The New Science of Psychedelics

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Recent studies are finding that drugs such as LSD and psilocybin can help to alleviate depression, anxiety and addiction—and may have profound things to teach us about how the mind works, writes Michael Pollan.

To anyone who lived through the 1960s, the proposition that psychedelic drugs might have a positive contribution to make to our mental health must sound absurd. Along with hallucinogens like mescaline and psilocybin (that is, magic mushrooms), LSD was often blamed for bad trips that sent people to the psych ward. These drugs could make you crazy.

So how is it possible that, 50 years later, researchers working at institutions such as New York University, Johns Hopkins, UCLA and Imperial College in London are discovering that, when administered in a supportive therapeutic setting, psychedelics can actually make you sane? Or that they may have profound things to teach us about how the mind works, and why it sometimes fails to work?

Recent trials of psilocybin, a close pharmacological cousin to LSD, have demonstrated that a single guided psychedelic session can alleviate depression when drugs like Prozac have failed; can help alcoholics and smokers to break the grip of a lifelong habit; and can help cancer patients deal with their “existential distress” at the prospect of dying. At the same time, studies imaging the brains of people on psychedelics have opened a new window onto the study of consciousness, as well as the nature of the self and spiritual experience. The hoary ‘60s platitude that psychedelics would help unlock the secrets of consciousness may turn out not to be so preposterous after all.

The value of psychedelic therapy was first recognized nearly 70 years ago, only to be forgotten when what had been a promising era of research ran headlong into a nationwide moral panic about LSD, beginning around 1965. With a powerful assist from Timothy Leary, the flamboyant Harvard psychology professor, psychedelics had escaped the laboratory, falling into the eager arms of the counterculture. Yet in the decade before that there had been 1,000 published studies of LSD, involving 40,000 experimental subjects, and no fewer than six international conferences devoted to what many in the psychiatric community regarded as a wonder drug.

Compared with other psychoactive compounds, these powerful and mysterious molecules were regarded as safe—it’s virtually impossible to overdose on a psychedelic—and nonaddictive. Rats in a cage presented with a lever to administer drugs like cocaine and heroin will press it repeatedly, unto death. LSD? That lever they press only once.

This is not to say that “bad trips” don’t happen; they do, especially when the drugs are used carelessly. People at risk for schizophrenia sometimes have psychotic breaks on psychedelics, and people surely do stupid things under the influence that can get them killed. But the more extreme claims about LSD—that it scrambled users’ chromosomes or induced them to stare at the sun until blind—were debunked long ago.

It wasn’t until the 1990s that a small band of researchers began to unearth what an NYU psychiatrist describes as “a buried body of knowledge” about the therapeutic potential of psychedelics. Perhaps the most promising application of the new drugs was in the treatment of alcoholism. Few people in Alcoholics Anonymous realize that Bill Wilson, the founder, first got sober after a mystical experience he had on a psychedelic administered to him in 1934, or that, in the 1950s, he sought, unsuccessfully, to introduce LSD therapy to AA.

In parts of Canada during the 1950s, psychedelic therapy became a standard treatment for alcoholism, and a 2012 meta-analysis of the six best-controlled trials of LSD therapy for alcohol addiction during that period found a “significant beneficial effect on alcohol misuse.” Early studies of psychedelics for the treatment of several other indications, notably including depression and anxiety in cancer patients, also showed promise.

These first-wave studies were, by contemporary standards, poorly controlled. That’s why many of the early experiments are now being reprised using more rigorous modern methods. The early results are preliminary but encouraging: A pilot study of psilocybin for alcohol dependence conducted at the University of New Mexico found a strong enough effect to warrant a much larger phase 2 trial now under way at NYU.

Another recent pilot study, at Johns Hopkins, looked at the potential of psilocybin to help people quit smoking, one of the hardest addictions to break. The study was tiny and not randomized—all 15 volunteers received two or three doses of psilocybin and knew it. Following what has become the standard protocol in psychedelic therapy, volunteers stretch out on a couch in a room decorated to look like a cozy den, with spiritual knickknacks lining the bookshelves. They wear eyeshades and headphones (playlists typically include classical and modern instrumental works) to encourage an inward journey. Two therapists, a man and a woman, are present for the duration. Typically these “guides” say very little, allowing the journey to take its course, but if the experience turns frightening, they will offer a comforting hand or bit of advice (“trust and let go,” is a common refrain).

The results of the pilot study were eye-popping: Six months after their psychedelic session, 80% of the volunteers were confirmed to have quit smoking. At the one-year mark, that figure had fallen to 67%, which is still a better rate of success than the best treatment now available. A much larger study at Hopkins is currently under way.

When I asked volunteers how a psilocybin trip had given them the wherewithal to quit smoking, several described an experience that pulled back the camera on the scene of their lives farther than ever before, giving them a new, more encompassing perspective on their behavior.

 Recent trials involving psilocybin mushrooms have been found to help alleviate depression and break the grip of addiction.

Recent trials involving psilocybin mushrooms have been found to help alleviate depression and break the grip of addiction.

“The universe was so great, and there were so many things you could do and see in it that killing yourself seemed like a dumb idea,” a woman in her 60s told me. During her journey she grew feathers and flew back in time to witness various scenes in European history; she also died three times, watched her soul rise from her body on a funeral pyre on the Ganges, and found herself “standing on the edge of the universe, witnessing the dawn of creation.”

“It put smoking in a whole new context,” she said. It “seemed very unimportant; it seemed kind of stupid, to be honest.”

Matthew Johnson, the psychologist who directed the study at Hopkins, says that these sorts of “duh moments” are common among his volunteers. Smokers know perfectly well that their habit is unhealthy, disgusting, expensive and unnecessary, but under the influence of psilocybin, that knowledge becomes an unshakable conviction—“something they feel in the gut and the heart.” As Dr. Johnson puts it, “These sessions deprive people of the luxury of mindlessness”—our default state and one in which addictions flourish.

Perhaps the most significant new evidence for the therapeutic value of psychedelics arrived in a pair of phase 2 trials (conducted at Johns Hopkins and NYU and published in the Journal of Psychopharmacology in 2016) in which a single high dose of psilocybin was administered to cancer patients struggling with depression, anxiety and the fear of death or recurrence. In these rigorous placebo-controlled trials, a total of 80 volunteers embarked on a psychic journey that, in many cases, brought them face to face with their cancer, their fear and their death.

“I saw my fear…located under my rib cage,” a woman with ovarian cancer told me. “It wasn’t my tumor, it was this black mass. ‘Get the f— out,’” she screamed aloud. “And you know what? It was gone!” Years later, her fear hasn’t returned. “The cancer is something completely out of my control, but the fear, I realized, is not.”

 

Eighty percent of the Hopkins cancer patients who received psilocybin showed clinically significant reductions in standard measures of anxiety and depression, an effect that endured for at least six months after their session. Results at NYU were similar.

Curiously, the degree to which symptoms decreased in both trials correlated with the intensity of the “mystical experience” that volunteers reported, a common occurrence during a high-dose psychedelic session. Typically described as the dissolution of one’s ego followed by a merging of the self with nature or the universe, a mystical experience can permanently shift a person’s perspective and priorities. The pivotal role of the mystical experience points to something novel about psychedelic therapy: It depends for its success not strictly on the action of a chemical but on the powerful psychological experience that the chemical can occasion.

Few if any psychiatric interventions for anxiety and depression have ever demonstrated such dramatic and sustained results. The trials were small and will have to be repeated on a larger scale before the government will consider approving the treatment. But when the researchers brought their data to the FDA last year, the regulators reportedly were sufficiently impressed to ask them to conduct a large phase 3 trial of psilocybin for depression—not just in cancer patients but in the general population.

So how does psychedelic therapy work? And why should the same treatment work for disorders as seemingly different as depression, addiction and anxiety?

 In one pilot study, smokers got two or three doses of psilocybin. Six months later, 80% were confirmed to have quit smoking.

In one pilot study, smokers got two or three doses of psilocybin. Six months later, 80% were confirmed to have quit smoking.

When scientists at Imperial College began imaging the brains of people on psilocybin, they were surprised to find that the chemical, which they assumed would boost brain activity, actually reduced it, but in a specific area: the default mode network. This is a brain network involved in a range of “metacognitive” processes, including self-reflection, mental time travel, theory of mind (the ability to imagine mental states in others) and the generation of narratives about ourselves that help to create the sense of having a stable self over time.

The default mode network is most active when our minds are least engaged in a task—hence “default mode.” It is where our minds go when they wander or ruminate. The Imperial scientists found that when volunteers reported an experience of ego dissolution, the fMRI scans of their brains showed a precipitous drop in activity in the default mode network, suggesting that this network may be the seat of the ego.

One way to think about the ego is as a mental construct that performs certain functions on our behalf. Chief among these are maintaining the boundary between the conscious and unconscious realms of the mind as well as the boundary between self and other.

So what happens when these boundaries fade or disappear under the influence of psychedelics? Our ego defenses relax, allowing unconscious material and emotions to enter our awareness and also for us to feel less separate and more connected—to other people, to nature or to the universe. And in fact a renewed sense of connection is precisely what volunteers in the various trials for addiction, depression and cancer anxiety trials have all reported.

This points to what may be the most exciting reason to pursue the new science of psychedelics: the possibility that it may yield a grand unified theory of mental illnesses, or at least of those common disorders that psychedelics show promise in alleviating: depression, addiction, anxiety and obsession. All these disorders involve uncontrollable and endlessly repeating loops of rumination that gradually shade out reality and fray our connections to other people and the natural world. The ego becomes hyperactive, even tyrannical, enforcing rigid habits of thought and behavior—habits that the psychedelic experience, by loosening the ego’s grip, could help us to break.

That power to disrupt mental habits and “lubricate cognition” is what Robin Carhart-Harris, the neuroscientist at Imperial College who scanned the brains of volunteers on psychedelics, sees as the key therapeutic value of the drugs. The brain is a hierarchical system, with the default mode network at the top, serving as what he variously calls “the orchestra conductor” or “corporate executive” or “capital city.” But as important as it is to keep order in such complex system, a brain can suffer from an excess of order too. Depression, anxiety, obsession and the cravings of addiction could be how it feels to have a brain that has become excessively rigid or fixed in its pathways and linkages—a brain with more order than is good for it.

 Neuroscientist Robin Carhart-Harris suggests that psychedelics can, in effect, ‘reboot’ the brain.

Neuroscientist Robin Carhart-Harris suggests that psychedelics can, in effect, ‘reboot’ the brain.

Dr. Carhart-Harris suggests that, by taking the default mode network offline for a period of time, psychedelics can, in effect, “reboot” the brain, jog it out of its accustomed grooves and open a space for new pathways to arise. His lab has made maps of the brain’s traffic patterns on psychedelics showing that, when the default mode network is quieted, myriad new connections spring up in the brain, linking far-flung areas that don’t ordinarily talk to one another directly.

The value of such an experience is surely not limited to the mentally ill. There are rich implications here for what one psychedelic researcher calls “the betterment of well people.” Who doesn’t sometimes feel stuck in destructive habits of thought? Or couldn’t benefit from the mental reboot that a powerful experience of awe can deliver?

One of the lessons of the new research is that not just mental illness but garden-variety unhappiness may owe something to living under the harsh rule of an ego that, whatever its value, walls us off from our emotions, from other people and from nature. “For the moment,” wrote Aldous Huxley, describing his own psychedelic journey in 1954, “that interfering neurotic who, in waking hours, tries to run the show, was blessedly out of the way.”

This essay is adapted from Mr. Pollan’s new book, “How to Change Your Mind: What the New Science of Psychedelics Teaches Us About Consciousness, Dying, Addiction, Depression and Transcendence,” which will be published on May 15 by Penguin Press. His previous books include “Food Rules,” “In Defense of Food” and “The Omnivore’s Dilemma.”

WALL STREET JOURNAL / BIZ - MONEY
05/03/2018 - 10:21

Research Doctors are Looking for Individuals with Memory Loss

Great Lakes Clinical Trials is now seeking participants for a research study of older adults, ages 60-85, who are starting to experience memory loss, more than would be expected of normal aging.  If you or a loved one are having memory problems that are affecting daily routines, and others are starting to notice those memory problems as well, then this program may be a good option.

The main purpose of this screening program is to identify individuals who are experiencing mild memory loss and also have changes in their brain that could be a sign of having a greater risk for developing Alzheimer's disease in the future.

This research program involves two clinic visits.

  1. At the first visit we will review your medical history, conduct basic memory assessments and perform a ECG.
     
  2. If you qualify based on the results of your first visit, you will be asked to complete your second visit, which involves a brain scan (called a PET scan) performed at Northwest Community Hospital.  

For your participation, you will receive compensation of $75 for each visit you complete.

Based on the results for these screening tests, the research staff will let you know if you qualify to participate in the second part of the program, which is an 18-month research study of an investigational medication to evaluate the possible slowing of memory loss compared to placebo.  This is called the Periscope Study.  

All study-related medical care, tests and medications are provided at no cost and insurance or Medicare is not required.  In addition, you may receive compensation for your participation.

Interested?  Call 847-310-7480 to set up your appointment or visit our website at www.greatlakesclinicaltrials.com.

Great Lakes Clinical Trials featured in Alzheimer's Prevention Video

Great Lakes Clinical Trials is proud to have provided support, staffing and facility to the production of this important Alzheimer's prevention video. 

The filming took place at our clinic over the course of three days and most of the staff and patients seen in the video are from the Great Lakes Clinical Trials family. 

"Videos like this clearly explain the importance of participation in Alzheimer's Disease Prevention research studies," commented Steve satek, President of Great Lakes Clinical Trials.  "Our team is committed to making a difference and doing everything in our power to find a cure or prevention for Alzheimer's disease."

For more information on participating on any of our research program, please contact our Patient Care Representatives at (773) 275-3500 or click here for more information.

Diabetes? Cholesterol? Fatty Liver?

Concerned about Metabolic Health? 

Great Lakes Clinical Trials is now offering Free Lab Tests for diabetes, cholesterol and/or liver function.

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Step 1:  Eligibility

  • 18 to 70 years of age
  • Slightly to moderately overweight

Step 2: Free Clinic Assessment

  • Fingerstick test for diabetes and cholesterol
  • Blood draw for liver enzymes
  • Blood pressure check

Step 3: Participate

Results of these tests may help determine if you qualify for any of our research studies.  You are under no obligation to join a study.


To learn more or to schedule your free lab tests, call our center directly at (773) 275-3500

Depression Research Study

Still having symptoms of depression even with your current antidepressant?  Help us research an investigational medication for major depressive disorder (MDD)

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About The Study

The study will assess the safety and effectiveness of an investigational medication for MDD. This study will include about 280 people with MDD.  Patients will take the study medication in addition to continuing their usual antidepressant medication during the study.  The study will last for about 12 weeks (approximately 4 months).

Step 1: Eligibility

You may be able to take part in this study if you: 

  • are 18-64 years of age 
  • have been diagnosed with MDD
  • have taken your antidepressants that did not work well for you
  • currently still feel depressed  

Step 2: Free Clinic Assessment

Our professional staff will provide a free assessment of your condition to determine if a study is right for you.

 Step 3: Participate

If you’re eligible and choose to participate, you’ll be joining the fight to develop new treatments for depression.

If you are interested in joining this trial, please call our center directly at (773) 275-3500 to speak with one of our staff today or visit www.greatlakesclinicaltrials.com/depression

Diabetic Nerve Pain Study

Qualified volunteers may receive no-cost study drug with reimbursement for time & travel.

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If you have Type 2 Diabetes and are experiencing nerve pain in your feet and/or legs, you may be able to participate in a clinical trial.

An investigational drug is being studied for patients who have diabetic nerve pain (also called painful diabetic peripheral neuropathy or pain associated with diabetic peripheral neuropathy). The purpose of this study is to evaluate if the investigational drug works and determine its safety.

You may be able to participate if you:

  • Have pain associated with diabetic peripheral neuropathy in your feet and/or legs
  • Are 18-70 years of age
  • Have type 2 diabetes

The study team will also review other criteria with you to determine your full eligibility.

You will receive all study-related care and study-related drug at no cost.

This trial will involve 5 visits to our clinic over 6 to 9 weeks consisting of these steps:

  • Screening Period (1 clinic visit):  1 to 4 weeks
  • Maintenance Period (3 clinic visits):  4 weeks during which you will need to swallow 2 capsules once daily
  • Follow-up Period (1 clinic visit):  1 week after the last dose for assessment of side effects and lab tests.

If you are interested in joining this trial, please call our center directly at (773) 275-3500 to speak with one of our staff today or visit www.greatlakesclinicaltrials.com

What is Psoriatic Arthritis?

Some people might hear “psoriasis” and think of the skin disease that causes itchy, scaly rashes and crumbling nails. It's true, psoriasis is an autoimmune disease that primarily affects the skin. But about 30 percent of people with psoriasis also develop a form of inflammatory arthritis called psoriatic arthritis (PsA). Like psoriasis, PsA is an autoimmune disease, meaning it occurs when the body’s immune system mistakenly attacks healthy tissue, in this case the joints and skin. The faulty immune response causes inflammation that triggers joint pain, stiffness and swelling. The inflammation can affect the entire body and may lead to permanent joint and tissue damage if it is not treated early and aggressively.

Most people with psoriatic arthritis have skin symptoms before joint symptoms. However, sometimes the joint pain and stiffness strikes first. In some cases, people get psoriatic arthritis without any skin changes.

The disease may lay dormant in the body until triggered by some outside influence, such as a common throat infection. Another theory suggesting that bacteria on the skin triggers the immune response that leads to joint inflammation has yet to be proven.

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Types of Psoriatic Arthritis

There are five types of psoriatic arthritis:

  • Symmetric psoriatic arthritis. This makes up about 50 percent of psoriatic arthritis cases. Symmetric means it affects joints on both sides of the body at the same time. This type of arthritis is similar to rheumatoid arthritis.
  • Asymmetric psoriatic arthritis: Often mild, this type of PsA appears in 35 percent of people with the condition. It’s called asymmetric because it doesn’t appear in the same joints on both sides of the body.
  • Distal psoriatic arthritis: This type causes inflammation and stiffness near the ends of the fingers and toes, along with changes in toenails and fingernails such as pitting, white spots and lifting from the nail bed.
  • Spondylitis: Pain and stiffness in the spine and neck are hallmarks of this form of PsA.
  • Arthritis mutilans: Although considered the most severe form of PsA, arthritis mutilans affects only 5 percent of people who have the condition. It causes deformities in the small joints at the ends of the fingers and toes, and can destroy them almost completely.

Who’s Affected?

According to the Annals of Rheumatic Disease, between 6 and 42 percent of people who have psoriasis will develop psoriatic arthritis. The disease usually appears between the ages of 30 and 55 in people who have psoriasis, but it can be diagnosed during childhood. Unlike many autoimmune diseases, men and women are equally at risk for developing this condition.

Article from www.arthritis.org

Almond Research Study for Patients with Pre-Diabetes

 Great Lakes Clinical Trials is looking for male and female volunteers for a research study involving the daily consumption almonds.

What is the objective of the study? 
The purpose of this study is to assess the Effects of Replacing Refined Carbohydrates with Almonds on Insulin Sensitivity in Men and Women

What is my time commitment to the study?
You will be asked to visit our clinic on 7 occasions over approximately 4 months. The study visits will last between 30 and 180 minutes.

 Is there a study stipend?
There is no cost for participation in this study. All study foods, tests and procedures are free of charge and we do not bill insurance. For your participation, you will receive up to $490.

You may be able to participate if you are:

  1. between 18-69 years old
  2. currently diagnosed as having pre-diabetes (slightly elevated HbA1c or glucose)
  3. willing to consume almonds
  4. willing to avoid other nuts and nut butters during the study

Note that other entry criteria will apply and can be discussed with our study staff. Lab values, blood pressure and weight measurements will be verified at your first clinic visit.

If you are interested in joining this trial, please call our center directly at (773) 275-3500 to speak with one of our staff today or visit www.greatlakesclinicaltrials.com/almond

Before the memories are lost: Participate in Alzheimer’s research

Could you be the solution to ending Alzheimer’s disease? Thousands of seniors from across Chicagoland have already joined the fight by participating in clinical trials. Much progress has been made, but tens of thousands more participants are needed to win the battle.

Clinical trials are well-planned research studies that assess interventions such as new medications, exercise or changes in diet. Trials are the primary way that researchers find out if a new medication is safe and effective in people. All prescription medications must be studied in clinical trials before they become available to the general public.

According to the Alzheimer’s Association, there are more than 100 Alzheimer’s disease and related memory studies recruiting participants at over 500 research clinics in the United States.

One such research clinic is Great Lakes Clinical Trials, located in Arlington Heights on the campus of the Lutheran Home. A primary focus of Great Lakes Clinical Trials has been to find prevention for Alzheimer’s disease.

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Steve Satek, president of Great Lakes Clinical Trials, explains why he opened a clinic at the Lutheran Home.

“Many people think clinical trials are only conducted at major hospitals and medical centers. In reality, across the country the majority of clinical trials are conducted at private physicians’ offices. We opened our clinic at the Lutheran Home to provide convenient access to research in the Northwest suburbs of Chicago. I grew up in this community and I know firsthand that the local residents can get behind an important cause.”

Participation in a memory loss prevention trial is a big decision. Older adults who join prevention studies are generally healthy and are not experiencing significant memory loss beyond normal aging. “This presents a challenge, as these healthy individuals don’t necessarily want to go to a doctor unless they are sick,” added Satek. “They typically don’t want to take a medication unless they really need it. Joining a clinical trial is not always at the top of a todo list.”

Many seniors opt to participate in research studies as part of their legacy. They are doing it for their children and grandchildren, with the thought that if this generation doesn’t find a way to prevent Alzheimer’s, then the responsibility will be a passed to the next generation. These participants understand that the only way for to find a cure is for today’s seniors to get involved.Nowis the time.

As a testament to its commitment to the cause, this past year Great Lakes Clinical Trials had the honor of joining an international network of research clinics called the Global Alzheimer’s Platform. This network includes top-performing, respected academic and private commercial institutions that share the goal of streamlining clinical research and drug development for Alzheimer’s disease. These clinics are committed to sharing information and fostering a collaborative environment across the network.

Participation in research at Great Lakes Clinical Trials is always free. Insurance is not required and appointments can generally be made within a week or two. Patients remain under the care or their regular doctor and Great Lakes’ board-certified physicians provide supplemental care. Great Lakes may even be able to provide free transportation for clinic visits.

Do something unforgettable today. Take part in research to help preventAlzheimer’s disease. To learn how to participate, call Great Lakes Clinical Trials at (773) 275-3500 or visit www.greatlakesclinicaltrials.com.

Daily Herald Article
Healthy You Section, Page 2
FRIDAY, JANUARY 26, 2018