#883: How to Legalize Medical Psychedelics in Your Country — Tania de Jong on The Playbook Behind Australia's World-First Breakthrough
from The Tim Ferriss Show ·
131m 33s
Tanya DeYoung and her husband Peter co-founded Mind Medicine Australia to push for the legal use of psilocybin and MDMA in treating mental health conditions. Starting with personal experiences of psychedelic therapy, they built a grassroots movement by assembling a network of researchers, clinicians, and advocates. Despite repeated rejections from the Therapeutic Goods Administration (TGA), they persisted, using patient stories—especially from individuals like Franco, whose husband’s death from depression underscored the need for treatment—to create emotional and moral urgency. Strategic alliances with leading scientists such as David Nutt, public events, and advocacy in town halls helped shift perceptions. In 2023, Australia became the first country to reschedule these substances for psychiatric treatment, marking a historic breakthrough. Over 20 clinics now offer psychedelic-assisted therapy, with 60–80% remission rates and no serious side effects. The movement achieved scalability through training 750+ clinicians, forming partnerships with health insurers, and establishing real-world data collection to prove cost-effectiveness and safety. While still in early stages, the model demonstrates a replicable path for transforming mental healthcare through public advocacy, evidence-based policy, and patient-centered innovation.
Hello, boys and girls, ladies and germs. This is Tim Ferriss, and welcome to another episode of
The Tim Ferriss Show. My guest today is Tanya DeYoung, co-founder of Mind Medicine Australia.
She and her husband, Peter, did something amazing. They beat the odds, and they came from the outside
to lead a push that in 2023 made Australia the first country in the world to allow MDMA
and psilocybin to be prescribed for psychiatric conditions. This was a huge moment. It took the
whole world by surprise, and I wanted to understand how the hell did this happen? What did they do?
What were the strategies? Was there a blueprint? Was it luck? Was it methodical step after step
after step? What did they do? Is there a blueprint for making this type of massive change, or are
there strategies, at least, bits and pieces that you can apply in your own countries or to any
ambitious project you might be trying to get off the ground? Because Tanya came into this field
as an entrepreneur and a singer. She had no background in psychedelic research or psychedelics
or drugs or at large, and ultimately helped build a massive campaign that changed an entire country.
So we get into the practical details, as you know. That's the point of the show. We get into
how did she manage to book first meetings? How did she identify the right people,
recruit people who know more than she did at the time to be allies? How did they respond when
leaders said no? And more, that's just the beginning. There are some very unlikely turns
along the way. There are some wild stories along the way. And as I mentioned, even if you don't
care anything about psychedelics, if you're trying to get something really big off the ground
and you feel like the underdog, if maybe the deck is stacked against you, there is plenty
in this conversation. Before I get the show notes for this episode, we'll contain all the exact
dates that come up. Tanya and I both mentioned articles and events for more than a decade,
so some of them are slightly off, but a lot of them are right. But nonetheless,
show notes, tim.blog.com. You can find all the specifics. So I hope you enjoyed this conversation
with Tanya. I did. There's a lot of tactical takeaway to be applied, and you can also find
her online and everything she's up to at mindmedicinaustralia.org.au. Thanks for listening.
At this altitude, I can run flat out for a half mile before my head.
Can I answer your personal question?
Now would have seemed an appropriate time.
What if I did the opposite? I'm a cybernetic organism living tissue over a metal endoskeleton.
Where do you think it makes sense to begin? I mean, we could just begin with
the trip treatment and how that domino knocked over so many dominoes and then,
what you did with all the momentum of said dominoes. Do you want to just begin there and
we'll just chat through it? In 2015, I came across your blog. Well, I'd been signing up to your blog
for ages. I mean, you know, I've been reading your books and admiring your biohacking courage to try
all different things and experiment for yourself because that's very much how I also like to
operate. I just don't believe anything until I try it myself. So being that person that had never had
any alcohol, really, don't drink coffee, never got high, never had any drugs in my whole life until
I read your five-bullet blog back in December, I think it was 2015, when you said that you had
donated a hundred thousand US dollars to the Imperial College of Medicine.
With psilocybin for depression, I think it was, Tim.
2015 would have been Johns Hopkins with Roland Griffiths. So there was a depression study there.
That's right. So that was like a light bulb went off for me and I clicked on the link and I read
the article and it was a fascinating article in the New Yorker magazine called The Trip Treatment.
Michael Pollan, the one and only. That's right, by Michael Pollan.
And I said to my husband, we have to do this. Please read this article. And he just, I think
he thought I'd lost it. And he read the article and then he said, why don't you see if we can get
into a trial? And so we then approached Robin Carhart-Harris, who has subsequently become a
great friend of ours. But at that time it was, well, can we get into one of the trials in Europe?
And he said, well, no, you don't qualify. You don't have a mental illness diagnosis.
And then he proceeded to see if he could introduce us to the Psychedelic Society.
And finally, we were introduced to a guide in the Netherlands and we flew over to Europe and we had
this extraordinary experience where we took a large dose of psilocybin. But for me, I had spent
the previous six months when we planned this, just getting more and more nervous. I was just
petrified. Sounds normal.
Yeah. And I was like, am I going to lose my mind? What's going to happen? Meantime,
my husband's just not engaged in it at all. And so it got to the day before where we're going to
go and meet this guide. And I wrote an email to my accountant and I said, if anything's to happen
to me in the next 24 to 48 hours, these are my last wishes. You know, I was that scared,
scared of losing control, scared of what this would all mean. I'd never had any drugs in my
life before.
And was I going to go crazy? So anyway, we went and my husband picked up the guide at the airport.
We were meeting him. He surrounded him in his white robe, sort of Ram Desh style, hippie Indian
white robes, gave him a huge bear hug. Then my husband asked him all the way back, what's going
to happen?
How does this work? Run a show for me.
Right. And after 45 minutes, he was no wiser. And then,
literally, we, the next day, took the medicines with the guide and we were blasted into multiple
realms of consciousness, all different dimensions of consciousness. And it was an extraordinary
experience, as you well know, a sense of being connected to self, to others, the planet,
feeling like you're part of everything, that everything's part of you.
I think I said to you last time we spoke that I never saw a single piece of nature the same
since that day. So every seashell, cloud, leaf, blade of grass, just everything was
transformed by that experience. And I could see the energy in everything.
My husband was also completely blown away. It brought us much closer together, which was
also something we didn't plan for.
But it was a fantastic bonus. And we then just started going, well, what has just happened to
us? And it was such an extraordinary experience. It took us about a year to really integrate what
had happened. And we kept talking about it. And, you know, it was a true mystical experience at
the highest level.
When you say it took a year to integrate, was it really just letting the snow globe settle and
seeing what was discernible after things had settled?
Or were you using therapy to talk through the experience afterwards?
What did integration look like for you guys?
No, it was sort of the snow globe. Everything had sort of been
blown, you know, like a huge fireworks display. And actually, it was like a fireworks display at
times. So for us, it was letting that settle. And then for me, I thought, well, there's no way I'd
ever do that again. Like it was challenging. I mean, it was beautiful, but it was also challenging
because a lot of me was like, well, I'm not going to do that again. I'm not going to do that again.
came up relating to my ancestors, probably relating to other ancestral lineages that I'd
had before. And I thought, there's no way I'm going to do this again. But then as the year went
on and we were going to go back to Europe again and stuff, I thought, okay, well, maybe we'll
have another go and see if it's the same or if that was just a fluke or what happened. And so
we went back again and we work with the same guide.
Dutch guide. And we had an even higher dose and it was even more profound. And so by that stage,
we said to one another, wow, well, if this is having this impact on us, and it was really
healing us personally. There was something going on. There was some kind of magic. I mean,
magic mushrooms, but there was some kind of golden thread that was trying to connect us back to
ourselves, to integrate us into ourselves and then connect us to one another and to other people. And
we said to ourselves, we'd already founded five charities between us by that stage. And we just
thought, wow, well, if this is happening to us, imagine if this could be applied to all the people
who are suffering with like homelessness or domestic violence or unemployment or disabilities,
people suffering with depression that we come across through all of our charitable work. Because
underpinning all kinds of disadvantage is,
usually some kind of mental illness, some kind of trauma, depression, something that has happened
to that person in their lives. And it's usually that they've ended up being unemployed or
committing domestic violence or whatever it happens to be, but it's through the intergenerational
trauma that they've experienced. And so Peter and I just started looking and going,
let's meet all of the people around the world. Let's go to all the conferences. Let's start
meeting all the researchers. And we did that. And we started meeting researchers from all over
the world, which was absolutely extraordinary. And we attended events and we learned everything
we could. We watched every video. We listened to every recording that we could. And then by that
stage, Peter and I were like, this is extraordinary. And we spoke with Rick Doblin at about that stage,
which was in 2018. And in 2018, he said to me, Tanya, I think you should set up a charity in
Australia to do this. And we were mad enough to do that. And for people who don't have the context,
just to describe Rick briefly, Rick is really one of the primary drivers, probably the primary
driver, I would say. And there are a lot of people, of course, who've played large roles behind
the psychedelic movement through this organization called MAPS. And they have been predominantly
focused on MDMA-assisted psychotherapy for PTSD. That's been the main indication. So he has been a
fixture. He's very unorthodox. He is very well-educated in policy, incredibly colorful.
He's just one hell of a character. But he's been forging ahead since the 70s or 80s,
well before.
There was any kind of tip of the hat from anywhere in the mainstream. So that's Rick
Doblin. And he's very good at helping other people and encouraging other people.
Yeah. I mean, he's dedicated his whole life to this work. And it's just extraordinary. And he
was a total inspiration to us, as was Roland Griffiths and Robin and David Nutt, Professor
David Nutt, the head of neuropsychopharmacology at Imperial College London. Just amazing people,
these legends.
The thing was, in Australia, we really didn't have a lot going on. You know, there was one trial
in the making. It was a trial for end-of-life stress and anxiety through a terminal diagnosis,
which had been replicated in other parts of the world, like at New York University and
Johns Hopkins University. And we just knew that if Australia could start to position itself in
this space, that there might be a chance to heal a lot of people. So we did start a charity,
Mind Medicine Australia. We launched it in February 2019. And we started working in this
field, starting to work out, well, how could we get these medicines to Australians as quickly,
safely, accessibly as possible and cost-effectively as well?
We originally approached the Therapeutic Goods Administration, I think it was in late 2020.
And we asked them,
it would be possible if the medicines could be rescheduled.
So let me pause you, I apologize, Tanya, just for the Yankees listening and others. The TGA is
roughly analogous to the FDA in the US. So if you want a new drug approved,
if you have something that is in a highly restricted drug class and you want to make
it more readily available through prescription with fewer controls, et cetera, then you have to
end with, in our case, the FDA, but in your case, the TGA. Is that a fair way to put it?
Yeah, that's exactly right. These bodies require a lot of data and evidence. And generally speaking,
pharmaceutical companies make applications to them for the rescheduling of medicines. And in
this case, we wanted to make an application to move these medicines from prohibited substances,
which in Australia was called Schedule 9, but in the US is called Schedule 1, to a
scheduled drug. And we wanted to make an application to move these medicines from
Schedule 8 medicine, which is a controlled medicine, so that it could be used in clinical
environments. And so we started applying to the TGA and we put an application in
at their encouragement. And then at the interim stage, it was knocked back. And then at the final
stage, despite many public submissions, it was also knocked back. And so we thought, let's put
it in again. And one of the things that the TGA has to do is it has to provide its reasons for
knocking back. And one of the things that the TGA has to
bring it back. So my husband, who's an extraordinary intellect and strategic, I guess, mind, started
really working on these applications and really addressing their concerns. And so then we put in
another application to reschedule psilocybin MDMA for the treatment of depression and trauma
in Australia. And again, at the interim stage, the application was knocked back and they had to
provide their reasons. And so we put in another application to reschedule psilocybin MDMA for the
treatment of depression and trauma in Australia. And again, at the interim stage, the application was
versus 8% of controls. So it does make a difference. You get the benefits of fasting,
including autophagy, your body's cellular self-cleanup process while still eating real
structured plant-based meals. So you don't have to negotiate with yourself. You don't have to
struggle. It all comes in one box and it's right there, laid out, simple to follow. And there are
other people who recognize friends of mine like Rich Roll who also have used Prolon. For a limited
time, Prolon is offering my listeners 15% off site-wide plus a $40 bonus gift when you subscribe
to their five-day program. Just visit ProlonLife.com slash Tim. That's P-R-O-L-O-N-L-I-F-E.com
slash Tim to claim your 15% discount and your bonus gift. So a couple of questions. At that
point, was it still just you and your husband who were working on this or had you assembled
to assist you guys in various ways? What did it look like at that point?
No, it was like this massive movement by then. I mean, like we had started chapters in like
communities all around Australia. So we had, you know, over 30 chapters like in places like
Byron Bay or Brisbane, Darwin, Perth, you know. And that would be chapters of Mind Medicine
Australia. So it'd be like MMA. Yeah, people who were just like behind this mission.
Yeah. Just chapters and chapters of people. When you have chapters,
how did you, I'm just thinking of the challenges involved with like retail and franchising or
whatever, like quality control, right? And giving people marching directions of some type. When
people would reach out, how would you enable them or what materials would you send them? What would
you encourage them to do if you've got people in Byron Bay and 29 other locations across Australia?
What would you guys send? Well, we had templates for everything. So we had precedents and templates
and we had-
And we had templates for everything. So we had templates for everything. So we had templates for
actually do this. So we made it as easy as we could for the public to put submissions in. And
we had volunteers in all those places who were leading these campaigns and getting a whole lot
of people together in those places. But in addition to that, we also had clinicians. So we
had already started training clinicians through our world leading certificate in psychedelic
assisted therapy. So we started that training in 2021. And we've already trained now,
over 750 clinicians. So psychiatrists, psychologists, doctors, nurses,
op therapists, social workers, counsellors, you name it, we've trained a lot of clinicians in
Australia. So we already had an enormous amount of clinicians who were starting to put pressure
on their peak bodies and professional bodies, as well as the general public. So there was also
an enormous amount of people, not necessarily in our chapters, but just people who,
just families, you know,
had people who were suffering with mental illness in their families, there was workplaces.
So there was a lot of people who had people in their workplaces suffering with depression or
trauma or addictions. And people just started to really jump on the bandwagon to start to really
learn about these medicines. And the medicines at that point, just to define the molecules we're
talking about, that was MDMA and psilocybin? Yes, yes. Let me bring us back for a moment to
David Nutt. And the reason I'm going to bring David Nutt and UTT back into the picture is because
in the process of doing homework for this conversation, came across a number of allies
that you had recruited over time. You really had a multi-pronged approach. And I want to talk about
some of those. Oh, yeah. I forgot to mention that. That's a big approach. So this is ABC.
Dot net dot au. And it mentions you engaging new lobbyists, Hawker Britain, known for their cozy
relationships with the labor government, who, and that goes on to understand the dynamics of Canberra.
The organization then flew out Imperial College of London neuropsychopharmacologist David Nutt for a
roadshow up and down the East Coast. And it goes on to mention him as one of the celebrities of
sorts in psychedelic circles, certainly within scientific circles. And during a whirlwind, I'm
during a whirlwind tour sponsored by Herbal Tincture and Organic Chocolate Brands. Perfect.
He addressed packed town halls in Byron Bay, Sydney and Canberra, if I'm pronouncing that
correctly, and Melbourne. Then there were black tie events with philanthropists and stakeholders
at the Australian clubs in Sydney and Melbourne. It goes on and on. So if there's any more color
to that, I'd love to hear it, like the purpose of doing that. No, absolutely. I mean, that was
a huge part of it. Yeah. And the reason I'm bringing this up and the part of the reason I
you did something very remarkable and, you know, there are other parties involved in a lot going on,
but I mean, MMA was a real driving force behind some incredible world firsts like on the playing
field of sort of global pharmacology and mental health treatments. You've accomplished something
really impressive. And there are pieces of the playbook that I think people could apply in other
ways. And this would be, I think, potentially one example of that. So could you speak to what
you did with the roadshow with David and maybe how you used lobbyists and also like, how did
you pay for all that? Yeah. Well, I mean, these are really important questions and we are being
asked by a lot of other countries and organizations how we did it. And it was very tough, but we tried
everything. So we never gave up. And my husband and I are very persistent people. So, you know,
that we'd get, we'd think, okay, what are we going to do now? And we would climb around or over or
through that wall, whatever we could do to keep going. So what happened was in 2022, David, who'd
become an incredibly good friend of ours and someone we deeply respected, and we just adore
his humor and his intellect. How did you first connect with David? Cold email or how did that
happen? As you would say, we've, one of the other really strong prongs of our strategy was to put
together this world leading advisory panel. So we've got about 75 or so leaders in this field or
people who are really great advocates for these medicines, scientists, doctors, researchers,
and others. And I just started reaching out to two people, but also in 2018, I went to a conference
run by USONA in Madison, in Wisconsin. Yeah. That's a trip. It's a bit of a trip for you.
Yeah. USONA, for people who don't know,
is an organization, at least last I checked, predominantly focused on psilocybin.
Correct. And their medicine's likely to be registered as just about as soon as Compass
Pathways, another huge pharma company, who's an applicant for psilocybin. Over the next six months
or so, we anticipate a number of these medicines becoming registered medicines. We can talk about
that shortly, but back to the time that we brought David Nutt out. So basically I had approached a
lot of people. I'd also met a lot of people at USONA. And so I then started inviting them to
join our advisory panel. And so that was how I met Robin Rowland, David Nutt, all of these people. And
as we'd meet one person, then they'd say, well, have you met this person? And have you met that
person? So I know you're persistent, but these people get asked to do all sorts of stuff all
the time. How did you make it easy or compelling for them to say yes? What was the pitch to someone
like Robin? Because at that point, I'm trying to put a different perspective on what's going on.
I don't have a date to it, but Robin at that point had probably appeared, I'm just guessing on the
timeline here, in How to Change Your Mind. He's somewhat of a main scientific protagonist or
certainly figure within How to Change Your Mind, a book by Michael Pollan that really
shifted the tectonic plates of what was possible for psychedelics in the US and elsewhere in some
ways, in a lot of ways, in many, if not most of the best known philanthropists and supporters
of psychedelics, not all of them, but a very high percentage would kind of reach back to that as the
tipping point for their interest. So how do you get then Robin's like the hottest girl at the dance,
and he's very charismatic, he's good on camera, he's good in audio?
I met them, Tim. I met most of them actually at the USONA conference. And also I happened to sing
at the USONA conferences and speak. So I gave a speech. I spoke about what we were hoping to
do. And I serenaded Roland Griffith. It was beautiful. I mean, I miss that guy so much.
So I met these people and we just connected and they were inspired by the fact that we were trying
to move the needle in Australia. I don't think that they thought that we could do it. And to
be honest, I didn't know that we could do it either. It was just persisting and persisting.
And so I think people just started joining us because maybe they believe that we could do it.
We had set up five charities before that had already done some,
significant things.
How did you end up speaking at the conference? Because that seems to me
an important piece of the recipe for why suddenly you could talk to them afterwards.
They were already a warm audience at that point. So how did you end up speaking at that conference?
Well, that was through Bill Linton. So Bill Linton is the founder of USONA. And as you,
I'm sure you know, and you know him, and he's just a lovely guy. And again, we connected.
I wrote to him.
What did you say to Bill in the email?
You know, I'd really like to speak at your conference today.
in fact, I think they even had heard what we were doing and that we were trying to do this
in Australia. And then they actually, I said, look, I can also sing. And maybe that was part
of it. And he just said, well, look, I'd like you to come over. I'd like you to sing. I think
we probably had a Zoom call or something like that. And they then invited me to speak and to
sing. And it was a long trip. It was a very long trip. And literally I had to get off the plane.
And I was in an altered state. I was in some time warp then.
Yeah. I want to just sidebar quickly that sometimes it is the weirdest,
not that singing is weird. I have much stranger obsessions and interests, but
it's the most unexpected maybe talents or side interests or fill in the blank
that you do on the weekends and evenings that sometimes is the thing that opens the door.
Because it is the thing that other people aren't leading with, right? So when you're like,
oh, and I also sing and they're like, you know what? She's scrappy. She's willing to fly all
the way from Australia. Oh my God. Like to Wisconsin. Okay, sure. Why not? Let's give it a
shot. Well, also I think by then I'd also had that connection with Ram Dass. So that was also a help.
I haven't mentioned that. And that was very significant. So actually, and I want to come
back to Dave and that with you, which I really, cause that's really important. But back in 2016,
after you'd,
woken me up into this whole space. And then we did the medicine with this Dutch guide. He played
us some Ram Dass at the end of the medicine session. And I went, who's this guy? This is
amazing. And my husband's one of these guys who, when he hears someone really inspiring, he goes,
well, is there a way we could meet them? And so, okay, well, why not try and meet Ram Dass?
So what we did was we wrote to him via, again, his people. And we found out that,
you could indeed spend a week living at Ram Dass's house in Hawaii and get to spend time with him,
you know, living there. So we were lucky enough that we got to fly to Maui.
Well, hold on. How does that work? Cause I'm sure a lot of people would love to hang out with Ram
Dass. What are the hurdles you have to clear to live at his house for a week? Or how does it work?
Or is it just pay for play or how is it? We made a donation and we got to live in the house that
was on his land there and live right next to him. And then every day or two, we'd get to hang out a
little bit with Ram Dass. We'd come into the main house. We'd spend some time meditating with him.
He'd invite us to some of the ceremonies that he'd be having at the house. Went to the beach
with him because he had this incredible wheelchair that had these amazing inflatable tires and he'd
be wheeled out in his wheelchair out into the ocean. And one particular day, there'd be two
rainbows that appear when Ram Dass gets up. And he'd be like, oh, I'm so excited. And I'm like,
it's out into the ocean. It was like pinching yourself, you know, like, is this really
happening? A lot of it was sitting in silence with him because he had had that stroke. And by
this stage, it was about a year or so before he actually would pass. And so he was still vibrant
though. And when you looked in Ram Dass' eyes, you could just see yourself reflected back in him.
And I remember singing to him as well. And there were tears rolling down his face when I sang to
him. And it was a song called Coming Home.
It was all about coming home to yourself. And the minute that we would mention psychedelics to Ram
Dass, his eyes would light up and he'd start talking about, you know, his time that he gave
his guru in India, this huge dose of, you've heard this story, right? And nothing happened.
It's in Bihar now and his guru in India. So Ram Dass, again, just to provide a little context for
people who are like, what are they talking about? All right.
Ram Dass, which is, I believe, servant of Ram, yeah, servant of the God, is the
non-birth name of the man formerly known as Richard Alpert, who was at Harvard with Timothy Leary,
who some people may recognize. And they were both kicked out of Harvard, little known fact,
in part due to Andrew Weil, then an undergrad, writing, I think it was in the Harvard Crimson,
and there was some discussion, I don't know if it was verified of them, giving it to undergrads,
and it became this huge scandal and they were booted out. And at one point, Timothy Leary was
designated by Nixon, President Nixon as the most dangerous man in America, which is ridiculous in
retrospect, but there you have it. And there's a lot more we could say about that, but suffice to
say, Richard Alpert decides to go to India. And at one point he somehow finds his way, right? That's
this guru, again, which is described in Be Here Now.
Maharaji.
Yeah, Maharaji. And he's, I think, trying to explain to him something about psychedelics.
And he's like, well, do you have any? And he's like, yeah, I do. And he had
from outside LSD and he gave him, it was either 400 or 600 micrograms. This guy had never taken
any psychedelics, took that and just sat there and clearly would have set in. And like an hour later,
if nothing was happening, just kind of looked at him with a smile and was like, hmm, interesting.
And I think he said something like, sure, you can like peek in and say hello to Christ
consciousness or whatever you want to call it. You're not actually going to get to know
the depth, but the fact that somebody could take 400 or 600 micrograms to put that in perspective,
100 micrograms is considered a, let's just call it standard hit. If I were to take 200 micrograms,
I would be completely incapacitated.
for eight to 12 hours. So the fact that somebody could take 400 to 600.
I think that would even happen to me on 50, to be honest.
Yeah. And could just carry on having a conversation as if they'd only had a glass of water is somewhat
mind boggling. And Ram Dass went on to do a lot of writing and a lot of recording. And it's just
incredibly compelling to listen to.
This episode is brought to you by AG1, which I have taken for more than a decade.
Man, it's coming up on close to 15 years, I would say. Longtime listeners have heard me call it my
nutritional insurance, and that is exactly how I use it. The news today is they just launched AG1
Pro, designed for people focused on performance and longevity. I'll be traveling soon. I'm actually
packing today, and I'm throwing a bunch of these in my bag to cover my bases while I'm on the road.
And I have noticed, perhaps some of you have, that it is harder and harder to put on muscle and to
keep on muscle. I am. A young 48 years old, and I've noticed that change. So past a certain age, you may be that
age. Maintaining lean muscle becomes priority number one, and AG1 Pro is formulated to support
exactly that. It includes HMB, a clinically studied compound that supports protein synthesis
and helps reduce muscle breakdown, plus zinc carnosine to support the gut lining. So remember,
training is only half the equation. You have to feed the machine. And as you get older, there's
things that can help turn the dials just a bit in your favor. Recovery is where the work compounds,
and AG1 Pro is built to support it. It's NSF certified for sports, so what's on the label
is what's in the pouch. Get your free AG1 Pro Yeti Shaker in the welcome kit at drinkag1.com
slash Tim. That's drinkag1, the number one. So d-r-i-n-k-a-g, the number one, dot com slash Tim.
So you spent time with Ram Dass, so the Ram Dass card ends up being helpful to get to
Madison. And then Bill Linton and co. invite you with open arms. You sing, you talk, you meet this
whole cast of characters, including, I'm guessing, was David not there in Madison?
I'm not sure that David was there, but Robin and Roland and everyone else was there.
So then, this was like the year before we started Mind Medicine Australia. So then I wrote to David
and I said, we're launching a charity. It's on February the 13th. That was the date of our
launch. Would you come to Australia and speak at the launch? And so we flew David to Australia. He
spoke at our launch, which was at the University of Melbourne. And we then became very friendly
with David and his wife, who's delightful. And we've brought him over a few times since then.
And that launch was powerful.
And then what happened was in, I mean, cut a long story short, I'm cutting through a whole
lot of things here, but in 2022, we invited him to Australia to present at some town hall events
in public. But then we also brought him to the Therapeutic Goods Administration. And we asked
the Therapeutic Goods Administration if we could present to them. And we asked the head of the
Therapeutic Goods Administration how many people approximately would come to the meeting that we
would have David and up there. And we would also have a woman there whose husband had tragically
lost his life because he'd got depression and had not been able to cope. I'll talk about that
very briefly in a second. So what happened was the head of the TGA said, oh, there'll be probably 10
or 15 people that turn up to the meeting. 140 people turned up to the meeting. Some of them
were in the room. Some of them were on Zoom. And these are all people internal to the TGA.
These are all employees. Yeah, they were like Department of Health people,
executives, you know, or from all different parts of the Department of Health and the TGA.
And so what happened was we had invited this woman called Vanessa to speak just before
David and I.
And Vanessa's husband had got depression a few years prior, just out of the blue, all
of a sudden got depression really badly.
And he woke up one day and he said to her, I need to go to a hospital.
And so she took him to a doctor and they started him on some SSRIs, antidepressants, and then
they didn't work.
And then he got taken to an institution because he was really unwell.
He was put in that institution.
And they've got a young daughter, very successful man, by the way, no previous history of
depression, just came on.
So he was put in this institution that didn't help.
They saw every professor and expert that they could.
She's kept a 20-page dossier of every treatment she tried.
During the middle of him trying many, many treatments, she rang me up and she said, Tanya,
you know.
I've heard about psychedelic-assisted therapies.
Could Franco, his name was Franco, could he get psychedelic-assisted therapies?
And I said, look, no, not in Australia at the moment.
We're trying really hard to get these medicines rescheduled.
But he would have to go overseas to do this legally, like in the Netherlands, where psilocybin
truffles are legal, for example, or somewhere else.
He was not well enough to be taken overseas.
And they didn't want to break the law by going underground in Australia.
And this applies to a lot of people.
And so what happened was they kept. They kept trying all the different other treatments, the professors.
He was in the institutions.
She said to me, she rang me about another year later, said, he's begging me to go every
day.
He wants to go.
He wants to leave.
Hang in there.
We're really working hard on this.
Anyway, he couldn't wait.
She had kept this 20-page dossier.
And she got up in front of the TGA and she said, I believe that if my husband had have
had access to these treatments, that he might still be alive today.
And that our young daughter would still have a father.
And, you know, this is all the treatments we tried.
It's not like we didn't try to get Franco well.
We did.
And there wasn't a dryer in the room at this stage.
And then Professor Nutt comes on and starts presenting about the science and all the research,
the data, the evidence that by that stage, there'd been a lot of trials, as you know,
that had taken place.
So he presented and then we presented.
And still everyone was going, there's no way.
There's no way.
This is going to happen.
There's no way the rescheduling is going to happen.
There were scientists and clinicians and others that just said, it's not going to happen.
But this was in about November of 2022.
And we just kept pushing.
And then in February, February the 3rd, it was 2023.
We're standing in the kitchen and my husband goes, it's been rescheduled.
And I just said, no, I'm serious.
And I said, you've got to show me this.
And I read the document.
I kept thinking, there must be an error in the document.
Can't have been rescheduled.
And no, it's been rescheduled.
So we start dancing around the kitchen.
It's like, this is unbelievable.
Like we were so, this is really amazing.
We were so thrilled.
Then like the headlines start coming out from around the world.
Australia has rescheduled.
Australia's the first country to do this.
You know, look at Australia.
Now Australia's leading the world in this.
And it's like, this is surreal.
Like, this is so incredible that this actually happened in Australia.
Because, you know, Australia tends to be more of a follower than a leader often.
But, you know, to do this was incredible.
So then a few months later, the rules changed so that the psychiatrist
could actually start to treat patients in clinics.
And that was the whole purpose of this was that there should be clinics
around Australia with clinicians that we'd been training since 2021.
And that patients should start to be treated with these incredible sacred medicines
with therapy, obviously.
And so there was these multidisciplinary teams.
And psychiatrists could start applying to the Therapeutic Goods Administration
for what's called an authorised prescriber status.
So you psychiatrists put an application into the TGA.
And we help a lot of psychiatrists do these applications
because they're quite onerous.
And they have to put in a number of applications.
They have to put in their protocols, how much medicine they're going to use,
where they're going to practise from, all these different protocols.
And then those are reviewed by the TGA and an independent ethics committee.
And if they get the TGA stamp and the ethics committee stamp,
they can start using psychedelic-assisted therapy,
psilocybin-assisted therapy and MDMA-assisted therapy in their clinics.
And so there's now over 20 clinics around Australia,
mostly led by. And over 400 patients or so, roughly, have been treated.
Now, that doesn't sound like a lot because there's millions of Australians
who are suffering with post-traumatic stress disorder and depression.
And there's millions of people globally suffering from these conditions
who are not getting well, like Franco.
And one of the arguments that was really important
for the Therapeutic Goods Administration was,
there's a risk to not doing anything.
So if you don't do anything, if you don't reschedule these medicines,
that's actually a risk because patients who've tried everything,
like Franco, might end up taking their own lives and that would be tragic.
And we, through the period that we were making these applications,
heard of other stories than Franco.
We had a lot of people who write to us.
They texted us, they emailed us and they begged us.
We even had politicians writing to us saying,
they've got a son or a constituent saying,
could we please provide the medicines to them?
And we said, well, no, we can't until these medicines are rescheduled.
So we kept having people begging us for the medicines.
We obviously couldn't provide them.
We're not a medicine provider.
And important to say to everyone that these medicines,
you don't take them lightly.
You take them in a very controlled setting.
Personally, I love nature, but we have to do it in clinics in Australia
under these circumstances.
And it's really important for the patient to have the right preparation and mindset
so that they can be open to whatever is coming through the altered state
and then bring all of those insights for their life, their work, their health,
whatever it happens to be back into their life.
And usually that's done through therapy.
So a patient goes through a three or four month process, protocol,
and we are seeing 60 to 80% remission rates in Australia,
which is replicating what we've seen in trials around the world.
So all those 400 patients that have been treated so far around Australia,
60 to 80% of those are going to remissions.
And there's been no serious adverse events.
What does the pie chart split look like for out of those 400?
How many are psilocybin for depression versus,
MDMA, assisted psychotherapy for PTSD?
Yeah, so more of them are MDMA.
So more psychiatrists started out doing MDMA for trauma.
It's probably a good idea.
I think it's good to get comfortable skiing the blue squares before the black diamond.
So probably it's about 70-30, I'd say.
Yeah, tends to be more manageable.
And you know, many of the psychiatrists felt more comfortable administering MDMA first.
There are some patients in Australia, I think, who've been administered both medicines.
Not at the same time, but subsequently.
But it's probably about a 70-30 split.
But psilocybin is starting to creep up.
And we're also seeing psilocybin now being researched for a whole range of other conditions,
as you know.
So for addictions and obsessive-compulsive disorder, eating disorders,
cluster headaches, fibromyalgia.
I think MDMA is still very underestimated as a tool.
It's sort of been in the. Zeitgeist long enough that a lot of the writing or videos or podcasts that get attention are
focused on the latest and greatest or what they might consider the new kid on the block,
like a 5-MeO DMT.
Okay, everything's about 5-MeO DMT because it can be crammed into 15 minutes and it's
the businessman's path to God and all this stuff, which from a commercialization perspective,
I understand.
But at the same time, you have something that is already very well researched that has actually
been around.
A very, very long time.
I want to say it's the 1920s when MDMA was first patented and then it was shelved and then the
patent expired and then Sasha Shulgin and his little lab and his tasting parties conjured up
hundreds of psychedelics.
If anyone has ever heard of 2C-B, 2C-E, you can thank Sasha Shulgin, but also resurrected MDMA,
which basically replaced MDA as the underground therapist's tool.
And I think. I think MDMA is very underestimated given how, broadly speaking, how manageable it is
relative to many of the other psychedelics that we could discuss.
And I think partially because it doesn't necessarily, I would say pretty typically,
does not provide the 17th dimension shattered into stardust technicolor grand finale fireworks
show, which make for good stories, that it gets underestimated.
as a tool because it's maybe not making the rounds at as many cocktails
parties because it's unlikely you're going to be like yeah and then these dancing crocodiles with
sapphire eyes came out and danced around me and so and so which you know you'll certainly get if
you're hanging out with your ayahuasca friends so mdma is really i think a tremendous tremendous
tool given the risk profile given the manageability of it relative to other things question i suppose
related to the integration you already mentioned is the therapy that acts as the kind of lattice
work of support for these experiences in australia is it standardized or is it really up to the
clinician and the patients to select the therapeutic modality is it standardized in perhaps in the way
that that maps was trying to standardize with like ifs informed dyads and things of this type
so it's not standardized and many of our clinicians the ones who've done our certificate
in psychedelic assisted therapies you know use a whole lot of different modalities so yes some of
them may use parts and ifs therapy internal family systems therapy or they may use other types of
therapy so there's all sorts of different therapies that we encourage our clinicians to
look at and i feel like one of the things that's becoming most important is even just nutrition
so just like i said it's not standardized it's not standardized it's not standardized it's not
coming out of this experience and having the right nutrition because if you go back into your life
and just start eating or say if you were eating a lot of sugar before drinking a lot of alcohol and
you go back to that well then you're probably going to relapse so there's all sorts of things
around nutrition and exercise that we're hoping will be more and more included as integration
therapy post-treatment for anyone doing psychedelic assisted therapies but we don't believe that there
should be a cookie cutter approach every therapist has different skills that they bring to the table
and many of them most of the therapists that we're training are trauma informed but not all of them
and they're just learning you know and they're learning to bring their own skills and work out
what works for each patient and i think that matters a lot because everyone that we're treating
through these clinics you know they're all individuals and not everything's going to work
identically for every patient just the same way that the dose of the medicine is not going to be
identical for each patient how many patients would you hope not in a pie in the sky best case
green lights all the way scenario but in a kind of base case right not worst case not best case
kind of right down the middle case how many patients do you think could be served with
these medicines over the next three years in australia what do you think
well it's an exponential thing so we're seeing a huge exponential growth so just even now as we
speak we just found out that now there's 120 authorized prescribing psychiatrists in australia
for either indium a or psilocybin or both medicines so that is a huge jump you know we started with one
or two psychiatrists back at the start of 2024 we're now at the middle latter part of 2026
and that is an exponential increase
in authorized prescribing psychiatrists in the first year we trained about 80 therapists we've
now trained 750 in the first year only a handful of patients maybe i don't know 15 20 patients
were treated now there's been nearly 400 so maybe it will get to 5 000 by then this is me being
conservative yeah five thousand because it could be a lot more but maybe five thousand
is a realistic number um but that's a fraction of who needs it right which i understand but i don't
want to let the dream of boiling the ocean minimize the impact of even 400 people because
what people listening may not realize is that if you look back at the early studies if you look at
a lot of current studies they are expensive at least in the united states i'll speak for the
united well speak for the united states what a sentence i will speak to some of the clinical
trials in the u.s many of which i've been involved with and because these compounds are still
schedule one it is incredibly difficult time consuming and expensive to recruit subjects
to get approvals through ethics boards irbs etc and as a result of that i've been able to get a lot of
what you could get on the street very easily mushroom chocolates or otherwise for fifty
dollars for a patient in a proper clinical trial run at a university will cost could cost fifteen
thousand dollars per person right i mean something like that it is incredibly expensive and what that
means is you end up with these studies that are well designed and hopefully properly powered and
people can dig into that if they want online if they want to read up on it and i think that's
going to be a good step on what that means from a statistical perspective but you end up with ten
people you end up with eight people maybe end up with fifteen people and certainly if you're for
profit company compass and others have been able to and i've had to have larger sample sizes and
larger cohorts and so on and so forth as you move through the different phases four hundreds a lot
but there's a big but and i'm hoping you can tell me the answer i'm sure you can is there
a type of requirement for data reporting from people who are authorized because it's really
only it's most valuable as a way of building momentum and creating a virtuous cycle if there
is mandatory data reporting that then provides a signal or many signals yes well no and that's a
really important part of our strategy so our strategy at mind medicine australia was to build
the ecosystem so that we could make sure everyone's
trained that the public and clinicians were fully educated and we keep doing that
that there is ongoing research for new conditions that clinical rollouts in the medicine supply can
happen very smoothly and then there's the whole pay or part which i'll come to so there's the
whole cost of it all but the data collection is really really important and one of the things
david nutt did with us was he was really like we have to make sure there's real world evidence
being collected so he worked with professor paul fitzgerald at australian national university and
mind medicine australia has funded a registry which we have no influence on we simply funded
at the australian national university which collates real world evidence the data from the
baseline of a patient when they go in for the treatment then what they're like when they come
out of the treatment and that's being collected all the time it hasn't published yet but we hope
over the next few months and then continue to publish periodically as they collate more and
more data and this data is critical because this is what can show the government well firstly
they know there's been no adverse events serious ones because there's been nothing reported to the
tga but it's also really important to show the government wow well these remission rates around
60 to 80 that's compared against 10 to 15 for existing treatments for ptsd and psilocybin
with mdma and psilocybin treatment for depression and trauma in australia at the moment so
10 to 15 versus 60 to 80 remission rates that starts to become very important for a government
because they go well there could be some serious cost savings here we could save millions tens of
millions hundreds of millions of dollar over the course of a patient's lifetime and one of the
other things we've done at mma is we've helped to really bring on the patient's lifetime and
payors for these treatments so we now have the department of veterans affairs who are supporting
treatments for veterans we have the national disability insurance scheme also funding
treatments and we have medibank which is our largest health insurer who have basically said
that any eligible gold members of medibank can get pretty much the whole treatment cost paid
apart from a couple of thousand dollars so everyone's shifting to medibank what does it look
like to recruit
any of these payers so how do you even bring the first of these payers online what does the
outreach look like we went to them all from early on so we were talking to the department of
veterans affairs from early on because we had seen what happened in the u.s with veterans and we knew
that that was a core strategy that rick dublin and maps had also used and it's an important strategy
because veterans and first responders have served their nation and more veterans die through
their own hands through suicide than die on the battlefield and they experience so much trauma
in the work that they've done and we knew that the department of veterans affairs was really
struggling with the amount of veteran suicides that were occurring so they were someone we
started talking to and presenting to from very early on in time as mind medicine australia
the national disability insurance scheme came on board because they obviously want to try and reduce
the costs of treatments and this is a really good way to reduce costs over time though the cost of
the treatment is relatively expensive up front over the course of a patient's lifetime
the potential cost savings are enormous. Rick Doblin and MAPS did some economic modelling and
showed that the cost per patient, this was a few years ago already, could be well over 100,000 US
dollars of cost savings. So we knew that cost would be a barrier. And so we also started a
patient support fund at Mind Medicine Australia. And how we managed to do a lot of this was through
our own philanthropy. In the end, yeah, we've also donated a lot of money to this. Peter and I have
done this pro bono for the last eight years, completely pro bono, because we just want to
help alleviate suffering and want to see people get their lives back. A couple of questions all
over the map. Is it true that you, with your facilitator from the Netherlands, were given
psilocybin with Syrian Roux or was there no Syrian Roux? No, it was Syrian Roux. Why did he decide to
include that? My understanding,
and I haven't looked this up in a very long time, is that Syrian Roux contains,
could be multiple beta-carblenes like harmin, harmaline.
Paganum harmala. Right. So Paganum harmala is the Syrian Roux. It imparts, when combined with
psilocybin, a kind of an ayahuasca twist of lemon on top because it's adding the
monoamine oxidase inhibitors. Why did he choose, your facilitator,
to approach it that way? I think that was the protocol that he used anyway. It was his standard
protocol. Now, I think it's a great protocol for the right clients. I think for us, it was the right
protocol. Firstly, it's an MAOI inhibitor, as you've just mentioned. So he has this protocol,
which he calls psilowosca. So it's a combination of psilocybin and ayahuasca. That's how he sort of
describes it. Now, when I went in, if I'd known that,
it was ayahuasca, I probably would have freaked out and gone, oh, there's no way I'm doing ayahuasca.
But it was the way that it was done was actually, it was like that. And I think that because Peter
and I had never had any drugs in our life at all, we were completely new to this, but we were also
type A people. You don't say. Right. And so, I mean, I was a bit of a control freak then. I'm
still one, but I'm not as much one now as I was then. I will say that. And that was one of the
reasons. I was a bit of a control freak then. And that was one of the reasons I wanted to do this was I wanted to let go of some of the
control. Right. So I really wanted to see what that would be like. What would Tanya be like
without all of that holding on? Good for you. A lot of type A people will not choose to release
the whey knuckling. Right. So it was like this Syrian roux, it relaxed us firstly, but then
the goal, which I found out later was that, I didn't know this at the time, but that it was
visual and the whole experience between two to ten times. So it amplified our experience and what
we would have seen, heard, everything experienced by two to ten times. And subsequently, I think
that is accurate. I think it extended the experience. It created more visuals than what
I had seen, say, without using peganum, hamala, you know, subsequently. But the first two experiences
Peter and I had, both were with Syrian roux. And I think that was a really good experience.
And I thought it was an extraordinary way of relaxing us and then helping us to just let go of
our bodies and just to be able to travel. And at one stage, the guide said, oh, you guys are really
having a lot of trouble stepping out of your bodies. I could hear him say that in the room.
It was like your body says fighting you. So I'm curious, what dose, do you recall how many grams
of, I'm assuming it was dried psilocybe mushroom of some type?
Yes. With lemon, with a kick of lemon juice, yeah.
Yeah. Did he let it marinate in the lemon for a while? Like, did he grind it up and then marinate
it? Not so long. Well, I don't know how long he'd marinated it for. I was too petrified to really
watch that. How quickly did you feel the onset? That'll probably tell me how long it marinated.
I started feeling tingling through some of my feet and hands probably within about 30 minutes.
Husband kept saying there's nothing happening. And then all of a sudden it was like,
oh my God. Yeah.
Yeah. Like, I mean, he was on the floor on a mattress. I was on the bed. We were not talking
to one another. Like that was part of the sort of protocol. And it probably took about half an hour
and I could feel like there was so much tingling. I called the guide over and I said, hey, I'm really
afraid. Can you hold my hand? Because I thought what's happening? You know, I hadn't felt my body
do these sorts of strange things before. And it was like, I could feel my body do these sorts of
It was like I was filling up and I didn't quite know what that meant. And then all of a sudden I
started to see the colors and the shapes and it was like this kaleidoscope that I was looking
through and was incredible. I mean, I'd be curious if this matches your experience because I do have
some experience with psilocybin plus Syrian roux. Also just a footnote for folks on the lemon. So my
I'm not a biochemist, but if you marinate the philosophy mushroom, especially if it's ground
up as a coffee grinder in lemon, that it basically pre metabolizes, it breaks it down or converts it
into psilocin and your body is converting psilocybin into psilocin as the active metabolite
to begin with. And in doing so, like for me, it would typically take in some cases, it really
45 minutes to an hour, maybe for effects to really set in with eating mushrooms. If they're ground and
put in lemon and it depends on the strain of mushrooms, some can, can be more obviously potent
than others, but 10 to 15 minutes. I mean, I am off to the races, like what normally would have
taken like 60 to 90 minutes, which is actually quite nice because the waiting game can be the
most torturous part for a lot of people.
Similarly with the Syrian rue, my experience is, let's just say if my workspace functional dose is
4.5 grams, let's just say keep over like 3.5 to four these days. Let's just say, although it's,
I've taken the foot off the gas a lot with this stuff, but if Syrian rue is involved,
then all of a sudden like 1.5 is plenty and you can use much less, which I think one advantage of
that is that you're less likely to have a headache the next day. Some people at higher dose
psilocybin can really get a crusher of a headache depending on their sort of individual pharmacology.
So have you continued to work with the Syrian rue or have you moved to a different toolkit?
Sometimes. Yeah. And I, you know, I'm sort of curious again to actually,
I have this hankering at the moment to perhaps go and have a session with Syrian rue again,
I think that it's more powerful for me still, but subsequent to the second dose. So when we
had the second dose with the guide and yeah, it was probably about two to probably 2.53 grams
of dried mushroom that we were having to your earlier question. And I guess the next one we
had after that was, was probably with a guide somewhere in the U S who didn't use the Syrian.
And for me, that was not as powerful. Like it was still good. I was still traveling quite a lot. And
I think, you know, Aldous Huxley famously said, you know, once the doors of perception are open,
you can never shut them again. And I really have found that to be the case. You know, what I saw,
I can never unsee what I experienced. I experienced, and it's always going to be there with
me. And I consider that the greatest gift that I had that and enables me to get into other transcendental states with
meditation and singing and other things much more quickly and easily as well. I can access those
states more easily. Would I prefer to do Syrian Roo from time to time? Yes, I think so. It is a good
thing. Some people find it a bit nauseating. So there are some people who might find that it can
make them a bit nauseating. So I don't get a headache from psilocybin generally speaking. In
to remove their cluster headaches and their migraines. So it's interesting that you said
about the headache. So everyone's different. I think this is a parasolsus. The dose makes
the poison situation in the sense that micro dosing, certainly there's research being done
with LSD or analogs of LSD looking at cluster headaches very specifically. And a lot of the
data I think are compelling. When I'm talking about headaches, generally what I'm talking about
is someone who is relatively naive.
To psilocybin, who is, and this is most people in the beginning innings who are
subconsciously or consciously trying to remain in control. And so they have three grams. They also
don't know what to expect. So when the facilitator shuffles over and puts a hand on the shoulder and
says, Tanya, how are you feeling? Are you feeling anything? You're like, I have no fucking idea.
That's what 99%
are going to be like,
I don't know if I'm feeling anything.
I have no idea if this is the right thing or if I'm just making things up.
Okay.
And then, depending also on how seasoned the facilitator is, but they'll say, well, if you're going to boost, this is the time to boost.
And again, 99% of newbies are going to be like, I have no idea if I should boost.
But if they're not clearly feeling something and they imagine it's supposed to be this explosive 17th dimension experience, they're like, sure, I'll have more.
So they have three.
Then they have six.
And then I've seen people have nine.
And then some people go 12.
And in a case like that, the likelihood of having a headache is non-zero when you start getting up into the brute force flood doses, which happens a lot.
I mean, moms also frequently need higher doses than some folks because they're so used to taking care of everybody else.
And sometimes a good reason for people to do sessions separately as opposed to as a couple.
No, that's true.
Someone is like a primary caretaker.
Sometimes they can be so preoccupied that they don't respond to what is already a saturating dose.
That's true.
But there is also something very much to be said for doing this in groups.
Yeah, I agree with that.
Especially with the, just the experience, but also then the integration, like just sitting in circle together in sacred circles and sharing these experiences with others.
It's just, you can't bottle it.
I mean, everyone's experience is so different and it really helps you to understand just how different.
We really are.
But then we're getting the same sort of messages coming back.
So even though the material is so different that we're seeing and hearing and feeling, but then our insights coming back can be very similar.
And it's amazing how many people, for example, that I've met who've literally stone cold stopped alcohol after having psilocybin experiences and never had it again.
The group dynamic, I think, is where a lot of gold is.
And I think it was either 2000.
2014 or 15, where I funded a study at UCSF in Northern California, looking at long-term demoralization, effectively a variant of depression in AIDS survivors.
And the reason that I funded that study, I mean, there are a number of reasons that I helped fund it.
And I'm not sure if I funded the entire thing or part of it.
That's beside the point.
The point is that the reason it most grabbed my interest is it was the first time I had seen group integration in the study.
And I could foresee, or I would bet at least at that point, and I still bet, that not only will it be much more cost effective to deliver some of these medications in group environments because you're splitting the cost of one or two therapists slash babysitters slash nurses across multiple people, four, six, whatever the number might be.
I actually think, and this is certainly borne out in the data from a number of. The better Ibogaine clinics, the outcomes are better.
It's not just that the cost is lower, the outcomes are better.
And certainly, I think the experience is much more nuanced and deeper for the participants.
So I do think there's a lot there.
Let me come back to MMA.
And every time I say it, I think of mixed martial arts, but I know it's not mixed martial arts.
Or Magic Mushrooms Australia.
Like that was sort of the secret name behind the real name.
Got it.
Okay, you're right.
So mind medicine.
In Australia, what are some of the mistakes that you made?
Because if someone's listening to this and they're like, we want to take a playbook, we want to try this in Croatia, we want to try this in Japan, we want to try this in fill in the blank.
What are some of the cautionary notes or the things on the do not repeat list where like, you know what, if I were to do this all over again, I would probably not do X or I would do Y a little differently.
What are things that come to mind for you?
So many things, really.
It was really challenging.
I mean, though my husband have set up so many charities and very successfully, this was very difficult because it's a very nuanced area, the whole area of mental health care.
There's a lot of people that have a lot of views and there's a lot of vested interests in the space that we hadn't fully appreciated.
So there was vested interest from researchers that we were not aware of where researchers were wanting to just keep researching for many, many more years.
Right.
We had people literally confront us and we had a lot of conflict with researchers saying, well, you know, we need to research for another five or 10 or more years.
And we're arguing, but there's patients out there who are going to take their own lives if they don't get other solutions for their mental health conditions.
So there was that sort of thing.
Can you say more about that?
When you say vested interest, because they are researchers and in the business of conducting science, did they simply feel that the burden of proof had not been addressed?
Therefore, we need more data or was it, hey, we are receiving funding from, I don't know what the equivalent of the NIH is in Australia, but we want to continue to receive funding to research these things.
Therefore, the longer the runway we have, the more my job security is assured and therefore dot, dot, dot.
I mean, when you say vested interest, what do you mean?
That was the main reason.
I mean, that was.
And we've actually invested ourselves, as we know you have, in trials that are for.
Innovative new uses for psilocybin, for example.
So we've just, for example, part funded a trial that was for eating disorders and another one, I think, for obsessive compulsive disorder and other things like that.
And we very much believe in supporting new research, novel research.
But we were not fans of replicating trials that had already been undertaken at least five to 10 or more times in other markets overseas, for example, end of life, anxiety and stress.
Or there was a particular researcher who did a trial with MDMA just for four patients and it took, I don't know, more than five years to complete.
You know, things like that.
We just thought, well, that's statistically insignificant.
And one of those researchers was one of the people that really attacked us really strongly.
Like it was very, very vicious and personal.
And because Peter and I were not clinicians, that was another reason that people thought, well, who are these people?
How dare they come into our space?
As non-medical people and start thinking that they could actually change the regulations and how dare they think that?
And there was a lot of that pushing back, like, go back into your box, please.
You know, you don't belong here.
So mistakes, though.
Mistakes.
I mean, maybe that was a mistake, you know, but we had a lot of clinicians around us so that we were also constantly having clinicians presenting with us on webinars and things like that.
And we did that deliberately because we didn't want.
People to say, well, they don't know what they're talking about.
And so that we had clinicians always appearing with us when we were presenting, especially if we were presenting to clinicians, governments and things like that.
I think other mistakes we made was that we had a lot of people wanting to work for us who had lived experience of mental illness.
And look, we all carry trauma and I'm no stranger to trauma.
I'm the daughter and granddaughter of Holocaust survivors.
And we all are carrying some kind of trauma.
Whether it's our own, our families, our lineage, collective trauma, we're carrying that.
But we were attracting a lot of people to work with us who didn't fully disclose all their conditions up front.
So all of a sudden there might be somebody who was taking alcohol or would turn up to work in a completely drunk state.
And this was something we'd never seen before in other charities.
And I think people were coming to us because they wanted to heal their condition.
And to begin with, we wanted to be as inclusive as possible with the people we had working with us.
And we still believe in that.
But we did have some very difficult experiences early on where I guess we were attracting people who still needed to do more work on themselves rather than working in a high-powered, high-stress environment.
You know, when you're trying to change the law, you need people around you that are very strong and who are resilient.
Because we need people around you that are very strong and who are resilient.
And we got knocked down over and over.
So I would say you just have to be so resilient.
And you can't let it all affect you.
And even the personal attacks, you know, I found them very hurtful.
And I'm quite a sensitive person.
And there were times where I was literally lying on the carpet crying because it was just too personal.
It was just too much.
And I thought I was tough and had a thick skin before this, enough of a thick skin.
But I didn't.
And so I had to bring in all the resilience of my forefathers.
You know, my maternal grandmother who'd fled the Holocaust and all of that started to become very useful when this was all going on.
You can sort of see that anyone who's a pioneer who's trying to drive change is going to be attacked.
And I hadn't really appreciated that fully before.
Does anything else come to mind?
So I will underscore what you just said.
Very common in the. Broadly speaking, psychedelic space, which is incredibly understandable.
But it is like the last or viewed as the last hope for a lot of people for whom every other intervention has failed.
And for that reason, a lot of people who want to help are, in fact, and this is, again, understandable, interested in trying to mitigate some of their own suffering, but are not in a position.
where they can.
sustain the type of intensity or stress or volatility in some of the work that is being
done, right? It's just not the right timing for them, not the right circumstance. And I would also
say that for those who haven't been exposed to the science, it's another reason why the effect
sizes of these drugs on even a small cohort, say 12 people, 15, whatever it might be, when you see
these dramatic reductions in HAMD or whatever assessment might be used for depression or
PTSD, what makes it all the more mind-boggling is when you consider how long people have had
these diagnoses and how resistant they have been to, in some cases, the effects of these drugs.
Dozens of interventions. And when you look at some of this data, I think it was the phase two
data from MAPS looking at complex PTSD, but the average, and again, I might be misspeaking, but
I'm directionally right. The average length of diagnosis of severe complex PTSD was something
like 16 years, 17 years, right? And then you see for a subset of that group, complete remission.
After two or three sessions, it's-
68%.
Yeah. Which also, and this is, I'm pulling from memory, so this is a dangerous business, but
when I did the MAPS, I kind of audited, I didn't do it for any type of practice myself, but I sat
in on the MAPS international therapist training in Israel, which was the first time actually that any,
to my knowledge, any federal government had paid for or supported at least, financially supported
any type of training. And my recollection is, this was quite a few years ago, that after the last
administered medicine, the remission rate was something like 54. And then six months later,
it climbed to 68. It went up. And again, we're painting with kind of a rough brush here. Maybe
it was 65%, who knows? But the point is that people who no longer met the clinical diagnosis of PTSD,
from like blind shut, can't work a job, to asymptomatic, grew over time. It did not go down.
Yes, that's remarkable. That is a remarkable feature.
It's just crazy to think about. The durability is so wild. And also, it's not a panacea,
right? To your point, it's like if you go back into the same circumstances with the same
temptations and the same problems and the same abuse or the same fill in the blank, it's not
a magic bullet.
And I really agree. I'm taking this a little, I'm sorry, off on a tangent, but with say,
Gul Dolan, who's now at UC Berkeley, used to be at Hopkins. And I'm paraphrasing,
she can certainly speak for herself. I've had her on my podcast, but I believe these psychedelics
open a critical period, a critical window within which you can change longstanding beliefs and
behaviors. So I think the integration, and I mean, I'm working on a bunch of stuff related to this
outside of psychedelics, but when you induce neuroplasticity, so suddenly you've warmed up
the clay and you can shape it in a new way. The question is, how do you do that? And it becomes a,
a lot of the questions relate to behavioral change. How do you set up the systems? How do
you set up the nudges? How do you create the incentives? How do you, et cetera, et cetera,
et cetera. Because it's not a foregone conclusion that you take these things and you turn out
better. It just isn't. No, no, it's not. Though it is to your point about the,
the increased remissions. You know, when I started presenting on this and I saw that was that New
York, I think it was New York uni or Johns Hopkins trial that showed these increasing remissions over
time. You know, that is not something that would ever happen with an antidepressant. Usually what
happens with an antidepressant is you get an original improvement, perhaps then it plateaus.
Then the doctor says, well, we might have to try a different antidepressant or increase the dose.
Whereas in this case, you have those two or three doses maximum. Then you're having the
remission is increasing if you engage well with the integration sessions. And that means making
those changes in your life that you've just talked about that are really important, whether that
means exercise, nutrition, connecting with people who are important for you to connect with that are
not going to bring you back into the old patterns that you were in before. All sorts of stuff about
community and social connection, I think is really important at that stage as well.
Yeah, for sure. What do you think contributed to the TGA agreeing to the offer to have David
Nutt speak to their employees? Why would they say yes? Because sitting here in the US, if I were
just to ring up the 800 number, the FDA and be like, you know what? I've got a pitch for you.
I don't think it would go anywhere. Now, sure, I wouldn't call the 800 number, but even still,
it would not be easy for me to get a yes to create a webinar.
I had the mobile number of the head of
the TGA. I was lucky to have that. Somehow I got that.
Sure, he or she loved that.
I don't think he loved me having his number. I didn't bug him too much, but if things started
to get roadblocked and we could see they were getting roadblocked, we might give him a call
and say, what's going on here now? Or there was all sorts of governance things that would happen.
It was really important, for example, that they publish all the submissions,
but it took them a while to do so. At the moment, by the way, we have a new submission in
you can see our submission for end-of-life stress and anxiety with psilocybin. We're trying to extend
the psilocybin to end-of-life stress and anxiety because virtual assisted dying is legal in
Australia. If people can do that, then why can't they find peace through psilocybin in Australia?
That's part of our argument. You can see our argument on the TGA page. In fact,
on our website on Mind Medicine Australia, you can see all our submissions for these
medicines to the TGA. But I think really we were speaking to him. It was getting to the really
pointy end of the final, really probably what would have been the final chance to get there.
And we'd put in the opposing submission to the interim decision. So the interim decision said,
no, we'd put it in. We asked him if we could present that we were bringing David Nutt to
Australia. So he said, yeah. And then as I said, 10 to 15 people he thought would turn up and then
it was 140.
And not a dry eye in the room after Vanessa spoke. Literally everyone was in tears. And I think it was
really her. I mean, David was brilliant. Of course he was brilliant, but I think it was her. I think
it was the fact that people could see a real life example. Well, this is what's going to happen. If
we keep denying people access to these treatments, then we could have many more francos occur. And of
course, there's many people who are taking their own lives because they've given up hope. And we
want to give people hope. And we want to give them their lives back. That's the most important thing in the world
we could have ever achieved. What are some of the biggest challenges
still in current day or that you foresee in the next year or two? I just don't know what the
picture currently looks like. So it seems like there's a grand kind of real world experiment
afoot in Australia, which is like, okay, we've allowed these authorized psychiatrists and
psychiatrists to prescribe and supervise sessions with MDMA and psilocybin. And is the jury still out
in the sense of the government's like, after X period of time, we're going to review all this
data and determine whether we want to continue this or not? Or is that not the case? Is it open
ended? I believe it's open ended. So we do still keep having an ongoing dialogue with the TGA. So
we write periodically to the TGA about some of the bureaucratic roadblocks.
So there are some bureaucratic roadblocks. For example, for quite a while until a few months ago,
there was a rule in place that only clinical psychologists could be the lead therapist. So
there's two therapists that usually sit in the dosing with a patient. Well, there was this
criteria that it could only be a clinical psychologist. So we then put in a letter saying
all the reasons why it shouldn't just be a clinical psychologist, why it should be other
psychologists, but also other practitioners. And so we put in a letter saying all the reasons why
it should be a clinical psychologist. And so then that did get widened. And every time there's a
roadblock, we write letters to the TGA showing the evidence and research why that should not be the
case. And if necessary, we'll have a call and we'll keep just trying to open the door, not to
open it fully. That's not our goal at all. We believe that these treatments should be done
in very careful ways because some of the patients going in for these treatments,
in fact, the majority going in for these treatments above ground in clinical
environments are very sick and they need to be very well cared for. And so they need to have
proper screening. They need to have the top most well-trained clinicians sitting with them. And
they need to have extremely good integration processes and tools to go back into their lives
and to get real remissions. But we don't believe that there should be overly onerous constraints.
So now we've also got a situation in,
Australia where all of the clinics are videoing the sessions. So there could be an argument
in the future that says that one clinician with a patient,
if there's a video there as well, might be sufficient.
There's also group therapy that we're looking at.
We've already started to look, and I think some authorised prescribers
might have put in protocols that might have group integration
in their protocol, so we're very supportive of that.
Other roadblocks, of course, is the cost.
So there's still a lot of patients who can't afford the upfront costs,
so we need to let them know about our patient support fund.
We need to let them know that Medibank is providing their gold members
who qualify for these treatments with pretty much the full cost
of the treatment, which is really significant.
How much is the cost kind of off the rack at the moment?
So we've started a clinic too with another listed company
called Inconnex, and our clinic is called Mind Medicine Australia.
Listed meaning publicly traded company?
So we, as a charity, have a half share,
and this clinic with a publicly traded company,
and it's called Mind Medicine Australia Clinic,
and it's in Abbotsford, a suburb of Melbourne.
And we're using that as a real test case to see how to build
a best practice clinic, what do we need to do,
how much supervision needs to be supplied.
We also use it as a wonderful resource where some of our clinicians
that we've graduated through our training course can go
and gain supervision and experience, as well as in the other 20 clinics
around Australia.
So it's like we're developing this sort of clinic-in-a-box protocol, I guess.
How much does that cost per person, depending on the compound, maybe?
So we actually, at our clinic, only start with people at one dose.
So if a person decides after one dose that it's really not for them,
they can withdraw, because in speaking with our authorised prescribers,
they preferred that protocol, and we don't want to force people
through it if they really don't want to do it, and money is an issue.
So it starts at about $8,000.
$8,000 Australian dollars, which is about $5,000, let's say,
US dollars for one treatment, including the screening.
Then the next one, yeah, probably up to about $15,000 US dollars
for three doses and integration.
And that's the same for either compound?
Yeah, I think MDMA might be slightly more because it may be up to three doses
where psilocybin's up to two, and that includes the three
to four months of integration following the medicine.
Treatments as well.
So it's about a three to four month course that is costing maybe up to about
$25,000 Australian dollars, about, say, $15,000 US dollars, something like that.
It's expensive, but it's not insane, right?
I know it's out of reach of a lot of people, but if people view it,
if they think of it as a pill, I'm taking one pill and it costs me $5,000,
and it's like, okay.
Their reference point is walking into a pharmacy, let's just say here in the US,
they have their insurance and the copay is $5 or $10,
and they get their 30-day supply, so they're like, wait a minute, how is it possible?
But when you realize, if it were to be framed, I'm not saying this is the way to frame it,
but it's like, this is three to four months of very well-designed therapy.
And by the way, you also happen to get a few powerful drugs along the way.
Then people are like, yeah, okay, great.
But when they think of the drug first, they're anchored to a reference they understand,
which is probably some very low-cost.
prescription that they get 90 days at a time.
No, well, I mean, it is really important to say that the majority of that cost
is therapeutic time, like the medicine.
So we've enabled the medicines to come into Australia at the cheapest possible price.
Like the medicine is like a tiny little percentage of the cost that I've just mentioned.
It's all about therapeutic time.
And because there's two therapists involved for some periods of that time, that's even more,
which is why one of the reasons that we, and not only we, others around the world also,
say, well, if there's a video in the room, does it always have to be two therapists?
I mean, but it is a long treatment time, as we know.
So a dosing session can take five to six hours.
So maybe there needs to be some overlap there.
Is there anything in process or have you guys thought about methadone?
Transcend Therapeutics was recently acquired.
I don't know what the parent company is now planning with methadone, but methadone is,
for lack of a better word, methadone.
It's a better descriptor.
It's like the softer, gentler cousin of MDMA, who just comes in for a quick hello, as opposed
to sitting down for dinner, right?
It's like a 45 to 60 minute hello, as opposed to four to six hours, right?
And as you mentioned, it's like the cost of, my opinion, right?
I mean, the cost of synthesizing and purchasing these things should not be exorbitantly high.
Although there are certain, and depending where you are in the world, there are some
companies that would like to make that.
As expensive as possible, but that's a whole separate conversation.
Absolutely.
But putting that aside, putting kind of pharma shenanigans to the side, like the pills shouldn't
be expensive.
Not at all.
But the therapist time is expensive.
So if you could look at comparing, say, methadone and its effects, which have been quite impressive,
I mean, looking at non-psychotherapy coupled dosing.
With MAPS, Lycos at the time, got itself into all sorts of tangles because the FDA on our
side does not know how to think about standardizing or regulating psychotherapy.
So if the drug is inextricably tied to psychotherapy, the FDA is kind of on some level forced to
respond with, we don't know how to deal with this, so we're going to say no.
I mean, there's much more to the story.
Because that's not their expertise.
They're a medicine scheduling bureau.
Right.
So that's. And then Transcend said, well, let's just look at what happens with the dosing of the
medication.
And even if you had, though, a therapist in the room, which is not a bad idea, then you
have something that is possible within a 60-minute, or let's just call it 60 to 120-minute window,
right, which should ostensibly lower the cost really substantially.
And I know this probably wouldn't convince the TGA, but my perspective, too, is like,
look, you're not tripping.
You're balls off when you're on methadone or MDMA, frankly.
Most people could have a conversation.
They're probably not going to want to work on a computer, but there's not as much distortion
as you would experience on something like psilocybin.
So when you have, let's just say, six people in a room plus one therapist or two therapists,
you also, for each patient, have five other witnesses.
Yes, they're in an altered state, but it's not like they're seeing goblins doing jumping jacks.
It's not that kind of perceptual distortion.
I'm all for that.
So one of the things that I think I recently mentioned to you that I went to
their Vespri's Beyond event in Austin, Texas, and there happened to be a stand there for canna.
And I don't know if you're familiar with canna.
Canna, African, I believe.
Yeah, it's an African medicine.
It's not cannabis, but it's like an African leaf or something.
Anyway, and I came across through a friend of mine who was there,
a substance called canna, lift, I think it's called lift.
And it's like MDMA, but it's shorter lasting.
It only lasts a couple of hours, maybe 90 minutes to two hours.
And I just thought, actually, and it's natural as well, which I really like.
And I thought to myself, wow, this is really good.
I agree with you.
I mean, obviously, ketamine is being used a lot and people go in and have a ketamine session.
Certainly in the U.S.
It's not as common in Australia, but a lot of therapists in the U.S.
are using ketamine for depression.
But the problem about ketamine is that it needs to be used over and over in most cases.
Yeah, there are even bigger problems.
It has very, very high addiction potential.
I have seen a lot of lives unravel because of ketamine.
It has its place.
If there's acute suicidality, I do think that IV or intramuscular ketamine has a place,
but it is very easy to. Very, very easy to abuse.
Ken, I'll check out.
I took a look at it quite a few years ago.
The synthetic all-natural thing is an interesting conversation just because I am interested in
all-natural to the extent that you might be throwing some of the baby out with the bathwater
when you move to, say, Ibogaine from Iboga, right?
And I certainly know a number of researchers and certainly plenty of practitioners who'd
like that side of things.
Simultaneously, part of the reason scientists and pharma like to isolate is because you
have a less, in some instances, a less muddied picture of things.
You have fewer variables.
But in the U.S., for instance, I don't know what the status is in Australia, Kratom, or
Kratom, depending on who you ask, was viewed as this savior of the people who want to get
off of opioids and prescription drugs.
But mitragynine, or mitragynine, which is found in Kratom, lo and behold, if you use
it chronically, can put you into a dependent state where you need rehab to get off of Kratom.
And this is. Crazy, right?
Right.
And I know people who run rehabilitation clinics and so on.
And if there were, maybe there is a chart, I don't know where you would find it.
But anecdotally, talking to people who run these type of clinics or people who run clinics
different services.
part of which is detoxing from various types of drug dependencies like kratom is up and to the
right it's like ai stocks they are matched and i would tell people all natural can be very powerful
and it also can be in some cases poorly understood because there aren't as many financial incentives
if there isn't something that can be patented we get into very slippery territory here but
i would also say in the case of ketamine like i'm not a doctor i'm not giving medical advice but
if you look at say johnson and johnson's bravado sure it's s ketamine but they've created a
maintenance model with this drug but i would say if you suffer from a serious diagnosed mental
illness then obviously follow the advice of your doctor but if you are considering different
options and you happen to be in the u.s and one of the few legal options available is ketamine
i would encourage with the input of your doctor to look at
less chronic use as an option and you've got phil wolfson and others who have certainly
written a lot about this you have john crystal at yale who's looked also at
ivy and intramuscular use of ketamine where you may just need a few rounds you may just need one
round well you might just need to have psilocybin therapy instead well there's that too we have some
legal checks oh no i get that i get that at the moment but yeah at the moment for sure i mean look
ketamine would not be in my top five list no mine however there are two huge caveats there
it is one of i believe it's still on the world health organization's most essential medicines
list this is a very useful drug as an anesthetic i mean it's a dissociative anesthetic so for
instance if you have any history of using alcohol even to take the edge off certainly if you have
alcoholism or alcoholism in your family ketamine is like the dissociative
drug
turning off of feelings you don't want that you get from alcohol times 100 like ketamine
that is part of the reason why it can be so addictive however if you have chronic pain
this is i know not within the sphere of mental health but for certain types of chronic pain
ketamine is incredible in terms of very few rounds with very durable benefits in fact i really dislike
ketamine in general subjectively personally it's just not it's not really my thing but
i was getting a lot of ketamine and i was getting a lot of ketamine and i was getting a lot of ketamine
so many questions about ketamine this is probably 10 years ago and i decided well look i'm gonna
follow basically the yellow protocol and i'll get the whatever it is 0.5 milligrams per kilogram or
whatever the magic dose is that everybody took his gospel even though it's like an informed
kind of guess on the part of john crystal and his colleagues whatever became the dogma i was like
all right i'll do at least one probably two two-week sequences of infusions
so at least i can speak firsthand to the subjective effects and the experience right
like the phenomenology of the experience i'll be able to answer some questions about it and
went in and the clinicians were good this was in austin and you have to be careful there are a lot
of fly-by-night operations but i did my homework i kind of know how to vet this stuff and the
clinicians were so baffled by me because i went in and i had no anxiety i had no anxiety i had no
depression and each time i went in just multiple times a week they would ask me to fill out this
assessment to determine my current state my how they would score me for anxiety and depression
and i just kept getting more anxious not really depressed but more and more anxious and maybe
mildly more depressed and the reason was i had a really really busy two weeks so it's like i'm
but then i have ketamine and then i forget my backpack and like my short-term memory's fucked
and i'm like misplacing all this shit and then have constipation so it's like hard to sleep and
i'm like this stuff is terrible right so every time i went in i was getting more anxious and
they're like this is very confusing for us we really don't know how to make any sense of this
and i got to the end of it and i was like god that stuff is weird and it is not for me i was
just like look i can handle it i pushed it with a lot of clinical supervision the iv allows you to
do very interesting things that you can't do with intramuscular intramuscular like you hit the golf
ball and the golf balls hit like you're on but with the iv you can dial it up and down and experiment
with things like interacting with the therapist at different dosages you heard about ivd5meo i know
quite a bit about ivnn dmt where they extend it out to about an hour there's been some research
at imperial college london you know would i do it i think i'd be open to it i don't think that's
a free lunch i mean that's gonna be pretty intense but you might be open to it on the ketamine side
though the reason i brought up this whole story preparing for podcasts and getting anxious and
being kind of annoyed that i had to go in and do this thing because i'd committed to this experiment
is i finished my first series of infusions and i was like all right never doing that again that
was a total waste of time and then i noticed about a week later i was i had this really horrible pain
thoracic musculature in my kind of mid-back and this had been from a horrible injury
15 years ago something like that and where i basically almost tore my lat off my back
really bad accident and it had plagued me ever since and i would sit there and i'd be like oh
oh and sometimes i couldn't turn sometimes i couldn't cough sometimes it would hurt to
breathe deeply i mean it was really this chronic plaguing injury and after i had that
whatever it was week or two weeks of infusions that went away never came back and that is one
of the indications for ketamine is certain types of chronic pain and and i was like holy shit
amazing i was like okay there's a place for it that was worth it i really didn't like that
experience but it was worth it and i do know multiple people who are like i'm gonna blow
my head off tomorrow and they go in and they have an
infusion or intramuscular injection and at the end of the session they're like i don't know what
i was so upset about they're able to look at it in a dispassionate more you know dissociated
obviously capacity right they're almost an observer of their own state and the stories
they were telling themselves so for that also i think it's useful but yeah personally it wouldn't
be on my top top five no no well it's not being used much in australia but i feel there's going
to be huge shifts globally
over the next few months and that there's going to be psilocybin probably through compass pathways
and usona will be registered i think is it resilience what's the name of maps now i can't
they keep they keep changing names i think it's resilient i think that's going to come through as
well especially given that the president's given that executive order i think that
potentially by mid next year who knows what's going to be registered and
the whole landscape's probably going to change and a lot more countries
hopefully are going to be following australia and hopefully australia will be there'll be less
bureaucracy and we can have way more people being treated you know a lot of people may not realize
that australia is very fascinating landscape when it comes to conducting certain types of science
and globally a lot of clinical trials from companies around the world have gone to
australia and china those are kind of like the two places you want to do it that's kind of fun for
people to to check out if they if they weren't aware like there is a global market for conducting
clinical trials and australia is one of the best places i wanted to come back to advice for
advocates in other countries and things you might do differently and you're mentioning that you're
very persistent which you are you and your husband and
here's another quote from this is abc.net.au and i think you'll get a good chuckle out of this all
right here's the quote i actually had to on several occasions say to staff look i know they're driving
you crazy put their put their approaches in the way they work to one side think about the medical
criteria and the scientific criteria and their regulatory issues only and i also counseled mind
medicine at some stages that they were perhaps working against their own case by frankly being
so aggressive i lost count of the number of emails they would have sent staff here i think this is
professor scarrett told yeah that's right briefing that he did provide mma with the names and public
phone numbers of the chief health officers in each state hilarious the committee of experts
and state regulators that advise tga were similarly displeased by mma's outreach according
to a tga insider so you're a force of nature you guys have have accomplished some amazing things
were there any cases of pushing too hard because there are cases when people like push with me if
they hit me from like 17 different directions i'm like don't like it two brute force
and i'm like i won't engage which is not to say that you should have done anything differently
but i am curious like are there cases where you're like i should have waited an extra week i should
have approached that slightly differently how do you think about that i think in this case i mean
certainly i know that me personally can be too pushy at times and i've had to really scale that
back and one of the things that the medicine has taught me is to just be more accepting and i have
become more accepting you know so
So if a door or something doesn't seem as
open as I first thought it was, or if it really feels really shut, I just don't go back and knock
on the door as much anymore. And I just go, okay, there's other opportunities. I'll go to them
instead. And I'm going to go for the lower hanging fruit. That's just me personally nowadays. I'm
much less driven about that than I was. And I think it's better. But in terms of this particular
campaign, I don't really think that anything less would have been enough. And I feel that we
had to keep pushing. And even my husband, who's less pushy than me, he's English.
I'm Jewish. I've got a lot of chutzpah. I was brought up with a grandmother who invented the
first foldable umbrella. She was a woman in the 1920s doing stuff that was way ahead of her time.
But even he says that. We had to do what we had to do. We had to just keep pushing and moving forwards. And we did
have to knock on every door. And we had to use every bit of the networks that we developed
over decades to achieve what we achieved. But it was all done because of the data and science.
It wasn't done because we pulled some favor. That was not the case at all. We all have this
in our lives. We all have people in our lives who are suffering immensely. And we owe it to them
to push for the future. The most safe and effective options available. And a lot of safe and effective medical options
are not available. They're being withheld from the public. And this is only one example of that.
And so we all have to push. As I say, we all have to become our own chief medical officers.
You know, we have to work out what's going to work for us, what's going to make us whole and healed
so that we can live our best lives possible. And for me, that's the most important thing.
That's the reason why I'm here. You know, like I saw an article by you.
I read it. I immediately felt inspired. And that has led to everything else that we've created. So,
you know, we blame you entirely for this. And all the shit that we, you know, the flack that we
cough. You know, I can say this now because part of the journey, it's just extraordinary, you know,
and we receive these letters now where people are just like, you gave us our lives back.
We've given people a chance to live. We've given people their lives back, Tim. And that's something that you should be so proud of,
because if it were not for you, I wouldn't have even known about this. Certainly not at that time.
I would have probably discovered it at some point, but there's always a thing about timing.
And that was really important timing. And if we really believe that something has to be done,
then we just have to go for it. And we can't let anything stop us.
I've told you the story in my TED talk, how singing together changes the brain. I was told as a 14
year old, I was told that singing together changes the brain. I was told as a 14 year old,
never to bother having singing lessons by my best friend. I talk about it in my TED talk. And
one of the great things I learned was to never let anyone snatch your dreams away. And you can't.
It's too important. Yeah. Thank you for saying that, everything you just said. And
man, we are here for such a short time. Right.
You got to get after it or not, but you got to do your thing, I suppose.
So nice to spend time with you. Thank you for making the time. Where would you like people to
find you and Mind Medicine Australia? And do you have any asks of the audience? Is there anything
you're trying to accomplish at the moment where maybe there's someone listening who may actually
be able to help or hold the keys to something? Well, I have a couple of asks. So one of them
is that we have our patient support fund and we're a registered charity. So all donors,
to us, depending on what tax vehicle you're giving through, can be tax deductible. So we
have full deductible if recipient status, certainly in Australia. We also have people
from overseas who donate to us regularly. And our goal is to raise, at the moment,
$2.5 million so that we can really enable a lot more patients to have access to these treatments
who otherwise couldn't afford the upfront costs. So we're talking here about helping support
veterans, first responders, single mums, people who demonstrably can't afford the upfront costs
of these treatments. That's my first ask. Would people find, if they're interested
in considering that, is that mindmedicinaustralia.org.au? Is that the place to go?
Yes. Yeah, mindmedicinaustralia.org.au. And then the second thing is, if you're a clinician
or therapist out there and you really would like to work in this field and you want to
learn from the world's best, well, we have the most extraordinary global faculty that is teaching
our certificate in psychedelic-assisted therapy. So people like Bessel van der Kolk, Gabor Mate,
who I know is a great friend of yours, Tim and mine as well. People like Bill Richards and David
Nutt and Rick Doblin and all those people are on our faculty. And Tim Wolfson, lots and lots of
people that you know. And Wade Davis. So these people you can study with through our world-leading
certificate in psychedelics. And we have a lot of people who are on our faculty. And we have a lot
psychedelic-assisted therapies. And our next intakes are in February and July of 2027. Our
current intake's full. All our intakes get booked out. But we really welcome you. And we have people
coming from all over the world to study with us. So we've got people from Switzerland, Europe,
the US, Canada, even from the United Arab Emirates and Asia now. We feel there's huge
markets potentially opening up in Asia and the UAE. And so we're seeing quite a few clinicians
into our training from those regions. And just look us up. We've got an amazing website. It's
an amazing learn section. Everything you could ever want to learn about psychedelic-assisted
therapies is on our website. Tim, I've got an ask for you, but you don't have to say yes. And that
is we'd love you to join our advisory panel, but we can talk about that offline. Yeah. And we also
have an extraordinary webinar series and it's free. And the next one's on eating disorders. We
had Dr. Gabor Mate. Is that Peter Levine, Walking the Tiger, Peter Levine? Yeah, that one. And later
in the year, we've got Bessel van der Kolk. And I think we've got a Dick Schwartz one coming up as
well. So we have this extraordinary faculty. We have extraordinary people working with us and
just reach out. We're really friendly. We have a huge community and we're building a movement
that's building this massive other movement that we just need a massive movement globally that is
we all need to have access to treatments that can heal us. But bigger than that, our bigger reason
for being here was to make sure that the worried well, that people like you and I, Tim,
could get access to these treatments to raise our consciousness and to expand our beings and for us
to really learn and become curious. Because I think one of your questions is commonly,
what would you put on a billboard? And I would put, be curious.
And these medicines really help us to be curious. And if we can awaken people's curiosity
in a world that is so dominated by AI, we just need to go back and be curious and start to ask
our own questions, not just to AI, but to ourselves and to what's here. So I would say
to everyone, let's just keep asking questions and not outsourcing ourselves to all of the chatbots.
And all of the robots.
Yeah, well, sometimes it's a good idea to take a break from going outside for entertainment,
go inside for entertainment.
Entertainment, entertainment.
There's a lot to be curious about.
There's so much inside, so much inside. And that was probably the greatest gift of the medicines
was it really taught me to explore my inner terrain. I was very introverted as a child,
but then I was pretty,
extroverted as a performer. And I still, you know, I'm pretty extroverted person, but
for me to be able to go inside and to actually explore every single night I lie in bed and I
just explore what's going on inside. I couldn't have done that without these medicines. They gave
me that. Yeah. It's a category of catalysts that is very interesting. Many people who
listeners would associate with meditation actually never took up meditation.
until they had their mind, the cosmic egg cracked open by psychedelics, which is not to say you have
to start with psychedelics. You don't, but many of them have been greatly informed by psychedelics.
Ram Dass certainly being one primary example that you mentioned. And there are many, many others.
Well, one of the great things that he said to us when we were with him was we're all walking each
other home. And I think that's one of the really most important things that these medicines teach
you that we're all here together. You know, we've come from whatever that place is. We're going back
to whatever that place is. And we're here for a really short time to your point. And so why can't
we all just reach out a hand, get out from behind our boxes and screens and start walking each other
home. And so I write songs about that. That's amazing. It's too bad I never got to meet him.
I did watch the documentary about sort of the last chapters in his life. What an incredible
human. Amazing. Becoming nobody. Have a look at that.
Becoming nobody. Exactly. Tanya, thank you so much for the time. And thank you for doing
what you do, please say the same to your husband for me. And the website, I'd like you to add
anything else that you'd like to, but mindmedicinaustralia.org.au. That's for the
trainings, for the resources. If you want to consider donating and supporting this nonprofit,
you can find everything, my understanding is, at that website.
I have a personal website too. So that's taniadejong.com. It's my personal website.
Please feel free to reach out on any platform. I like LinkedIn, but there's lots of others.
And I just want to just really say to you, Tim, that I just want to say a huge shout out to you
for everything that you've done, not just in this field, but for your willingness to try,
to question, to be curious.
And to really try to hack yourself and to find things that you can share with others that are
going to work for everybody. And honestly, if it were not for you, and you can see this in
multiple interviews that I've had, probably we wouldn't be sitting here having this conversation.
Australia probably would not be leading the world in this field. And I just want to thank you for
all the resources that you give to people every single week. I love your five bullet.
It's the first thing I do.
I open each week. And just a huge testament to you. And you just, as you said, when we first
met, you never know where these things are going to end up. But I want you to know that your work
helped change a whole nation. And not only a whole nation, but because our nation has changed,
that has changed the whole world. There's a real possibility now. There's a real hope for everyone
that we can actually heal some of the immense suffering in our world. And that brings tears
to my eyes.
Just even saying it, because we've seen the suffering and we have seen, as you would all
the time, the most devastating letters and emails from people who've, they just deserve a chance.
And that was the reason we did this. And I think in spite of us being pushy,
our hearts were always in it for the right reasons. And I think people realize that.
Well, thank you, Tanya. Thank you for saying that. And you're right that oftentimes,
we've been in the five bullet Friday, right?
I've been writing this newsletter for, God, I don't know, 10, 15 years, however, and do it every
week. And sometimes I'm just like, is anybody reading this? I'm not sure. It just gets fired
off. And because of the format, I'm just kind of like, I really have no idea what is resonating,
what is landing. So I have to just follow my own curiosity. And it's like, if I find it compelling,
for whatever reason, even if I can't justify it, it's
tugging on me.
I'm like, all right, look, maybe there's at least one other person out there who might
resonate in the same way. Let me give it a shot. I'm in there, eight, nine billion,
whatever the number is, people on this planet. There has to be one other person who speaks
English. This might get to. And thank you for saying all of that. Really admire you and what
you've done with your husband and everybody associated with MMA and the people who also
said yes at the TGA and everybody involved, right? It's just such a,
it's such a beautiful story. And the fact that you were an outsider, that you weren't
steeped in this from day one, and you were able to just experiment and test and called email and
offer to sing and fly to fricking Wisconsin, the land of cheese. Like most people are like
Wisconsin, isn't that where people eat a lot of cheese? And to move mountains bit by bit by picking
the right place to sing. And I'm like, I'm not going to sing. I'm not going to sing. I'm not going to
stick that Archimedes lever. It's a really inspiring story. And part of the reason I wanted
to, and I've already said this in one way, but have you on this podcast was because I think there are
many people out there who underestimate how much they can do if they just kind of grease the elbows
and get after it. And it's like, yeah, you're going to make tons of mistakes. Yeah. I'm sure
you'll piss somebody off. Yes, yes, yes. And, but you might also just make a huge thing happen.
Exactly. And do you know what? You never know.
You never know until you ask. And most people never ask. And you know what? All you have to do
is ask. And it's amazing how many people say yes. Like literally just about no one has said no to us
to join our advisory panel. Literally just about no one we've ever asked to do a webinar has said
no. People want to support good causes and good pioneering efforts. We so need this. We are living
in a world that is becoming more and more boxed in. So we need all of you out there to just
grab your dreams, ask for help, and then set them on fire. Like just, not in a bad way, sorry,
set them on fire in a really good way. I think you get it. Yeah, yeah. No arson endorsement.
I'm not very good. I always mix my metaphors like that.
So TLDR, get after it, folks. We're all going to be dead and dust, no time flat.
Exactly. What have you got to lose? Seriously, what have you got to lose?
Ask, ask for it. People can find you at mindmedicineistrelay.org.
A-U and your personal website, which you've mentioned, yourname.com. And to everybody
listening, we will have show notes as per usual at tim.blogs.podcast. Just search Tanya. I believe
you are the only Tanya that I've had on the podcast, T-A-N-I-A, and you'll be able to find
everything we talked about, all the people, all the documentaries, all the organizations, etc.
We'll put it all in the show notes. And until next time, as always, be a bit kinder than is
necessary. Just try to be a little bit kinder than is necessary to others.
Love you.
And kindness.
But also to yourself. That voice that you put out should echo, if you're being compassionate,
the voice that goes in. Do your best. I know it's hard. Thanks for listening, everybody.
Thanks for tuning in.
We'll see you next time.
One name that has come up on this podcast more than once is Dr. Walter Longo,
USC.
Professor with decades of peer-reviewed research on fasting, nutrition, and aging.
And as some of you long-term listeners know, or readers, I regularly fast. I've done a lot
of experimentations with fasting over more than a decade, including intermittent fasting,
extended water-only fasts up to 10 days. And I've looked at the before and after.
Frankly, the fasting has been one of the most incredible unlocks that I have found.
The before and after, looking at glucose control, oral glucose tolerance tests,
hemoglobin A1C, etc.
All these things that really do matter for the long-term, for mental health, for physical health,
have had dramatic, dramatic shifts. And I've talked about that before. But the sad truth,
the truth about fasting is that it can be really hard. And that is why Walter is interesting. He's
best known for something called the fasting mimicking diet, FMD, which is essentially a
way of eating that produces many of the benefits of fasting while still allowing you to eat food.
So if we look at that a little more closely,
he took what he learned in these randomized control trials and so on and packaged it into
a five-day program called PROLON, P-R-O-L-O-N. It's five days. So for five days, you restrict
your food a bit. And what PROLON does is makes it idiot-proof. Comes in one box. Everything is
laid out. There's no guesswork. You just follow the packages. And in scientific studies, five-day
cycles of the fasting mimicking diet, improved markers tied to metabolic health and aging,
help people drop fat while holding on to lean muscle,
and even associated with measurable drops in biological age. And to put some numbers to it,
with glycemic management, blood sugar management, we're able to see one RCT improvements in 53% of
FMD participants versus 8% of controls. You don't have to
go to the gym. It all comes in one box. And it's right there, laid out, simple to follow. Now, guess what I did just before breakfast? I
did what I do every morning. I took some creatine. Today, I took five grams. If I'm sleep-deprived,
I might take 10 or 15.
15 and i have used momentous creatine for a long time as it's been one of the highest quality
creatine options available on the market that's exactly what i used this morning now momentous
has taken that quality that they're already known for even further with signature spec creatine the
most advanced version yet signature spec is manufactured in a pharmaceutical facility using
reverse osmosis water purification you can hear those birds in the background man i'm striving
for healthy over here it's verified through a six-stage testing process with four independent
agencies delivering 10 times fewer impurities two to five times tighter heavy metal limits
and added pfas that's the forever chemicals you don't want and microplastic screen that's the
standard the ultrafine powder also mixes cleanly with no grit super super easy creatine supports
strength power lean muscle and recovery with growing research on enhanced memory and cognitive
performance i take it mostly for the cognitive
stuff but it's great for the gym too so if you take creatine every day like i do make sure it's
the best do not cut corners head to live momentous.com slash tim and use code tim for 14 off
that's an interesting percentage for 14 off of your first one-time order or a total of 35 off
your first subscription order that's live momentous.com slash tim that's live moment
oh us momentous live momentous.com slash tim for between 14 and 35 percent off
with code tim
Podcast Summary
Key Points:
Tanya DeYoung and her husband Peter launched Mind Medicine Australia in 2019 to advocate for legal psychedelic therapies in Australia, starting with psilocybin and MDMA for mental health.
They overcame early rejection from regulatory bodies by persistently submitting applications and building public and scientific support through research, patient stories, and expert endorsements.
A pivotal moment came in 2023 when Australia became the first country to officially reschedule psilocybin and MDMA for psychiatric conditions, driven by real-world evidence and urgent patient cases.
The campaign included strategic outreach to key figures like David Nutt, Ram Dass, and Rick Doblin, who lent credibility and amplified the cause through public events and scientific presentations.
Patient stories, especially of those suffering from depression and trauma, were central to the movement, showing the human impact and creating emotional and ethical momentum.
The initiative built a network of over 750 trained clinicians and established clinics, with 60–80% remission rates and no serious adverse events reported.
Real-world data collection through a registry at the Australian National University provided critical evidence for cost-effectiveness and safety to policymakers.
Partnerships with payers like Medibank, the Department of Veterans Affairs, and the National Disability Insurance Scheme have enabled broader access and sustainable funding.
Summary:
Tanya DeYoung and her husband Peter co-founded Mind Medicine Australia to push for the legal use of psilocybin and MDMA in treating mental health conditions. Starting with personal experiences of psychedelic therapy, they built a grassroots movement by assembling a network of researchers, clinicians, and advocates. Despite repeated rejections from the Therapeutic Goods Administration (TGA), they persisted, using patient stories—especially from individuals like Franco, whose husband’s death from depression underscored the need for treatment—to create emotional and moral urgency.
Strategic alliances with leading scientists such as David Nutt, public events, and advocacy in town halls helped shift perceptions. In 2023, Australia became the first country to reschedule these substances for psychiatric treatment, marking a historic breakthrough. Over 20 clinics now offer psychedelic-assisted therapy, with 60–80% remission rates and no serious side effects.
The movement achieved scalability through training 750+ clinicians, forming partnerships with health insurers, and establishing real-world data collection to prove cost-effectiveness and safety. While still in early stages, the model demonstrates a replicable path for transforming mental healthcare through public advocacy, evidence-based policy, and patient-centered innovation.
FAQs
They began after a personal psychedelic experience with psilocybin in 2015, which led them to realize the potential of these substances for treating mental illness. They founded Mind Medicine Australia in 2019 and launched a comprehensive campaign involving research, public education, advocacy, and collaboration with scientists and clinicians.
The pivotal moment was in February 2023, when the Therapeutic Goods Administration (TGA) officially rescheduled psilocybin and MDMA from prohibited substances to prescription medicines for treating depression and PTSD, making Australia the first country to do so globally.
They organized a nationwide campaign including public town halls, events with scientists and advocates like David Nutt, and direct engagement with patients who had suffered from untreated mental illness, such as Vanessa whose husband’s depression led to his death.
Peer-reviewed clinical trials from institutions like Johns Hopkins and Imperial College London demonstrated high remission rates (60–80%) for depression and PTSD, providing strong evidence that psychedelic therapies are both safe and effective.
Tanya and her team invited David Nutt to present at public events and to the TGA to leverage his scientific credibility. His presence helped demonstrate the medical and clinical validity of psychedelic therapies, swaying both experts and policymakers.
Treatments are administered in controlled clinical settings with trained therapists, following a structured protocol that includes pre- and post-treatment therapy, psychological preparation, and ongoing support to ensure safe integration of experiences.
Chat with AI
Loading...
Pro features
Go deeper with this episode
Unlock creator-grade tools that turn any transcript into show notes and subtitle files.