
372
00:20:21,200 --> 00:20:23,040
that I experienced yesterday.
373
00:20:24,400 --> 00:20:26,120
It was as if
374
00:20:26,320 --> 00:20:29,600
there were simply no more blocks
between me and myself.
375
00:20:30,120 --> 00:20:31,040
Yeah.
376
00:20:37,240 --> 00:20:39,440
Experiencing such intense moments
377
00:20:39,640 --> 00:20:41,880
is also a new experience
for the head of the study
378
00:20:42,080 --> 00:20:43,680
and therapist Gerhard Gründer:
379
00:20:44,480 --> 00:20:46,600
Not only is this
the most important study
380
00:20:46,800 --> 00:20:49,520
I've done to date,
it's also the most moving.
381
00:20:49,720 --> 00:20:52,000
As a therapist,
what we experience there
382
00:20:52,200 --> 00:20:53,640
with patients
in the therapy room
383
00:20:53,960 --> 00:20:56,960
is the most touching experience
384
00:20:57,160 --> 00:20:59,640
of my professional career.
385
00:20:59,960 --> 00:21:02,640
These are interpersonal processes
386
00:21:02,840 --> 00:21:04,800
that change us, also as therapists.
387
00:21:06,080 --> 00:21:07,880
Klaus had a so-called
mystical experience
388
00:21:08,080 --> 00:21:10,600
while taking psilocybin.
389
00:21:10,800 --> 00:21:13,680
The connection
between such an experience
390
00:21:13,880 --> 00:21:16,400
and an improvement in mood is
known from previous studies.
391
00:21:17,880 --> 00:21:21,240
I had such a divine experience,
so I saw
392
00:21:22,200 --> 00:21:23,920
this being
393
00:21:24,120 --> 00:21:27,200
that created and loved us.
394
00:21:27,400 --> 00:21:29,800
But it was completely different
from what I thought.
395
00:21:30,120 --> 00:21:33,880
"I am the power
that created everything
396
00:21:34,080 --> 00:21:35,720
and you can't understand me anyway,
397
00:21:35,920 --> 00:21:38,200
you'll never be able to grasp it.
398
00:21:38,400 --> 00:21:41,640
That's why I'll show you myself now
in a familiar face.
399
00:21:41,840 --> 00:21:44,200
And that can be a cricket.
400
00:21:44,400 --> 00:21:47,360
It can be a stone, an eagle,
it can be anything,
401
00:21:47,560 --> 00:21:49,720
you can't even imagine what I am".
402
00:21:49,920 --> 00:21:52,800
And it was masculine, feminine
403
00:21:53,000 --> 00:21:56,160
and neutral at the same time,
and was unlike anything.
404
00:21:56,680 --> 00:21:58,200
And that was...
405
00:21:59,120 --> 00:22:01,080
really moving.
406
00:22:02,800 --> 00:22:06,000
The Mazatec called the magic
mushrooms “meat of the gods”
407
00:22:06,200 --> 00:22:09,120
and consumed them
during shamanic rituals.
408
00:22:09,960 --> 00:22:11,840
So how did Mexican magic mushrooms
409
00:22:12,040 --> 00:22:14,960
find their way
into western medicine?
410
00:22:17,120 --> 00:22:18,760
PARIS
411
00:22:18,960 --> 00:22:20,600
The answer lies in Paris
412
00:22:20,920 --> 00:22:22,960
at the National Museum
of Natural History.
413
00:22:23,480 --> 00:22:26,920
As a student, historian
Vincent Verroust accidentally found
414
00:22:27,120 --> 00:22:29,120
long-forgotten rolls of film
415
00:22:29,320 --> 00:22:32,400
and notes
by mushroom researcher Roger Heim
416
00:22:32,600 --> 00:22:36,600
and discovered a treasure trove
of mushrooms in the museum archives.
417
00:22:44,280 --> 00:22:47,720
Roger Heim, who was director
of the museum at the time,
418
00:22:47,920 --> 00:22:50,960
brought these back
from his expeditions.
419
00:22:51,920 --> 00:22:55,080
The discovery of hallucinogenic
mushrooms in Mexico
420
00:22:55,280 --> 00:22:57,960
was a real sensation at the time,
421
00:22:58,160 --> 00:23:02,000
if only because they discovered
shamanic rituals that seemed
422
00:23:02,520 --> 00:23:04,120
to have disappeared
for centuries.
423
00:23:06,920 --> 00:23:09,560
In 1956, in Mexico,
in the mountains of Oaxaca,
424
00:23:09,760 --> 00:23:11,920
Roger Heim set off
425
00:23:12,120 --> 00:23:14,240
with the American
amateur researcher couple
426
00:23:14,440 --> 00:23:16,320
Valentina and Gordon Wasson
427
00:23:16,520 --> 00:23:20,000
to the remote village
of Huautla de Jiménez.
428
00:23:21,120 --> 00:23:23,680
Three years earlier, the couple
had discovered ceremonies
429
00:23:23,880 --> 00:23:26,400
that utilised magic mushrooms,
430
00:23:26,720 --> 00:23:29,440
led by the shaman Maria Sabina.
431
00:23:37,360 --> 00:23:39,760
Roger Heim was allowed
to attend a ceremony
432
00:23:39,960 --> 00:23:42,720
and also taste
“the flesh of the gods” himself,
433
00:23:42,920 --> 00:23:46,840
experiences that aroused
a lifelong fascination in him.
434
00:23:48,000 --> 00:23:51,200
He looked for the magic mushrooms
on the slopes around the village,
435
00:23:51,400 --> 00:23:54,720
found some specimens
and took them back to France.
436
00:23:58,240 --> 00:24:01,200
While Valentina
and Gordon Wasson introduced
437
00:24:01,400 --> 00:24:04,120
magic mushrooms to America
and even made them famous
438
00:24:04,320 --> 00:24:05,600
through their publications,
439
00:24:05,800 --> 00:24:09,280
Roger Heim concentrated
on research in Paris.
440
00:24:09,480 --> 00:24:12,360
He wanted to find out
exactly what substance
441
00:24:12,560 --> 00:24:14,360
gave the mushrooms their magic.
442
00:24:15,040 --> 00:24:16,200
When he didn't succeed,
443
00:24:16,400 --> 00:24:19,080
he asked a Swiss chemist for help.
444
00:24:23,360 --> 00:24:25,400
Albert Hofmann had been a celebrity
445
00:24:25,600 --> 00:24:29,160
since he discovered and synthesised
the psychedelic LSD,
446
00:24:29,360 --> 00:24:31,160
found in the black ergot fungus
447
00:24:31,360 --> 00:24:32,760
that afflicts ears of rye.
448
00:24:35,280 --> 00:24:37,440
And he managed
to identify psilocybin
449
00:24:37,640 --> 00:24:40,720
as the psychoactive compound
in mushrooms.
450
00:24:41,760 --> 00:24:44,520
Heim recognised its potential
in medicine
451
00:24:44,720 --> 00:24:47,880
and Hofmann began to synthetically
produce psilocybin.
452
00:24:50,840 --> 00:24:53,160
They were thrilled
to have actually found
453
00:24:53,360 --> 00:24:56,600
the psychoactive compound
in mushrooms.
454
00:24:56,800 --> 00:24:59,360
And Roger Heim immediately
got in touch
455
00:24:59,560 --> 00:25:03,080
with the psychiatric department
456
00:25:03,280 --> 00:25:06,160
at St Anne's Hospital here in Paris.
457
00:25:06,800 --> 00:25:09,040
And so it was
458
00:25:09,240 --> 00:25:12,480
that the very first clinical trial
of psilocybin was conducted
459
00:25:12,680 --> 00:25:13,600
in France.
460
00:25:15,240 --> 00:25:17,520
In total,
psychedelics were researched
461
00:25:17,720 --> 00:25:19,800
on around 40,000 patients worldwide
462
00:25:20,000 --> 00:25:22,720
in the 1950s and 1960s.
463
00:25:23,840 --> 00:25:25,800
In carefully controlled experiments,
464
00:25:26,120 --> 00:25:27,960
interesting results
have been reported
465
00:25:28,160 --> 00:25:30,480
on the therapeutic use of LSD
466
00:25:30,680 --> 00:25:33,600
with the mentally ill,
drug addicts,
467
00:25:33,800 --> 00:25:35,640
terminal cancer patients,
468
00:25:36,320 --> 00:25:38,640
and in the VA hospital
in Topeka, Kansas,
469
00:25:38,840 --> 00:25:41,920
a special research programme
for alcoholics.
470
00:25:43,160 --> 00:25:45,960
In the 1960s, LSD was hailed
by the hippie movement
471
00:25:46,160 --> 00:25:49,120
as a mind-expanding drug,
472
00:25:49,320 --> 00:25:51,560
and other psychedelics became
more popular.
473
00:25:53,480 --> 00:25:55,960
The youth protested
against the establishment
474
00:25:56,160 --> 00:25:57,720
and the Vietnam War.
475
00:25:57,920 --> 00:25:59,760
As a result, President Nixon
476
00:25:59,960 --> 00:26:02,160
named drugs
Public Enemy Number 1.
477
00:26:02,840 --> 00:26:05,880
Under pressure from him,
not only psychedelics are banned,
478
00:26:06,080 --> 00:26:07,920
but also all research -
479
00:26:08,120 --> 00:26:10,720
despite initial promising results.
480
00:26:10,920 --> 00:26:12,600
{\an8}Not only did you throw out the baby
481
00:26:12,800 --> 00:26:14,880
{\an8}with the bathwater,
you burnt down the bathtub,
482
00:26:15,080 --> 00:26:18,240
{\an8}if we're being completely honest.
483
00:26:18,440 --> 00:26:21,480
{\an8}Well, it's hard to see how
484
00:26:21,680 --> 00:26:24,400
good therapeutic approaches,
promising therapeutic approaches
485
00:26:24,600 --> 00:26:26,600
were suppressed
486
00:26:26,800 --> 00:26:29,120
and care was taken
487
00:26:29,640 --> 00:26:32,000
to ensure that those results
were suppressed.
488
00:26:32,200 --> 00:26:34,120
So when I started studying medicine,
489
00:26:34,320 --> 00:26:36,760
there was nothing in any textbook
490
00:26:36,960 --> 00:26:39,720
about LSD and psilocybin other
than that you can get poisoned.
491
00:26:39,920 --> 00:26:42,360
It's dangerous. It was only seen
in relation
492
00:26:42,560 --> 00:26:45,440
to developing psychosis
and toxicology.
493
00:26:45,640 --> 00:26:48,240
But there was also no mention
494
00:26:48,440 --> 00:26:51,840
of any strategies
for using it therapeutically.
495
00:26:53,440 --> 00:26:55,800
Because of the ban,
medicine also forgot
496
00:26:56,000 --> 00:26:59,600
professor of psychiatry
and psychotherapy, Hanscarl Leuner,
497
00:26:59,800 --> 00:27:02,720
who was allowed to treat
with the substances
498
00:27:03,040 --> 00:27:05,600
with a special permit until 1986.
499
00:27:05,800 --> 00:27:08,960
Leuner was a co-founder
of "Psycholytic Therapy"
500
00:27:09,160 --> 00:27:12,880
and administered LSD
and psilocybin in low doses.
501
00:27:13,920 --> 00:27:15,680
His assistant at the time,
502
00:27:15,880 --> 00:27:19,160
the psychiatrist and psychedelic
researcher Torsten Passie,
503
00:27:19,360 --> 00:27:22,080
documented Leuner's methods
in his book
504
00:27:22,280 --> 00:27:25,800
Hanscarl Leuner
and Psycholytic Therapy.
505
00:27:26,480 --> 00:27:28,400
The therapeutic work
506
00:27:28,600 --> 00:27:31,080
was then deepened
507
00:27:31,280 --> 00:27:33,240
and an attempt was made
to accelerate it.
508
00:27:33,440 --> 00:27:35,760
And what was also
an important starting point
509
00:27:35,960 --> 00:27:38,640
of this therapy at the time
was that it was possible
510
00:27:38,840 --> 00:27:41,920
to reach patients who were
so closed off
511
00:27:42,120 --> 00:27:44,400
due to their traumatic history,
512
00:27:44,600 --> 00:27:46,720
who were unable to open up
513
00:27:46,920 --> 00:27:49,720
and needed
this pharmacological stimulation
514
00:27:49,920 --> 00:27:53,360
to produce things from the
unconscious or from somewhere else
515
00:27:53,560 --> 00:27:56,840
and to relax and soften up
a bit internally,
516
00:27:57,040 --> 00:27:59,440
so that psychotherapeutic
processes could work.
517
00:28:00,840 --> 00:28:04,560
SOLOTHURN
518
00:28:08,800 --> 00:28:12,840
The studies occurring worldwide aim
to find out more about this effect.
519
00:28:13,040 --> 00:28:15,680
In Switzerland, these substances
520
00:28:15,880 --> 00:28:19,240
have been given exemptions
since 2014.
521
00:28:20,240 --> 00:28:20,880
Hello, Peter.
522
00:28:23,080 --> 00:28:24,760
Peter Gasser was the first therapist
523
00:28:24,960 --> 00:28:27,680
allowed to use psychedelics again.
524
00:28:27,880 --> 00:28:30,360
First, as part of a study,
he used LSD to treat patients
525
00:28:30,560 --> 00:28:32,640
who were suffering
from anxiety
526
00:28:32,840 --> 00:28:34,440
because of their cancer diagnosis.
527
00:28:35,520 --> 00:28:38,280
Today, he also uses it
for other diagnoses.
528
00:28:38,960 --> 00:28:41,560
25 of his colleagues now offer
529
00:28:41,760 --> 00:28:43,920
substance-assisted therapies
in Switzerland.
530
00:28:45,840 --> 00:28:47,520
Psychedelics are known
531
00:28:47,720 --> 00:28:50,360
to reduce psychological defences
532
00:28:50,560 --> 00:28:52,600
and can thus open the door
533
00:28:52,800 --> 00:28:54,840
to deep-seated trauma.
534
00:28:55,040 --> 00:28:57,040
Management holds the substance
535
00:28:57,240 --> 00:28:59,760
and I am the support figure.
If I see someone
536
00:28:59,960 --> 00:29:03,120
struggling, I get close to them
and maybe
537
00:29:03,320 --> 00:29:06,080
hold their hand, their head,
or I hold their feet,
538
00:29:06,280 --> 00:29:07,840
depending on the situation.
539
00:29:08,040 --> 00:29:09,880
Or I'll ask how they're doing.
540
00:29:10,080 --> 00:29:12,960
Then, depending on the person,
I simply support someone
541
00:29:13,160 --> 00:29:16,120
to help them through
this difficult process.
542
00:29:20,280 --> 00:29:23,880
Andreas suffered from excessive
compulsive washing for years.
543
00:29:24,760 --> 00:29:28,680
Neither medication nor various
therapies helped him.
544
00:29:28,880 --> 00:29:30,760
Over time,
the compulsion only got worse.
545
00:29:31,960 --> 00:29:35,120
You have to imagine if you have
to wash for two hours a day,
546
00:29:35,320 --> 00:29:38,760
that's a lot of time lost.
Then there's the fact that
547
00:29:38,960 --> 00:29:42,160
you're also dealing with it
all the time in everyday life:
548
00:29:42,360 --> 00:29:45,200
What am I touching,
what could be dirty?
549
00:29:45,720 --> 00:29:47,680
And there's just
550
00:29:47,880 --> 00:29:50,960
no longer any cognitive capacity
for joy,
551
00:29:51,160 --> 00:29:53,360
for enjoying life. It's really like
552
00:29:53,560 --> 00:29:56,240
your whole life consists only
of compulsive washing.
553
00:29:59,480 --> 00:30:01,240
I really was desperate.
554
00:30:01,440 --> 00:30:04,600
I think the next thing to do was
to end things. To end my own life.
555
00:30:07,360 --> 00:30:09,240
Andreas saw his last hope
556
00:30:09,440 --> 00:30:12,360
in substance-assisted therapy
with Peter Gasser.
557
00:30:13,240 --> 00:30:16,040
But even then, he didn't see
an immediate improvement.
558
00:30:17,920 --> 00:30:19,880
Psychotherapy is a process,
and I think
559
00:30:20,080 --> 00:30:22,720
working with these substances
is primarily
560
00:30:22,920 --> 00:30:26,240
and very often
an ongoing process.
561
00:30:26,440 --> 00:30:29,120
It might go faster,
it might go deeper,
562
00:30:29,320 --> 00:30:30,960
but again, it takes time
563
00:30:31,160 --> 00:30:33,160
to kind of
564
00:30:33,680 --> 00:30:37,000
go through it all.
And that's why,
565
00:30:37,200 --> 00:30:38,640
even with traumatic experiences,
566
00:30:38,840 --> 00:30:41,160
it often takes several attempts
567
00:30:41,360 --> 00:30:44,200
to get a little closer each time
568
00:30:44,400 --> 00:30:46,400
to this traumatic event.
569
00:30:46,600 --> 00:30:48,400
Don't forget that
570
00:30:48,600 --> 00:30:50,160
people repress
571
00:30:50,360 --> 00:30:52,640
and forget trauma.
That has to do
572
00:30:52,840 --> 00:30:55,240
with the fact that it was so painful
573
00:30:55,440 --> 00:30:57,400
and that it was so unbearable.
574
00:31:00,080 --> 00:31:02,560
Four sessions with LSD
were necessary
575
00:31:02,760 --> 00:31:04,480
before a deeply repressed event -
576
00:31:04,680 --> 00:31:06,680
and the probable cause
of his suffering -
577
00:31:06,880 --> 00:31:09,280
returned to Andreas' consciousness,
578
00:31:09,480 --> 00:31:12,640
so that he can now work through it
in therapy.
579
00:31:14,560 --> 00:31:17,280
And suddenly it hit me.
580
00:31:17,480 --> 00:31:20,560
It was like, "Oh!"
I was shocked.
581
00:31:20,760 --> 00:31:23,760
And then I realised,
"Oh, at the age of 15,
582
00:31:23,960 --> 00:31:26,080
you were drugged
and maybe even raped,
583
00:31:26,280 --> 00:31:27,880
certainly abused that night".
584
00:31:28,080 --> 00:31:30,200
And it wasn't that I wasn't there,
585
00:31:30,400 --> 00:31:32,160
but I completely...
586
00:31:32,840 --> 00:31:34,640
blocked it out, repressed it.
587
00:31:34,960 --> 00:31:37,560
I think if that happened
on the first trip,
588
00:31:37,760 --> 00:31:39,200
if I had realised that...
589
00:31:39,520 --> 00:31:41,840
I don't know what I would have done
to myself.
590
00:31:42,040 --> 00:31:44,000
And that's why I just think
591
00:31:44,200 --> 00:31:47,080
everything before
these four sessions
592
00:31:47,280 --> 00:31:49,760
was just there
to mentally prepare me
593
00:31:49,960 --> 00:31:51,680
to be able to deal with all this.
594
00:31:52,000 --> 00:31:54,520
So it's about quality of life again,
595
00:31:54,720 --> 00:31:57,840
and it's a life
that I want to live again.
596
00:32:00,560 --> 00:32:02,840
In the German study,
the test subjects are
597
00:32:03,040 --> 00:32:05,080
aided therapeutically
for three months.
598
00:32:05,400 --> 00:32:08,320
Regular examinations are also
carried out during this time.
599
00:32:08,960 --> 00:32:12,720
Two more meetings will follow
after six and 12 months.
600
00:32:13,400 --> 00:32:16,000
In the meantime,
Lia, Hans-Christian and Andreas
601
00:32:16,200 --> 00:32:18,160
have received a high dose.
602
00:32:18,960 --> 00:32:22,040
I got out of a difficult situation
very quickly,
603
00:32:24,040 --> 00:32:27,240
got into a much better one,
604
00:32:27,440 --> 00:32:30,680
and now I'm just doing things
for myself
605
00:32:30,880 --> 00:32:34,080
that I should have been doing
for a long time.
606
00:32:34,600 --> 00:32:36,200
And yes,
607
00:32:36,960 --> 00:32:39,000
of course I ask myself,
how will it be now
608
00:32:39,200 --> 00:32:41,400
in winter? How will it be now
when I'm back
609
00:32:41,600 --> 00:32:44,280
in situations that used to
610
00:32:44,480 --> 00:32:46,360
cause me to lose control,
611
00:32:46,560 --> 00:32:50,120
that is, that were difficult for me?
Will it get easier now?
612
00:32:50,320 --> 00:32:52,520
Will I maybe get depressed again
613
00:32:52,720 --> 00:32:55,080
in a few months?
Of course that could also happen.
614
00:32:55,400 --> 00:32:59,160
Energy is still
a huge problem for me.
615
00:33:00,160 --> 00:33:02,640
I write things down every day
616
00:33:02,840 --> 00:33:05,560
in order to understand things
more objectively.
617
00:33:07,480 --> 00:33:09,720
So how many hours do I spend
on "concentration time",
618
00:33:09,920 --> 00:33:12,560
by that I mean all the washing,
619
00:33:12,760 --> 00:33:15,720
shopping, ironing, whatever.
620
00:33:15,920 --> 00:33:18,880
In other words, every activity
where I have to be "switched on".
621
00:33:19,080 --> 00:33:22,000
I think it's a good day
if I can manage four hours.
622
00:33:22,200 --> 00:33:23,120
That's a good day.
623
00:33:23,440 --> 00:33:25,800
I feel I've changed.
624
00:33:26,320 --> 00:33:28,520
Now I'm asking myself
625
00:33:29,720 --> 00:33:32,720
how this change will reflect
the goals of the study:
626
00:33:32,920 --> 00:33:35,800
How long will it last
627
00:33:36,320 --> 00:33:39,000
and how sustainable
are these changes?
628
00:33:40,760 --> 00:33:43,400
I can't answer that yet.
629
00:33:44,120 --> 00:33:47,080
A psychedelic experience
does not mean
630
00:33:47,280 --> 00:33:51,120
that it is then implemented and
integrated. And then there are
631
00:33:51,640 --> 00:33:53,680
often setbacks,
632
00:33:53,880 --> 00:33:56,400
with disappointments, with hurdles
633
00:33:57,680 --> 00:33:59,920
that must be worked through.
It also means you need
634
00:34:00,120 --> 00:34:02,680
the strength and the intention
to keep working.
635
00:34:05,720 --> 00:34:08,120
The research teams
from Mannheim and Berlin
636
00:34:08,320 --> 00:34:10,440
regularly exchange observations
637
00:34:10,640 --> 00:34:12,520
and initial findings.
638
00:34:13,880 --> 00:34:17,720
I believe that, in the next study,
we must have the option
639
00:34:17,920 --> 00:34:19,760
of administering
640
00:34:19,960 --> 00:34:21,520
the substance more often.
641
00:34:21,720 --> 00:34:23,120
DR GERHARD GRÜNDER
PSYCHIATRIST
642
00:34:23,320 --> 00:34:25,440
And we need
643
00:34:25,960 --> 00:34:29,000
longer intervals
over which we give the substance.
644
00:34:29,200 --> 00:34:31,800
And we need more psychotherapy.
We need
645
00:34:32,000 --> 00:34:33,200
more "integration".
646
00:34:34,960 --> 00:34:37,080
Giving psychedelics multiple times
647
00:34:37,280 --> 00:34:39,080
in therapy is possible
648
00:34:39,280 --> 00:34:40,960
because they are non-addictive.
649
00:34:41,480 --> 00:34:44,200
There are various reasons
650
00:34:44,400 --> 00:34:46,000
why the substances are
not addictive.
651
00:34:46,200 --> 00:34:48,560
{\an8}This strong and rewarding effect
652
00:34:48,760 --> 00:34:51,520
{\an8}that we see with other substances
by stimulating
653
00:34:51,720 --> 00:34:55,280
{\an8}the dopamine system is not present
654
00:34:55,480 --> 00:34:57,960
with psychedelics.
The second reason
655
00:34:58,160 --> 00:35:00,240
why the substances are not addictive
656
00:35:00,440 --> 00:35:04,200
is also a completely
psychological one. So a trip
657
00:35:04,400 --> 00:35:07,520
is exhausting for almost everyone.
It's like riding a rollercoaster.
658
00:35:09,640 --> 00:35:12,640
It's actually not something you
really want to repeat the next day.
659
00:35:12,960 --> 00:35:15,120
The third factor is that
660
00:35:15,320 --> 00:35:17,440
the serotonin receptors become
661
00:35:17,640 --> 00:35:21,560
severely overstimulated
by the psychedelics
662
00:35:21,760 --> 00:35:25,320
and then withdraw
for a period of time.
663
00:35:25,520 --> 00:35:28,480
This means that if I tried to take
664
00:35:28,680 --> 00:35:31,840
psilocybin again the next day,
it would have
665
00:35:32,040 --> 00:35:35,160
almost no effect at all.
This means that our body
666
00:35:35,360 --> 00:35:38,240
protects us from consuming
the substances
667
00:35:38,440 --> 00:35:39,880
too frequently.
668
00:35:40,440 --> 00:35:42,760
A study by former UK government
Chief Drug Advisor
669
00:35:42,960 --> 00:35:45,800
David Nutt found
670
00:35:46,000 --> 00:35:49,920
that psychedelics ranked low
in terms of danger.
671
00:35:50,560 --> 00:35:52,640
When you add up the damage
672
00:35:52,840 --> 00:35:56,080
a drug does to the environment
and to the self,
673
00:35:56,280 --> 00:35:58,960
the most dangerous drug of all
is alcohol.
674
00:35:59,160 --> 00:36:00,880
{\an8}HARM TO ENVIRONMENT (WHITE)
HARM TO SELF (RED)
675
00:36:01,960 --> 00:36:05,120
Three million people worldwide
die from it every year,
676
00:36:05,320 --> 00:36:08,360
which is more than 5% of all deaths.
677
00:36:11,360 --> 00:36:13,680
Alcohol researcher Mickaël Naassila
678
00:36:13,880 --> 00:36:15,800
and others have been calling
679
00:36:16,000 --> 00:36:18,640
for warning labels on alcoholic
beverages for some time.
680
00:36:19,080 --> 00:36:20,840
So far, they haven't been able
to sway
681
00:36:21,000 --> 00:36:23,720
the alcohol lobby,
which wants to prevent this.
682
00:36:23,920 --> 00:36:24,720
CANCER
683
00:36:24,920 --> 00:36:28,280
Alcohol consumption can cause
many diseases.
684
00:36:28,480 --> 00:36:30,000
First of all, cancer.
685
00:36:30,320 --> 00:36:32,560
Then cardiovascular diseases,
686
00:36:32,760 --> 00:36:34,040
{\an5}DR MICKAËL NAASSILA
PHYSICIAN AND RESEARCHER
687
00:36:34,240 --> 00:36:36,040
especially high blood pressure,
688
00:36:36,240 --> 00:36:38,680
stroke. And the diseases
689
00:36:39,000 --> 00:36:41,920
of the digestive tract, liver.
And then, of course, addiction.
690
00:36:42,120 --> 00:36:44,080
Alcohol is a hard drug.
691
00:36:46,320 --> 00:36:49,040
Can psilocybin trigger
a healing process
692
00:36:49,360 --> 00:36:52,920
in alcohol addiction,
just like in depression?
693
00:36:53,440 --> 00:36:55,160
This is what Mickaël Naassila
694
00:36:55,360 --> 00:36:58,360
is researching together
with other European research groups.
695
00:36:58,560 --> 00:37:01,360
Katrin Preller leads the Swiss part
of the study,
696
00:37:01,560 --> 00:37:05,240
in which 60 subjects are treated
with psilocybin.
697
00:37:06,480 --> 00:37:08,480
Of course, many things happen
698
00:37:08,680 --> 00:37:10,800
in the brain of an alcoholic,
699
00:37:11,000 --> 00:37:13,720
and we don't understand
everything yet.
700
00:37:13,920 --> 00:37:16,800
But of course, through consumption,
701
00:37:17,000 --> 00:37:19,240
which happens over and over again,
702
00:37:19,440 --> 00:37:21,600
the brain changes, the brain adapts.
703
00:37:21,920 --> 00:37:24,680
We know that alcohol is
a much higher priority
704
00:37:24,880 --> 00:37:27,560
because the reward system
responds to it.
705
00:37:27,760 --> 00:37:31,040
And because of that,
706
00:37:31,240 --> 00:37:32,840
the patients
707
00:37:33,160 --> 00:37:35,800
can relapse again and again.
708
00:37:36,840 --> 00:37:39,440
AMIENS
709
00:37:39,640 --> 00:37:41,920
The research group
from the University of Amiens
710
00:37:42,120 --> 00:37:45,080
is studying the effects
of psilocybin on rats.
711
00:37:45,600 --> 00:37:48,920
Experiments were carried out under
the direction of Mickaël Naassila,
712
00:37:49,120 --> 00:37:51,080
in which the rodents were given
the opportunity
713
00:37:51,280 --> 00:37:54,960
to obtain alcohol by pressing
a switch.
714
00:37:56,400 --> 00:37:58,000
After a short time,
715
00:37:58,200 --> 00:38:00,480
the rats pressed the switch
more and more often,
716
00:38:01,280 --> 00:38:03,000
drinking more and more.
717
00:38:08,320 --> 00:38:10,880
Then the animals
were given psilocybin
718
00:38:11,080 --> 00:38:12,480
and the experiment was repeated.
719
00:38:16,040 --> 00:38:17,920
The researchers then observed
720
00:38:18,120 --> 00:38:20,200
a significant change in behaviour.
721
00:38:25,520 --> 00:38:27,520
Administering psilocybin reduces
722
00:38:27,720 --> 00:38:29,120
the rats' cravings for alcohol.
723
00:38:29,320 --> 00:38:31,920
And not only that.
The fascinating thing
724
00:38:32,120 --> 00:38:34,920
is that psilocybin not only affects
the amount you drink,
725
00:38:35,120 --> 00:38:37,600
but other things as well.
It can affect self-control.
726
00:38:38,120 --> 00:38:42,600
Because you often reach
for the bottle
727
00:38:42,800 --> 00:38:45,480
without even being aware of it,
it becomes automatic,
728
00:38:45,680 --> 00:38:49,280
an automatism that you no longer
729
00:38:50,640 --> 00:38:53,160
have any control over.
730
00:38:53,360 --> 00:38:55,200
And psilocybin could perhaps
731
00:38:55,400 --> 00:38:57,120
restore that self-control
732
00:38:57,320 --> 00:38:59,600
and thus make you drink less again.
733
00:39:00,800 --> 00:39:03,120
PARIS
734
00:39:03,320 --> 00:39:06,920
These results are
worth pursuing further.
735
00:39:07,240 --> 00:39:10,200
In collaboration
with the Paris Institut du Cerveau
736
00:39:10,400 --> 00:39:13,320
and the psychiatrist
and neuroscientist Luc Mallet,
737
00:39:13,520 --> 00:39:16,680
one of the largest studies
of alcohol in the world is planned:
738
00:39:17,200 --> 00:39:20,880
240 subjects will be treated
with LSD.
739
00:39:21,400 --> 00:39:24,960
It builds on the studies of the 60s.
740
00:39:25,800 --> 00:39:28,720
Today, we have neuroscientific tools
that allow us
741
00:39:28,920 --> 00:39:31,960
to study the effects
of psychedelics in much more detail.
742
00:39:32,160 --> 00:39:34,120
It's like rediscovering
743
00:39:34,320 --> 00:39:37,280
a planet or a universe.
We now have
744
00:39:37,480 --> 00:39:40,080
the ability to better understand
how they work.
745
00:39:40,280 --> 00:39:42,080
And in any case,
it is worth digging deeper
746
00:39:42,280 --> 00:39:45,880
into research
in the hope of finding
747
00:39:46,080 --> 00:39:48,000
a therapeutic effect.
748
00:39:48,200 --> 00:39:50,200
So it's exciting
749
00:39:50,400 --> 00:39:52,720
because there are different aspects:
750
00:39:53,040 --> 00:39:55,240
there are...
751
00:39:55,440 --> 00:39:56,760
neurobiological aspects,
752
00:39:56,960 --> 00:39:59,080
fundamental aspects
as well as practical ones,
753
00:39:59,280 --> 00:40:01,200
like its use in psychotherapy.
754
00:40:01,400 --> 00:40:03,800
And social aspects too,
if you consider what
755
00:40:04,000 --> 00:40:06,440
the reintroduction of these
substances means for society.
756
00:40:08,160 --> 00:40:11,360
The societal interest
in psychedelics is growing,
757
00:40:11,560 --> 00:40:14,200
and at large conferences,
such as Insight in Berlin,
758
00:40:14,880 --> 00:40:17,880
more and more interested laypeople
mingle with the experts.
759
00:40:21,200 --> 00:40:23,560
Investors have also discovered
psychedelics
760
00:40:23,880 --> 00:40:26,360
and sense a lucrative market.
761
00:40:27,560 --> 00:40:30,120
It is important to the members
of the Mind Foundation
762
00:40:30,320 --> 00:40:33,040
that with all the hype
surrounding these substances,
763
00:40:33,240 --> 00:40:36,080
people do not lose sight
of the possible dangers.
764
00:40:36,600 --> 00:40:38,640
It is very important to know
that psychedelics
765
00:40:38,840 --> 00:40:40,840
can also have negative effects.
766
00:40:41,160 --> 00:40:43,120
There are cases where
anxiety disorders,
767
00:40:43,320 --> 00:40:45,840
panic disorders, are triggered
by the psychedelics.
768
00:40:46,040 --> 00:40:48,920
Ongoing changes in perception
after using psychedelics
769
00:40:49,120 --> 00:40:51,920
is rare, but does exist.
770
00:40:52,920 --> 00:40:56,640
You have to talk openly about this,
and it has to be known,
771
00:40:56,840 --> 00:40:58,640
especially, of course, to those
772
00:40:58,840 --> 00:41:01,240
who use it therapeutically.
But it's also good
773
00:41:01,440 --> 00:41:04,200
when society knows
that there are risks.
774
00:41:04,520 --> 00:41:06,680
I think that, as of yet,
775
00:41:06,880 --> 00:41:09,280
there is almost no proper education
about psychedelics.
776
00:41:09,480 --> 00:41:11,800
What is conveyed to the public
777
00:41:12,120 --> 00:41:15,240
is just hype,
778
00:41:15,440 --> 00:41:18,320
and then the usual scaremongering
on the one hand,
779
00:41:18,520 --> 00:41:20,640
or exaggerated expectations
of psychedelics
780
00:41:20,840 --> 00:41:23,080
on the other.
Yes, we need good,
781
00:41:23,280 --> 00:41:26,560
science-based education
782
00:41:26,760 --> 00:41:29,680
about the possibilities
and limitations of psychedelics.
783
00:41:31,640 --> 00:41:33,920
According to observations,
many people
784
00:41:34,120 --> 00:41:35,920
who are healthy can tolerate
785
00:41:36,120 --> 00:41:39,200
the substances without
medical supervision, but not all.
786
00:41:39,400 --> 00:41:41,440
Because they can trigger psychoses
787
00:41:41,640 --> 00:41:44,600
or even schizophrenia
if one is predisposed.
788
00:41:48,200 --> 00:41:50,920
The Charité has set up a special
789
00:41:51,120 --> 00:41:53,520
Psychedelic Substances Outpatient
Clinic in Berlin.
790
00:41:54,680 --> 00:41:56,760
Tomislav Majić is
one of the therapists
791
00:41:56,960 --> 00:41:58,400
working on the depression study
792
00:41:58,600 --> 00:42:00,720
and is also the head
of the outpatient clinic.
793
00:42:01,400 --> 00:42:04,280
When someone takes a drug,
794
00:42:04,480 --> 00:42:06,360
a substance,
and after many months,
795
00:42:06,560 --> 00:42:09,200
sometimes even after a year,
796
00:42:09,400 --> 00:42:12,160
you somehow notice something,
even a small change -
797
00:42:12,360 --> 00:42:14,720
that's what's so fascinating.
798
00:42:14,920 --> 00:42:17,640
And, of course,
where there's great hope
799
00:42:17,840 --> 00:42:20,280
that you can create a treatment
800
00:42:20,480 --> 00:42:23,400
where you don't have to take
801
00:42:23,600 --> 00:42:25,200
medication every day.
802
00:42:25,520 --> 00:42:28,240
If people hear
that psychedelics
803
00:42:28,440 --> 00:42:30,280
work better than antidepressants,
804
00:42:30,480 --> 00:42:33,360
there are of course many
who want to try it right away.
805
00:42:33,560 --> 00:42:36,360
And if you have
no way of doing it legally
806
00:42:36,560 --> 00:42:38,880
or in any context
where you are prescribed it,
807
00:42:39,080 --> 00:42:41,600
then you may do it yourself
808
00:42:41,800 --> 00:42:43,600
in a different context,
809
00:42:43,800 --> 00:42:46,640
and that is risky in many cases.
810
00:42:49,000 --> 00:42:51,280
In 2020, Felix Blei developed tests
811
00:42:51,600 --> 00:42:53,440
that consumers can use
812
00:42:53,640 --> 00:42:57,560
to determine the concentration
and ingredients of drugs.
813
00:42:58,200 --> 00:43:00,080
They're used
in a drug checking pilot project
814
00:43:00,240 --> 00:43:02,840
run by the Thuringian
addiction centre.
815
00:43:03,800 --> 00:43:06,880
Roxana Preuss helped design
the project.
816
00:43:07,840 --> 00:43:09,120
The main problem is that
817
00:43:09,320 --> 00:43:12,320
the substances are obtained
on the black market
818
00:43:12,520 --> 00:43:15,040
and are of course not subject
to any oversight.
819
00:43:15,240 --> 00:43:17,640
Most accidents with drugs
820
00:43:17,840 --> 00:43:20,960
or emergencies actually happen
because it is not clear
821
00:43:21,160 --> 00:43:24,600
what or how much active chemical
822
00:43:24,800 --> 00:43:26,840
is in the substances.
823
00:43:27,040 --> 00:43:29,080
Even with mushrooms,
you can't tell
824
00:43:29,400 --> 00:43:32,320
from their size
how much psilocybin they contain.
825
00:43:32,840 --> 00:43:35,760
The cubensis mushroom, for example,
contains a different quantity
826
00:43:35,960 --> 00:43:38,600
than the magic mushroom sold
over-the-counter
827
00:43:38,800 --> 00:43:40,560
in Holland as a “truffle”.
828
00:43:44,240 --> 00:43:47,080
So there is a clear difference
in the dosage between the two,
829
00:43:47,280 --> 00:43:49,440
and both contain
the active ingredient,
830
00:43:49,640 --> 00:43:52,480
but there is three times as much
active ingredient
831
00:43:52,680 --> 00:43:55,640
in the cubensis
compared to the truffle.
832
00:43:57,760 --> 00:44:00,520
Synthetically produced psilocybin
833
00:44:00,840 --> 00:44:03,080
is currently used
in scientific research.
834
00:44:04,160 --> 00:44:06,360
Psychedelics show potential
835
00:44:06,680 --> 00:44:08,200
in treating depression.
836
00:44:08,400 --> 00:44:11,600
But it is not yet clear
which changes in the brain
837
00:44:11,800 --> 00:44:13,600
lead to such improvement.
838
00:44:15,400 --> 00:44:17,800
We study the neuronal effects
839
00:44:18,120 --> 00:44:20,440
and the differences in activity
within the brain.
840
00:44:20,640 --> 00:44:21,400
CHRISTIAN SCHMITZ
DOCTOR
841
00:44:21,600 --> 00:44:23,840
Which in turn tells us:
This gives us more of a clue
842
00:44:24,040 --> 00:44:27,800
as to the antidepressant
mechanisms of psilocybin.
843
00:44:28,120 --> 00:44:31,480
An important region for this is
the hippocampus.
844
00:44:31,680 --> 00:44:34,360
It is responsible
for information processing
845
00:44:34,560 --> 00:44:36,600
and how we remember things.
846
00:44:38,160 --> 00:44:41,040
There is a decrease in volume
of the hippocampus
847
00:44:41,360 --> 00:44:44,320
during depression.
And we want to see
848
00:44:44,520 --> 00:44:46,240
if psilocybin therapy
849
00:44:46,560 --> 00:44:49,440
reverses the changes in volume
850
00:44:49,640 --> 00:44:51,080
seen in depression.
851
00:44:51,280 --> 00:44:53,280
Or leads to other changes
in volume elsewhere.
852
00:44:54,840 --> 00:44:58,520
Neuroplasticity is also
the focus of their research.
853
00:45:02,200 --> 00:45:05,200
In this case, neuroplasticity means
854
00:45:05,400 --> 00:45:07,000
that patients find it easier
855
00:45:07,200 --> 00:45:09,480
to learn new things
and forget old things.
856
00:45:09,680 --> 00:45:12,600
That you can also achieve
857
00:45:12,800 --> 00:45:14,640
therapeutic success,
858
00:45:14,840 --> 00:45:17,040
so to speak, because it is easier
859
00:45:17,240 --> 00:45:19,840
to generate a new view of the world
and of yourself.
860
00:45:21,400 --> 00:45:23,560
While the German study is
still ongoing,
861
00:45:23,880 --> 00:45:25,800
Katrin Preller's team in Switzerland
862
00:45:26,000 --> 00:45:29,120
has completed a study
with 60 test subjects and has
863
00:45:29,320 --> 00:45:30,640
produced the first results.
864
00:45:31,440 --> 00:45:34,000
The researchers compared
the effects of psilocybin
865
00:45:34,200 --> 00:45:36,080
with a placebo.
866
00:45:36,880 --> 00:45:40,120
The central hypothesis
in the study was:
867
00:45:40,440 --> 00:45:42,360
Can psilocybin intervention
868
00:45:42,560 --> 00:45:44,520
improve depression,
869
00:45:44,720 --> 00:45:47,400
change the severity
of the symptoms?
870
00:45:47,600 --> 00:45:49,680
And this hypothesis
871
00:45:49,880 --> 00:45:52,240
has been clearly confirmed
in our data.
872
00:45:52,440 --> 00:45:54,480
We saw a much clearer drop
873
00:45:54,680 --> 00:45:57,080
in symptoms
874
00:45:57,280 --> 00:46:01,000
in the psilocybin group
than in the placebo group.
875
00:46:01,720 --> 00:46:04,360
A lot of data was collected
and it confirmed
876
00:46:04,560 --> 00:46:08,040
what had already been observed
in the other small studies.
877
00:46:08,240 --> 00:46:09,800
A central point is that
878
00:46:10,000 --> 00:46:13,280
people can feel again
with the help of the substance
879
00:46:13,480 --> 00:46:15,200
and tolerate these feelings.
880
00:46:18,240 --> 00:46:20,400
In our data, it's very,
881
00:46:20,720 --> 00:46:22,000
very exciting
882
00:46:22,200 --> 00:46:24,960
that people who took psilocybin
883
00:46:25,160 --> 00:46:27,280
in particular
develop stronger tendencies
884
00:46:27,480 --> 00:46:30,600
to evaluate
their emotions differently
885
00:46:30,800 --> 00:46:33,000
and also tend
886
00:46:33,200 --> 00:46:36,680
to suppress them less.
887
00:46:37,720 --> 00:46:41,040
And any psychotherapist
would be able to do
888
00:46:41,240 --> 00:46:43,560
quite a bit with that,
889
00:46:43,760 --> 00:46:45,640
because it has clinical relevance.
890
00:46:47,080 --> 00:46:49,080
Coming to terms with his feelings -
891
00:46:49,280 --> 00:46:51,880
despite many attempts
and long stays in hospital
892
00:46:52,080 --> 00:46:53,760
over the past 20 years,
893
00:46:53,920 --> 00:46:55,640
that was not possible
for Hans-Christian.
894
00:46:56,800 --> 00:46:59,320
Then, at a substance-assisted
therapy session,
895
00:46:59,520 --> 00:47:01,920
he saw his defences fall away.
896
00:47:04,680 --> 00:47:07,760
The feeling was just being
completely alone.
897
00:47:07,960 --> 00:47:11,040
As if all the moments
I've ever felt while alone
898
00:47:11,240 --> 00:47:13,480
were piled high on a mountain,
899
00:47:13,680 --> 00:47:15,280
and it really was this
900
00:47:15,480 --> 00:47:17,480
lifetime's worth
of accumulated pain.
901
00:47:17,800 --> 00:47:20,560
It was just naked, raw pain,
but nothing in between.
902
00:47:21,280 --> 00:47:24,040
And yet I could endure it.
903
00:47:24,240 --> 00:47:26,120
The substance did that
and I could stand it,
904
00:47:26,320 --> 00:47:28,600
even though it was
905
00:47:28,800 --> 00:47:30,240
so incredibly intense.
906
00:47:34,440 --> 00:47:37,880
And now, I just hope that
I can endure unpleasant feelings
907
00:47:38,080 --> 00:47:41,160
better and better,
even if they are so intense,
908
00:47:41,360 --> 00:47:43,560
and that it means there's healing.
909
00:47:46,800 --> 00:47:49,360
Eight months have passed
since Lia had
910
00:47:49,560 --> 00:47:51,360
her psilocybin experience.
911
00:47:51,560 --> 00:47:54,160
She can study again
without limitation,
912
00:47:54,360 --> 00:47:56,240
after years in which
913
00:47:56,440 --> 00:47:59,560
she had to stop again and again
because of periods of depression.
914
00:48:00,720 --> 00:48:04,520
It has gotten significantly better.
I feel like
915
00:48:04,840 --> 00:48:07,200
I can just use my brain better.
916
00:48:07,400 --> 00:48:09,480
I also passed
917
00:48:09,680 --> 00:48:12,840
my last exam
918
00:48:13,040 --> 00:48:15,360
and wasn't afraid of it.
919
00:48:15,560 --> 00:48:17,800
I used to throw up
920
00:48:18,000 --> 00:48:19,800
before exams
921
00:48:20,120 --> 00:48:22,880
and it was pretty intense for me.
922
00:48:23,080 --> 00:48:26,040
And the fact that
I wasn't scared at all now
923
00:48:26,240 --> 00:48:27,840
was a huge change.
924
00:48:29,400 --> 00:48:31,480
Three months after his session,
925
00:48:31,680 --> 00:48:34,480
Andreas still feels
that he's improving,
926
00:48:34,680 --> 00:48:36,440
but still has questions.
927
00:48:36,640 --> 00:48:38,320
I still feel as if
928
00:48:38,520 --> 00:48:40,760
the treatment worked.
929
00:48:40,960 --> 00:48:42,960
The big problem now will be
930
00:48:43,160 --> 00:48:44,680
to integrate
931
00:48:44,880 --> 00:48:47,360
this new self into everyday life.
932
00:48:48,040 --> 00:48:50,120
You come back
933
00:48:50,640 --> 00:48:53,480
to the practically unchanged world.
934
00:48:56,280 --> 00:48:58,720
And there are things
935
00:48:58,920 --> 00:49:02,880
that were perhaps very problematic,
and now
936
00:49:03,080 --> 00:49:05,720
you don't want that
937
00:49:06,240 --> 00:49:09,360
or can't accept that.
You suddenly know
938
00:49:09,560 --> 00:49:11,160
that this has to change,
939
00:49:11,360 --> 00:49:13,080
something has to change
in the long term.
940
00:49:21,200 --> 00:49:24,240
The results of the study
have not yet been evaluated,
941
00:49:24,440 --> 00:49:27,480
and it is still too early
for a well-founded assessment.
942
00:49:29,520 --> 00:49:33,160
The study team reports that
not everyone could be helped.
943
00:49:33,680 --> 00:49:36,400
However, some subjects experienced
slight improvements,
944
00:49:36,600 --> 00:49:40,000
while others experienced
significant improvements.
945
00:49:41,320 --> 00:49:43,080
And then something happened
946
00:49:43,280 --> 00:49:44,880
that neither Gerhard Gründer
947
00:49:45,080 --> 00:49:48,080
nor the subject Klaus expected.
948
00:49:50,280 --> 00:49:53,040
I fell asleep
after the first session,
949
00:49:53,360 --> 00:49:56,040
slept well, dreamless,
slept peacefully,
950
00:49:56,240 --> 00:49:58,480
woke up and knew:
951
00:49:58,680 --> 00:50:00,720
I am healthy, it's gone,
952
00:50:00,920 --> 00:50:02,760
I am healed after 20 years,
953
00:50:02,960 --> 00:50:04,760
and I no longer have any complaints.
954
00:50:04,960 --> 00:50:08,160
That was a wonderful feeling,
and yes,
955
00:50:08,360 --> 00:50:10,520
I'm very happy and I'm very,
very grateful.
956
00:50:11,200 --> 00:50:12,600
Such an experience
957
00:50:12,800 --> 00:50:14,960
is an exception within the study.
958
00:50:15,920 --> 00:50:18,680
Psychedelics, when they work,
have the advantage that,
959
00:50:19,000 --> 00:50:21,480
unlike antidepressants,
they do not have
960
00:50:21,680 --> 00:50:24,720
to be taken daily and possibly
for the rest of one's life.
961
00:50:24,920 --> 00:50:28,200
Ultimately, we want to trigger
a process
962
00:50:28,400 --> 00:50:30,200
that makes people healthy again,
963
00:50:30,400 --> 00:50:32,040
promotes their resilience,
964
00:50:32,360 --> 00:50:34,320
strengthens their resources,
965
00:50:34,520 --> 00:50:37,320
so that in the end,
966
00:50:38,000 --> 00:50:40,560
a sick person experiencing
a depressive episode
967
00:50:40,760 --> 00:50:42,760
becomes a healthy person.
968
00:50:44,720 --> 00:50:46,800
The positive changes in people
969
00:50:47,000 --> 00:50:49,040
who were previously unhelped
970
00:50:49,360 --> 00:50:52,960
are causing people with depression
971
00:50:53,160 --> 00:50:56,080
to see great hope in psychedelics
972
00:50:56,280 --> 00:50:58,320
and to want this treatment.
973
00:50:59,680 --> 00:51:01,240
Demands are growing
for rapid approval
974
00:51:01,560 --> 00:51:03,680
as findings are becoming public.
975
00:51:05,040 --> 00:51:06,880
But this still requires studies
976
00:51:07,080 --> 00:51:09,280
with more than 1000 test subjects,
977
00:51:09,480 --> 00:51:11,720
which would first have to confirm
978
00:51:11,920 --> 00:51:13,920
the results of current studies.
979
00:51:14,120 --> 00:51:16,280
Psychedelics definitely have
980
00:51:16,480 --> 00:51:18,720
the potential to transform
981
00:51:18,920 --> 00:51:21,080
the lives of many people
982
00:51:21,280 --> 00:51:22,720
suffering from mental illness.
983
00:51:22,920 --> 00:51:25,200
But we need a bit of patience
984
00:51:25,400 --> 00:51:27,880
to legitimise it.
985
00:51:28,200 --> 00:51:30,640
And in the end,
we will hopefully have
986
00:51:30,840 --> 00:51:33,200
a treatment option
that is scientifically sound
987
00:51:33,400 --> 00:51:35,720
and that is both reliable
988
00:51:35,920 --> 00:51:37,960
and can be used safely.
989
00:51:38,305 --> 00:52:38,508
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