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Goodbye Patient, Hello Client

a new shamanic approach to drug use and mental healing

by Brian Ballard Quass, the Drug War Philosopher

March 19, 2025



One of the strangest and most anti-scientific conceptions of the Drug Warrior is the idea that the word "drugs" constitutes a meaningful category of substances. The fact is that substances that fall under this politically defined rubric have an extraordinarily wide range of effects.

Update: May 13, 2025

Author's follow-up for October 03, 2025

Some increase blood pressure, some lower it. Some increase libido, some lower it. Some increase attention to detail, some lower it. Some increase volubility, some lower it. Some can vary widely in these effects based on other factors of usage: such as the personality of the user, the setting for use, the goal (if any) of use, etc. And so the question, "Do people need drugs?" is ambiguous in the age of the Drug War. The answer depends on whether one is responding with common sense or in light of the dogmatic and puritanical presuppositions of our times. The materialist will tell you that people only need meds - by which they mean psychoactive substances that have been proven to work via known chemical pathways. Drug warriors will tell you the same thing, although they will support their answer by alluding to the vast literature of misuse and abuse of drugs that the government has one-sidedly compiled in their puritanical effort to convince Americans that drug use - as opposed to the use of "meds" - is wrong and bound to end in tragedy (even if it takes a little help from law enforcement to vindicate that latter prophecy).

Such a wholesale denial of the beneficial nature of psychoactive drugs, however, can only be "justified" by metaphysical principles, since there is nothing logically obvious about it, neither when considered in the light of world history nor when subjected to our psychological common sense. Such conclusions therefore can only be thought of as a matter of faith. In the case of Mary Baker-Eddy, her faith taught her that only Jesus Christ could heal us, from which it followed (at least in her mind) that drug use was a sort of insult to the deity, a sign that the user lacked faith in the healing powers of the Lord. The Drug Warrior seldom mentions Jesus Christ, which makes their position less philosophically defensible than Mary's, or at least less intelligible. But we can imagine a secular metaphysic by which the wholesale negation of "drugs" might be suggested. We MUST imagine it, for the Drug Warriors are never honest enough to elucidate the "first principles 1 " upon which they base their historically unprecedented view that psychoactive drugs have no positive uses whatsoever. Presumably the Drug Warrior means to say that human beings are so created (apparently by evolution) that we are "good to go" when it comes to psychological matters, though apparently this is not the case when it comes to "purely physical complaints," as if there really were such a beast as "purely physical complaints," except in the dogmatically passion-free mind of the materialist.

I can personally attest to the variability of psychoactive drug effects, by the way. After my first use of ayahuasca in a group organized by Pachamama Sanctuary, the 30 or so participants were asked to describe their experiences. To my surprise, almost everyone reported something quite different from that of their fellows. Many were greatly inspired. A few were "bummed out." One claimed to have spoken with her deceased grandmother. Another cried throughout the experience, though she claimed that her tears were tears of joy. Another shrieked and screamed throughout his entire journey (until I feared that the group session was going to be raided by the materialist police). For my part, my mental screen was full of what I can only describe as an inner-lit rainbow-colored circus, one that morphed and moved, as it seemed to me, in response to my consciously willed commands. In other words, the psychology of the user seemed to play a crucial role in defining the ayahuasca experience. This is really good news, in a way, because it suggests that the therapeutic use of the medicine could be guided by a psychologically savvy empath 2 such that specific desired goals and outcomes are most likely to be brought about.

I have also personally noticed a wide range of reactions to psilocybin mushrooms. The outcome of use for myself seems to be determined by my own mood and circumstances at the time of consumption. I have had very poor results on very high doses and amazing results on modest doses. And surely every veteran marijuana user is aware of the role that one's pre-existing mood plays in determining the nature of one's experience on that drug. This, of course, is why such drugs are seldom of interest, in and of themselves, to pharmaceutical companies. They want to take them apart and repackage them in such a way that they can promise a one-size-fits-all result for the end user. In short, they want to take the unpredictable magic out of the drugs and present consumers with the predictable dross: something that intoxiphobic westerners can pop like aspirin without fear of inadvertently "letting their hair down" while "under the influence," without fear of unintentionally learning something unflattering about themselves from what indigenous people might call a "teacher medicine."

But there is an alternative approach to leveraging such drugs for human benefit, a way that maximizes their magic rather than minimizing it. I am alluding to the concept, already mentioned above, of the psychologically savvy empath, a new class of American professional who would combine the best human qualities of an empathic psychiatrist with a thorough knowledge of psychoactive drugs, with a special emphasis on discovering the best practices for beneficial use as suggested by anecdote, history and common sense - the three things which today's psychiatrists ignore, at least insofar as they are faithful to the materialist understanding of "mental illness 3 " in which they were instructed (or rather "proselytized") for a minimum of eight years in academia.

This new paradigm for treating mental health would get rid of the whole disempowering concept of the "patient," since such empaths could be visited by anyone seeking to improve their mind or mood for any reason - whether they suffer from what the materialist-oriented DSM describes as a discrete and unique "illness," such as clinical depression, or whether they merely want to "see a world in a grain of sand" with the help of drugs. In all cases, this pharmacologically savvy empath would be the go-to source when it comes to the wise use of drugs for beneficial purposes. He or she would not take the place of private drug use, they would not be the mandatory new gatekeepers for drug use, but they would rather always be there to help and advise. Imagine that: a world wherein we taught safe use rather than superstitiously demonizing drugs as bad in and of themselves: a world in which we frowned only upon uninformed drug use, rather than upon drug use in general.

It will be argued, of course, that psychiatrists are required by law to ignore such factors as anecdote, history and common sense when it comes to positive drug use, or at least that they cannot prescribe anything based merely upon such considerations. That is the result of drug prohibition, after all. And this is certainly true. But this neither explains nor justifies the silence of psychiatrists on this topic. If government policy is a roadblock to the interests of their patients, psychiatrists should be saying so loudly and clearly, at least in the official organs of their trade. Yet the American Psychiatric Association continues to support the pill-mill. Their website never once mentions phenethylamines nor the glaringly obvious ways in which they could be put to work on behalf of improving mental health. Their website never mentions Alexander Shulgin, whose usage reports on such substances suggest whole worlds of potential psychological protocols limited only by the creativity of the human mind.

Instead, the APA digs in its dogmatic heels and lives in the past. They feel no compulsion to denounce the Drug War since they are happy with the Big Pharma -oriented monopoly that drug prohibition has put in place. This is just another example of the oft-observed fact that Americans refuse to hold the Drug War responsible for the evils that it creates, often because they (or their employers) have some vested interest in the corrupt status quo. Psychiatrists ignore the effects of the War on Drugs in their field just as reporters ignore the effects of the War on Drugs in theirs. This is why modern news stories about inner-city gun violence 4 never mention the fact that it was the Drug War which loaded the 'hood with firearms in the first place. Indeed, Lisa Ling produced a CNN documentary about gun violence 5 in Chicago in which she never even mentioned the War on Drugs. Americans are so brainwashed by Drug War ideology that these negative effects of prohibition are simply invisible to them.

Nevertheless, I repeat that the beneficial usage reports of the phenethylamines synthesized by Alexander Shulgin suggest a whole new approach to psychological healing, one in which we retire the disempowering epithet of "patient" altogether and replace it with positive words like "seeker" or "searcher" - or at least with the neutral term of "client."

Strangely enough, however, Shulgin himself seemed to be unaware of the potential that I am discussing here. I base this assessment on certain comments that I found in the sections of "Pikhal" entitled "extension and commentary," comments in which he made it clear that the stunning qualitative results of the drug use that he was reporting had no necessary connection with any actual treatments for the depressed. He seemed rather to think that depressed people are aliens from Mars and that they are not therapeutically susceptible to rapture and insight and other such benefits of using phenethylamines. Apparently those benefits were to be expected only by "normal" human beings, not the depressed.

This really puzzled me. I could only think of one explanation for his obtuseness on this subject: namely, the fact that he knew that such common-sense results would be a non-starter with the pharmaceutical companies for which he worked. To gain contracts with those entities, Shulgin knew that he had to turn such drugs into one-size-fits-all medicine, at least in so far as "all" in this case means "all people that fit the DSM's specifications for a specific 'mental illness.'" The medicine, moreover, had to produce one specific result in a way that would please a behaviorist, namely by working via an identified chemical pathway and not merely by working per se. Any drug could "work," after all - hell, laughing gas could "work" (were it not made as unavailable as possible for therapeutic purposes by Drug Warrior legislators and the FDA). Drugs for depression had to "REALLY" work, according to materialist principles. The rapture and insight and compassion felt by users meant nothing to the behaviorist version of Shulgin's personality. Actual patients had to reap their benefits scientifically or not at all!

But Shulgin seems to have played both Jekyll and Hyde on this subject. He seemed to be a shaman by nature, one convinced of the power of phenethylamines to inspire via holistic processes, and yet whenever he considered drugs from a vocational viewpoint, he became a behaviorist, apparently because he understood what his Big Pharma 6 7 clients were looking for. Their main goal was to sell predictable one-size-fits-all medicine, after all, not to facilitate breakthrough treatments. It was never enough that a drug merely worked - it had to work according to a biological pathway that could be identified on a flow chart. It did not matter that the depressed individual experienced rapture and insight if that rapture and insight could not be quantified in numbers that could be presented as "hard data" in a slick magazine for shareholders of the big pharmaceutical companies. Fortunately, however, the common sense that Shulgin sometimes ignores in his chemically oriented comments yet shines through in the qualitative reports that he published in "Pihkal" about the actual effects of various phenethylamines:

"It could be best described as an 'insight-enhancer'," wrote a user of one such drug, "and obviously of potential value in psychotherapy (if one would wish to spend 30 hours in a therapy session!). I suppose it would be best to simply stick with the insight-enhancing and skip the psychotherapy."


This user points out the obvious: that for some of us, at least, drugs of this sort could replace the need for psychotherapy altogether. The Drug Warrior has a coronary when reading such lines, but that is only because they never consider the actual circumstances of drug use and therefore they assume that everyone else ignores them as well. So when I say that SOME people might be able to replace psychotherapy with drugs, they hear me saying that ALL people could do so, which is nonsense. The whole point of my new approach to drug use is that we (i.e., my pharmacologically savvy empaths) would take patient-specific factors into account and devise drug-aided protocols based on those peculiarities. Say for instance that I entered their premises and told them that I wanted to learn to be more forgiving and less angry. They would work with me on creating a facilitated drug-use protocol which used drugs that were shown historically to conduce to such mental states as I desire. In so doing, they would take into account my risk tolerance and the extent to which I was familiar with the types of drugs that were indicated as being potentially beneficial in my case. I should add that my risk tolerance would be derived not simply from the consideration of the potential downsides of use but it would also take into account the potential downsides of NOT using the drugs, i.e., of continuing with the status quo, a course which at least in some individuals may entail the possibility of their committing suicide.

I should also point out here that suicide is, indeed, a "downside," by the way, since the FDA and our Drug Warriors pretend that it is not. This can be seen by the fact that they never consider the downsides of failing to approve godsend medicines, even though in so doing, they may be denying the suicide 8 of their last best hope for considering life to be worthwhile. The suicidal are not stakeholders when it comes to American drug policy, after all.

Of course, when the Drug Warrior says that people do not need "drugs," they are always using that term in the political sense of the word, namely, as a contrast to the word "meds," which apparently people DO need. To put this another way, Drug Warriors have no problem with drug use - as long as it is blessed and facilitated by materialists according to behaviorist principles. In still other words, the Drug Warrior and the modern psychiatrist are both "on the same page" when it comes to mental health protocols. They both agree that "healing" must only take place according to the materialist's understanding of that word, through some clearly identifiable biochemical process in the human being - and that merely cheering a patient up can never be considered a treatment for depression. This is why we outlaw all drugs with any obvious power to elate and inspire: including opium , the original panacea par excellence, and coca, and psilocybin - and, of course, the hundreds of phenethylamines synthesized by Alexander Shulgin. This is why materialist Dr. Robert Glatter expresses doubt in Forbes magazine about the ability of laughing gas 9 to help the depressed. Laughing gas, for God's sake! This is why the FDA continues to drag its feet when it comes to approving glaringly obvious godsends, like MDMA 10 and psychedelics.

And this, in turn, is why I write: because such politically-inspired cluelessness is so damnably productive of bad and inhumane laws - laws that keep me from being all that I can be in life by denying me a whole pharmacopoeia's worth of psychoactive medicine - medicine that has the glaringly obvious potential to elate and inspire, at least for those who have removed the dual blinders of behaviorism and Christian Science.

So, I ask again: do people need drugs? It's a leading question insofar as it falsely implies the existence of the Drug War apartheid of Julian Buchanan11, according to which some substances are "drugs" (bad) and some substances are "meds" (good). But the short and obvious answer to the question is an appropriately qualified yes, people do need drugs.

What people could do without is the gaslighting 12 of politicians and psychiatrists (and chemists) who are forever trying to convince us that obvious drug benefits are not REALLY obvious drug benefits.



Author's Follow-up:

May 13, 2025

picture of clock metaphorically suggesting a follow-up




The Drug War is all about gaslighting 13 us when it comes to drug benefits. Amazingly, it has succeeded in making many of us close our eyes to the obvious. "What's that?" Americans ask. "You say that the time-honored panacea called opium 14 actually has no benefits whatsoever? Who knew? Well, okay, then. Whatever you say, boss!"

The success of the Drug War in making us believe nonsense demonstrates the terrible power of propaganda.

It forces one to ask a terrible question:

Does the Drug War prove that the type of government called democracy is bound to fail insofar as its most cherished freedoms (including freedom of thought itself) will eventually be sacrificed by a mob inspired by self-interested fearmongers?



Author's Follow-up:

October 03, 2025

picture of clock metaphorically suggesting a follow-up






The vast majority of people do not need psychiatry or psychoanalysis. Cocaine is a cure for depression. Freud knew this15.

"My impression has been that the use of cocaine 16 over a long time can bring about lasting improvement." --Sigmund Freud, On Cocaine17


He was gaslighted on this subject by his fellow physicians, however, who saw cocaine (quite rightly) as a drug that would deprive them of a living! And so they ignored ALL the stakeholders in discussing cocaine -- except for the rare individuals who proved unable to use the drug wisely -- you know, the ones whom we refuse to educate about safe drug use.

And so the depressed were never considered stakeholders when considering the pros and cons of cocaine use. By lopsidedly demonizing cocaine, the medical industry threw all the depressed in the world under the bus -- out of a pretended concern for the vast MINORITY of irresponsible users: those users whom we refuse to educate about drug use; those users whom we refuse to provide with the readily available legion of cocaine alternatives which would be easily found in a world wherein we actively sought to use drugs for human benefit rather than ignorantly demonizing them a la the "Fire bad!" mindset of the caveman.






Notes:

1: A Principle-Driven Approach to Ending Drug Prohibition DWP (up)
2: psychologically-savvy empath: this is an empathic individual with an ethnobotanical knowledge of safe and beneficial drug use worldwide, someone who recognizes psychological common sense and can advise on protocols that meet user needs while avoiding unwanted dependency. (up)
3: How the Myth of Mental Illness supports the war on drugs DWP (up)
4: Firearm Violence in the United States Center for Gun Violence Solutions, Johns Hopkins University (up)
5: Firearm Violence in the United States Center for Gun Violence Solutions, Johns Hopkins University (up)
6: How Drug Company Money Is Undermining Science Seife, Charles, Scientific American, 2012 (up)
7: Why Is Biopharma Paying 75% of The FDA’s Drug Division Budget? LaMartinna, John, Forbes, 2022 (up)
8: Why Americans Prefer Suicide to Drug Use DWP (up)
9: Forbes Magazine's Laughable Article about Nitrous Oxide DWP (up)
10: How the Drug War killed Leah Betts DWP (up)
11: Breaking Free From Prohibition: A Human Rights Approach to Successful Drug Reform Buchanan CPA, DSW, MA, PhD, Julian, Drugs, Human Rights & Harm Reduction, 2018 (up)
12: How psychologists gaslight us about beneficial drug use DWP (up)
13: The Semmelweis Effect in the War on Drugs DWP (up)
14: The Truth About Opium by William H. Brereton DWP (up)
15: Sigmund Freud's real breakthrough was not psychoanalysis DWP (up)
16: What the Honey Trick Tells us about Drug Prohibition DWP (up)
17: On Cocaine Freud, Sigmund (up)


Christian Science




On a superficial level, Christian Science may be seen as a drug-hating religion and so its very existence tends to support the effort of drug warriors to outlaw godsend psychoactive medicines. On a deeper level, however, the religion's founder Mary Baker-Eddy was fighting not so much against drugs as against the failure of modern science to acknowledge the power of the human mind. In Mary's case, of course, this was the mind as influenced by Jesus Christ, but yet she recognized a principle with which even a non-believer can agree and which, moreover, is clearly true in light of drug user reports from the Vedic days to the present: namely, that the human mind has a great as-yet untapped power to control one's outlook on life and to therefore positively affect overall human health to some as-yet undetermined degree. Mary does seem to have overestimated the mind's ability to cure the body, of course, but it is worth noting in her defense that the government has outlawed the very research that would be required to determine exactly where the line should be drawn between the mind-curable condition and that which is beyond the help of this sort of holistic healing.

We would need to be able to use psychoactive medicines freely in order to generate the sort of user reports that could help us answer such questions adequately. And this would be research of the greatest philosophical importance, because it would essentially be a search into the true nature of mind-body dualism.

Mind-body dualism is like the weather when it comes to the field of philosophy: everybody talks about it but nobody does anything about it. Well, here is a chance for philosophers to launch a first-hand investigation of the interaction between mind and body and to thereby determine the nature of each -- as well as the nature of the interactive whole which they in some sense comprise. Philosophers just have to decide: Do they want to perform the kind of hands-on philosophic research that William James advocated viz. altered states, or do they want to keep pretending that the drug war does not exist and that it has no downsides for philosophical research. For the opposite is so obviously true: namely, that drug prohibition forbids us from performing the kind of research that could blow the whole "mind-body" problem wide open from the western point of view and so inspire whole new fields of research.

For more on this subject, please see my essay entitled "Christian Science and Drugs: what Mary Baker-Eddy Got Right.



  • Addicted to Addiction
  • Addiction
  • After the Drug War
  • After the Drug War part 2
  • Another Cry in the Wilderness
  • Assisted Suicide and the War on Drugs
  • Beta Blockers and the Materialist Tyranny of the War on Drugs
  • Brahms is NOT the best antidepressant
  • Case Studies in Wise Drug Use
  • Common Sense Drug Withdrawal
  • Declaration of Independence from the War on Drugs
  • Drug Use as Self-Medication
  • Drugs are not the enemy, hatred is the enemy
  • Ego Transcendence Made Easy
  • Elderly Victims of Drug War Ideology
  • Getting off antidepressants in the age of the drug war
  • Goodbye Patient, Hello Client
  • Harold & Kumar Support the Drug War
  • Heroin versus Alcohol
  • How Cocaine could have helped me
  • How drug prohibition destroys the lives of the depressed
  • How Drug Prohibition Leads to Excessive Drinking and Smoking
  • How Psychiatry and the Drug War turned me into an eternal patient
  • How the Drug War Blinds us to Godsend Medicine
  • How the Drug War is a War on Creativity
  • How the Drug War Killed Amy Winehouse
  • How The Drug War Killed Andy Gibb
  • How the Drug War Punishes the Elderly
  • How the Myth of Mental Illness supports the war on drugs
  • How to Unite Drug War Opponents of all Ethnicities
  • Hypocritical America Embraces Drug War Fascism
  • In Praise of Doctor Feelgood
  • In Praise of Drug Dealers
  • In Praise of Thomas Szasz
  • Let's Hear It For Psychoactive Therapy
  • Medications for so-called 'opioid-use disorder' are legion
  • Notes about the Madness of Drug Prohibition
  • Open Letter to Dr. Carl L. Hart
  • Open Letter to Erowid
  • Open Letter to Gabrielle Glaser
  • Open Letter to Lisa Ling
  • Pihkal 2.0
  • Replacing 12-Step Programs with Shamanic Healing
  • Replacing Psychiatry with Pharmacologically Savvy Shamanism
  • Science is not free in the age of the drug war
  • Shannon Information and Magic Mushrooms
  • Someone you love is suffering unnecessarily because of the war on drugs
  • Thank God for Erowid
  • Thank God for Soul Quest
  • THE ANTI DRUG WAR BLOG
  • The Drug War and Armageddon
  • The Great Philosophical Problem of Our Time
  • The Mother of all Western Biases
  • The Muddled Metaphysics of the Drug War
  • The Myth of the Addictive Personality
  • The New Age of Pharmacological Serfdom
  • The Origins of Modern Psychiatry
  • The Philosophical Idiocy of the Drug War
  • The real reason for depression in America
  • Using Opium to Fight Depression
  • What Jim Hogshire Got Wrong about Drugs
  • Why America's Mental Healthcare System is Insane
  • Why Americans Prefer Suicide to Drug Use
  • Why Louis Theroux is Clueless about Addiction and Alcoholism
  • Why Scientists Should Not Judge Drugs
  • America's Imperialist Christian Science War on Drugs
  • American Sharia
  • Boycott Singapore
  • Christian Science and Drugs
  • Christian Science Rehab
  • Drug Testing and the Christian Science Inquisition
  • Drug War Uber Alles
  • Even Howard Zinn Reckons without the Drug War
  • Goodbye Patient, Hello Client
  • Our Short-Sighted Fears about Long-Term Drug Use
  • PROTEST DRUG TESTING NOW!
  • The Christian Science SWAT Teams of the Drug War
  • The Drug War = Christian Science
  • What You Can Do
  • Why DARE should stop telling kids to say no
  • Why the Drug War is Christian Science Sharia





    • Ten Tweets

    against the hateful war on US




    Drug war pundits need to stop using the word "snorts" when it comes to cocaine. We "take" our "meds," and yet we "snort" cocaine, just like a pig. That is NOT neutral language, folks!

    There are no recreational drugs. Even laughing gas has rational uses because it gives us a break from morbid introspection. There are recreational USES of drugs, but the term "recreational" is often used to express our disdain for users who go outside the healthcare system.

    The media called out Trump for fearmongering about immigrants, but the media engages in fearmongering when it comes to drugs. The latest TV plot line: "white teenage girl forced to use fentanyl!" America loves to feel morally superior about "drugs."

    News flash: certain mushrooms can help you improve your life! It's the biggest story in the history of mycology! And yet you wouldn't know it from visiting the websites of most mushroom clubs.

    Drug prohibition represents the biggest power grab by government in human history. It is the state control of pain relief and mental states.

    Psychedelics and entheogens should be freely available to all dementia patients. These medicines can increase neuronal plasticity and even grow new neurons. Besides, they can inspire and elate -- or do we puritans feel that our loved ones have no right to peace of mind?

    Drug warriors have taught us that honesty about drugs encourages drug use. Nonsense! That's just their way of suppressing free speech about drugs. Americans are not babies, they can handle the truth -- or if they cannot, they need education, not prohibition.

    Someone tweeted that fears about a Christian Science theocracy are "baseless." Tell that to my uncle who was lobotomized because they outlawed meds that could cheer him up -- tell that to myself, a chronic depressive who could be cheered up in an instant with outlawed meds.

    The front page of every mycology club page should feature a protest of drug laws that make the study of mycology illegal in the case of certain shrooms. But no one protests. Their silence makes them drug war collaborators because it serves to normalize prohibition.

    It's just plain totalitarian nonsense to outlaw mother nature and to outlaw moods and mental states thru drug law. These truths can't be said enough by us "little people" because the people in power are simply not saying them.


    Click here to see All Tweets against the hateful War on Us






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    Copyright 2025, Brian Ballard Quass Contact: quass@quass.com

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