The Benefits of Psychedelics on PTSD

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Leah Bucholz
Leah Bucholz, PA-C, is an NCCPA board-certified physician assistant and the founder and CEO of Prestige Veteran Medical Consulting. She served 20 years in the U.S. Army as a medic and physician assistant, deployed to Iraq, and retired as a Major. From 2018 to 2019 she was a VA Compensation & Pension examiner in Boerne, Texas. She is lead author of the independent medical opinion chapter in the U.S. Army Physician Assistant Handbook (2nd ed., 2021) and hosts The Veterans Disability Nexus podcast. Her articles cite primary sources, including 38 CFR, VA.gov and the Federal Register.
Benefits of Psychedelics on PTSD

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Post-Traumatic Stress Disorder (PTSD), a haunting specter for many who have endured trauma, has long challenged traditional mental health treatment methods. In recent years, a promising frontier has emerged—psychedelic-assisted therapy. Leah Bucholz and Ben “Doc” Askins talk about the benefits of psychedelics on PTSD, spotlighting MDMA and ketamine as agents of hope in this battle.


MDMA: A Ray of Light in the Darkness Of PTSD.

Leah Bucholz and Ben “Doc” Askins unravel the journey of MDMA (3,4-methylenedioxymethamphetamine) in the realm of PTSD treatment. Currently classified as a Schedule I substance, MDMA’s future seems poised for change. The anticipation is palpable, with discussions suggesting a potential shift to Schedule II in the near future, marking a significant milestone for researchers and therapists alike.

Clinical Triumphs

At the heart of the MDMA discussion lies its clinical triumphs, particularly in treating chronic complex PTSD. Leah Bucholz and Ben “Doc” Askins indicate that a number of participants experiencing this severe condition witnessed a significant reduction in PTSD ratings after a series of therapy sessions intertwined with MDMA administration. The therapy, conducted over three to six months, showcases not only the substance’s robust efficacy but also its unique ability to induce remission, lasting beyond the treatment period. So it seems there are many benefits of psychedelics on PTSD.

The MDMA Mechanism: Suppressing Fear, Amplifying Love

Understanding MDMA’s mechanism is crucial to grasp its therapeutic potential. The substance operates by suppressing fear circuitry within the central nervous system, primarily in the amygdala. Simultaneously, it elevates the presence of love-centric neurotransmitters, creating a mental environment where individuals can approach their traumatic memories with compassion. The psychedelic space induced during therapy becomes a bridge to healing, offering a unique perspective on past experiences.

Challenges and Hurdles

While the optimism surrounding MDMA is tangible, challenges persist. The variability in individual responses, the durability of treatment effects, and the financial accessibility of MDMA-assisted therapy are points of discussion. As the substance edges closer to potential rescheduling, questions regarding standardized treatment protocols and the broader implications for mental health care arise.

Ketamine: A Versatile Psychedelic Tool for PTSD

Leah Bucholz and Ben “Doc” Askins introduce ketamine as another psychedelic player in the PTSD treatment arena. Unlike MDMA, ketamine’s journey begins as an anesthetic agent, finding its way into mental health treatment through its unique set of mechanisms. From managing acute suicidality to providing relief from chronic pain, ketamine showcases a versatility that positions it as a multi-tool in psychiatric interventions.

Navigating Dosage and Durability

Ketamine’s effectiveness is dosage-dependent, with high doses utilized for anesthesia and lower doses administered for chronic pain. Leah Bucholz and Ben “Doc” Askins discuss the complexity of ketamine’s efficacy, with some individuals requiring infrequent treatments while others necessitate weekly infusions. The quest for understanding the factors influencing this variability becomes a paramount concern in harnessing the full potential of ketamine.

Insurance Landscape and Advocacy on PTSD

The financial aspects of psychedelic-assisted therapy cannot be ignored. Both MDMA and ketamine, being employed off-label for mental health purposes, grapple with challenges in insurance coverage. Advocacy efforts led by figures like Captain Kimberly Joveski aim to shift perceptions within the insurance industry. However, the road to widespread coverage remains an uphill battle.

Navigating the Psychedelic Seas

In conclusion, Leah Bucholz and Ben “Doc” Askins provide a captivating glimpse into the evolving landscape of psychedelic-assisted therapy for PTSD. MDMA and ketamine offer distinct paths to healing, presenting novel possibilities for treatment-resistant conditions. As we stand at the brink of potential rescheduling and witness the dawn of advocacy efforts, it is clear that psychedelics have disrupted the traditional narrative of mental health care.

A Call for Nuanced Understanding

The benefits of psychedelics on PTSD are evident, yet their integration into mainstream mental health care demands nuanced understanding. Standardizing treatment protocols, addressing individual variability, and ensuring financial accessibility are critical components of this journey. The therapeutic odyssey with psychedelics is not only about unlocking their potential but also about paving a path where compassion, understanding, and healing converge for those who need it the most.

Also read: Atrial Fibrillation and PTSD in Veterans Disability

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Leveraging an extensive network of licensed independent medical professionals, all well-versed in the medical professional aspects of the VA claims process, we review the necessary medical evidence to incorporate in our reports related to your VA Disability Claim.

Prestige Veteran Medical Consulting is not a law firm, accredited claims agent, or affiliated with the Veterans Administration or Veterans Services Organizations. However, we are happy to discuss your case with your accredited VA legal professional.

Picture of Alan Bucholz, PA-C
Alan Bucholz, PA-C

Board-Certified Physician Assistant | U.S. Army Combat Veteran | Co-founder & CFO, Prestige Veteran Medical Consulting

This article was medically reviewed and fact checked by Alan Bucholz, PA-C, a board-certified Physician Assistant and retired U.S. Army combat veteran with experience in emergency medicine and two combat deployments (Iraq & Afghanistan). As Co-founder of Prestige Veteran Medical Consulting, Alan provides evidence-based medical opinions to support veterans’ VA disability claims with accuracy, compliance, and ethics.

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