Despite the huge therapeutic potential, psychedelic-assisted psychotherapy is not part of standard medical care yet. Self-medicating with psychedelics can produce undesired results, but despite that, more and more people feel disappointed with the efficacy of the current treatments and they turn to risky, but potentially more beneficial psychedelic-assisted therapy. The goal of this guide is harm reduction for people, who decided to self-medicate, we don’t encourage possession or consumption of illicit substances even for therapeutic endeavours.

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Legal status of psychedelics in Estonia

Unauthorized use of narcotic drugs or psychotropic substances without a prescription, as well as the unlawful production, purchase, or possession of small amounts of any narcotic drugs or psychotropic substances, can result in a fine of up to EUR 1 200 (usually decided by the police) or administrative detention for up to 30 days. Misdemeanor prosecutions, on the other hand, can be suspended for the sake of expediency.


The safest way to obtain psychedelics in Estonia

The safest way to obtain psychedelics in Estonia is the mushroom hunt, and usage of the drug test kit to identify if mushroom contains psilocin or psilocybin. These are the magic mushrooms, that grow in Estonia:

  • Psilocybe semilanceata

Read the harm reduction guidelines before considering purchasing illicit substances online.

Harm reduction

Other medication

Many people who want to try magic mushrooms are still on medication and want to know if it’s possible to mix their medication with psychedelics. While psilocybin has been shown to effectively treat depression and a variety of other mental health conditions, some antidepressant drugs can interact with the substance in a dangerous or undesirable way.

Interactions between Psilocybin and other medication

Antidepressant drugs may block the therapeutic effects of Psilocybin. If you are on antidepressants, you need to ask your health provider to help you stop taking them before considering psychedelics. SSRIs function by preventing excess serotonin from being cleared from the brain, resulting in a temporary increase in serotonin levels. Although it has been hypothesized that this may contribute to serotonin syndrome in extreme situations, such risks can be reduced with appropriate guidance and medical supervision.  Most common SSRIs are:

  • Citalopram (Celexa, Cipramil)
  • Escitalopram (Lexapro, Cipralex)
  • Fluoxetine (Prozac, Sarafem)
  • Fluvoxamine (Luvox, Faverin)
  • Paroxetine (Paxil, Seroxat)
  • Sertraline (Zoloft, Lustral)

Health conditions that psilocybin may worsen

At first, the findings revealed that people who had used psychedelic drugs were more likely to have mental health issues. However, the researchers took into account a variety of variables that may have influenced the findings, including the participants’ age, gender, and their experience with any highly stressful life event, all of which may influence the likelihood of mental health problems. When those factors were taken into account, the researchers found that people who had used psychedelics were no more likely to develop mental health problems than those who hadn’t used the drugs.

However, it’s not advisable to use psychedelics if you or your family members had psychotic symptoms.

Mushrooms in non-clinical settings are typically eaten orally, either as dried caps and stems or steeped in hot water and drunk as a tea, with a typical dose of 1-2.5 grams, though potency varies depending on the volume. Fresh mushrooms are usually less active than dried mushrooms. There is virtually no chance of accidental deadly overdose with psilocybin mushrooms.

Johns Hopkins study found Psilocybin dosage sweet spot for positive and lasting effects

Researchers found that as higher doses of chemically pure psilocybin were administered, the recorded positive effects increased, but there was also a sharp rise in the negative effects at the very highest dose, which was perhaps unsurprising. At the maximum dose (30 mg/70 kg, p.o. – meaning “per oral” or “by mouth”), 78 percent of the volunteers recorded one of the top five most spiritually important events of their lives, but those experiencing anxiety, stress, and fear episodes increased sixfold, resulting in about a third of those in the study showing signs of psychological distress.

By contrast, only one of the volunteers receiving the second-highest dose (20mg/70 kg, p.o.) reported having negative issues, and all benefited from positive experiences, although with less intensity than at the highest dose. Critically, even the lowest amount used in the study resulted in notable and long-lasting positive changes in the attitudes, behavior, overall satisfaction and spiritual beliefs of the subjects during the period of study. These changes were also noticed by family members and friends.

Psilocybe cubensis

The concentrations of psilocin and psilocybin, as determined by high-performance liquid chromatography, are in the range of 0.14–0.42% and 0.37–1.30% (dry weight) in the whole mushroom, 0.17–0.78%, and 0.44–1.35% in the cap, and 0.09 and 0.30%/0.05–1.27% in the stem, respectively.

Psychedelics-assisted psychotherapy in Estonia

Surprisingly, at the end of the 1960s, numerous articles appeared in the Soviet-occupied Estonian newspapers, documenting the downfall of Western youth due to the effects of a terrible new drug. In 1968, the headline in the newspaper Edasi: “LSD – a door to Insanity or Paradise?”

It should be remembered that in the Soviet Union, LSD was a very unusual substance. The fact that LSD was developed as a drug, entirely legally and with the help of a neighboring country’s Communist government, is perplexing. A small number of experts had access to the substance, which they used for experiments or therapy. The general public was unaware of psychedelics at the time.

In 1964, psychiatrist Stanislaf Grof, nicknamed “the godfather of LSD,” participated in a university exchange program that took him from Prague to Leningrad. He arrived with 300 ampoules of acid. For a month, Grof remembered, they had a séance every day. This had to have been groundbreaking, and not in the scientific sense. After Grof’s visit, it is said that the university’s entire academic climate changed dramatically. People became involved in Zen Buddhism, yoga, and Hermann Hesse all of a sudden.

Psychedelics-assisted psychotherapy is not legal in Estonia.