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Truth in Love

TIL 554: Psychedelics in Counseling (feat. Matt Rehrer)

Truth in Love

Association of Certified Biblical Counselors

Philosophy, Society & Culture, Religion & Spirituality, Christianity

4.8628 Ratings

🗓️ 9 February 2026

⏱️ 20 minutes

🧾️ Download transcript

Summary

1. What are psychedelics and how do you think about them as a physician?

2. What is microdosing?

3. What is the claim with microdosing?

4. What are some of the side effects of microdosing?

5. What is the legality of psychedelics and microdosing?

6. Who is recommending this concept of psychedelic microdosing?

7. What does the research look like concerning psychedelics?

8. Is there an issue of tolerance and long term effects of psychedelics?

9. How should biblical counseling think about this issue?

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Transcript

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0:00.0

Psychedelics and Counseling on this edition of Truth and Love.

0:10.8

I'm Dale Johnson, and you're listening to Truth and Love, a podcast of the Association of Certified Biblical Counselors,

0:16.2

where we seek to provide biblical solutions for the problems that people face.

0:20.8

I'm delighted this week to have with me, Dr. Matt Rear.

0:23.7

He's an emergency medicine physician in the Bay Area.

0:27.0

He graduated from Baylor College of Medicine in Texas, and he moved to the Bay Area for residency in 2008,

0:33.2

where he and his wife, Kara, have lived ever since.

0:36.5

And Matt and Kara have been married for 21 years,

0:38.6

and they have three children. Matt serves on staff at North Creek Church in Walnut Creek,

0:43.3

California. He's the author of Redeeming Memory and contributed a chapter on dementia for the

0:48.7

Christian counselor's medical desk reference. Matt's always good to talk to you, brother.

0:52.1

Thanks for helping us think through this very unusual topic today. Yeah, thanks, Dale. Thanks for having me on.

0:57.9

Now, I'm seeing this concept of psychedelics everywhere, and I'm going to build this up, Matt,

1:02.8

and we're going to ask you some questions that maybe we can't ask a lot of people being a physician

1:07.0

and seeing how psychedelics are used really within the medical sphere. In the counseling

1:12.6

world, we're seeing this in a lot of different ways. I'm seeing some people as the concept

1:17.0

of chemical imbalance theory sort of wanes. You're seeing people now return to some idea of

1:23.4

what has historically been called romantic psychiatry, and what they're doing is they're

1:28.5

trying to seek anything that they think would be helpful.

1:31.4

And so you're seeing this concept of using or utilizing psychedelics.

1:35.7

And I've even heard one, high-level psychiatrists at Tufts University and another, actually,

1:41.6

who used to work with the FDA, mentioned the concept of psychedelics as being

...

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