In this episode, Kyle interviews General Stephen Xenakis, MD: an adult, child, and adolescent psychiatrist who retired from the U.S. Army in 1998 at the rank of Brigadier General and began a career starting up medical technology companies and clinical practice to support human rights and new methodologies of healthcare.
In June, he became the new Executive Director of the American Psychedelic Practitioners Association (APPA), whose mission is to bring practitioners together as a community; develop the best training programs and practices; shift to a more patient-centered, integrated model of care; eventually accredit practitioners to practice with legal substances; and overall, help to make these new modalities more mainstream.
He discusses their path to success, which began with their publishing of the first professional practice guidelines for psychedelic-assisted therapy practitioners, and will continue on with ethical guidelines and clinical practice guidelines in the future. And he talks about the idea of a safety net for people who have adverse effects from psychedelic journeys; what clinicians need to know about psychedelics; concerns over accessibility; and the importance of identifying the correct treatments for the correct patients, as each person’s path to healing will likely be drastically different.
“We live in a world of disease-centered treatments, and we want to shift to a patient-centered model. We want to know that we’re not just treating your symptoms, we’re not just treating the problems that you have; that what you’re getting out of this is, in fact, helping you live the life that you want to live. What do those outcomes look like? How do we know [what] they are? How do we collaborate with you? It’s a partnership, it’s a rapport. It’s an alliance between you and me so that you’re getting what you feel is most important and we’re doing our job in providing it. That’s a big shift in medicine.”
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