[smithoc]

> they seem to be a potent cause of PTSD

This is somewhere between "False" and "So misleading about an astronomically small risk that we should just treat it as False".

Driving or riding in a car is a more likely cause of PTSD - you might be involved in a horrific crash.

Nothing in this world is risk free, but if we dropped the cultural stigma and history, and these were just discovered by Pfizer today and went through regular FDA processes, this class of drugs would have a risk profile lower than SSRIs, benzodiazepines, and most other drugs used for psychiatric purposes.

[hollerith]

Have you known at least a few people who have taken psychedelics, then had a chance to see how they are doing in the years afterwards?

The harm is much more apparent to observers than it is to the psychedelic user him or herself.

If I'm wrong about psychedelics, I'm wrong in my claim that they routinely cause PTSD specifically, not about the claim that they routinely cause some kind of long-term harm. I admit that they also often improve people, including people whose psychedelic use was unsupervised. I.e., I'm making a statistical claim, not a categorical one.

I get my PTSD claim from Dr K of the "Healthy Gamer" YT channel, who is a Harvard-train psychiatrist. I can provide a citation if there is interest.

Tales of a person's life and level of functioning steeply declining after taking a psychedelic, then staying that way for years, are common, e.g., on this web site over the years. Here is one example, and yes, I realize that in the same comment section are people who claim to have been helped by psychedelic use.

https://news.ycombinator.com/item?id=44274746

If we ignore what people say about their own experience with psychedelics and focus only on what people say about people they have known who have taken the drugs, the reports are overwhelming negative unless the reports are by researchers and clinicians reporting on psychedelic use in which the entire experience is supervised by a skilled therapist (which I do not criticize).

P.S., benzos and SSRIs are both bad drugs that do more harm than good, IMHO, so your assertion that psychedelics are better than them is not saying much.

[bikotreats]

long time lurker but created an account to reply here. i've taken plenty of psychedelics from around 18 y/o on a regular basis (once or twice every other month with frequent breaks of several months and then more intense periods of heavier usage) until i was about 29 and lost interest. i've tried DMT, LSD (my favorite. have done large doses of 800 microgram), different kind of shrooms...

drugs have repeatedly given me profound and connected experiences. it makes you feel connected with people and the world because your ego is reduced and you let everything in your surroundings fill you up instead. your mental barriers and preconcieved notions fall apart and you just accept what is happening around you.

I know several people with hereditary mental health disorders who's ailments have been trigger by drug use but i don't think you can blame the drugs here. a traumatic experience could trigger it too.

while i would not call my self and addict, i was a thrill seeker in my younger years for sure. today i'm a successful SWE, homeowner in a major western city and have a loving partner. plenty of my friends who were with me doing these drugs have similar lives today.

[greygoo222]

> I know several people with hereditary mental health disorders who's ailments have been trigger by drug use but i don't think you can blame the drugs here. a traumatic experience could trigger it too.

If they had a 50% chance of developing the disorder without taking the drug and an 80% chance of developing it with the drug (for example) of course you can blame it. There has to be some nuance here: these drugs are not nearly as dangerous as many make them out to be, but they are not without risk either. People can be seriously harmed by them, or, more likely, just have a bad time.

[bikotreats]

> these drugs are not nearly as dangerous as many make them out to be, but they are not without risk either

yes i agree. my girlfriend has never done any drugs except alcohol, weed (handful of times) and prescribed drugs from the dr. i have never recommend her to try psychedelics but I am always honest about what a massive positive impact it had on my life. i would consider myself depressed when i was in my teens. psychedelics (and meditation, philosophy books, and thought provoking conversations) helped me break out of my mental prison. if you treat drugs like a tool, like you would a sharp knife, you can unlock beautiful things -- but the knife might cut you.

just like with most things in life - leaving the safety of your home carries a certain risk. when you're swimming there is a risk you'll drown. bouldering, climbing can cause you to fall and break your neck. driving on the motorway has a relatively high chance of causing you a premature death. i can go on...

the people i know who's mental health issues have been excaberated by drugs are minimal compared to the ones i know who have used drugs and are perfectly normal people. some folks were heavy psychedelic / mdma users but you would never know that if you met them on the street or had a conversation with them...