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People I (Mostly) Admire

115. The Future of Therapy Is Psychedelic

People I (Mostly) Admire

Freakonomics Radio + Stitcher

Society & Culture

4.61.9K Ratings

🗓️ 30 September 2023

⏱️ 53 minutes

🧾️ Download transcript

Summary

For 37 years, Rick Doblin has been pushing the F.D.A. to approve treating post-traumatic stress disorder with MDMA, better known as Ecstasy. He tells Steve why he persisted for so long, why he doesn’t like calling drug use “recreational,” and what he learned from his pet wolf.

Transcript

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0:00.0

Hi, Steve. We've just launched the Freakonomics Radio Plus membership program. When you become

0:08.0

a Freakonomics Radio Plus member, you'll get weekly, exclusive member-only episodes of Freakonomics

0:13.6

Radio. In addition, you won't hear any ads on Freakonomics Radio or on the other shows in

0:18.5

our network, including people I mostly admire. To become a member of Freakonomics Radio Plus,

0:23.9

visit the people I mostly admire show page on Apple Podcasts or go to Freakonomics.com slash plus.

0:30.8

Thanks so much. My guest today, Rick Doblin, has spent the last 37 years trying to get FDA approval

0:39.6

for a breakthrough treatment for post-traumatic stress disorder PTSD. Against all odds, it looks like

0:46.0

he's actually going to succeed. If we would have waited for pharmaceutical companies to develop

0:52.9

MDMA-assisted psychotherapy, we would still be waiting today.

1:00.9

Welcome to People I mostly admire with Steve Levitt.

1:07.0

Few people dream as big as Rick Doblin, and among those who do,

1:10.3

almost no one has to brilliance in the perseverance and the luck to turn those dreams into reality.

1:16.3

I'm so looking forward, as I talk to Rick today, to try to figure out what it is about him,

1:21.6

that allowed him to defy the odds.

1:27.4

So I'd love to start with you educating me a little bit about post-traumatic stress disorder, PTSD.

1:33.3

How does PTSD affect the brain? What are the current estimates of the prevalence of PTSD

1:39.5

and society? And what kind of success rates have we seen with traditional therapies that address PTSD?

1:46.9

Well, the Veterans Administration recently estimated that there's 13 million PTSD patients in

1:52.5

America. And those are just the people that qualify for a diagnosis of PTSD. There's a lot of people

1:58.1

that are suffering from trauma that impacts their behaviors that doesn't rise to the level of a

2:05.2

diagnosis of PTSD. What we know from some neuroscience studies is that if you have PTSD,

2:13.6

there's a hyperactive amygdala where fear is processed. And there's a reduction of activity in

...

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