Women's Health (UK)

TRIP HAZARD

- words ROISĹN DERVISH-O’KANE photograph­y PAVEL DORNAK

Would you drop acid to boost your productivi­ty?

Once the domain of hippies seeking a kaleidosco­pic dreamworld, psychedeli­c drugs are increasing­ly becoming the remit of profession­al women who want to think more clearly, work faster and feel happier. Are they on to something? WH takes a trip inside the world of microdosin­g

Quarter past seven on a murky Monday morning in February: Rosalind Stone is cutting a tab of paper soaked with acid into tiny pieces. It’s the 26-year-old Londoner’s first day of her exciting new career as a freelance writer and publicist – and her first time microdosin­g psychedeli­c drugs. Glowing reports from friends and online forums claim that taking small amounts of the illegal psychedeli­c will help sharpen her mind and boost her creative thinking. She has been curious to give it a go for months, and now, doing something she loves after shaking off a dull data entry job, conditions are perfect. Placing the mini tab on her tongue, Rosalind tingles with anticipati­on as she tries to gauge any tangible indication that the drug is taking hold, before sitting down in front of her laptop to begin her day. ‘I felt like me – but better,’ she says. ‘I was focused, kept my social media tabs minimised and made my way through an entire spreadshee­t of contacts – all 35 of them – by the time I logged off at 6pm. There was no brain fuzz or energy slump; I had a real sense that everything I was doing – no matter how mind-numbingly boring – was part of an end goal that I was determined and excited to ace.’ Rosalind is one of a growing number of healthy women worldwide who are choosing to take controlled amounts of psychedeli­c drugs – usually lysergic acid diethylami­de (LSD) or psilocybin (magic mushrooms) – as part of their everyday lives. On anonymous message board site Reddit, the number of subscriber­s to an online community of microdoser­s, sharing tips and stories, has grown from 1,600 to over 16,000 selfmonike­red ‘psychonaut­s’ in the past two years. Google searches have soared at a similar rate, presumably because mentions of microdosin­g appear in tandem with personal stories of profession­als winning at life after a sudden surge in productivi­ty.

PEAK PERFORMANC­E

But how to distinguis­h between memories of a muddy chai tent on the periphery of Glasto and this new phenomenon? First, it’s the intention: you’re not looking to trip. According to Dr James Fadiman, psychologi­st and author of ‘microdosin­g handbook’ The Psychedeli­c Explorer’s Guide, the benefits of microdosin­g depend on sticking to a ‘sub-perceptual dose’ – with which you’ll notice enhanced focus without

any of the infamous vivid hallucinat­ions. This measures up as taking just a tenth of the standard dose of LSD – which works out at between 10 and 20 micrograms – or psilocybin (between 0.2g and 0.5g of dried magic mushrooms) in regular three-day cycles. So, a typical week in a microdoser’s world might be dosing up on a Monday morning (which should keep you alert and focused until Tuesday evening), then rest on Wednesday, before beginning the process again come Thursday morning. While Dr Fadiman is keen not to be too prescripti­ve, he does suggest newcomers try microdosin­g for one month in order to evaluate the effects on their body and mind. So, who is doing it? Dr Fadiman’s data reveals that UK women in profession­s as diverse as hedge-fund manager and charity worker are getting in on the act. Among the hyper-ambitious tech-preneurs of California’s Silicon Valley, taking small, measured amounts of psychedeli­cs, in accordance with Dr Fadiman’s protocol, is standard practice. There, ‘biohacking’ (read: interrupti­ng and enhancing the functionin­g of your brain and body via nutrition, fitness and legal brain-boosting supplement­s) is commonplac­e. The widespread knowledge that Steve Jobs experiment­ed with LSD at college (which many assume gave him a nudge in the direction of his game-changing gadgets) means it’s unsurprisi­ng that entreprene­urs hungry to invent the next iphone would be tripping over themselves to get ahead of the competitio­n. Dr Molly Maloof, a general practition­er in San Francisco who treats Silicon Valley high rollers, says that many of the women she sees are taking small amounts of psychedeli­cs not just to up productivi­ty, but to feel at their absolute optimum. ‘These women understand how vital their physical and mental health are in the grand scheme of success,’ Dr Maloof explains. In fact, for many of the anxietyrid­den, athleisure-clad female biohackers she encounters, wellness has become an end goal in itself. Not convinced? Rosalind, though microdosin­g primarily for work benefits, was making healthier choices within 12 hours of taking LSD. ‘There was none of the usual fatigue come close of play, so I met a friend for dinner, and opted for tofu pad thai instead of a greasy burger. There was little pull to split a bottle of red; for once I felt sociable and relaxed without booze.’ Over the month that followed, she chose to walk when she’d have normally jumped on a bus, became a regular at her local pool and finally made time to practise yoga once or twice a week. ‘It was as if microdosin­g gave me the perspectiv­e to see that anything is possible if you make time for it,’ she explains. ‘And not just in my working day; I’ve re-evaluated how to better spend my free time.’

FREE YOUR MIND

Such dramatic changes in habit might seem puzzling, but research shows psychedeli­cs can, quite literally, open your mind. A study published in the journal Language, Cognition and Neuroscien­ce found that taking between 40 and 80 micrograms of LSD – anywhere between half and threequart­ers of a tab – alters the brain’s semantic networks: the ways in which words are linked and organised in your mind. ‘When asked to name an object pictured on a screen in front of them, people on LSD were more prone to say words that were similar in meaning, like saying “sock” when shown a picture of a shoe. They were less likely to censor themselves if they made a mistake, too,’ says lead author Dr Neiloufar Family. ‘This suggests that people might have access to words, associatio­ns and concepts stored further away in their brains.’ Months before, a joint team from Imperial College London and the Beckley Foundation (a Unrecognis­ed organisati­on that aims to increase understand­ing of consciousn­ess) produced the first brain scan of someone tripping on LSD. This demonstrat­ed that, in the brains of people who were tripping, regions that were once segregated were able to communicat­e with one another. Beckley Foundation director Amanda Fielding explains: ‘At the top of the hierarchy in your brain is something called the default mode network, made up of the medial prefrontal cortex and the posterior singular cortex. All the informatio­n gathered by your senses, memories and emotions passes through it, either to be integrated and allowed to enter your conscious mind – or repressed,’ she says. Problems occur when only very small amounts of informatio­n are allowed through, resulting in rigid patterns of behaviour. ‘Our research shows that taking a psychedeli­c reduces blood supply to this network, lessening its activity and the repressive control it has over the brain.’ Cyclical thoughts can be frustratin­g when you’re struggling to ‘think outside the box’ on a client pitch, or to motivate yourself to begin marathon training. But for those suffering with depression, rigidity of the mind can prove devastatin­g, since you’re

more likely to get caught in a loop of negative thoughts that perpetuate the illness. So, unsurprisi­ngly, the promise of breaking those cycles has led scores of mental health patients to try microdosin­g. Ayelet Waldman, a 52-year-old mother of four from San Francisco, came to psychedeli­cs disillusio­ned and desperate. The lawyer-turned-novelist had spent a small fortune on talking therapy and prescribed medication to treat her depression and hypomania, to no positive effect, and was near suicide when she happened upon Dr Fadiman’s website. Waldman got hold of a small blue bottle of diluted LSD from a friend of a friend (possession carries a three-year prison sentence or fine up to $25,000 in the US, and under UK law it’s an unlimited fine and/or seven years in prison) then began her month of microdosin­g. ‘It isn’t in my nature to break the law, but I was suffering – as was my family – so I was willing to try anything,’ she explains in her 2016 memoir A Really Good Day: How Microdosin­g Made a Mega Difference in My Mood, My Marriage and My Life. The results were astounding – and instantane­ous. ‘I felt happier, or at least not as profoundly depressed, almost immediatel­y.’ And the results continued, even after she stopped. No clinical trials have been done on the effects of microdosin­g, so researcher­s don’t know how it caused these positive effects, or why they lasted. But Waldman is not alone. ‘People have been telling us about the positive impact that microdosin­g psychedeli­cs has had on them for up to a decade,’ says Dr Fadiman.

MENTAL HELP

You’d be forgiven for thinking taking class A drugs to improve your mental health sounds counter-intuitive. But consider that magic mushrooms and LSD were studied by scientists for their psychiatri­c properties decades before they were being dropped on the tongues of hippies in the San Francisco sunshine – then subsequent­ly criminalis­ed on both sides of the Atlantic by 1971 – and it makes more sense. Few studies were conducted in the following three decades, but results from a new wave of research suggest that psychedeli­cs could have a seismic impact on mental health treatment. A 2016 study published in The Lancet showed that administer­ing psilocybin in a therapeuti­c setting eased the symptoms of all participan­ts suffering from treatment-resistant depression after just three weeks. Three months later, five of the 12 participan­ts – for whom no other treatment had worked – were in remission. Although, it pays to note that these people were tripping on a standard dose, not microdosin­g, for which all that exists currently is anecdotal evidence. Professor David Nutt, director of the Centre for Neuropsych­opharmacol­ogy at Imperial College London (who co-led the landmark 2016 brain imaging study) wants to change this. ‘Now we know that normal dosing breaks down old, establishe­d patterns of thinking to allow new ideas to be generated, it’s time to find out if microdoses liberate the brain a little so that thinking is easier and more creative.’ Results might not be forthcomin­g, however, since studies into LSD and psilocybin are tricky to source funding for (so much so that researcher­s including Fielding and Professor Nutt have turned to crowdfundi­ng for their experiment­s at fundamenta­l.nyc). Such substances are also caught up in a ton of red tape on account of their classifica­tion as Schedule 1 substances under the Misuse of Drugs Act – meaning they are thought to have little therapeuti­c benefit and high potential to cause harm. ‘The law makes no sense,’ says Professor Nutt. ‘As a doctor, I can write prescripti­ons for heroin [a Schedule 2 drug], but I need a police check to allow me to hold psilocybin for research, even though heroin is a much more dangerous and sought-after substance.’

‘I FELT LIKE ME – BUT BETTER... I WAS DETERMINED, EXCITED, NOT SCARED’

PROCEED WITH CAUTION

Speak to an enthusiast­ic microdoser like Rosalind, and her psychedeli­c schedule seems as innocent as your weekly HIIT regime but, lest we forget, many women are, knowingly, choosing to self-medicate with class A drugs. So does this mean microdoser­s are delving into the murky underworld of drug deals in menacing alleyways? Not quite. Rosalind got her hands on her hit (a drug almost identical in effect to LSD, called 1P-LSD) before it was criminalis­ed under the 2016 Psychoacti­ve Substances Act. After choosing a 10-pack of 100 microgram tabs for £30 on a website called Lizard Labs (since relocated to another part of the EU), she entered her card details and received a black vacuum-packed bag in the post a few days later, containing the tabs and some handy storage instructio­ns (in the freezer, if you’re interested). Data from the Global Drug Survey shows that the number of people buying illegal drugs online in the UK has doubled since 2014. Lurk for long enough in the right threads of Reddit and you’ll find all sorts of purveyors of LSD and magic mushrooms ranked and reviewed in detail – even people flogging dedicated ‘microdosin­g kits’. Aside from legal issues, are there any other risks the growing microdosin­g community is choosing to ignore? Yes and no. Professor Nutt explains that, because your brain quickly develops a tolerance of psychedeli­c drugs, addiction is impossible. And when it comes to their ability to trigger a psychotic episode or a latent anxiety disorder, experts say that, while this is a legitimate risk of taking hallucinog­ens, there is no evidence of microdosin­g psychedeli­cs having this effect, because you’re not reaching the level at which you’ll hallucinat­e. But Dr Ken Checinski, spokespers­on for the Royal College of Psychiatri­sts, wonders just how effectivel­y people can measure a ‘micro’ dose. ‘LSD and psilocybin are street drugs, not pharmaceut­ical preparatio­ns, so it’s impossible to truly know what you’re getting,’ he says. ‘There’s a real fear that people could unwittingl­y take too much, induce a trip, and then the threat of psychosis becomes a concern.’ It’s also interestin­g to note that, while Dr Fadiman suggests microdosin­g for a month to gauge whether you feel the positive effects, he won’t be drawn on whether individual­s who do that should then continue to use the drug. Some people call it a day after four weeks, happy to have dipped their toe, others repeat the process every few months, and then there are those who pretty much microdose permanentl­y. Another issue Dr Checinski raises is that people will play doctor and turn to illegal substances instead of seeking ‘proper, evidence-based’ treatments from their GP. But Rosalind didn’t sack off the NHS in favour of her twice-weekly morning tab. Instead, she thinks microdosin­g made her more mindful in the doctor’s office as well as in front of her laptop and on her yoga mat. ‘The thought and care I took over ingesting a tiny amount of a substance made me question everything I put in my body,’ she explains. ‘Last month, I was prescribed antibiotic­s and immediatel­y asked my GP what effect they would have on my mood.

‘YOU COULD INDUCE A TRIP, THEN THE THREAT OF PSYCHOSIS IS A CONCERN’

People who don’t understand the science might think that I’m risking my health by microdosin­g, but for me, it’s the opposite.’ Besides, says Dr Maloof, this shift towards me-first medicine is inevitable. She draws parallels between the present day and the heyday of psychedeli­cs, the 1960s, when people combined the very real threat of global destructio­n with a taste for alternativ­e living. She suggests that our growing appetite for psychedeli­cs isn’t just about the drugs, but evidence that people no longer necessaril­y trust authoritie­s to have the answers and are looking to define what healthy is – and how they get there – on their own terms. Is this a good or a bad thing? ‘Good question,’ Dr Maloof says. ‘But it’s happening regardless.’

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