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Writer's pictureCoach Katie

Psilocybin vs. Ketamine: Comparing Two Promising Psychedelic Therapies

Ever wondered about the potential of psychedelics to revolutionize mental health? At Align+Clear Coaching, we're excited about the emerging research on psychedelic therapies, particularly psilocybin and ketamine. These two substances are at the forefront of a paradigm shift in mental health care. But what exactly are psilocybin (magic mushrooms) and ketamine, and how do they compare?


Psilocybin vs. Ketamine

Psilocybin: Nature's Mind-Expander


Psilocybin, the active compound in "magic mushrooms," has been used for centuries in traditional healing practices. Now, it's making waves in modern medicine.


  • Origin: Found naturally in certain mushroom species

  • Impact: Serotonin 5HT2A receptors

  • Effects: Produces profound alterations in consciousness, perception, and mood

  • Duration: Typically lasts 3-5 hours, depending on dosage


Imagine psilocybin as a key that unlocks hidden rooms in your mind. It opens doors to new perspectives and can help you see your thoughts, emotions and self from a different angle.


Ketamine: From Battlefield to Therapist's Office


Ketamine was originally developed as an anesthetic and was used extensively in the Vietnam war. Due to how it affects the brain, it's not a "classic psychedelic" like psilocybin and LSD, but it has neurobiological similarities with psychedelics.


  • Origin: Synthesized in a lab, used medically since the 1960s

  • Impact: NMDA receptors

  • Effects: Produces dissociative effects and can rapidly alleviate depression symptoms

  • Duration: Typically lasts 30 minutes to an hour, depending on dosage


Think of ketamine as a reset button for your brain. It can quickly lift the fog of depression, offering rapid relief where other treatments have failed.


Mechanisms of Action

Both psilocybin and ketamine work their magic in the brain, but they take different routes to get there.


Psilocybin primarily acts on serotonin receptors, particularly the 5-HT2A receptor. This interaction leads to:

  • Increased connectivity between brain regions

  • Enhanced neuroplasticity

  • Potential for long-lasting changes in thought patterns and behavior


Ketamine works mainly on glutamate receptors, specifically NMDA receptors. This results in:

  • Rapid antidepressant effects

  • Increased production of brain-derived neurotrophic factor (BDNF)

  • Potential for quick relief from suicidal thoughts


Therapeutic Applications


While both substances show promise in mental health treatment, they each have their specialties.


Research suggests psilocybin may be particularly effective for:

  • Treatment-resistant depression

  • Anxiety disorders, especially in end-of-life care

  • Addiction treatment

  • PTSD


Ketamine has shown remarkable results in treating:

  • Major depressive disorder

  • Bipolar depression

  • Chronic pain conditions

  • Suicidal ideation


The Experience: A Tale of Two Trips


A psilocybin session is often described as a profound, introspective experience. Users report:

  • Vivid visual and auditory hallucinations

  • A sense of unity with the universe

  • Profound insights into personal issues

  • Emotional breakthroughs


Ketamine experiences, while also profound, tend to be more dissociative. Users often describe:

  • A feeling of detachment from the body

  • A sense of floating or flying

  • Rapid mood elevation

  • A dream-like state


Safety and Accessibility


Both psilocybin and ketamine are generally considered safe when used in controlled, therapeutic settings. However, there are some key differences:


Psilocybin is still classified as a Schedule I substance in most areas of the U.S., making research and treatment access challenging. However, change is on the horizon:


Ketamine has an advantage in terms of accessibility:

  • Approved for medical use as an anesthetic

  • Available off-label for depression treatment in many clinics

  • Esketamine, a nasal spray derived from ketamine, is FDA-approved for treatment-resistant depression


The Future of Psychedelic Therapy


The field of psychedelic therapy is evolving rapidly, and events like the Psycon Psychedelic Convention in Denver, Colorado, are at the forefront of this revolution. Held in October 2024, Psycon offers a unique opportunity to dive deep into the world of psychedelic science and policy. It's a must-attend event for anyone interested in the future of mental health treatment, offering chances to learn, network, and shape the foundation of what could become one of the nation's largest psychedelic markets. (And yes, we were there!)


Both psilocybin and ketamine offer exciting possibilities in mental health treatment options. While they work through different mechanisms and offer unique experiences, both have shown remarkable potential to help people break free from the grip of depression, anxiety, and other mental health challenges.


At Align+Clear Coaching, we're committed to staying at the forefront of these developments, integrating the latest research into our coaching practices to help our clients achieve optimal mental and emotional well-being. Whether you're curious about the potential of psychedelic therapies or simply looking to expand your understanding of cutting-edge mental health treatments, we're here to guide you on your journey.


Are you ready to explore how these emerging therapies might fit into your path to wellness? Book a consultation with us today to learn more about our Psychedelic Integration Coaching program and how we can support you in navigating this exciting new frontier in mental health.



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