Dr. Rachel Yehuda On MDMA and Psilocybin Treatments for PTSD, Biological and Generational Trauma Studied in Holocaust Survivors
At present, we're witnessing exciting developments with regards to novel and effective treatments for trauma and PTSD. There have been compelling results using substances like MDMA and psilocybin, and they could become absolute game changers with how we treat individual and maybe even collective suffering and trauma in the future.
My guest today, Dr. Rachel Yehuda, is the director of the Center for the Study of Psychedelic Psychotherapy and a professor of Psychiatry and Neuroscience at the Icahn School of Medicine at Mount Sinai. Dr. Yehuda has researched trauma and its treatment for three decades. She has authored more than 450 published papers in the field of trauma and resilience.
Her work with populations, including military veterans and Holocaust survivors, has revealed the underlying biology of trauma and PTSD, including its intergenerational effects.
In my discussion with Dr. Yehuda, you'll learn...
-Why the government is suddenly interested in psychedelics again...03:15
Randomized clinical control trails are showing great efficacy for treatment of PTSD and depression
-MDMA treatment for PTSD...04:55
Synthesized in 1912
Recent studies at MAPs (multidisciplinary Association of Psychedelics)
MDMA in psychotherapy is very helpful for PTSD patients
Still doing research and waiting for approval to begin treatment
-Pharmacologic effects of MDMA and how it helps heal...07:30
Releases serotonin, dopamine, norepinephrine
Still unsure if the surge of hormones is what gives the therapeutic effects
It's still a very big mystery that needs more research
Learning how best to facilitate the therapeutic process
Helps people feel more open, feel more self-compassion, are more ready to engage in a trusting relationship - these qualities are what is conducive to healing
-Effectiveness of therapeutic MDMA treatment...11:50
Medicine is administered to suppress symptoms; MDMA treatment is an acute administration that will allow someone to experience transformational change
The goal is that they will no longer have to suppress symptoms
"Psychedelics are to psychiatry as the telescope is to astronomy"
Stuck in a narrative
-How trauma affects us biologically...15:50
The question of whether PTSD be something pathological or something that teaches us to cope and adapt
The effects of trauma are systemic and very overwhelming to metabolize
Not all trauma effects are "bad"
Psychedelic psychotherapy helps to accept the trauma and make space for it
Most successful path is to learn from the trauma and grow through the trauma
-Intergenerational trauma link and Intergeneration transmission...27:25
Study of Holocaust survivors and genetics of 22 survivors born from these survivors
The children of people who have been exposed to trauma may also feel affected
American Journal of Psychiatry: Epigenetic's on the stress related gene in Holocaust survivors vs. Jewish children of American parents that were not exposed to the Holocaust
Experiences with ancestral heritage can intersect in our own lives
-What influenced Dr. Rachel Yehuda to become a scientist...35:15
Curiosity of what our purpose is and why we are here
-Psilocybin for therapeutic PTSD treatment...37:05
Companies focused on psychedelic treatment
-The importance of bullet-proof science in studying psychedelics for therapy...38:05
Creating knowledge about how these drugs work with psychotherapy and without
Clinical trials, science and discoveries are important
Currently evaluating individual differences in people and environments in various treatments
-Dr. Yehuda's experience from therapeutic MDMA...44:15
FDA protocol says therapists must also experience the same therapy
Yehuda was in a study where she experienced placebo one day and psychedelics another day
8 hours of psychotherapy + placebo day was very beneficial for her
Experienced safety, self-compassion and willingness to open up