In this episode, Michael Sapiro joins Kyle Buller to explore truth, healing, and psychedelic-assisted psychotherapy through the lens of his new book, Truth Medicine. A clinical psychologist, ordained Zen Buddhist monk, retreat leader, and fellow at the Institute of Noetic Sciences, he blends Buddhist psychology, trauma work, and consciousness studies. The discussion focuses on how people discover and live their truth, and why that truth becomes the core medicine in healing.
Early in the Podcast with Michael Sapiro
Michael describes how years of clinical work and retreat facilitation shaped his understanding of healing. Real transformation happens when people speak truths they have never allowed themselves to say out loud. These truths often relate to childhood experiences, identity, and how people learned to stay safe.
Key early themes include insight into:
• Truth as a physical and emotional “ring” in the body
• Personas formed in childhood to avoid rejection
• Depression and anxiety caused by living from those personas
The conversation explores how frightening it can be to challenge old roles and family narratives, yet how necessary it is for authentic healing.
Core Insights from Michael Sapiro
Michael outlines his model of preparation, psychedelic sessions, and integration, especially in ketamine-assisted psychotherapy. Preparation often includes discovering what he calls the “heart of the hurt” and building trust for the internal process.
Core insights include:
• Tracing patterns back to their origins in early experience
• Using guided imagery, breathwork, and somatic awareness to practice surrender
• Understanding healing as applying love to wounded parts
• Understanding growth as becoming who you would be without old limits
Additional points:
• Medicine sessions create real practice in letting go
• Defenses should be engaged with, not fought
• Sensations in the body offer essential guidance
Later Discussion and Takeaways with Michael Sapiro
Michael compares one-on-one psychotherapy with retreat work. In group settings he holds space and supports safety, while in individual sessions he uses a blend of silence and active therapeutic guidance.
He also shares personal truth work, including embracing his own “bigness,” understanding ethics as part of spirituality, and learning to endure anxiety without falling into shame. Listeners gain practical guidance for nurturing wounded parts, developing the ability to endure challenging states, and allowing their strengths to emerge.
Frequently Asked Questions
Who is Michael Sapiro?
Michael Sapiro is a clinical psychologist, ordained Zen Buddhist monk, psychedelic psychotherapist, retreat leader, and research fellow at the Institute of Noetic Sciences.
What is the main idea of Truth Medicine by Michael Sapiro?
Truth Medicine teaches that discovering and living one’s personal truth is the core of healing, with psychedelics serving as a tool that helps reveal and embody that truth.
How does Michael Sapiro use ketamine in therapy?
He uses ketamine within a structured model involving preparation, supportive dosing sessions, and integration focused on compassion, endurance, and meaningful change.
Does he only work in group settings?
No. He leads retreats, but much of his work is individual psychedelic psychotherapy focused on trauma, personal truth, and growth.
What can clinicians learn from his approach?
Clinicians can learn how to balance guided intervention with open space, work directly with defenses, and support healing as both love and action.
Closing Thoughts
This conversation with Michael Sapiro offers a grounded, practical view of how truth, compassion, and psychedelic-assisted psychotherapy can support real change in the current psychedelic resurgence. By blending body awareness, ethical clarity, and personal growth, this episode provides useful guidance for therapists, guides, and seekers who want to bring more truth medicine into their lives and communities.
Transcript
Kyle Buller: [00:00:00] Dr. Michael Sapiro, welcome to Psychedelic Today. Really, really excited to have you here.
Mike Sapiro: It’s good to be here. As always, I appreciate you taking time outta your day and talking with me about, uh, the work.
Kyle Buller: Oh, of course. I’m so excited. I’m so excited to dig in. So you have a wonderful new book out called Truth Medicine.
Kyle Buller: Um, and for those that are just tuning in and maybe haven’t heard it, definitely go check it out and I’m sure we’re gonna chat all about the book and [00:01:00] some of the lessons in there, but probably don’t wanna also spoil the book as well, so, so, uh, spoil it. Yeah. Yeah, yeah. So Mike, um, for those that are just kind of tuning in and, and maybe haven’t come across your work before, can you just do a quick little intro of who is Mike?
Mike Sapiro: Okay. Um, I’m a clinical psychologist by trade. I’m a ordained Zen Buddhist monk. So those two things are, are the kind of basis for my work. The Buddhist influences, Buddhist psychology, and then my clinical psychology training. And most of my work in the last, at least five years, has been focused on first responders and, uh, five years before that combat veterans.
Mike Sapiro: So I’ve been in the special operations community. I’m embedded in the police department and the fire department where I live. Um, and I bring psychedelic psychotherapy to that community. Of course, I also work, you know, with the regular community members as well. So, [00:02:00] uh, the, I, I’m also a fellow at the Noetic Institute of Noetic Sciences, which is an science institute that studies psychic clairvoyancy, tele telepathy, near death experiences, mediumship from a scientific perspective.
Mike Sapiro: So I bring a lot of consciousness science, uh, relevant, um, information into the work I do as well.
Kyle Buller: Wonderful. Yeah, you’ve been doing some really amazing work throughout the years and it’s been cool to see your journey. Um, I think you were probably on the show way back when, like 2017.
Mike Sapiro: Yeah. Quite, quite, quite a few years ago when you guys were just podcasting, you and Joe.
Mike Sapiro: Yeah.
Kyle Buller: Yeah. I guess we’re over nine years and I’m just kind of crazy and um, so it’s exciting. You don’t look
Mike Sapiro: older. You haven’t aged much at all,
Kyle Buller: buddy. Thank you. Thank you. Um, cool. So let’s kind of dig in. What is truth medicine? And, you know, I know you’ve been working this space for quite a while and you’ve probably seen so much stuff, but, [00:03:00] um, what was the motivation to write this book and, and get this out to the world?
Mike Sapiro: So I do a variety of things in the field. I’m a psychedelic psychotherapist, which means I do psychotherapy while people are on medicine. And of course dosing is very important so that we can have an in-depth conversation, but also allowing them to disappear, dissociate, um, explore this, their psyche and cosmos simultaneously sometimes, but then use that information for their healing and growth goals.
Mike Sapiro: I have also been leading retreats for 20 some years, and that’s a little bit different work ’cause I’m not really actively involved in doing psychotherapy while people are on retreat. But I do the prep work, trust building, and then integration work on retreat together. And so what I, what I’ve discovered overall of these years is that when people.
Mike Sapiro: [00:04:00] Find their own personal truth. Things they haven’t spoken before but want to, or parts of their identity, they’ve been repressing or sublimating or pushing down is when they really find themselves and finding themselves tends to be the medicine. You know, we think the psychedelic experiences. The thing that changes people, it really gives us information that changes people.
Mike Sapiro: And it’s the information we want to use to heal and to grow. So I’ve discovered that when people discover and speak and live their truth, depression elevates. Like they don’t, they’re not stuck in the mire of depression as much. ’cause they’re really discovering who they are and anxiety lessons because they’re not as scared to say what they need to say or to be the way they need to be.
Mike Sapiro: So I’ve dis, I guess I’ve found over hundreds and hundreds of sessions or more that it’s the truth that really sets us free. It’s the truth. I know we, [00:05:00] that’s such a cliche, but it’s it’s actually true. So I thought we could start there going, what is truth? How do people use it when they find it?
Kyle Buller: Yeah. And I know in the, I I know in the book you mentioned like, you know, you’re not trying to define truth, but maybe some examples of truth.
Kyle Buller: So Yeah. How, what is truth to you? How do people find it?
Mike Sapiro: Well, I, I guess I, I really had a hard time in some way being the one in a book to go, this is what truth is. I mean, that, that’s not my role to define what truth is for people, but I can tell you when people discover their truth, it rings like a bell inside themselves.
Mike Sapiro: And sometimes it’s as simple as going, I’m not okay with how my parents treated me. Mm-hmm. They might come in saying, you know, I’ve done that work. I, I, I’ve forgiven my parents and they’re really good people, and I go, interesting. You know, they may be very good people. I’m not here to. Tell them their parents are not good people, but when their things are hidden, when they actually have experiences that have been repressed or where they haven’t [00:06:00] been truthful with themselves and they’re on medicine and they go, I’m not okay with how I was treated.
Mike Sapiro: It didn’t, it didn’t feel right to me. It might not be, you know, abuse. It might not be to that level, but it certainly could be, you know, having been talked down to, or been told things about themselves that really hurt, that then formed an identity. So when people start talking about, that didn’t work for me, that wasn’t good for me, I don’t like that.
Mike Sapiro: I can see them relaxing and loosening the holds of defenses they have so that they could speak freely about their experiences without defending, um, themselves or other people. So that’s one v version of truth. Have you found that in therapy or the work you do on with psychedelics that people are starting to speak more freely and how does that impact them?
Kyle Buller: Definitely. And I think it’s also scary to get in touch with, and I wonder if you’ve noticed that too. Like, I’ve had clients where they confront it and I think you’ve kind [00:07:00] of alluded to it, maybe push it away. Um, that’s okay. It’s in the past, right? Yeah. Um, but you know, I’ve heard you also speak in the book of like, you know, what happens when we go a little bit deeper into that?
Kyle Buller: Right? Like, um, but it’s scary. It’s really scary because it also, I think then strips away who we are as a, as a person, our personality, our identity, everything we’ve shaped around is then at an existential crisis. If yeah, this is truth, and you start to step into that and who the hell am I?
Mike Sapiro: Yeah, it. It’s scary because there’s emotions we don’t want to feel.
Mike Sapiro: And it’s scary because, like you said, the persona becomes visible to us. The persona that we’ve developed to stay in good graces of our parents, teachers, clergy community, um, the persona we’ve developed to not be rejected and abandoned. We’ll do whatever it takes to be loved and not rejected and not abandoned.
Mike Sapiro: So we create a persona [00:08:00] based on need, right? We don’t want to get kicked out of our house, so we’re gonna kind of, okay, dad, okay, mom. You know, that’s the way it is. Even if it’s negative, I’m gonna take that on and build a persona around myself to live out so I feel safer where I’m living, or so I feel like I’m not afraid of being rejected.
Mike Sapiro: And then when we start accessing the truth. Which is, I don’t want to be those ways. I don’t like those ways I’ve been, I only did that to protect myself, but it’s not serving me. Yeah, that’s scary because we’ve built a life on those personas, and unfortunately that’s depressing as hell to build a life on a persona and not be ourself and not be able to express what’s true for ourselves.
Mike Sapiro: And so yes, we have to do the work around tending, nurturing, being compassionate toward ourself as those personas are seen, recognized, and then ultimately dissolved, which leaves us raw and exposed. And then what? What do we do? That’s the next step.
Kyle Buller: Yeah. And I’m curious, you know, you mentioned that like [00:09:00] psychedelics can really kind of like amplify or speed this process up.
Kyle Buller: Um, how important is it to maybe confront some of this stuff before taking psychedelics? Like what does the foundational work look like or what does prep work look like for
Mike Sapiro: that? Absolutely essential because I don’t want someone dropping in and doing this work, um, and unexpectedly recognizing, oh my God, I’m really not who I want to be.
Mike Sapiro: Even though they kind of know that coming in, I do this prep work that I call discovering the Heart of the Hurt. And it is very fast work. And within one to three prep sessions, we’re discovering this stuff before we even get to the ketamine clinic, let’s say. And I’ve heard that those few sessions can, are rapid, people tend to feel like, wow, I’ve discovered something in myself that I’ve been in therapy for five years and I haven’t touched.
Mike Sapiro: It is because what we’re doing is, I’m asking when they get there what, what’s not working [00:10:00] for you in your life, right? And what do you want different? But then where did that start? We’re following what I call a thread to the heart of the hurt. And for almost all of us, it’s in childhood, sometime in early childhood or during adolescence where we start forming these personas.
Mike Sapiro: Or where we start our nicotine or our alcohol habits, you know, and I ask people, when did you start drinking? You know, maybe some of my first responders are like, I don’t wanna drink as much anymore. Well, when did you start? Well, I was 15 when I got kicked outta my house, or my dad and mom divorced and everything fell apart.
Mike Sapiro: Or I was getting hurt by somebody and I started using, and I’m like, well, we’re gonna have to touch that because that most likely is what’s gonna arise for you in session. So we start with those questions, when did you start doing that? And people can really trace the thread to that point where they were hurt and where they started.
Mike Sapiro: Either again, forming the persona or using, uh, substances to cope [00:11:00] or being promiscuous or whatever it is that that no longer works for them. And, and we touch the hurt. We don’t just identify, we’re like, it’s still in you. How does that feel to touch that hurt right now? And we’re doing this before we head into the session.
Mike Sapiro: So we’re already touching the deepest hurt. And then we’re also prepping for what’s it like to surrender, to let go, to trust, to be curious while you’re in session. So I’m doing two things in prep. We’re discovering the heart of the hurt, and then we’re prepping them for a psychedelic experience where you have very little control.
Mike Sapiro: And most people with trauma, that’s very difficult to give up, control and to surrender. Uh, one of my first responders, a a paramedic firefighter, we spent one whole ketamine session just letting go, getting scared, tightening up, letting go, getting scared again, and then letting the thing happen. So I, I prepare them for that as best as I can in the prep [00:12:00] session.
Mike Sapiro: How are you doing that? In the prep session? Mm-hmm. And it’s. It’s easier in the, the actual day of, because it’s, it’s happening, right? The, the tension mm-hmm. In the release. The tension in the release. But I do, uh, there’s meditations I do where we guide as a guided visualization, we’re guiding people to an edge of a cliff.
Mike Sapiro: Standing backward at the cliff and imagining falling backward. I’ve done this in our vital classes too, and people get this visceral, ugh, shiver up the spine. Yeah, it’s
Kyle Buller: already giving me anxiety.
Mike Sapiro: See, right there. Yeah. Now, what happens if you fall backward? I mean, it does it all right up my spine. It just tingles, like, ugh.
Mike Sapiro: You know? So what happens when you’re, you’re going backward, but then the hand of God, or an angel, or an eagle or a feather or wind lifts you and holds you up, you know? So if we can visualize that we’re supported by the universe or the divine, or however the, the client conceptualizes [00:13:00] that, I’ll use that language, not mine, and then they’re, they’re lifted, and all of a sudden you feel this freedom to fall freely.
Mike Sapiro: Without as much fear, ’cause you know you’re gonna be held and even though the falling might be scary, if you feel lifted or, or supported by a hand, you can really, and another version of this I do, uh, lying on a river with your eyes closed, imagining being taken by the current, anywhere the current takes you.
Mike Sapiro: Um, and learning to just surrender to the flow. Even if there are eddies or the current is strong or there are rapids, can you just let that thing be? And we’re training the body to, to release the tension and the hold it has over itself. So we’re doing as much prep work. We can also do breathing, deep breathing and breath work.
Mike Sapiro: So I’m doing psychological inquiry, psychological digging to get to the heart, and, and then we’re also preparing them to relax and release as best as they can. And then I have them practice that [00:14:00] for some weeks before we start doing sessions. So I’ll send them home at the meditations.
Kyle Buller: That’s awesome. Yeah, I think that’s so important, and I think you already raised this point, that like letting go, trusting and surrendering is a very hard thing to do for a lot of folks.
Kyle Buller: Um, and I think it does take time to like slowly kind of build that up and like build that trust. Um, and you work with some pretty intense populations, right? Like first responders, people with like pretty significant trauma. Um, I know special ops vets and police and all that stuff. So, um, you know. And I, you said this in the book, like hypervigilance isn’t, or vigilance isn’t bad.
Kyle Buller: It’s hyper vigilance. That’s that’s bad, right? Because that kind of keeps us stuck and like, you know, folks in those fields really have to be hypervigilant at times, right. Because their safety’s on the line. Totally. Um, and so that trust and surrender from a somatic perspective is actually really threatening to the nervous system.
Kyle Buller: Mm-hmm. Right. Totally threat, um,
Mike Sapiro: to
Kyle Buller: let
Mike Sapiro: go. For sure.
Kyle Buller: Yeah. [00:15:00] Yeah, yeah. And so how, like, do you use some of those, that language, I know sometimes people in the psychedelic world like get a little nuanced with like that language of like surrender and stuff like that because bad things may have happened to somebody and that might be really triggering.
Kyle Buller: Like how do you approach that to like create that safety with folks?
Mike Sapiro: We talk about it. Outright, what’s your experience like in your life in terms of being on guard, in terms of protecting yourself and your family? What’s it like in a restaurant? What’s it like in the movie theater? What do you notice in your body?
Mike Sapiro: What do you notice in your mind? We’re gonna bring this to the forefront. It is appropriate to have vigilance. All of us need vigilance. It keeps us safe and healthy. The hypervigilance is a chronic state of arousal that, uh, depletes our adrenals. It increases cortisol and adrenaline. It’s, it’s an unhealthy state of being that many of us with PTSD and chronic trauma experience in our bodies.
Mike Sapiro: I know I [00:16:00] do. If there’s a sound that happens behind me, I will jump. That’s a startle response that’s built into my nervous system, unfortunately, into the brain. And so the surrender, and I know we’re talking about language of how do you use the language of surrender with a combat veteran, where surrender is opposite of what you do in a mission.
Mike Sapiro: Um. So let’s talk about what that means then. What would it be? To soften and surrender. A lot of dudes don’t like that language. Okay. Let’s talk about why you don’t like that language, and what does it mean for your identity as an alpha male or as a first responder. I mean, it’s okay to bring that up. It’s okay to say, yeah, it’s, you don’t like that.
Mike Sapiro: Maybe we choose another word, but also while you’re in the session, it really is a true letting go, softening, surrendering. And by the time we get there, that’s usually not the thing that we’re worried about. The language of surrender. It is nuanced. They might bristle, but [00:17:00] ketamine, you’re already onto the next thing.
Mike Sapiro: Right? It’s not like you’re sticking with it. Well, Mike, Dr. Mike, you know, I hate that fucking word. That’s honestly not what comes up. It’s usually like, I am really struggling to surrender. I know I want to, I know I have to. And so then we just keep working gently on what does it mean to just let go a little bit, just a little bit.
Mike Sapiro: A lot of times they’re like, I’m a, I’m a, I’m gonna die, and I’m also, I write this in the book. I’m like, well die then. Then, and actually my first responders like that because it’s a challenge to them to really, to really do something different in their life. Mm-hmm. Can you die in this moment and see what comes of it?
Mike Sapiro: And often they, the vistas, the scenery, everything changes when they allow that to happen. The colors, the textures, the constriction to expansion. We know that we’ve been in this field doing this work. You know, when you surrender, usually things open up. Knowing that, and they trust [00:18:00] me, I can kind of guide them into that experience of letting go.
Mike Sapiro: And that is so important for their regular waking lives. Yeah. They can practice it in session now they can do it outside, in their, in their homes.
Kyle Buller: Yeah. And it’s, I think it’s an important part of healing too, right? It’s like developing that trust. I remember I had somebody, um, once tell me, they’re like, how do I trust myself and trust this process when the universe is shit on me multiple times.
Kyle Buller: You know, and it’s a very hard thing to then develop that trust again. Yes. But you know, I think like what you’re pointing to in the book is like, that’s where the healing starts to happen is like when we trust that process, we start to let go and we start to tap into truth and start seeing these things that like, yeah, maybe we push away.
Kyle Buller: We have a hard time confronting, um, you know, kind of confronting a little bit of that fear and anxiety. Um, that’s, that’s where that healing really is. But it’s like all those defenses that stop us from getting there. Right.
Mike Sapiro: And those defenses are useful. [00:19:00] And we, we, we don’t make an enemy out of them. We invite them in to see them, and then we have.
Mike Sapiro: Dialogue with them. Hey, I don’t, I don’t need you the same way anymore. I can take care of myself. And sometimes that defense will go, no, you can’t. You drug me all the time. Or you, you, you, you overuse alcohol all the time. Yes. Thank you for bringing that to my attention. I’m also working on that too. You know, it’s an, it’s an ongoing relationship we’re developing with our defenses in that parts of our psyches and the ego that are really trying to keep us safe.
Mike Sapiro: Even, even when it’s derogatory and hurtful to ourself. You piece of crap. Why are you doing this to me all the time? We’re gonna start working with that part lovingly too. I see you. Thank you. I know I’ve been hard on me. I know. I haven’t been great to myself. I am working on changing that. So there’s content that we’re working on, therapeutic content.
Mike Sapiro: Let’s say we’re working on someone’s childhood abuse, sexual abuse, physical abuse, [00:20:00] and it’s caused to them to be distrustful of themselves and other people and the world around them that we, we might not get to that in a few sessions. We might just be working on. What’s it like for you to trust the experience right now in the moment, and like you said, doing that in the moment actually is real time healing.
Mike Sapiro: If someone spends one or two sessions with me, just learning to let go, to trust the medicine, to trust themselves, that’s a huge shift in their own psyche for the rest of their life. And we’re doing that in real time. Where I can’t talk them into trusting themselves. There’s nothing we can do in talk therapy really to get them to trust themself in the moment.
Mike Sapiro: But while they’re on medicine, those defenses are dissolving and they don’t have to use the same defenses anymore. They can try something new like trusting or surrendering or letting go in the moment that changes their life forever.
Kyle Buller: Yeah. Yeah. Beautiful. I guess since we’re on this topic of [00:21:00] like transformation and healing, how do you define what is healing?
Mike Sapiro: Big question. I think the answer for me is bringing love to the parts that hurt the most. I, my work is divided into healing and growth, and the way I look at healing is when we bring our own love through our hands, our tenderness, nurturance, and compassion. To the parts of us that are wounded the most, we become the loving presence of our wounded self.
Mike Sapiro: And in bringing, loving attention, bringing loving presence to ourself, that is what heals. It’s a healing or salve. It’s a healing bal. Love is a salve that we put on our wounded parts and the [00:22:00] infection underneath the, the scab. We rip the scab off. It hurts. We clean out the wounds, literally and figuratively, and we apply love and it, it, it literally tends to itself.
Mike Sapiro: Love is the medicine we’re using in session. To repair the wounds that have, uh, not been, um, re repaired throughout her life. Then growth is how do you want to expand? What active things do you want to do in your personality, your belief set, your psyche, your behaviors that you want to expand your life.
Mike Sapiro: Now, once, and, and they could be simultaneous, we could do healing and growth simultaneously in sessions or one after the other. They’re definitely different. Healing really is applying that love as a self to what hurts the worst in us by being honest and talking about it, bringing the pain forward, and then [00:23:00] tending to it, and then growth is now what, what would you do if you didn’t have that wound restricting you or limiting you?
Mike Sapiro: What would you do if that belief wasn’t there? How would you live differently? What would be authentic to you rather than what was conditioned? So I do both of those things. In my work, we’re doing healing, which is applying love, and then we’re doing growth, which is what would you do if you didn’t have this restriction, limitation, or condition?
Kyle Buller: Beautiful. You know, since you brought up this like, um, analogy of like the SAV and um, like ripping off the scabs, um, and differentiating between like healing and growth. I’ve heard this like quite a few times from different people and maybe it’s a conversation we’ve probably had in the past, like through different communities, but like what happens when somebody is just constantly on that healing journey, constantly ripping, open the scabs, ripping open the wounds, tr feeling like there’s something there and they just need to [00:24:00] keep digging more and more and more.
Kyle Buller: And it’s like, how do you see that process? And like, do you, do you draw a line there? Like how often do people need to just keep going back in and ripping open those wounds versus, wow, maybe I need to actually stop this. Put the bandaid on, let it heal and start focusing on on the growth process.
Mike Sapiro: Interesting question. So it’s really individualized, I would imagine, because. People are coming with different, um, relationships to their pain. What I’m hearing you ask is what happens when someone has kind of a compulsive or addictive nature of continuingly looking at themselves is not good enough maybe, or not done, or not healed enough?
Mike Sapiro: Um, that, I mean, possibly that’s one of the ways I’m hearing in, in one way, we’re kind of addicted to our, our, our addicted to, we’re addicted to our shame or our self pity. I know I have that in my life where I haven’t worked through the shame of things I’ve done that it hasn’t moved from shame to remorse where [00:25:00] I’m like, oh, I’m really sorrowful for the things that I’ve done.
Mike Sapiro: Uh, rather than I’m a piece of crap for what I’ve done. And I kind of stayed in the cycle of shame. Where I’m like, no, I deserve to feel bad for what I’ve done in my life, so I’m gonna keep looking at it, but I’m looking at it from a lens of, I’m bad, I’m not good enough. And so there’s never an end to the healing I have to do because I’m chronically bad and chronically not good enough.
Mike Sapiro: I mean, that’s an issue in itself that I start noticing in people, oh, do you think you’re bad? Do you think you’re, you know, do you have a lot of shame around who you are? And people end up again, cycling that over and over. It’s not like, and that needs to be addressed. Where did you learn that? Why are you stuck on that?
Mike Sapiro: Because if you’ve really done the healing and the scabs off, you’ve tend, you’ve scrubbed out the hurt, you’ve applied the salve of love. Usually you’re not stuck [00:26:00] there anymore. You can look back and go, that was a very hard time. Whether I did something bad or somebody did something bad to me, that was a terrible time.
Mike Sapiro: But I, I really feel closure around that. And I’m not stuck there anymore. I don’t feel shame or I don’t feel hatred, you know, or resentment. I’m feeling like I, I don’t like it happened, but it’s clean.
Kyle Buller: Mm-hmm. That
Mike Sapiro: they don’t, there’s no, the scab is a scar. There’s no scab left on it. So if people are still keep picking and picking, it’s ’cause they have a view of themself that they have to keep picking.
Mike Sapiro: And it’s not really done yet. You know, when you’re done ’cause you’ve moved forward. This is for everyone listening for you and me. You know, when you’re done a certain thing ’cause you’ve moved forward from it. If you haven’t, it’s not done yet and there’s a reason it’s not done. So let’s look at that.
Kyle Buller: Yeah.
Kyle Buller: Yeah. It’s fascinating. I’m just kind of like going off these analogies and you started to move away from a scab to a scar. Um, and I just think about like. A recent experience I had within the past [00:27:00] year, um, getting body work done on this huge scar I had on my abdomen for my snowboarding accident. ’cause I’d always like, you know, chronic, like pulling tension, my fascial stuff.
Kyle Buller: And, you know, it’s been, I don’t know, 20 plus years, 30 years, I don’t know how long it’s been. Um, and uh, so just finally starting to address it. And I noticed when I was working on it, like pretty weekly with like a pt, it actually just felt like. Constantly agitated. And then I notice, like since I stopped going, I haven’t been noticing it as much.
Kyle Buller: Mm-hmm. I’m like, hmm, that’s really fascinating that like, once I stopped like instigating it, um, it feel, it feels like it’s kind of like I don’t notice it as much and it doesn’t bother me as much. Not to say it’s not completely, like, it’s not completely gone. Like I do notice it still mm-hmm. With like certain little things.
Kyle Buller: But, um, yeah, I just noticed that it’s like I was going through a lot of that treatment. It was just constantly like, it maybe inflamed or like, you know, a lot of just like, uh, [00:28:00] irritation. Mm-hmm. Um, versus like letting it just sit and almost like letting that experience integrate into my life a bit more.
Kyle Buller: And then, yeah. Uh, just seeing how
Mike Sapiro: something I’ve learned through my own therapeutic process is learn is endurance. How do we e endure, endure? And I’m not saying active abuse, you don’t need to endure active abuse or active, you know, um. Complete discomfort with people. You, you can move away, but you know, can you endure?
Mike Sapiro: I have PTSD and I have flareups of PTSD. I have anxiety and I have flareups of anxiety. I noticed when I first started doing my own therapeutic process on certain topics five years ago, I would text my therapist a lot more often going, ah, I’m being flooded, I’m flooded. Little Mikey in me is flooding me with these thoughts.
Mike Sapiro: He wants me to do these things. And all these years later I feel the flood and I know I can be with it and I know I can tolerate it. I know [00:29:00] it will dissipate. I also know where there’s a valve of release. There are certain things I can do with it. I’m not, never, I am, I’m not never gonna have anxiety. I’m gonna have some anxiety in my life.
Mike Sapiro: I’m gonna have discomfort, I’m gonna have depressive stuff, I’m gonna have trauma responses. Can I endure them while they’re here?
Kyle Buller: Mm-hmm.
Mike Sapiro: And not get attached to the what’s coming up and not. Not spin out or cycle down into shame or, you know, cyclone out into terror or despair, whatever it is that I, I end up doing.
Mike Sapiro: Can I tolerate this, soothe myself, be here for myself. And I notice I don’t need to text my therapist. I don’t have to, you know, see guy, if I’m feeling I’m gonna be, my insecurities are coming up in a relationship, I can tolerate them and not have to text the person a million times. Are you still there? Do you still like me?
Mike Sapiro: Mm-hmm. Like, I, I understand those impulses, but I don’t have to do anything [00:30:00] about them. And, and people that I’m working with learn to do that as well. Learn to, uh, to first understand what’s arising, how to tend to it, how to endure it, and then watch it dissipate on its own. Nothing lasts forever. That’s, that’s, that’s a truth for, that’s a natural truth.
Mike Sapiro: Nothing lasts forever. When we talk about truth, that’s a universal truth, not even a feeling. Not a, not a, not a thought. Nothing lasts forever. How do we accept it? Welcome it as Pema children says, and then tolerate it. Endure it, and watch it dissipate. This is a practice people do in psychedelic psychotherapy all the time because they’re having lots of information coming.
Mike Sapiro: Some are very distressing information, whether it’s sensational information, it’s um, maybe intellectual or visual information. Some is blissful in awe and full of wonder. Some is very disturbing and distressing, but they learn to tolerate it and they also watch how it disappears. [00:31:00]
Kyle Buller: Yeah, as you’re saying that, it just has me reminded of somebody that I was working with, uh, years ago where they had that anxiety come up and it, they told me when it came up in their real life, they already had practice in the ketamine session.
Kyle Buller: And it was almost like they were able to endure it during that session. So they were able to then endure it in their real life. It was like, oh, okay. I’ve practiced this multiple times before of like dealing with the discomfort, dealing with the anxiety, um, and now actually when it arises in real time, I’ve already done it multiple times, a hundred
Mike Sapiro: percent.
Kyle Buller: Um, yeah. I
Mike Sapiro: find that almost in every, almost, not every, but almost every client who comes and we do, we endure, we tolerate, we welcome, we investigate and nurture. Remember, we still need to nurture and tend to ourselves. That. This is why I call it real time transformation because it’s very hard to talk someone into doing that in a normal waking life.
Mike Sapiro: ’cause they’re [00:32:00] super attached to those states and they’re also defending those states. It’s strange, we don’t want it, but we still defend it. We’re like, I don’t want to give that up. Even though you’re here to give that up, that whatever way of being that’s not working for you. In the ketamine session, people are much more fluid and adaptive and adjust to what’s happening.
Mike Sapiro: ’cause it dissipates and they can see it arising and dissipating. They can tolerate it. We talk about it. And then we can go backward and look at where it started in their life and, and they can imagine the child in them having the experiences that caused the depression, anxiety, trauma, whatever beliefs they’re carrying.
Mike Sapiro: So we’re doing a couple things simultaneously. We’re learning to endure and tolerate distressing emotions. And we’re also learning to heal the origin of those original emotions. And we’re doing it in real time right there in the, in the session. And so when they leave, they know what to do differently in their [00:33:00] life.
Mike Sapiro: It’s a huge, huge gift they’re giving themselves.
Kyle Buller: Yeah. When you talk about like, getting to the origin, and I think I’ve heard you talk about that a lot in the book too, like the root cause. Is that always the case or have you seen, um, cases where people don’t get to the quote unquote origin of like the roots of their, their psychopathology, their trauma and still continue to move into that growth pattern?
Kyle Buller: Like do people always need to, you know, dig up those roots or can people heal without that?
Mike Sapiro: I’m sure they can. There’s no one way for anything. Um. I think more than not, people do tend to identify, it’s interesting, they self-identify, you know, even if we’ve, I’ll give an example of, it’s in the book too, of a, a first responder, a firefighter who thought they were coming in to process some terrible pediatric calls.
Mike Sapiro: And so we prepped around the trauma of seeing, um, a child be significantly harmed and also [00:34:00] killed, uh, on, on scene and what that did to them. ’cause they’re a parent and it made them freaked out about their own kids. They have no control. You can’t protect your kids from going into a crosswalk and getting hurt.
Mike Sapiro: And so they, they, they’re terrified. They’re controlling at home. They’re angry. So we’re, we’re processing those things. But then in session. All of a sudden something comes up about their father and and grandfather from their childhood. You know, it’s something that is an origin to the way they control an origin to the way they handle distress.
Mike Sapiro: I didn’t know that was there, ’cause we had not targeted that in our prep session. But their heart knows it’s there. So sometimes the origin is different than what we think. Mm-hmm. And we have to leave a ton of space in our sessions for the person, for their hearts to identify what’s more important. So it’s not like we don’t, the core root issue might be different than what we think and we leave a ton of space for the [00:35:00] medicine and them to work together and then it presents itself and I’m like, whoa, tell me, what are you talking about?
Mike Sapiro: What are you seeing? What are you, what are you remembering right now? So something usually will come up from them, uh, and it’s sometimes not what we think and we have to leave. And it would be bad for me to go, no, no, you came in here to talk about that pediatric call. Let’s stay on that. That would be naive and also controlling of me.
Mike Sapiro: To do that, I have to be adaptive as a therapist to go, let’s follow what’s coming here. Everything is presenting itself for a reason. My job is to skillfully follow that to its origin, to help them identify what needs to be healed.
Kyle Buller: Reminds me of some conversations that we were just having in vital, uh, two weeks ago about like intentions versus expectations.
Kyle Buller: Uh, um, and like, and I know that you, you’ve written about this as well, like the difference between expectations and and intentions. And sometimes people have that expectation that they’re gonna, you know, relive that certain [00:36:00] thing that’s gonna, um, you know, get to the origin or the roots of it and they have an idea what that is.
Kyle Buller: And then the medicine and that inner healing intelligence, or whatever we wanna call it, higher self, might lead us somewhere else, right?
Mike Sapiro: Um,
Kyle Buller: it often
Mike Sapiro: does. Uh, first of all, yeah, I do talk about this in the book because I see the difficulties that happen when people are bringing expectations into their sessions.
Mike Sapiro: They might have expectations of ego, dissolution of meeting God or angels of the Divine. They might have expectations of healing certain wounds, um, specific ones, and that never arises in the session. And the problem with expectations is we then become disappointed, resentful, embarrassed. Maybe we blame ourselves, the medicine, or me, Hey, this isn’t working.
Mike Sapiro: You’re not doing it right. I’m not doing it right. But for me, I can work with that. ’cause I can go, Hey, where [00:37:00] else in your life do you seem to have expectations where people fail you, where you fail you, where circumstances fail you? How do you relate to people failing you? What do you do? Do you isolate? Do you blame it?
Mike Sapiro: For me, everything is is fodder. Everything is grist for the meal. Everything that arises in session points to something in their life that we can use to help them heal something or help them grow. So. It’s not great for them to have expectations ’cause they can end up being disappointed and resentful, but it’s also useful mm-hmm.
Mike Sapiro: For us therapeutically, um, intentions are much, uh, gra are much more relaxed. It’s more pointing in a direction that we’re hoping we go, but it’s not something we’re holding on tightly to demanding. The expectations are very demanding. Intentions are very openhearted and, uh, with curiosity.
Kyle Buller: Yeah. Yeah. I like how you mentioned like, everything’s kind of fodder.
Kyle Buller: Like, you know, I think some of the challenging experiences that come up for [00:38:00] folks is like the no response, the disappointment, the frustration that nothing’s happening. Um, and you are like, oh, you know, and immediately possibly wanting to write that off. And I’ve been there too, you know, like gone into a session, not much is happening.
Kyle Buller: Oh, well I wasted that. But it’s like, if you’re able to sit with that frustration, sit with disappointment. Like, yeah. When else did you feel that way in your life? Is that a big theme, uh, in your life? You know, is it something that keeps coming up? Coming up? Um, and that can really open up a lot of doorways for folks that maybe you’re not necessarily always thinking about.
Mike Sapiro: I mean, I don’t wanna ever discount what’s happening in session. Not all of it is useful and it does point to how people are in their regular waking lives. It’s just more maybe dramatic or expressed, maybe more than in their normal life ’cause they’re on medicine. But the truth is, we bring in everything with us and all of our behaviors and our personality [00:39:00] traits are there in session that we wanna work on.
Mike Sapiro: Um, I think when I’m training, I train people and the newer therapists often want to just work with psychedelic material. Mm-hmm. Stuff of the psyche archetypes and cosmic material images, metaphors of the universe of stars and stardust and dragons and you know, things that are like psychedelia. And so when that doesn’t appear, I know my students feel like they’re doing something wrong or the medicine’s not working or, and then they kind of project that on, oh, nothing’s really happening.
Mike Sapiro: You’re not really seeing much. And then there’s this, like, even the therapist has a little bit of expectation and some disappointment. The client is like, am I doing it wrong? Is the medicine not working? And it creates a kind of cycle of something’s wrong, something’s not working, somebody’s wrong. The more experienced therapists will go, well, tell me what you’re, [00:40:00] what do you feel in response to this nothingness?
Mike Sapiro: Yeah. What’s coming up for you now? About yourself. What do you think about yourself? This isn’t working. You’re not working. Tell me more about that. And you often will, you’ll find the thread. I’m not good enough in my daily life. I’m not good enough here. I’m already messing this up. Oh, I’m disappointing Dr.
Mike Sapiro: Mike. They, I’m worried about disappointing you. I go, wow, I have no expectations of you. How often do you try to please people? And they’re like, all the time. I please people all the time. I’m like, well, yeah, you’re doing it right here, right now in this session. You think I want something from you and I don’t.
Mike Sapiro: And that’s awesome to use instead of like, oh, you know, oh, we don’t have the psychedelia showing up. So what, what we have here is the habit of pleasing people. And that’s more important to me ’cause we wanna work on that.
Kyle Buller: Or what I’ve seen and, and heard a few times is like, when nothing’s happening, maybe like introducing more [00:41:00] medicine or other medicines.
Kyle Buller: I remember being at a retreat and, uh, somebody just saying, well, just use cannabis to like induce the visions, you know? Um, and it’s like, yeah, we’re just a, such a visually oriented culture and I feel like when we think about psychedelics, it needs to be a visual experience, but there’s so many different ways of processing information and the way that, you know, information comes in.
Kyle Buller: And sometimes I feel like we dismiss a lot of it, especially when it’s more kind of like intuitive somatic when, you know, it’s just like these feelings in our body versus like, I’m not having, you know, the fractal visions and, and you know, reliving certain things. It’s like, well, that little whisper in your ear or that, that sensation in your body I think is just another valid way of processing and knowing.
Kyle Buller: Um, but sometimes we’re just very disconnected from it.
Mike Sapiro: We’re mostly disconnected from our bodies. A lot of my work is body centric. Of course I do. Um, appreciate and use the psychedelia, the, the cosmic stuff. We [00:42:00] use that when it comes in and I’m, it’s great you’re having now a the more traditional psychedelic experience of seeing your ancestors sitting around a campfire and they’re talking to you or you’re watching them.
Mike Sapiro: Amazing. You were here to help heal the lineage of women and your family. That’s in the book too. You know, that we’re gonna use all of that information for their goals. Um, but the truth is we live in our bodies more than we live in the, we do live in the cosmos constantly, but we’re not always connected to it the way we are to our bodies.
Mike Sapiro: So it’s a great. Uh, gift. It’s a great boon when someone comes in and starts connecting to their body, to the wisdom of the body, to sensations, to memories that are stored in the body to pain and pleasure in the body. Uh, we want to, we wanna have this relationship with our body. So that would be an amazing session for someone to come in.
Mike Sapiro: Maybe they don’t get the visuals, but they’re connecting to the wisdom of their body, and they’re starting to create a relationship with this thing they’re living in. [00:43:00] That’s a, that’s a very good session for somebody to have because they’ll leave here starting to recognize SI signals and signs.
Mike Sapiro: Something’s right. Something’s not right. This relationship doesn’t feel right. I’m gonna start listening to my body, as it says. I don’t like how I feel in this person’s presence.
Kyle Buller: That’s
Mike Sapiro: an indication. Something’s misaligned. Um, that’s a great way to use a session. Of course, we could spend a whole hour talking about how to use the archetypes that arise and symbols and signs of the universe.
Mike Sapiro: But I, I like the more practical stuff. ’cause that’s what they’re living in mostly.
Kyle Buller: Right. Um, I’m just looking at time and I’m wondering, you know, you’re kind of talking about like the psychotherapy aspect of psychedelics and there’s a lot of folks that might be tuning in, maybe they’re doing retreats, they’re taking more.
Kyle Buller: Of this sitting approach, whereas like you’re taking a psychotherapy approach. And I wonder if you could [00:44:00] explain kind of the difference in the work there of like when you’ve worked with groups in more of like a group container versus more of this like psychedelic assisted therapy model. Like what is different here for you?
Mike Sapiro: Great, thanks for asking. ’cause yes, the book is really more on psychedelic psychotherapy. That much of my work is doing individual work with people during their journeys. But as I said in the beginning, I also, uh, have been leading retreats for 20 some years. And that’s a completely different model. There is the ceremonial model, which comes out of indigenous traditions.
Mike Sapiro: Um, I have some training in some indigenous traditions, but that is really not the basis of my work. And so, uh, that, that, you know, my colleagues and friends have spent some 30 and 40 years in, in traditional settings learning to do traditional medicine ceremonies. So that is not really my background and I don’t pretend to be a shaman or medicine person.
Mike Sapiro: That is not, uh, [00:45:00] how I’ve been trained. I’ve been trained as a Buddhist monk and teacher for almost, you know, 25, almost 30 years. And so my retreats are very much Buddhist oriented, where we’re having meditation and, um, deep inquiry and we’re having, um, e experiences with the group themselves where we’re building trust and rapport.
Mike Sapiro: And then the medicine. The, the student, the medicine, the participant, really work together. And my job is to hold space, keep everyone safe, help people to the bathroom. Um, and if they’re in distress, they raise their hand or they get up and they’re showing distress, maybe they’re even screaming. And I become a caretaker.
Mike Sapiro: My job is not to interpret what they’re experiencing in that moment. My job is just to help them get back into it so that they are having an internal experience with their psyche and the cosmos. My job is to make sure they’re, um, safe, physically and in [00:46:00] distress. We might take them aside and help them breathe, um, help them regulate, and then encourage them to go back into the internal world.
Mike Sapiro: So in those settings, I’m not doing any psychotherapy at all. Um, I might be sitting next to them if they’re in distress or they’re asking me questions, how to help relate to what’s happening. But I am in no way making therapeutic. Like interpretations at that time. ’cause that’s not my role. My role becomes sitter and, and space holder.
Mike Sapiro: Um, now afterward we can do lots of processing in a group setting as well as individual in those retreat settings. That is something I am offering is like, let’s process what just happened for you. How do you make sense of it? And it’s always best in a group because people are hearing each other’s experiences and, and they get a chance to actually, uh, mingle with each other.
Mike Sapiro: I love group settings. It’s very powerful, especially for veterans and first responders [00:47:00] who do very well in group settings so they don’t feel so alone. That was long-winded answer, but there’s a lot, there’s so much to it on retreats so much.
Kyle Buller: Yeah. Yeah. I love it. And um, you know, just thinking about like the psychotherapy aspect, right?
Kyle Buller: Like, uh, and we, we did a whole kind of presentation on this a bit, um, through psychedelic support. People can probably find that on YouTube. Um, you just type in our names and, uh, but it was about the directed. The non-directive and directive approach to psychedelic assisted therapy. And I think most people like have this non-directive approach.
Kyle Buller: ’cause that’s usually what’s taught in a lot of programs, right? To like, kind of sit back and really put the driver’s seat in, in the, the client or the participants, um, hands. But it sounds like some of what you do is more directive. And I wonder if you could kind of talk a little bit about that, around the difference of like when to be a directive, when to be non-directive, like in [00:48:00] the psychotherapy work.
Kyle Buller: Um, with psychedelics particularly,
Mike Sapiro: I think I have a, what I would hope is a balanced mix of both. There is time during sessions where I am very quiet and where the client is just internal working with the, the messages symbol, signs, memories. And I might just say, what are you experiencing? And they might say, I’m seeing my childhood house and I’m walking through it.
Mike Sapiro: Or they might say, I’m, I’m in the stars right now. And there, there’s planets that are coming in and out. And I might just say, explore that. And I go back into quiet space. And they are exploring that. That’s a, I would say, a non-directive approach. I mean, I’m saying explore that. So in some way it’s directive and I’m like, Hey, do this thing.
Mike Sapiro: But I’m not really interacting. I’m not asking them questions about the space they’re in. I’m simply suggesting spend more time in that. [00:49:00] Okay. And so I’m backed off and they’re doing that. Um, other times they, I’ll step in, what are you experiencing? And they go, I’m in, I’m in my childhood home right now.
Mike Sapiro: I’m seeing, I’m seeing, I’m seeing something and. We have already discussed that they want to process their childhood trauma. They are in my room to process childhood trauma. I’m going to say are, are, do you wanna do the work? Do you wanna start processing? And they, they can say, no, I don’t feel I’m scared.
Mike Sapiro: And we can work on fear. Um, then we might start, I might start asking, what’s happening in that room? What are you seeing? What, what, what is he feeling? Or what is she feeling right now? Now I’m starting to direct a little bit more of the, the therapy. Let’s work on that together. ’cause this is what you’ve come to me for.
Mike Sapiro: I’m gonna start processing. We might start bringing your future your, your present self into the past. If that kid needs somebody, oh, I was so alone. I was hurt and I’m so alone. Would you like to show up and tend [00:50:00] to yourself? That’s directing it. Now I’m asking them to do something that I know is therapeutic.
Mike Sapiro: Bring your loving attention to that part of you that’s wounded. In the form of that kid. Now I’m starting to work with their images in their, in their psychedelic state versus just going explore that, see what happens. So I am using kind of a therapeutic skillset to determine, Hey, should I just be quiet and let them explore?
Mike Sapiro: Or is this time where I’m gonna, I’m gonna come into the picture and start working therapeutically with them. I ha we have skill sets. If those of you listening are therapists that have a skillset that you want to do therapy with the person, and that’s your agreement, then you have some say in what you’re doing.
Mike Sapiro: And also recognize there are times to be quiet and just simply let the medicine work and their psyches do the work. So it, it’s really up to our discretion, and that’s something we need to learn more in the field. How do you do psychedelic therapy? When do you let it be [00:51:00] and when do you step in?
Kyle Buller: Yeah. On that of like, you know, the evolution of the field, what are you seeing?
Kyle Buller: Like, I know you kind of wrote this book about trying to maybe evolve the psychedelic like assisted therapy model a little bit more. And, but like, how are you gonna, like how are you seeing like the field evolving? Like what’s missing, what needs to be included? Um, what are some of your thoughts around that?
Mike Sapiro: I think if we’re going to be doing more psychedelic psychotherapy in the field, more ketamine clinics are having psychologists or therapists do work. Um, we want to have trained therapists. I don’t, I’m not proposing a model to follow Dr. Mike’s model. I’m proposing we get better at learning how to work with a client on medicine to use the, the information of their psyche and the cosmos.
Mike Sapiro: For their benefit. And I think IFS is doing a good job. Rick Schwartz is, is doing, you know, parts [00:52:00] work while you’re on ketamine. That’s a cool precedent. I think more and more, um, training opportunities will present themselves for people to learn how to use psychotherapeutic models during psychedelic experiences.
Mike Sapiro: I do wanna say that is not the only way we should do it. The ceremony is a powerful way. The retreat is a powerful way, but this is one modality we want to get better at. And we do need training. So therapists and clinicians know what to do during these states. Know when to step forward, step back, when to help regulate, when to just let them endure.
Mike Sapiro: Like these are all nuances that, um. People new to the field are gonna wanna understand. And in my book I do describe all of those, uh, ways of being with the client. Um, but I think the field is going to have to evolve to train us more to be, uh, working with altered states of consciousness for the therapeutic goals that people are [00:53:00] bringing to us.
Kyle Buller: Yeah. If somebody is, not to give advice, but just kind of teasing apart these models a little bit, like who would you like, think, need, like, would really benefit from like a retreat or say like a service center model in Oregon, right. Where they’re a little bit more, probably hands off, non-directive. Not doing psychotherapy, but maybe some group work versus Yeah.
Kyle Buller: Doing more individualized psychotherapy, more intensive type of work like. Yeah, who, who, who fits into like what category? Obviously it’s like very individualized, but Yeah. I can make some generalizations here.
Mike Sapiro: Yeah. I can’t answer that. I think, you know, for, for people who are, are, are already used to bonding in groups like veterans and first responders, there are some great.
Mike Sapiro: SBO Foundation Mission within Heroic Hearts Project, uh, vets, uh, these are different groups that have already set up retreats for [00:54:00] first responders and for veterans. So because that they speak the same language, they’re, um, they, they have kind of same ideals and values. I think there’s great benefit in going to a group, um, especially if you’re already kind of used to being in a group setting.
Mike Sapiro: Um, that doesn’t mean of course I see individual firefighters and police and veterans, but I often ask them, Hey, you guys should probably go to a group and do this with other, other men and women who know what your life is like. Um, but I often get people who have done therapy for five years and really have not seen the changes they’re hoping for or looking for.
Mike Sapiro: I often get people who are, feel stuck in their lives, that they want to go deep. Into their psyches, into their own consciousness to explore what is it that they’re stuck? Why haven’t they made movement in traditional talk therapy? In those cases, I would say doing individual psychotherapy, psychedelic psychotherapy would be called for.
Mike Sapiro: I think people looking just to [00:55:00] explore their psyches and have a relationship with the greater universe can do more of those guided experiences without the psychotherapy. I think that would be appropriate for someone looking to expand their relationship to the greater universe, maybe to their own potential.
Mike Sapiro: You don’t have to do psychotherapy for that. There are really good programs or, you know, you can just go and have an experience and see what happens inside you. But I would always recommend make sure you’re vetting where you’re going. Make sure they’re, they’re, they have good ethics and integrity in place.
Mike Sapiro: They have good prep and integration. Programs in place. They have good medical attention. If you have a medical emergency, what are their safety guidelines? What are their procedures? I always recommend to people make sure you’re doing your, your research on the places you’re going to work with so that you’re safe.
Mike Sapiro: That’s the first priority is your safety.
Kyle Buller: A hundred percent agree. Yeah. I’m wondering [00:56:00] since, as we’re starting to wind down here at the hour, um, how are you living your truth out? What, what truth have you, um, you know, touched in, in your work and how are you living that out?
Mike Sapiro: I was a, a teenager. I was an unruly teenager, and I think what I’m discovering is that it’s because I wanted to do it.
Mike Sapiro: I wanted space to express myself. Mm-hmm. I am hopelessly romantic. I am incredibly adventurous and take too many risks and. Some of those have hurt me and other people, and some of that has, has made a life of complete grandeur and mystery and romance. I think I’ve always, I shamed the bigness in me for so long.
Mike Sapiro: ’cause I, I, I sometimes got shamed for it, for being so big and, and I was hurting myself with that. And, but when I really allow myself to be true and express [00:57:00] myself and know that it’s not always gonna work for everybody, I might offend people. People won’t dig this guy. And, and I have to be okay with that.
Mike Sapiro: I think when I really started to, I think, admire those traits, I originally shamed, I started living a fuller, richer life. Mm-hmm. That, that, that I’ve noticed about myself and. Even though I get overwhelmed and I burn out ’cause I serve so many populations and I work so much, um, the value of service is such an important piece of my life that I, I wanna continue that.
Mike Sapiro: And that’s a truth that I’ve discovered that if I don’t serve people, I don’t feel well. When I serve people, I feel like I’m thriving. So that’s something that’s also guided me. And also one other thing I’ve learned throughout my life is that, and something I failed at for a long time is that a spiritual life is an ethical life.
Mike Sapiro: And I think I thought a spiritual life was mostly about enlightenment and awakening. Uh, but I wasn’t [00:58:00] always as concerned about my behavior. And now I know it’s actually the opposite, that an awakened life is a life of ethics and integrity. And it took me a long time to put those into place and to, to really repair the, the damage I did not living in integrity.
Mike Sapiro: Um, so that’s a truth I’ve learned and discovered at this point in my life. Beautiful.
Kyle Buller: Beautiful. I would imagine there’s probably quite a few people that are listening that can probably really resonate to that shame around the bigness. And, uh, gets also kind of like wrap that up in what we call like the golden shadow.
Kyle Buller: Um, it’s like dealing with those parts that like, are actually really great. Um, and they shine really bright sometimes, but actually really hard to embody and integrate. So what have you been doing to embody that bigness? Like when like, the shame might come up or you wanna work with that? Because I think that’s a, that’s a, that’s a hard one.
Kyle Buller: I think a lot of people struggle with that and every time I’ve like presented on golden shadow stuff, [00:59:00] um, people, uh, yeah, it seemed like they really struggle with shining their light.
Mike Sapiro: Yeah. Because we’ve been taught it’s sinful, uh, prideful to acknowledge. The, the beauty in us, like, oh, I can’t, I can’t do that.
Mike Sapiro: It’s selfish, or it’s egotistical or it’s narcissist that those are, that they, that’s not, that’s not true. Narcissism is very specific way of being. It’s a very embedded personality disorder. That, that is, we can’t, we just don’t want to throw those words out toward ourself. What we wanna do is commit to who we are and what wants to be expressed.
Mike Sapiro: Commit to supporting and encouraging ourself. It took me a very long time to stop dimming myself to, to, to live up to some awful moralistic viewpoint of my father. You’re sinful. If you think you’re good at anything, you, you, you know, I’m not saying we should be [01:00:00] boastful. Humility is, has confidence built into it.
Mike Sapiro: It doesn’t have, it’s not humility can say, I’m really good at what I do, but I also have faults. I’m also. I’m also working on myself too, but I also know that I have gifts and skills that I want to bring out in the world. I want to encourage people to be humble. Not braggadocious and overconfident, but not shameful and, and belittling and invalidating.
Mike Sapiro: Those are opposite extremes For me, humility is both acknowledging what my gifts are and also what my weaknesses are equally, and being okay with both. And then encouraging myself to live as big as I can, as much as I want to with these skills. And then work on my weaknesses as much as I want to. Um. I don’t know what else to say.
Mike Sapiro: I just want people to and support, encourage what’s good in them to come forward and embolden themselves to live, uh, bigly as big as they [01:01:00] can. Bigly live Bigly
Kyle Buller: as a, as a teacher of mine once said, uh, yeah, try not to dim your light to make others feel comfortable. You know, it’s, I think it’s easier said than done, but I think it’s an, an important thing and it’s, you know, I’ve struggled with it too.
Kyle Buller: Yeah. It’s sometimes like hard to step into spotlight or step into the work, or, or truth and, ’cause there’s, there’s always those voices in the back, right? So like, you’re, you’re your worst self critic. Um, but yeah. Where does it come from? Is it you or is it the others around you that have kind of like infiltrated your, your thoughts?
Mike Sapiro: We can be humble and live a big, bold life. What I, what I’ve discovered in all of the work I’ve done is most people who leave my, the clinic or the sessions we do. Are so much, uh, lighter. First of all, they’re less tense because they’re finally seeing themselves and they’re learning to love themselves.
Mike Sapiro: But love is a verb. [01:02:00] It’s an action of encouragement, support, and nurturing. So the healing side is nurturing, tending compassion. The growth side is support and encouragement. So a lot of the people who leave our sessions start making decisions to do things that are better for them, more in like more vital to who they are.
Mike Sapiro: They may change their job, they may change career paths. I mean, not the day after. They do sessions that’s not ever recommended, but they actually end up going, this is who I want to be. This is who I want, this is what I want to do. And that’s where change really happens. And the, you know, they, they might come for, I don’t wanna feel so depressed, but that doesn’t give us an indication of what they really want.
Mike Sapiro: By the end of their sessions, what they really want is to live a full life, be themselves and to thrive. And when we finally land in our authenticity is when I see people doing that. So that’s why my book is about truth and authenticity more so than the psychedelic experience. It’s how people use the [01:03:00] psychedelic experience to speak their truth and to live authentically.
Mike Sapiro: And that is where healing and growth, uh, ultimately come from.
Kyle Buller: I agree. Yeah. So beautiful. And thank you for being a beacon of light. For those that you serve and for the world and stepping up and to your truth and, you know, sharing this work with the world, you know, it’s, it’s really impactful.
Mike Sapiro: Thank you. I can’t help it.
Mike Sapiro: I wish I could, I’d rather be a hermit, uh, living on the seaside, just writing. But I I, I, I am also just a dude with the dog doing my best to correct mistakes I’ve made and to be the best person I could be. And that’s how I help others do, do that for themselves. And, and I do hope if you’re listening, you might get the book and I hope it might be enjoy, uh, enjoyable to you, and it might actually help you heal as you read it.
Mike Sapiro: I did have it here just to show what it looks like.
Kyle Buller: I love it.
Mike Sapiro: Yeah.
Kyle Buller: Well, thank you. Well, Dr. Mike,
Mike Sapiro: thank you, man. Yeah,
Kyle Buller: thank you. Really appreciate it. Always enjoy ripping and, and chatting with you. [01:04:00] Um, any final words that you wanna close with for today?
Mike Sapiro: I think the best anybody doing listening could just be learning how to love yourself fully and that you’re super worthwhile putting in all the effort you can and do your own healing and growth because we all need you, every one of you listening us.
Mike Sapiro: Two, we need each other in this world. So put the time and effort into caring for yourself. That would be the best gift you could give, uh, all of us and yourself. That’s all beautifully
Kyle Buller: said. And for those that wanna learn more about your work, any offerings, where can people find the book, any of that stuff,
Mike Sapiro: uh, truth Medicines on Amazon or any of the stores, you know, Barnes and Noble, uh, Dr.
Mike Sapiro: Mike Boise on Instagram, and then michael sapiro.com is my website.
Kyle Buller: Awesome. Well, Dr. Mike Sapiro, thank you so much and thank you everybody for taking the time on this Thursday to, to tune in.
Mike Sapiro: Thank you guys. Thank you everybody.
Kyle Buller: Thank you. All right, we’ll catch everybody [01:05:00] later.






































































































































































Thomas B. Roberts promotes the legal adaptation of psychedelics for multidisciplinary cultural uses, primarily their academic and spiritual implications. He formulated Multistate Theory (2013) coined Singlestate Fallacy, mindapps, neurosingularity, metaintelligence, and ideagen, and he named and characterized the Entheogen Reformation (2016). He is a founding member of the 






