“The way of medicine and the way of natural medicine are not competing rivers, they are tributaries of the same watershed.”
By Shannon Hughes, Elemental Psychedelics via Colorado Newsline
The two signings, for 48 hours, have just changed how psychedelic medicine comes to America.
on April 18, President Donald Trump signed an executive order to speed up the federal review of psychedelic drugs due to serious mental illness. these days The Food and Drug Administration (FDA) issued national priority bonds for three commissioners—Compass Pathways for psilocybin-assisted therapy in treatment-resistant depression, American Institute for psilocybin in major depressive disorder, and Otsuka for methylone (a relative of MDMA) in PTSD. These vouchers can compress what is normally a 10- to 12-month FDA review process into less than a month or two.
On April 20, with less fanfare, Governor Jared Polis (D) signed the bill into law in the Colorado Senate 26-31. The bill specifies that the moment the Drug Enforcement Administration (DEA) reschedules an FDA-approved Schedule I drug, it automatically follows Colorado law. Pharmaceutical psilocybin will be legal in Colorado pending federal approval.
I am hopeful about this. Patients with treatment-resistant depression have been waiting a long time. So veterans with PTSD. Practitioners who have been carefully preparing for this work for years have also done so.
I’m worried too. Not about what’s coming, but about what we might accidentally release the rush to receive.
SB-31 specifically deals with natural medicine and marijuana, leaving the scope of Colorado’s Proposition 122, which was approved by voters. natural medicine program with healing centers run by its facilitators– Completely intact. He cares more about that tidiness than it looks. Most states pursuing a psychedelic policy are choosing only one path, choosing between prescription medicine and community-based facilitators, as if the two are incompatible. Colorado is choosing both.
This is rarer than people think, and more honest about how healing actually works.
The pharmaceutical path and the natural medicine path are not competing rivers. They are tributaries of the same slope.
Different people need different doors. A patient with treatment-resistant depression needs a gateway for insurance to cover psilocybin-assisted therapy. Anyone in the community who wants to grieve a loss or find their way back through ceremony needs another.
Both are valid. The question facing Colorado now is not which path wins, but whether we can sustain both with integrity as the federal pace quickens.
Here’s what I worry the temptation will be: now that medicalized access is coming, some may think that the job of expanding community access is done. Healing centers, licensing of facilitators, the painstaking, slow work of implementing Prop 122—all of that may be de-prioritised, the thinking goes, as patients will soon be able to get psilocybin from a doctor and a pharmacy.
This would be a profound mistake. Medicalized access and community access respond to different needs, draw from different lineages of knowledge, and respond to different types of suffering. To collapse the two is to misunderstand what these drugs are asking of us. The work of reform and opening access is not done. Colorado voters chose a broader path with Prop. 122.
So here is what I would ask at this particular time.
To Colorado legislators and regulators: Stick with the voters. 122 Prop. The careful work of implementation: licensing of facilitators, regulation of healing centers, training standards, fair access and ongoing regulating how ibogaine will be introduced and whether or not-it is precisely the work that makes a wider path real. Finance it. The workers Defend against the gravitational pull of a federal model that threatens to absorb everything in its orbit because of its pace and resources.
To my colleagues who will soon be prescribing or administering these drugs: Please, let’s not treat psilocybin-assisted therapy as the next SSRI. A one- to two-month FDA review does not give practitioners a month or two to be ready. A real willingness to skillfully hold non-ordinary states of consciousness, to care for settings and settings, to support subsequent integration takes much longer than a ticking clock. Prepare well, and train before you prescribe, not after.
To Coloradoans: next year regulation of natural medicine Prop. 122 will shape what you actually give in your community. Public input is important here. show me
To other states looking at Colorado: A wider path is possible. Federal acceleration does not require community-based access to be granted. It makes protection more urgent, not less.
Medicines are coming, faster than we expected. The question is whether we will meet them with the depth and attention that this moment demands of us, and whether we will keep faith with the wider path that the people of Colorado have already chosen.
We can hold both. But only if we choose.
Dr. Shannon Hughes is the co-founder and program director of Elemental Psychedelics, a Colorado-based women-led training organization for psychedelic practitioners. He served as a consultant to the Qualifications, Training and Licensing Subcommittee of the Colorado Naturopathic Medicine Advisory Board and founded the Colorado nonprofit The Nowak Society.
This article was first published by Colorado Newsline.
user photo Mark Groeneveld.