At a time when weed is sold at the SQDC and Canadians' mental health is at an all-time low, Montreal's psychedelics community says change is coming.\nSince August, Health Canada has granted five legal exemptions to Canadians requesting access to psilocybin —"magic mushroom" — therapy for both end-of-life care and severe mental trauma. \nHealth Canada also announced on December 11 that it hopes to revise its Special Access Program (SAP), making it easier to access psychedelics in special cases.\nEditor's Choice: 19 Montreal Musicians To Discover While You're Cooped Up In Your Apartment\n\nJessica Cadoch, executive director of the Montreal Psychedelic Society, told MTL Blog that momentum really "mushroomed — for lack of a better term" when Michael Pollan’s book about the science of psychedelics, How to Change Your Mind, came out in 2018, the same year recreational cannabis became legal in Canada.\nWith 2020 (mostly! finally!) behind us, Quebecers are looking to the future, wondering, "What's next?" — particularly, in the world of health and wellness.\nThe psychedelics movement is one answer. But it's also more than that. According to Cadoch, it's "a revolution." \n\nHow are psychedelics used in therapy?\n\n \n \n \n \n \n Eskymaks | Dreamstime\n \n \n \nField Trip Health, a psychedelics-centred wellness company, co-founded by former Montrealer Joseph del Moral, describes psychedelic medicine on its website as "various techniques using psychedelic molecules for improving mental health and overall wellbeing." \nThe most commonly used molecules come from psilocybin, which can be found in "magic" mushrooms, and other molecules in drugs like MDMA and ketamine, which produce varying degrees of psychoactive effects.\nField Trip is also in the process of developing its own psychedelic molecules to be used medically.\nFT-104, for example, aims to be as potent as psilocybin with a shorter trip time — useful in medical settings when patients don't want to be holed up in a clinic for hours while high. \nResearch into psychedelic therapy is already showing promising results for people suffering from depression, addiction, post-traumatic stress disorder and more. \n"There really hasn't been much advancement in the treatment of chronic mental health conditions, especially depression, in the last 30 years," del Moral told MTL Blog.\n"The science behind psychedelics shows very high response rates on the order of 50 to 70% and the effects are often long-lasting. Ketamine on the order of weeks to months. Psilocybin and MDMA on the order of months to years."\n\nWhat would a psychedelic-assisted therapy patient experience? \n View this post on Instagram A post shared by Field Trip Health (@fieldtriphealth)\nDel Moral described the process for a patient being treated with ketamine at a Field Trip clinic — located in Toronto, New York, Los Angeles, or Chicago — step-by-step.\n\n\nThe patient is screened by a psychiatrist to make sure they're suitable for this treatment.\n\n\nThe patient comes in for an initial meeting with a therapist who prepares them for their psychedelic experience.\n\n\nThe patient comes in for their first dosing day. At the appointment, del Moral says "they're sitting in this super comfortable zero-gravity chair that reclines all the way flat, they have an eye mask on, they're listening to a specially curated list of psychedelic music, they have a weighted blanket on them. They're in this experience with their own thoughts for an hour... we spent a lot of time and effort designing the clinics to be beautiful comfortable spaces." \n\n\nWhen the patient comes out of that part of the experience, the therapist — who's in the room with them — engages them in a light form of therapy called "exploratory therapy," during which they discuss thoughts the person had under the influence. A course of ketamine-assisted therapy is typically six doses over three to four weeks. \n\n\nThe insights patients develop during the psychedelic experience are written down by the therapist and used in future therapy sessions. This is called integration therapy. \n\n\n"What we hear most often from our patients is they thought about the [life experiences causing them suffering] in a whole new way. They looked at it from a different angle they'd never been able to consider before," del Moral said. \n\nWhat’s currently available in Montreal?\n View this post on Instagram A post shared by Keti (@dr_edelman_ka)\nAt this point, ketamine is the only psychedelic drug doctors can legally prescribe in Canada, so it's the only form of psychedelic-assisted therapy being offered in the country.\nEarlier this month, Mindspace, a Montreal-based wellness clinic, announced it was launching the first psychedelic-assisted therapy program in Quebec with plans to begin treating patients using ketamine before the end of 2020.\nMindspace founder Dr. Joe Flanders told MTL Blog the clinic is administering doses of ketamine using SPRAVATO, a nasal spray recently approved by Health Canada.\nThis is the first time ketamine has been approved for this purpose.\n"It allows us to start helping our clients by enhancing therapy with a psychedelic compound, but doing it in a totally legit and above-board context," Dr. Flanders said. \nMindspace has also been offering "Psychedelic Harm Reduction and Integration" for the past year-and-a-half.\nThis program coaches people who "intend to or have had psychedelic experiences" on their own time, but does not provide access to psychedelic compounds. \nIn addition, the Montreal Psychedelic Society offers a wide range of community programming — from harm reduction workshops to "chillout" sessions on Discord. \n\nWhat can we expect in the near future?\n View this post on Instagram A post shared by Mindspace Wellbeing (@mindspacewellbeing)\n"What we’re really waiting for is the green light to use psilocybin and MDMA because those are the most impactful tools," said Dr. Flanders.\nHe estimated that we’re three to five years away from "totally mainstream above-board access" to psilocybin and MDMA.\nFirst, the drugs need to "cross the finish line" of phase three clinical trials, then be approved by the FDA and Health Canada.\nAfter that, Dr. Flanders said there will be an enormous need for mental health professionals trained to deliver this new kind of psychotherapy.\nThen there's the question of how these drugs will be regulated in Quebec.\n"The rest of Canada tend[s] to land in similar places around regulating certain medical practices. Quebec always sort of does its own thing and it’s very hard to predict if they’ll be ahead of the curve or behind the curve," Dr. Flanders said.\nIn addition to medical use, del Moral said Field Trip is preparing for the non-medical wellness uses of psychedelics.\nThe company is growing and studying 25 species and strains of magic mushrooms in Jamaica through a partnership with the University of the West Indies.\nThey want to learn how to make extractions and quantify amounts of psilocybin in the mushrooms so people know how much they're dosing.\n"That was an investment we made thinking that sometime in the next five to 10 years there might be a wellness market opening up around the world [...] but these jurisdictions are opening up much faster than we had anticipated," he said. \n View this post on Instagram A post shared by North Star Project (@north_star_project)\nDr. Flanders agreed in terms of hoping psychedelics become available to a broader spectrum of people, including those who are "really stressed out" or facing "the kinds of ups and downs many of us face without qualifying for a psychiatric disease." \nCadoch told MTL Blog psychedelics could lead to a paradigm shift, "forcing us to reimagine concepts of care." \n"The difference... is that we live in a world where [patients say], "Hey, I have a symptom. Treat my symptom.' But with psychedelic therapy it’s, 'Let’s get to the root cause of things,'" she explained.\n"Psychedelics do not fix you. [...] Psychedelic-assisted therapy with proper preparation, proper integration and the proper tools to make sense of your experience can provide you with an opportunity to start working on yourself. But you still have to do that work."\nCadoch said activists in the psychedelics community are worried about for-profit companies entering this grassroots space without concern for existing morals.\nShe said she'd like to see professionals in the field sign the North Star ethics pledge, a promise to focus on shared values and ethics when making psychedelic products.\nCadoch also said she hopes for equal access to treatment — something Mindspace committed to in launching its accessibility program. \nThis type of therapy isn't currently eligible for insurance coverage. Between the cost of new drug formats and hours of specialized therapy, "it is a really expensive process," Cadoch said. \n"We have to make sure we do it carefully."