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Are over-the-counter psychedelics in our future?
Mycologist Paul Stamets believes they should be.

Joe Rogan Experience #1385
- Mycologist Paul Stamets believes psilocybin should be offered over the counter.
- Numerous studies on psychedelics over the past few years are helping to build the case for therapeutic usage.
- Potential benefits include positive mental outlook and reduced depression and anxiety.
Though Alexander Fleming's fame as the father of penicillin took nearly two decades to manifest, the discovery had a profound effect on humankind. Amazingly, every single dose in existence is derived from a single cantaloupe purchased in Peoria. Within a year of scraping mold from that fruit, American pharmaceutical companies were producing 100 million units per month.
The timing was fortuitous as medicine was in great demand during World War II. Antibiotics have since played an essential role in medicine (although sometimes negatively). That could soon change. As Bill Bryson writes in his new book, The Body: A Guide For Occupants, from the fifties through the nineties, Big Pharma churned out three new strains per year. Now the pace is one every other year, and declining.
The reason? We're becoming resistant to antibiotics. The money is drying up. Big Pharma would rather focus on drugs that hook us for life, such as statins and selective serotonin reuptake inhibitors (SSRIs).
Even beyond the serious problem of disappearing antibiotics, this profit-driven approach to medicine could be our undoing. Except in cases of medical necessity, no human should take a pill for life. For all the seemingly beneficial qualities of SSRIs, they're proving woefully ineffective (and sometimes downright deadly) over the longterm. We need better solutions.
Enter Paul Stamets, one of the world's foremost experts on fungi. The mycologist was recently a guest on the Joe Rogan Experience, where he's preached the benefits of mycelia before. Discussing psilocybin, the psychedelic strains of mushrooms that have received much attention of late for their potentially therapeutic applications, Stamets noted that there is early research evidence that "the neurogenic benefits of microdosing are greater than the neurogenic benefits of macrodosing."
That's a big claim, but an important one, if true. Microdosing has predominantly been relegated (in the popular media's eyes) to tech workers using various protocols of psilocybin and LSD for productivity gains. Stamets touches on this when saying, "Any new businesses populated in pinnacle by young people who are not doing microdosing are going to be at a competitive disadvantage."
More relevant to the larger population is the potential for psychedelics to treat depression and other mental health disorders. Unlike current medications, serotonergic psychedelics appear to "reboot" certain brain regions, resulting in an improved mental health outlook. One recent study confirms their role in neurogenesis; the authors write, "psychedelics cause both structural and functional changes in cortical neurons."
Another recent study investigated how microdosing affects creativity. Though "creativity" is often treated as an artistic endeavor, it is actually a fundamental aspect of cognition. One effect of depression is an inability to imagine a better future; the depressed feel "stuck." One method for overcoming this mindset is to creatively imagine different outcomes to the problems we face. English drug policy reformer Amanda Feilding calls psychedelics "tools for creativity, because they enable different parts of the brain to work simultaneously, allowing for new combinations of ideas to come together."
For the microdosing study, researchers examined the effects of psychedelic truffles (masses of mycelia that contain psilocybin) in the Netherlands. (Though the Dutch government outlawed psilocybin mushrooms in 2007, they continue to allow the sale of truffles.) Psilocybin binds to serotonin 2A receptors, the result being "enhanced cognitive flexibility, improved associated learning, and hippocampal neurogenesis." It has also been shown to improve optimism and provide a sense of subjective wellbeing.
Researchers did not use a control group for this study, so, as with the gamut of psychedelic research, more research is needed. But we do need it. The FDA is seeking better treatments for chronic mental heath problems. The agency has labeled MDMA research as a breakthrough therapy for PTSD due to positive early evidence of its efficacy. The same agency allows the usage of the psychedelic ketamine (under the name esketamine) to address treatment-resistant depression. Psilocybin has been shown to be effective in treating this condition as well.
Meanwhile, DARPA, part of the United States Department of Defense, is attempting to tamp down the hallucinatory effects of MDMA and psilocybin to treat PTSD and depression in the military. Perhaps the agency should consult with Stamets, who noted the beneficial effects of combining psychedelics with niacin (vitamin B3). According to the mycologist, that helps prevent abuse, dilates blood vessels to better deliver the neurogenic effects of psychedelics, and excites nerve endings.
Beyond government agencies, Stamets's therapeutic model includes local pharmacies.
"I hope to see, in the future, psilocybin mushrooms being sold as over-the-counter vitamins approved by the FDA and stacked with niacin."
Paul Stamets holding up a mushroom.
Source: https://www.facebook.com/PaulStamets/
Beware the danger: the list of maladies that psychedelics are being associated with helping is extensive and must not prematurely be considered therapeutic (as is the case with CBD, for example). That said, the old models are not working and early evidence of the efficacy of psychedelics is positive. The fact that you don't need a heroic dose to treat a number of mental health problems means that a clinically relevant path of investigation lies ahead.
Stamets claims he only takes ritual-sized doses of psilocybin two times a year. (His recent dose of 20 grams is worthy of its own study; my own experience with four grams was harrowing enough.) Following the mycologist's lead, we need to consider both relevant in our culture: trip-sized rituals that provide context and meaning and therapeutic-sized doses that address the greatest mental health issues of today.
Stamets has recently helped launch a microdosing study (which I am beginning next week). It's an anonymous, crowd-sourced correlational study that will track self-reported cognitive performance and mental health attitudes. Since there is no control, the results will be anecdotal, but we mustn't overlook the relevance of personal experiences. As much as we need to lean on science for creating trustworthy therapeutic models, the individual outlook on existence is an equally relevant aspect of mental health.
In The Body, Bryson discusses the fact that our brains don't distinguish between physical and emotional pain. "In many ways," he writes, "we feel the pain we expect to feel." While we should never write off certain forms of chronic pain, perception greatly influences how you physically and emotionally feel. Acts such as having sex, eating food you love, and listening to great music all reduce pain levels, proving its malleability and transiency.
By whatever mechanism they work, psychedelics have long been shown to increase positive outlooks and decrease negative sentiments. That is valuable and needed medicine. We've exhausted the alternatives and found them insufficient. This is not medical advice—just common sense.
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Stay in touch with Derek on Twitter and Facebook. His next book is Hero's Dose: The Case For Psychedelics in Ritual and Therapy.
‘Designer baby’ book trilogy explores the moral dilemmas humans may soon create
How would the ability to genetically customize children change society? Sci-fi author Eugene Clark explores the future on our horizon in Volume I of the "Genetic Pressure" series.
- A new sci-fi book series called "Genetic Pressure" explores the scientific and moral implications of a world with a burgeoning designer baby industry.
- It's currently illegal to implant genetically edited human embryos in most nations, but designer babies may someday become widespread.
- While gene-editing technology could help humans eliminate genetic diseases, some in the scientific community fear it may also usher in a new era of eugenics.
Tribalism and discrimination
<p>One question the "Genetic Pressure" series explores: What would tribalism and discrimination look like in a world with designer babies? As designer babies grow up, they could be noticeably different from other people, potentially being smarter, more attractive and healthier. This could breed resentment between the groups—as it does in the series.</p><p>"[Designer babies] slowly find that 'everyone else,' and even their own parents, becomes less and less tolerable," author Eugene Clark told Big Think. "Meanwhile, everyone else slowly feels threatened by the designer babies."</p><p>For example, one character in the series who was born a designer baby faces discrimination and harassment from "normal people"—they call her "soulless" and say she was "made in a factory," a "consumer product." </p><p>Would such divisions emerge in the real world? The answer may depend on who's able to afford designer baby services. If it's only the ultra-wealthy, then it's easy to imagine how being a designer baby could be seen by society as a kind of hyper-privilege, which designer babies would have to reckon with. </p><p>Even if people from all socioeconomic backgrounds can someday afford designer babies, people born designer babies may struggle with tough existential questions: Can they ever take full credit for things they achieve, or were they born with an unfair advantage? To what extent should they spend their lives helping the less fortunate? </p>Sexuality dilemmas
<p>Sexuality presents another set of thorny questions. If a designer baby industry someday allows people to optimize humans for attractiveness, designer babies could grow up to find themselves surrounded by ultra-attractive people. That may not sound like a big problem.</p><p>But consider that, if designer babies someday become the standard way to have children, there'd necessarily be a years-long gap in which only some people are having designer babies. Meanwhile, the rest of society would be having children the old-fashioned way. So, in terms of attractiveness, society could see increasingly apparent disparities in physical appearances between the two groups. "Normal people" could begin to seem increasingly ugly.</p><p>But ultra-attractive people who were born designer babies could face problems, too. One could be the loss of body image. </p><p>When designer babies grow up in the "Genetic Pressure" series, men look like all the other men, and women look like all the other women. This homogeneity of physical appearance occurs because parents of designer babies start following trends, all choosing similar traits for their children: tall, athletic build, olive skin, etc. </p><p>Sure, facial traits remain relatively unique, but everyone's more or less equally attractive. And this causes strange changes to sexual preferences.</p><p>"In a society of sexual equals, they start looking for other differentiators," he said, noting that violet-colored eyes become a rare trait that genetically engineered humans find especially attractive in the series.</p><p>But what about sexual relationships between genetically engineered humans and "normal" people? In the "Genetic Pressure" series, many "normal" people want to have kids with (or at least have sex with) genetically engineered humans. But a minority of engineered humans oppose breeding with "normal" people, and this leads to an ideology that considers engineered humans to be racially supreme. </p>Regulating designer babies
<p>On a policy level, there are many open questions about how governments might legislate a world with designer babies. But it's not totally new territory, considering the West's dark history of eugenics experiments.</p><p>In the 20th century, the U.S. conducted multiple eugenics programs, including immigration restrictions based on genetic inferiority and forced sterilizations. In 1927, for example, the Supreme Court ruled that forcibly sterilizing the mentally handicapped didn't violate the Constitution. Supreme Court Justice Oliver Wendall Holmes wrote, "… three generations of imbeciles are enough." </p><p>After the Holocaust, eugenics programs became increasingly taboo and regulated in the U.S. (though some states continued forced sterilizations <a href="https://www.uvm.edu/~lkaelber/eugenics/" target="_blank">into the 1970s</a>). In recent years, some policymakers and scientists have expressed concerns about how gene-editing technologies could reanimate the eugenics nightmares of the 20th century. </p><p>Currently, the U.S. doesn't explicitly ban human germline genetic editing on the federal level, but a combination of laws effectively render it <a href="https://academic.oup.com/jlb/advance-article/doi/10.1093/jlb/lsaa006/5841599#204481018" target="_blank" rel="noopener noreferrer">illegal to implant a genetically modified embryo</a>. Part of the reason is that scientists still aren't sure of the unintended consequences of new gene-editing technologies. </p><p>But there are also concerns that these technologies could usher in a new era of eugenics. After all, the function of a designer baby industry, like the one in the "Genetic Pressure" series, wouldn't necessarily be limited to eliminating genetic diseases; it could also work to increase the occurrence of "desirable" traits. </p><p>If the industry did that, it'd effectively signal that the <em>opposites of those traits are undesirable. </em>As the International Bioethics Committee <a href="https://academic.oup.com/jlb/advance-article/doi/10.1093/jlb/lsaa006/5841599#204481018" target="_blank" rel="noopener noreferrer">wrote</a>, this would "jeopardize the inherent and therefore equal dignity of all human beings and renew eugenics, disguised as the fulfillment of the wish for a better, improved life."</p><p><em>"Genetic Pressure Volume I: Baby Steps"</em><em> by Eugene Clark is <a href="http://bigth.ink/38VhJn3" target="_blank">available now.</a></em></p>Massive 'Darth Vader' isopod found lurking in the Indian Ocean
The father of all giant sea bugs was recently discovered off the coast of Java.
A close up of Bathynomus raksasa
- A new species of isopod with a resemblance to a certain Sith lord was just discovered.
- It is the first known giant isopod from the Indian Ocean.
- The finding extends the list of giant isopods even further.
The ocean depths are home to many creatures that some consider to be unnatural.
<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yMzU2NzY4My9vcmlnaW4ucG5nIiwiZXhwaXJlc19hdCI6MTYxNTUwMzg0NX0.BTK3zVeXxoduyvXfsvp4QH40_9POsrgca_W5CQpjVtw/img.png?width=980" id="b6fb0" class="rm-shortcode" data-rm-shortcode-id="2739ec50d9f9a3bd0058f937b6d447ac" data-rm-shortcode-name="rebelmouse-image" data-width="1512" data-height="2224" />Bathynomus raksasa specimen (left) next to a closely related supergiant isopod, B. giganteus (right)
<p>According to<a href="https://www.livescience.com/supergiant-isopod-newfound-species.html" target="_blank" rel="dofollow"> LiveScience</a>, the Bathynomus genus is sometimes referred to as "Darth Vader of the Seas" because the crustaceans are shaped like the character's menacing helmet. Deemed Bathynomus raksasa ("raksasa" meaning "giant" in Indonesian), this cockroach-like creature can grow to over 30 cm (12 inches). It is one of several known species of giant ocean-going isopod. Like the other members of its order, it has compound eyes, seven body segments, two pairs of antennae, and four sets of <a href="https://www.livescience.com/supergiant-isopod-newfound-species.html" target="_blank" rel="noopener noreferrer dofollow">jaws</a>.</p><p>The incredible size of this species is likely a result of deep-sea gigantism. This is the tendency for creatures that inhabit deeper parts of the ocean to be much larger than closely related species that live in shallower waters. B. raksasa appears to make its home between 950 and 1,260 meters (3,117 and 4,134 ft) below sea <a href="https://news.nus.edu.sg/research/new-species-supergiant-isopod-uncovered" target="_blank" rel="noopener noreferrer dofollow">level</a>. </p><p>Perhaps fittingly for a creature so creepy looking, that is the lower sections of what is commonly called <a href="https://en.wikipedia.org/wiki/Mesopelagic_zone" target="_blank" rel="noopener noreferrer dofollow">The Twilight Zone</a><em>, </em>named for the lack of light available at such depths. </p><p>It isn't the only giant isopod, <a href="https://en.wikipedia.org/wiki/Giant_isopod" target="_blank">far from it</a>. Other species of ocean-going isopod can get up to 50 cm long (20 inches) and also look like they came out of a nightmare. These are the unusual ones, though. Most of the time, isopods stay at much more reasonable <a href="https://indianexpress.com/article/explained/explained-raksasa-cockroach-from-the-deep-the-stuff-nightmares-are-made-of-6513281/" target="_blank" rel="noopener noreferrer dofollow">sizes</a>. </p><p>The discovery of this new species was published in <a href="https://zookeys.pensoft.net/article/53906/" target="_blank" rel="noopener noreferrer dofollow">ZooKeys</a>. The remainder of the specimens from the trip are still being analyzed. The full report will be published <a href="https://www.futurity.org/deep-sea-giant-isopod-bathynomus-raksasa-2422042/" target="_blank" rel="noopener noreferrer dofollow">shortly</a>.<em> </em></p>What benefit does this find have for science? And is it as evil as it looks?
<div class="rm-shortcode" data-media_id="7XqcvwWp" data-player_id="FvQKszTI" data-rm-shortcode-id="8506fcd195866131efb93525ae42dec4"> <div id="botr_7XqcvwWp_FvQKszTI_div" class="jwplayer-media" data-jwplayer-video-src="https://content.jwplatform.com/players/7XqcvwWp-FvQKszTI.js"> <img src="https://cdn.jwplayer.com/thumbs/7XqcvwWp-1920.jpg" class="jwplayer-media-preview" /> </div> <script src="https://content.jwplatform.com/players/7XqcvwWp-FvQKszTI.js"></script> </div> <p>The discovery of a new species is always a cause for celebration in zoology. That this is the discovery of an animal that inhabits the deeps of the sea, one of the least explored areas humans can get to, is the icing on the cake.</p><p>Helen Wong of the National University of Singapore, who co-authored the species' description, explained the importance of the discovery:</p><p>"The identification of this new species is an indication of just how little we know about the oceans. There is certainly more for us to explore in terms of biodiversity in the deep sea of our region." </p><p>The animal's visual similarity to Darth Vader is a result of its compound eyes and the curious shape of its <a href="https://lkcnhm.nus.edu.sg/research/sjades2018/" target="_blank" rel="noopener noreferrer dofollow" style="">head</a>. However, given the location of its discovery, the bottom of the remote seas, it may be associated with all manner of horrifically evil Elder Things and <a href="https://en.wikipedia.org/wiki/Cthulhu" target="_blank" rel="dofollow">Great Old Ones</a>. <em></em></p>Discovery of two giant radio galaxies hints at more to come
The newly discovered galaxies are 62x bigger than the Milky Way.
This image shows most of the giant radio galaxy MGTC J095959.63+024608.6; in red is the radio light from the giant radio galaxy, as seen by MeerKAT. It is placed ontop of a typical image of the night sky.
- Two recently discovered radio galaxies are among the largest objects in the cosmos.
- The discovery implies that radio galaxies are more common than previously thought.
- The discovery was made while creating a radio map of the sky with a small part of a new radio array.
An extremely active galaxy
<p> <br> </p><p>Radio galaxies are galaxies with extremely active central regions, known as nuclei, which shine incredibly brightly in some part of the electromagnetic spectrum. They are known for emitting large jets of ionized matter into intergalactic space at speeds approaching that of light. They are related to quasars and blazars. It is thought that supermassive black holes are the energy source that make these galaxies shine so brightly. </p><p>What makes these two galaxies (known as MGTC J095959.63+024608.6 and MGTC J100016.84+015133.0) so interesting is their size. Only 831 similar, "giant radio galaxies" are known to exist. As study co-author Dr. Matthew Prescott explains, these are particularly large even for <a href="https://www.forbes.com/sites/jamiecartereurope/2021/01/18/we-just-found-two-mysterious-galaxies-62-times-bigger-than-our-milky-way-say-scientists/?sh=76edf29c2892" target="_blank" rel="noopener noreferrer">giants</a>:</p><p>"These two galaxies are special because they are amongst the largest giants known, and in the top 10 percent of all giant radio galaxies. They are more than two mega-parsecs across, which is around 6.5 million light-years or about 62 times the size of the Milky Way. Yet they are fainter than others of the same size."</p><p>The smaller of the two is just over two megaparsecs across, roughly six and a half million light-years. The larger is almost another half megaparsec larger than <a href="http://www.sci-news.com/astronomy/giant-radio-galaxies-09266.html" target="_blank">that</a>. <br></p><p>Exactly how these things get to be so massive remains a mystery. Some have proposed that they are ejecting matter into unusually empty space, allowing for the jet to expand further, though some evidence contradicts this. The most commonly suggested idea is that they are simply much, much older than the previously observed radio galaxies, allowing more time for expansion to occur.</p>How does this change our understanding of the universe?
<p> While exciting and impressive on their own, the findings also suggest that there are very many more of these giant galaxies than previously supposed. If you were going off the previous estimates for how typical these galaxies are, then the odds of finding these two would be 1 in 2.7×10<sup>6. </sup>This suggests that there must be more, given that the alternative is that the scientists were impossibly lucky. </p><p> In the study, the researchers also apply this reasoning to smaller versions of these galaxies, saying:</p><p> "While our analysis has considered only enormous (>2 Mpc) objects, if radio galaxies must grow to reach this size, then we may expect to similarly uncover in our data previously undetected GRGs with smaller sizes."</p><p> Exactly how common radio galaxies and turn out to be remains to be seen. Still, it will undoubtedly be an exciting time for radio astronomy as new telescopes are turned skywards to search for them.</p>How did they find them?
<iframe width="730" height="430" src="https://www.youtube.com/embed/c1ZW3nVfe5A" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe><p> The new galaxies were discovered by the amusingly named <a href="https://www.sarao.ac.za/gallery/meerkat/" target="_blank" rel="noopener noreferrer">MeerKAT</a> radio telescope in South Africa during the creation of a new radio map of the sky. The MeerKAT is the first of what will soon be the <a href="https://en.wikipedia.org/wiki/Square_Kilometre_Array" target="_blank" rel="noopener noreferrer">Square Kilometre Array</a> of telescopes, which will span several countries in the southern hemisphere and make even more impressive discoveries in radio astronomy possible. </p>The secret life of maladaptive daydreaming
Daydreaming can be a pleasant pastime, but people who suffer from maladaptive daydreamers are trapped by their fantasies.
Maladaptive daydreaming
<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTUwMjgyMy9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY0OTUxNzc3Nn0.yVIUGnZl6VnJhfevESkBpb1TEvwKrHcLtobwNJV55HI/img.jpg?width=1245&coordinates=0%2C63%2C0%2C63&height=700" id="713cf" class="rm-shortcode" data-rm-shortcode-id="e2d24a66284b3aa58ad16b66c135dc9d" data-rm-shortcode-name="rebelmouse-image" data-width="1245" data-height="700" />One maladaptive dreamer spent hours a day dreaming he was a powerful man who could solve the world's problems.
(Photo: Pixabay)
<p>Daydreaming is an indulgence of the mind and imagination, one provided courtesy of the <a href="https://www.sciencedirect.com/topics/neuroscience/default-mode-network#:~:text=The%20default%20mode%20network%20(DMN,and%20Exercise%20Psychology%20Research%2C%202016" target="_blank">default mode network</a>, a network of interacting brain regions that is active even when the conscious mind is not. But like so many of life's indulgences—wine, steak dinners, video games, and even <a href="https://www.healthline.com/health-news/why-too-much-exercise-can-be-bad-042514" target="_blank">exercise</a>—too much daydreaming can be harmful to our well-being. When daydreaming crosses that threshold, it can be considered maladaptive.</p><p>This disorder was first identified by <a href="https://haifa.academia.edu/EliSomer" target="_blank">Eli Somer</a>, a professor of clinical psychology at the University of Haifa, School of Social Work, in <a href="https://link.springer.com/article/10.1023/A:1020597026919" target="_blank" rel="noopener noreferrer">a 2002 paper</a>. That paper looked to six patients in a trauma center whose daydreaming habits replaced human interactions or interfered with their standard life functions, such as going to school or holding down a job. </p><p>Since then, other case studies have looked at <a href="https://www.healthline.com/health/mental-health/maladaptive-daydreaming#:~:text=Maladaptive%20daydreaming%20is%20a%20psychiatric,life%20events%20trigger%20day%20dreams." target="_blank" rel="noopener noreferrer">maladaptive daydreamers</a> and compiled a list of potential symptoms. These include vivid, richly-detailed daydreams; abnormally long daydreaming sessions; daydreams triggered by real-life events; daydreaming sessions that interrupt sleep; and repetitive motions or whisperings while daydreaming. On average, one study reported, maladaptive daydreamers spend <a href="https://bigthink.com/bps-research-digest/people-with-maladaptive-daydreaming-spend-an-average-of-four-hours-a-day-lost-in-their-imagination" target="_self">four hours a day</a> housed in their imaginations.</p><p>"This is not like rehearsing a conversation that you might have with a boss," <a href="https://www.cnn.com/2016/12/30/health/maladaptive-daydreaming-feature/index.html" target="_blank" rel="noopener noreferrer">Somer told CNN</a>. "This is fanciful, weaving of stories. It produces an intense sense of presence."</p><p>While such symptoms are common, though not comprehensive or guaranteed, how maladaptive daydreams manifest are naturally individual to the dreamers. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426361/" target="_blank" rel="noopener noreferrer">In one case study</a>, researchers analyzed the diary of a man codenamed "Peter." Peter described investing as many as 14 hours a day online. The news and images he happened upon would trigger related fantasies. For example, he may envision himself as a multimillionaire genius who could prevent bad news from occurring or self-insert himself into the power fantasies of superhero movies or police procedurals for hours at a time.</p><p>"When I felt this pain as a child, I started imagining how things could be different. I created stories which never happened. To suppress that pain I would hug my pillow or quilt, thinking I was being comforted by someone else," Peter wrote.</p><p>In an interview with CNN, Cordellia Rose described her maladaptive daydreaming like a drug and noted that her daydreams developed into intricate storylines that could last for years. These stories proved so distracted that she was unable to complete everyday tasks such as driving lessons.</p><p>"You get hooked on it, because it can be like an action movie in your head that's so gripping that you cannot turn off," Rose told CNN. "This [condition] needs to be public, because these are people suffering, and badly."</p><p>To be clear, maladaptive dreaming is not a <a href="https://www.webmd.com/schizophrenia/guide/what-is-psychosis#1" target="_blank" rel="noopener noreferrer">psychotic disorder</a> like schizophrenia. Daydreamers such as Peter and Rose are aware that their fantasies are as unreal as they may be unrealistic. Because of this, many maladaptive dreamers understand the difficulties they face and the real-life losses they have endured for the sake of their fantasies. </p>More research needed
<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="6fdb8ca5dcc87c58b441d9c7cd766f35"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/vI7b4_-MA8g?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><p>Researchers don't have a <a href="https://www.medicalnewstoday.com/articles/319400" target="_blank" rel="noopener noreferrer">standard diagnosis or treatment for maladaptive daydreaming</a> because they aren't yet sure it's a unique psychological condition. Maladaptive daydreaming has not been included in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition—blessedly abbreviated as the DMS-5—the definitive book on mental disorders. To date, there isn't enough evidence to determine if maladaptive daydreaming is a separate condition or a manifestation of an already listed disorder.</p><p>Somer has developed a <a href="https://www.sciencedirect.com/science/article/abs/pii/S1053810015300611" target="_blank" rel="noopener noreferrer">14-point scale</a> to help people determine whether they are experiencing maladaptive-daydreaming symptoms, but the results only indicate whether an individual should seek help. They provide no formal diagnosis.</p><p>Also, maladaptive daydreaming is often expressed alongside other conditions, such as anxiety disorders, <a href="https://www.psychiatryadvisor.com/home/topics/anxiety/ptsd-trauma-and-stressor-related/high-prevalence-of-maladaptive-daydreaming-among-patients-with-dissociative-disorders/" target="_blank" rel="noopener noreferrer">dissociative disorders</a>, attention deficit disorders, and obsessive-compulsive disorders. And the researchers of Peter's case study noticed a striking similarity between his condition and those with <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3164585/" target="_blank" rel="noopener noreferrer">behavioral addition response</a>—including analogous responses with preoccupation, mood modification, tolerance, and withdrawal. It may be that maladaptive daydreaming is an expression of these, or other, disorders.</p><p>It's worth noting that similar empirical hurdles exist for other well-known, though not formalized, disorders. Orthorexia, sex addiction, misophonia, internet addiction, and parental alienation syndrome are all <a href="https://www.verywellmind.com/whats-missing-from-the-dsm-4145344#:~:text=This%20diagnosis%20covered%20patients%20who,%22%20or%20%22unspecified%20disorder.%22" target="_blank" rel="noopener noreferrer">likewise absent from the DSM-5</a>. For maladaptive daydreaming and these other conditions, it's simply a case of more evidence and research needed before a determination can be made.</p>A growing understanding of maladaptive daydreaming
<p>The question of labeling is a tricky one—not only from a medical point-of-view but also a prosocial one. Some people find having a recognized condition validating; they feel it promotes social acceptance and makes seeking treatment easier. Others find such labels stigmatizing and restricting.</p><p>But the question of how to label something is an academic one. It isn't to say that the experience doesn't exist. It does, and whether maladaptive daydreaming ultimately enters the DSM-5 or not, awareness is growing. <a href="https://daydreamresearch.wixsite.com/md-research/links" target="_blank">Online communities</a> now exist to give support and spread awareness. And regardless of a condition's presence in the medical literature, if symptoms disrupt work, school, or social lives, help should be sought.</p><p>Thanks to the efforts of psychologists and the community, maladaptive daydreaming, unlike Thurber's literary creation, is no longer "inscrutable to the last." And those who suffer it are no longer relegated to a firing-squad of their own mind but can find they help the need.</p>Why it's important to admit when you're wrong
Psychologists point to specific reasons that make it hard for us to admit our wrongdoing.
