Thanks for this perspective.
The therapy paradigm you describe here (going to a clinic to receive Spravato), is, as you point out, difficult and bureaucratic.
Through a regulatory loophole, there’s another pathway where you can get ketamine sent to your house with less bureaucracy. https://www.mindbloom.com/ is the main provider I know of. They’re very expensive, but in theory this could be done for cheap and maybe other providers are doing it, I don’t know. If you have a cooperative psychiatrist, you can see if they know about this version and are willing to prescribe it.
As you point out, ketamine lasts a few weeks and then some people will crash back to their previous level of depression. If I am able to successfully treat a patient with ketamine, I usually recommend they continue it for six months, just like any other antidepressant. A cooperative doctor can do this by prescribing it to a cooperative compounding pharmacy. I don’t know if Mindbloom or other companies provide this service by default. Obviously this is easier when you’re doing the version in your house than if you have to go to a clinic each time.
I’ve written more of my thoughts about ketamine at https://lorienpsych.com/2021/11/02/ketamine/
I looked into this and got some useful information. Enough people asked me to keep their comments semi-confidential that I’m not going to post everything publicly, but if someone has a reason to want to know more, they can email me. I haven’t paid any attention to this situation since early 2022 and can’t speak to anything that’s happened since then.
My overall impression is that the vague stereotype everyone has is accurate—Michael is pretty culty, has a circle of followers who do a lot of psychedelics and discuss things about trauma in altered states, and many of those people have had pretty bad psychotic breaks.
But I wasn’t able to find any direct causal link between Michael and the psychotic breaks—people in this group sometimes had breaks before encountering him, or after knowing him for long enough that it didn’t seem triggered by meeting him, or triggered by obvious life events. I think there’s more reverse causation (mentally fragile people who are interested in psychedelics join, or get targeted for recruitment into, his group) than direct causation (he convinces people to take psychedelics and drives them insane), though I do think there’s a little minor direct causation in a few cases.
I retraced the same argument about Olivia that people are having here—yes, she likes manipulating people and claiming that she’s driven them insane (it’s unclear how effective she actually is or whether she just takes credit, but I would still avoid her), she briefly hung out with Michael in 2017 and often says that Michael inspired her to do this, but Michael denies continued affiliation with her, and she hasn’t been part of his inner circle of followers since the late 2010s (if she ever was). The few conversation logs I got failed to really back up any continuing connection between them, and I think she’s more likely doing it on her own and sort of piggybacking on his reputation.
I continue to recommend that everybody just stay away from this entire scene and group of people.