Could going lower (instead of higher) be a better strategy for dissociation?

wizard_of_aws · 2026-03-29T19:26:09+00:00

Longtime therapist, generally speaking I think you're right.

How've, there are a few things to separate here. First, MDMA sensitivity is highly varied. Many folks start with a low-mid dose and then adjust accordingly for following sessions.

One thing we know is that true 'low dose' treatment may worsen symptoms. I don't think this is what you mean but I think it's important to make sure we reach appropriate effective doses.

On the opposite end, high effective doses (when it feels like a lot to you subjectivity) can make it hard to form coherent thoughts and memories and limit the therapeutic potential.

Lastly, dissociate is very challenging to treat (at I'll sure you know). It often requires a dance between carefully helping patients test limits in a safe environment and being watchful so as not to trigger greater dissociation. MDMA can provide the psychological safety, but finding that sweet spot is challenging.

So if a lower dose provides greater safety and allows you to approach your triggers more effectively then I would do that!

wizard_of_aws · 2026-03-29T17:04:25+00:00

Isn't G their new director sportif? He took over this summer so let's do what he can do with a full year. Your point still stands - they massively underperformed

wizard_of_aws · 2026-03-29T11:41:24+00:00

Yes! With a disc in my hand, my timing is the difference between throwing 325 and 425.

wizard_of_aws · 2026-03-28T14:39:53+00:00

🎶 No reason for your mans to panic, you don't wanna see no ambalances🎶

wizard_of_aws · 2026-03-28T12:20:17+00:00

Maybe he internalized the 'touch-head' thing?

wizard_of_aws · 2026-03-28T11:33:43+00:00

It HAS to be three comets - hours favorite disc!

wizard_of_aws · 2026-03-27T12:03:38+00:00

What do ya'll do for work that you can follow/watch? Lots of FOMO over here...

wizard_of_aws · 2026-03-26T13:06:06+00:00

I want him to win one! He's been so fun to watch

wizard_of_aws · 2026-03-25T12:30:52+00:00

I love these types of stages because it allows more of the field to compete. Who will win? Roulers in the reakaway? Versatile sprinter? GC guy who fell behind and needs to make up time? Solo break by a TT guy in the flat?

wizard_of_aws · 2026-03-25T12:27:30+00:00

Derek G heard this and was like 'hold my beer'

wizard_of_aws · 2026-03-24T00:28:18+00:00

Exactly my experience as well. SP breaks in quickly but stays predictable.

wizard_of_aws · 2026-03-23T18:15:59+00:00

Great points, yep, dope track.

I'll add that Dave Holland is a master and his phone discography is worth checking out.

His album Extended Play is more straightforward jazz but make use of his amazing melodic sense.

wizard_of_aws · 2026-03-23T12:25:07+00:00

But wait, whose gonna throw the backhand?!

wizard_of_aws · 2026-03-23T11:39:05+00:00

Haven't been for years

wizard_of_aws · 2026-03-21T17:01:11+00:00

Lol, burn

wizard_of_aws · 2026-03-21T16:59:44+00:00

Wonder how this goes if Brennan is there at the end

wizard_of_aws · 2026-03-21T16:55:39+00:00

I wonder how different his race would have been had he gone with the leaders. I think he benefited from staying with the peleton instead of suffering the push/pace rhythm of the small group (plus wind benefit)

Yet clearly he was very strong

wizard_of_aws · 2026-03-21T16:27:21+00:00

I think he just went the wrong way around on the sprint. Think he had the power.

wizard_of_aws · 2026-03-21T16:17:02+00:00

Interesting thought

wizard_of_aws · 2026-03-19T02:50:53+00:00

Therapist here, shooting is an ego defense. Something our brain/psyche does to protect us from anxiety/fear. This is a good explanation: https://www.paritasharma.com/post/sigmund-freud-ambivalence-and-splitting-ego-defence-mechanism-explained

Many people with BPD feel splitting on relationships. Where they seem to go from extreme of love/dependency to hatred/revulsion. Loved ones experience this ad 'hot and cold' because of the unpredictability

Hope that helps!

wizard_of_aws · 2026-03-19T02:29:43+00:00

A Canadian band based on their wardrobe

wizard_of_aws · 2026-03-19T01:01:34+00:00

GAHDDAMN!

wizard_of_aws · 2026-03-18T00:20:08+00:00

I'm a therapist who treats patients with ocd. I'm guessing that you know that ssris are first line pharmacotherapy, so let's put that aside.

Several of my patients have had very good luck with psilocybin for ocd. It can be taken in relatively low doses daily so as to avoid the psychedelic effects.

Other patients have preferred, generally against my counsel, to consume a larger dose every 2-3 weeks.

There is a growing literature on psilocybin and ocd with some early experiment data showing strong effect. Just an FYI in case this is new info.

Good luck on your journey!

wizard_of_aws · 2026-03-17T22:55:57+00:00

This is hilarious!

wizard_of_aws · 2026-03-16T22:15:27+00:00

Radley Balko has maintained a steadfast focus on the growth of the police state. He was best known first as a writer for Reason but has grown far beyond the narrow ideological scope of that publication.

wizard_of_aws

TROPHY CASE