San Antonio Express-News (Sunday)

Psychedeli­cs approved as treatment for PTSD

- By Matthew Choi The Texas Tribune is a nonprofit, nonpartisa­n media organizati­on that informs Texans about public policy, politics, government and statewide issues. It partners with Open Campus on higher education coverage.

WASHINGTON — Tucked within Congress’ colossal annual defense bill is a priority a vocal group of Texas conservati­ves has long pushed: Using psychedeli­cs to treat post-traumatic stress disorder.

The U.S. House last week passed the annual National Defense Authorizat­ion Act, which sets the spending caps and policy priorities for the Defense Department. Included in the bill was U.S. Rep. Dan Crenshaw’s Douglas Mike Day Psychedeli­c Therapy to Save Lives Act, legislatio­n that will direct the Defense Department to create grants for studying psychedeli­c treatments for active-duty service members.

The psychedeli­c substances include MDMA; psilocybin, found in many species of mushrooms; plant-based therapies; and others. Active-duty service members will be able to participat­e in the studies if they get clearance from DOD and are diagnosed with certain post-traumatic conditions. Participan­ts will be able to use the psychedeli­cs only in a controlled environmen­t with a therapist.

Using psychedeli­cs to treat PTSD is not new. The Department of Veterans Affairs already studies the use of psychedeli­cs for treating veterans with positive results for recovery, and the federal government studied psychedeli­cs potential in the 1950s and ’60s. Crenshaw’s legislatio­n scales up studies for active-duty service members and gives DOD the authority to financiall­y partner with other agencies and academic institutio­ns.

“We have to think outside the box,” Crenshaw said during a June news conference unveiling the bill. “We’re never going to understand the extent to which psychedeli­cs can help our service members until we start actually doing the necessary clinical trials in a controlled environmen­t.”

Crenshaw, a former Navy SEAL, has been pushing for the measure for years. The House included and passed the bill in the NDAA in 2022, but the Senate dropped the provision.

The bill is named after Douglas “Mike” Day, a Navy SEAL who died by suicide after getting severely injured by multiple bullet wounds in Iraq.

“When you think of a hero, you think of a guy like Mike,” Crenshaw said. “Yet like so many other warriors, after Mike made it back home, he began an entirely different, more insidious battle. A battle with the demons that followed him.”

U.S. Rep. Morgan Luttrell, a fellow Houston-area Republican and former Navy SEAL, included Crenshaw’s bill as an amendment to the NDAA. Luttrell is one of five Texans who sit on the House Armed Services Committee, which puts together the NDAA each year.

The measure has bipartisan support. Several Democrats, including progressiv­es such as Reps. Alexandria Ocasio-Cortez of New York and Ro Khanna of California, co-sponsored the original psychedeli­cs bill.

“This is an alternativ­e. This is not the end all, be all. We would never say that. This is another tool that you can put in your proverbial toolbox to increase your quality of life,” Luttrell said during the June news conference.

In Texas, using psychedeli­cs to treat PTSD has received support from prominent conservati­ves. Former Gov. Rick Perry lobbied for a bill by then-state Rep. Alex Dominguez, DBrownsvil­le, that would push clinical studies of psilocybin for veterans with PTSD. Perry, who was staunchly against the drugs’ recreation­al use, advocated for the legislatio­n after he saw what he said were positive effects on veterans for himself. The bill went into effect in 2021.

Over 34,000 Texans were treated for PTSD last year by Texas Veteran Commission­certified counselors, according to the commission. They included veterans, active-duty service members and their families.

Representi­ng a state with 15 active-duty military installati­ons, Texas’ congressio­nal delegation has a heavy presence in the crafting of the NDAA. The bill traditiona­lly passes on a bipartisan basis. The Senate passed it with an 87-13 vote Wednesday, with both Sens. Ted Cruz and John Cornyn supporting the NDAA. Thursday’s House vote passed with a 310118 majority. It now heads to President Joe Biden’s desk.

But not everyone in the delegation was thrilled with this year’s NDAA. Many far-right conservati­ves protested the legislatio­n because it was stripped of a number of their priorities, including bans on drag shows and access to abortion. It also contained an extension of the Foreign Intelligen­ce Surveillan­ce Act, including a section that allows targeted surveillan­ce of foreign citizens.

Many members on the right and left flanks of the two parties opposed the section as an infringeme­nt of privacy and demanded a reform. Among the Texans, Republican Reps. Brian Babin, John Carter, Michael Cloud, Wesley Hunt, Troy Nehls, Keith Self, Randy Weber, Roger Williams and Chip Roy all voted against it. Progressiv­e Reps. Greg Casar and Lloyd Doggett also voted no. OcasioCort­ez and Khanna voted against the full NDAA.

The FISA question plagued the House Republican conference in the lead-up to the NDAA vote, causing heated debate during internal meetings. Roy, R-Austin, was one of the key dissenters, claiming FISA was rife with abuse.

Roy forced a motion to adjourn the house just before the NDAA was up for a vote. The House voted down that motion 302-23 and proceeded to pass the NDAA.

 ?? Josie Norris/Staff file photo ?? Deceased homeless veterans are honored in July at Fort Sam Houston. U.S. Rep. Dan Crenshaw’s measure to study psychedeli­cs to treat PTSD passed Thursday.
Josie Norris/Staff file photo Deceased homeless veterans are honored in July at Fort Sam Houston. U.S. Rep. Dan Crenshaw’s measure to study psychedeli­cs to treat PTSD passed Thursday.

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