I thought people would appreciate some background on yesterday’s news that Medsafe has granted approval for the use of psilocybin as part of psychotherapy. I’ll start by noting that we actually broke this news in part two our documentary ‘Mind Menders’, which you can watch for free on Sky Go (just create an account) or on Neon. So … This approval has been granted to one practising psychiatrist, for the use of psilocybin alongside intensive psychotherapy. I haven’t seen the detail, but it’s likely to only be approved for use in treatment-resistant depression, meaning you’ll have to have tried other treatments first. That psychiatrist is Professor Cameron Lacey, who has a clinic called Elimbias Health in Christchurch. He has a very strong record in health research, especially Māori health (he is Te Atiawa) and three years ago conducted a trial of psilocybin for depression under the wing of Otago University. That background will have had a lot to do with his approval being granted. He’s also a good, caring man with a low-key manner. You’re not going to be able to rock up to any old doctor (or psychiatrist) and get on the shrooms. This is a one-off approval under Section 22 of the Misuse of Drugs Act, which allows any controlled drug to be prescribed by an “authorised prescriber”. It’s not a law change: this provision has always been there and I wrote a couple of years ago about how that route was available if someone wanted to jump through all the hoops, which Professor Lacey has done. But I do think it’s significant. The first (and only previous) time this provision has been used was 10 years ago, when Peter Dunne allowed CBD to be prescribed to Alex Renton, who suffered (and eventually died) from status elipticus. That’s essentially where the road to the Medicinal Cannabis Scheme began. Medsafe, which granted the approval (not David Seymour, he just gets to announce it), has been regulating psychedelic research trials for five years now, starting with the Auckland LSD microdosing trials. In that time they’ve been slow, cautious and sometimes outright obstructive. But I think they’ve seen that the sky hasn’t fallen in and they’re not dealing with crazy people. Again, this will only apply to psilocybin used along with intensive psychotherapy – and it’s the human time of psychotherapy where the cost lies. Professor Lacey reckons he can provide the treatment for less than the $20-$30,000 that has been speculated about, but it still won’t be cheap. Don’t expect Health NZ to subsidise it – conventional SSRI anti-depressants are cheap as chips (like, the total annual bill for the whole country isn’t much more than $10 million) and they will remain the first-line treatment for the foreseeable. But there may be more interest from the likes of ACC, which has long-term trauma patients on its books, and possibly private insurers. Depending on results, the people behind the marae-based Tū Wairua trials in Gisborne might be expected to seek approval for tikanga-guied psilocybin mushroom therapy for meth addiction in two or three years. That’s quite exciting, not least because it would truly break psychedelics out of the neo-Freudian therapeutic frame favoured by the major psychedelic advocates in America. But that’s the future. The other thing that should happen, but likely won’t, is a review of psilocybin mushrooms’ legal status. They are a Class A controlled drug and there is really no good reason for that. The drug harm index created in 2023 by a multidisciplinary study at Otago University placed psychedelics (they actually used the term “hallucinogens”) near the bottom of the harm scale, between kava and vaping. Decriminalising “plant psychedelics” (yes, friends at Manaaki Whenua, I know mushrooms aren’t plants, but …) as has happened in other territories would be a good step. I’m not holding my breath for this government to do anything of the kind, sadly. But anyway, yes, this is a significant announcement.
I think this was said by Russell Norman
Thanks for the breakdown, that is exciting!
before anyone tries to self-medicate with this news as justification, just remember that very few doctors are even allowed to try utilizing it, and only as a last resort after trying everything else, and only in a very controlled environment
Learning precedes legislation
Excited for the data this brings!
Just grow them and do them. You’ll feel great.
there’s a risk of developing psychosis from self medicating with hallucinogens
Psilocybin can cause intense alterations in perception, thought, and emotion. In some cases, these experiences may resemble or trigger psychotic symptoms — such as hallucinations, paranoia, or disorganized thinking. However, in most people, these effects are temporary, or a “bad trip.”
A bad trip can feel overwhelming or distressing, but typically resolves as the drug wears off, usually within 4 to 8 hours. For a small subset of users — particularly those with a personal or family history of psychosis, bipolar disorder, or other serious mental illness — psilocybin may trigger a longer-lasting or more serious episode of psychosis. These cases are rare, but they do happen. It’s also important to understand that many things besides psychedelics can cause psychosis.
So while the risk of psychosis is real, it’s not unique to psilocybin. For most people without underlying vulnerabilities, the acute psychedelic state is temporary and doesn’t lead to chronic mental illness.
that’s actually fairly accurate, pretty well said.
I’m surprised to see David Seymour’s name linked with this. Everything that man touches turns to whatever the opposite of gold is.
Maybe he got the first prescription.
Hmm. What’s the process for moving to New Zealand from this spiraling dystopia over here? Asking for a friend, ofc.
Actually who should be worried are the management, they cost billions and their roles are perfectly replaceable by a LLM. It will even drive the company to better performance
Am I missing something or did you respond to the wrong thread?
Dem mushrooms man
Portobello mushrooms and beans to make a good cheese Burger torta. Just add tomatoes, oinion, lemon juice and mango slices plus a full avocado in slices…that’s $0.50 extra sir! Next!
