Psychedelic Therapies at the Crossroads of Trauma and Substance Use: Historical Perspectives and Future Directions, Taking a Lead From New Mexico

This paper (2022) revies the historical perspective of psychedelic research and practices, as well as the intersection of historical trauma adverse childhood experience, PTSD, and substance use disorder (SUDs) through the lens of New Mexic, a state with a high population of Indigenous and Hispanic peoples as well as high rates of trauma, PTSD, and SUDs. The paper discusses the importance of community-based participatory approaches that are more inclusive and respectful of Indigenous and other minority communities.

Abstract

“Post-traumatic stress disorder (PTSD), a common condition with potentially devastating individual, family, and societal consequences, is highly associated with substance use disorders (SUDs). The association between PTSD and SUD is complex and may involve adverse childhood experiences (ACEs), historical and multi-generational traumas, and social determinants of health as well as cultural and spiritual contexts. Current psychosocial and pharmacological treatments for PTSD are only modestly effective, and there is a need for more research on therapeutic interventions for co-occurring PTSD and SUD, including whether to provide integrated or sequential treatments. There is a current resurgence of interest in psychedelics as potential treatment augmentation for PTSD and SUDs with an appreciation of the risks in this target population. This paper reviews the historical perspective of psychedelic research and practices, as well as the intersection of historical trauma, ACEs, PTSD, and SUDs through the lens of New Mexico. New Mexico is a state with high populations of Indigenous and Hispanic peoples as well as high rates of trauma, PTSD, and SUDs. Researchers in New Mexico have been leaders in psychedelic research. Future directions for psychedelic researchers to consider are discussed, including the importance of community-based participatory approaches that are more inclusive and respectful of Indigenous and other minority communities.”

Authors: Snehal R. Bhatt, Maya Armstrong, Tassy Parker, Marcello Maviglia, Rebecca Kass, Lawrence Leeman, Paulo Romo & Douglas Ziedonis

Summary of Psychedelic Therapies at the Crossroads of Trauma and Substance Use: Historical Perspectives and Future Directions, Taking a Lead From New Mexico

Introduction

New Mexico is one of the most ethnically diverse states in the continental United States, with a Hispanic population of 49.3%, an American Indian/Alaska Native population of 11%, and a non-Hispanic white population of 36.8%. It also has a challenged economy with high unemployment, poverty, and illiteracy rates.

New Mexican communities have experienced severe consequences of substance abuse, which is one of the state’s leading causes of death. PTSD is commonly associated with substance use disorders and worsens the course and outcomes of SUDs for the individual, family, and communities.

New Mexico state-specific data reveals that AI/AN and Hispanic populations have the highest rates of alcohol-related death and chronic disease, suicide, alcohol-related injury and traffic fatalities, and fatal drug overdose, all of which may be categorized under the term, “diseases of despair”.

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Find this paper

Psychedelic Therapies at the Crossroads of Trauma and Substance Use: Historical Perspectives and Future Directions, Taking a Lead From New Mexico

https://doi.org/10.3389/fphar.2022.905753

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Cite this paper (APA)

Bhatt, S. R., Armstrong, M., Parker, T., Maviglia, M., Kass, R., Leeman, L., ... & Ziedonis, D. (2022). Psychedelic Therapies at the Crossroads of Trauma and Substance Use: Historical Perspectives and Future Directions, Taking a Lead From New Mexico. Frontiers in Pharmacology13, 905753.

Study details

Topics studied
PTSD

Study characteristics
Literature Review

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