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“The medicine starts working before you take it.”
This is one of those lines that, if you hang around psychedelic people enough, you hear all the time.
It would 100% be one of the sound bites if we made a Tickle-Me-Facilitator doll. (Hmm, we should do that… Toys R Us, call us.)
Anyway, they're not being woo for the sake of it. There's really something going on. Clinically, somatically, and yes, possibly spiritually.
For today's issue, we asked our network of licensed psilocybin facilitators: Why do some facilitators say the medicine starts working before you actually take it?
Here's how they responded.
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Saying yes starts something
Most facilitators agree the process begins with a commitment. Kate Schroeder names what starts moving the moment a session is booked: “Anxiety rises, old memories surface, dreams get louder, resistance appears, insight begins to flicker, and the nervous system starts anticipating change.” The psyche, it seems, doesn’t wait for instructions.
Jana Lomax has watched this pattern play out repeatedly: “If you are willing to non-judgmentally notice, you may experience vivid dreams, unexpected memories, heightened awareness, and/or novel questions in the months, weeks, and days” leading up to your journey. Her advice is to stay curious and avoid over-analyzing.
And Jim Hoeffler explains why this moment matters. Preparation is not a hurdle to clear before the “real work begins,” he says. It’s the beginning of the work. “By reflecting on one's life, clarifying intentions, and attending carefully to physical safety, you are signaling readiness to engage with the experience in a mature and grounded way.”
The work before the work
So if things are already stirring, what do you do with that? Michelle Harrell gets practical: “When you begin clarifying intentions, journaling, praying, meditating, and honestly naming your fears, your mindset shifts. You start practicing surrender. You start loosening control.” That inner work, she says, regulates your nervous system and prepares you for the journey and integration to come.
There's also a physical rationale for these practices. Mikki Vogt explains: “Anticipation changes physiology. Once you commit to a journey, your body begins scanning for safety and preparing for intensity.” She describes the surfacing of emotions and “protective patterns” as “the psyche organizing what's ready to be met.”
Prep doesn’t have to be solo work, mind you. Mikki adds that “the therapeutic alliance [with your facilitator] is active medicine. Being deeply seen, supported, and prepared for can soften fear responses and strengthen the inner capacity to stay present during the journey.”
Spirit, science, or both
Ok, so something real is happening before dosing day. But why? Facilitators land in different places on that one. Clayton Ickes names the two camps: “Some say it because they believe the medicine is an external being whose spirit can feel your intention from a distance. Others say it to highlight the opportunity for habit change presented by the preparatory period.”
Peter Cedergren is firmly in the first camp: “The Medicine is a Sacred intelligent presence that knows us” and “how to work with each of us as the individuals we are. It knows what we need, and when we make the commitment to embark on a Medicine journey, it joins with us before we physically arrive.”
And Erin Witter bridges the two: “Your consciousness doesn't wait for the medicine to touch your lips. The healing begins the moment you turn toward it.” Ah, the middle way. As for us, we’re happy to embrace a little mystery.
Our take
We’ll offer a slightly different explanation. It comes down to two words. Say 'em with us.
Expectancy effects.
Hear us out. A few weeks ago, we covered a big, splashy study that compared psychedelic therapy to antidepressants and found virtually no difference in outcomes, as long as people knew what they were getting.
Despite what some headlines might have suggested, this wasn’t a knock on psychedelics at all. Both worked.
We found that study pretty dang empowering actually. It says, when people do something they believe will help them… it does. Like a self-fulfilling prophecy.
So yes, you can just decide to change. You have our permission. You have science’s permission. You have the mushrooms' permission. Do you have your own?
Thanks to Shannon T. from Vancouver, BC for submitting this week’s question. 🫠
Got a question for our guides?
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DISCLAIMER: This newsletter is for educational and informational purposes only and is not intended as a substitute for professional medical advice. The use, possession, and distribution of psychedelic drugs are illegal in most countries and may result in criminal prosecution.




