Carine Chen-McLaughlin
smoked for more than 40 years.
She didn't want to be a
smoker. She'd tried to stop dozens of times over the decades. But she always
came back.
Smoking was "one of my
oldest, dearest friends," she said of her habit. "To not have that
relationship was very, very scary."
Then she heard about a
clinical trial to treat nicotine addiction with something a little unusual:
magic mushrooms. Well, not actual magic mushrooms, but a little pill of a drug
called psilocybin. It's the ingredient in mushrooms that gives people
hallucinogenic visions.
New research shows that
psilocybin might be an effective treatment for diseases such as depression and
addiction. While the work is still in its early stages, there are signs that
psilocybin might help addicts shake the habit by causing the brain to talk with
itself in different ways.
(https://www.npr.org/2019/10/01/766057380/how-magic-mushrooms-can-help-smokers-kick-the-habit)
Using magic mushrooms (containing psilocybin) as a method
to quit smoking is an area of growing interest, but it's important to approach
it with caution and an understanding of the potential risks and benefits.
What Are Magic Mushrooms?
Magic mushrooms contain psilocybin, a naturally occurring
psychedelic compound. When ingested, it is converted into psilocin, which
affects serotonin receptors in the brain.
Research and Interest
Some studies suggest that psychedelics, including
psilocybin, may help with addiction by promoting new perspectives and
behavioral changes.
Research indicates that psychedelics can lead to
increased openness and a shift in mindset, which may support smoking cessation.
How It Might Work
1.
Therapeutic Context:
The most promising results come from supervised
therapeutic settings, where trained professionals guide the experience. This
environment can help individuals process their experiences and reinforce
intentions to quit.
2.
Altered Perspectives:
Psilocybin may help users confront their smoking habits
and the reasons behind them, potentially leading to a more profound commitment
to quitting.
3.
Emotional Release:
Some users report experiencing emotional breakthroughs or
insights during sessions, which can be pivotal in changing long-standing
habits.
Mechanism in Detail
The mechanism by which psilocybin (the active compound in
magic mushrooms) may assist in quitting smoking involves several
neurobiological and psychological processes. Here’s a breakdown of how it may
work:
1. Serotonin Receptor Activation
·
Psilocybin and Psilocin: Once ingested,
psilocybin is converted to psilocin, which primarily acts on the serotonin
receptors in the brain, particularly the 5-HT2A receptor.
·
Mood and Emotion Regulation: This activation can
lead to enhanced mood, emotional release, and a greater sense of well-being,
which may reduce the urge to smoke as a coping mechanism.
2. Altered States of Consciousness
·
Psychedelic Experience: The altered state
induced by psilocybin can lead to profound insights and a reevaluation of
personal habits and beliefs. Users often report a shift in perspective
regarding their behaviors, including smoking.
·
Breaking Patterns: This altered state can help
individuals break free from habitual thought patterns associated with
addiction, allowing for new behavioral strategies to emerge.
3. Increased Neuroplasticity
·
Brain Connectivity: Psilocybin has been shown to
increase neuroplasticity, which is the brain's ability to reorganize itself by
forming new neural connections. This can facilitate new learning and behavioral
changes.
·
Learning New Associations: With increased
neuroplasticity, individuals may be better able to form new associations with
smoking and develop healthier coping mechanisms.
4. Emotional Processing
·
Confronting Underlying Issues: Many smokers use
nicotine as a way to cope with stress or emotional issues. Psilocybin can help
users confront these underlying emotional challenges, leading to a healthier
approach to managing stress without resorting to smoking.
·
Therapeutic Insights: The experience can
facilitate deep emotional introspection, allowing individuals to understand
their addiction more clearly and make lasting changes.
5. Behavioral Commitment
·
Intentionality: After a psilocybin experience,
individuals often report a stronger commitment to quitting smoking. This
intention can drive behavioral changes and reinforce the decision to stop.
·
Future Outlook: Many users gain a renewed sense
of hope and purpose, which can motivate them to pursue quitting more
vigorously.
6. Enhanced Emotional Resilience
·
Coping with Cravings: Psilocybin may help
individuals develop greater emotional resilience, allowing them to cope more
effectively with cravings and withdrawal symptoms. Participants often report
feeling a sense of strength and clarity after their experiences.
·
Reducing Anxiety and Depression: By addressing
underlying mental health issues, psilocybin can help alleviate anxiety and
depression, which are common triggers for smoking. Improved mental health can
reduce the reliance on cigarettes for emotional relief.
7. Mindfulness and Present-Moment Awareness
·
Increased Mindfulness: The psychedelic
experience can enhance mindfulness, making individuals more aware of their
thoughts and behaviors in the moment. This awareness can help them recognize
triggers and cravings as they arise, enabling them to respond more thoughtfully
rather than reactively.
·
Behavioral Reflection: Enhanced awareness allows
individuals to reflect on the reasons they smoke and the impact it has on their
lives, leading to potential behavioral change.
8. Community and Support
·
Group Therapy Context: Many studies involving
psilocybin include a supportive group or therapeutic context. This communal aspect
can enhance the experience, as sharing insights and struggles with others can
provide motivation and accountability.
·
Building Social Connections: The experience can
foster a sense of connection with others, reducing feelings of isolation that
often accompany addiction. A supportive community can be instrumental in
maintaining long-term sobriety.
9. Changes in Default Mode Network (DMN) Activity
·
Brain Connectivity: Psilocybin is known to alter
the activity of the DMN, a network of brain regions involved in
self-referential thinking and the sense of self. Changes in DMN activity can
lead to a reduced focus on the self, which may help individuals detach from
their smoking identity and the associated behaviors.
·
Dissolving Ego Boundaries: This altered state
can facilitate a sense of unity and interconnectedness, which may help
individuals let go of old habits and embrace new identities free from
addiction.
10. Potential for Long-Lasting Effects
·
Sustained Behavioral Change: Some studies
suggest that the effects of psilocybin can lead to long-term changes in
behavior and mindset. For example, participants may continue to experience
reduced cravings and increased motivation to quit smoking long after the
initial psychedelic experience.
·
Neurobiological Changes: The enhanced
neuroplasticity induced by psilocybin may contribute to sustained changes in
brain pathways related to addiction and reward, reinforcing new, healthier
behaviors over time.
11. Involvement of the Endocannabinoid System
·
Mood Regulation: Emerging research suggests that
psychedelics may interact with the endocannabinoid system, which plays a role
in mood regulation and stress response. This interaction could help reduce the
anxiety and stress that often accompany quitting smoking.
12. Integration Sessions
·
Post-Experience Reflection: After the psilocybin
experience, integration sessions (often facilitated by therapists) can help
individuals process their experiences. This is a critical step in making sense
of insights gained during the psychedelic journey and applying them to everyday
life.
·
Action Plans: Integration can also involve
creating actionable plans for quitting smoking, helping individuals set goals
and strategies based on their new perspectives.
Considerations and Risks
1.
Lack of Regulation:
Psilocybin is classified as a Schedule I substance in
many places, making it illegal and unregulated. This can pose legal and safety
risks.
2.
Mental Health:
Psychedelics can provoke anxiety or paranoia, especially
in individuals with a history of mental health issues. It’s crucial to consider
personal mental health before proceeding.
3.
Not a Guaranteed Solution:
While some anecdotal reports are positive, psilocybin is
not a guaranteed method for quitting smoking. Results can vary widely among
individuals.
4.
Professional Guidance:
If considering this approach, seek guidance from
professionals experienced in psychedelic therapy. They can provide a safe
environment and support.