loader from loading.io

Dave Rabin M.D., Ph.D. - Microdosing on SSRIs? A Psychiatrist’s Take

The Psychedelic Podcast

Release Date: 07/25/2025

Psychedelics Then and Now: Culture, Capital, and Consciousness - Zach Leary show art Psychedelics Then and Now: Culture, Capital, and Consciousness - Zach Leary

The Psychedelic Podcast

In this episode of The Psychedelic Podcast, Paul F. Austin sits down with Zach Leary to explore how psychedelic culture has evolved from its countercultural roots into today’s rapidly commercializing landscape. They discuss mysticism versus medicalization, the ethics of psychedelics in capitalist systems, the rise of psychedelic churches, and why integration and responsibility matter more than peak experience alone. Find full show notes and links here: Zach Leary is a psychedelic educator, integration coach, and host of the Psychedelics Then and Now Podcast. He has spent over 30 years...

info_outline
Death by Astonishment: DMT and the Hidden Nature of Reality - Dr. Andrew Gallimore show art Death by Astonishment: DMT and the Hidden Nature of Reality - Dr. Andrew Gallimore

The Psychedelic Podcast

In this episode of The Psychedelic Podcast, Paul F. Austin reconnects with computational neurobiologist and author Dr. Andrew Gallimore to explore the mysteries of DMT, intelligence, and extended-state psychedelic technologies. Find full show notes and links here:   They revisit themes from their earlier conversation and dive deeper into Andrew’s latest book, Death by Astonishment, examining DMT as an information-gating technology, its relationship to non-human intelligences, and its emerging therapeutic and neuroprotective applications. Andrew also shares updates on DMTx infusion...

info_outline
Radical Agency: How Breathwork Supports Real Inner Change - Giovanni Bartolomeo show art Radical Agency: How Breathwork Supports Real Inner Change - Giovanni Bartolomeo

The Psychedelic Podcast

In this episode of The Psychedelic Podcast, Paul F. Austin speaks with Giovanni Bartolomeo, founder of Elemental Rhythm Breathwork, about how breathwork can support meaningful personal change and deepen integration after psychedelic experiences. Find full show notes and links here:   Gio shares his journey from high-pressure entrepreneurship into a more grounded, heart-led approach to life and business. He reflects on how Elemental Rhythm emerged through years of breathwork practice, somatic exploration, and deep work with plant medicine, eventually evolving into a system that blends...

info_outline
The Chemistry of Connection: Psychedelics, Love, and the Human Heart - Mark Groves show art The Chemistry of Connection: Psychedelics, Love, and the Human Heart - Mark Groves

The Psychedelic Podcast

In this episode of The Psychedelic Podcast, Paul F. Austin speaks with human connection specialist and Create The Love founder Mark Groves about how psychedelics reveal the hidden patterns shaping our relationships. Find full show notes and links here:   Mark shares how heartbreak, honesty, and plant medicine helped him move from external validation to inner truth. Together, they explore emotional safety, attachment wounds, technology’s influence on agency, and the growing overlap between relational healing and psychedelic integration. Mark Groves is a human connection specialist,...

info_outline
Ethics as Medicine: Redefining Integrity in Psychedelic Facilitation - Ashley Carmen, M.S., LMFT show art Ethics as Medicine: Redefining Integrity in Psychedelic Facilitation - Ashley Carmen, M.S., LMFT

The Psychedelic Podcast

In this episode of The Psychedelic Podcast, Paul F. Austin speaks with Ashley Carmen, LMFT, psychotherapist and founder of the Psychedelic Guide Network (PGN). Ashley offers insight into Austin’s rapidly growing psychedelic landscape and the ethical foundations needed to support safe, grounded facilitation. Find full show notes and links here: Paul and Ashley explore sovereignty, accountability, dual relationships, and the subtle dynamics that arise in non-ordinary states. They also discuss how PGN’s Wisdom Circles help facilitators deepen their practice through honest reflection and...

info_outline
A Path Between Worlds: Buddhism, Psychedelics & Planetary Awakening - Martijn Schirp show art A Path Between Worlds: Buddhism, Psychedelics & Planetary Awakening - Martijn Schirp

The Psychedelic Podcast

In this episode of The Psychedelic Podcast, Paul F. Austin reconnects with longtime Buddhist practitioner and former Synthesis co-founder Martijn Schirp, founder of Upāyosis. They explore his journey from pioneering modern psilocybin retreats to creating A Path Between Worlds, a year-long contemplative training that integrates Buddhist practice, ecological ethics, and psychedelic skillful means. Find full show notes and links here:   Martijn shares lessons from Synthesis’s rise and collapse, how time in the Himalayas reshaped his contemplative path, and why “ego porousness” may...

info_outline
Microdosing as a Skill: AMA with Paul F. Austin show art Microdosing as a Skill: AMA with Paul F. Austin

The Psychedelic Podcast

In this special AMA episode, Paul F. Austin answers the most common, and most nuanced questions emerging from recent trainings, webinars, and community sessions. Drawing from a decade of experience in microdosing, facilitation, and practitioner training, Paul explores how to choose the right microdosing protocol, the relationship between nervous system health and performance, the role of psychedelics in coaching, and the ethical boundaries practitioners must uphold. He also discusses SSRI tapering, creativity, leadership, and how to guide clients through integration with clarity and skill....

info_outline
Truth Medicine: Zen, Psychedelics, and the Healing Heart - Michael Ryoshin Sapiro, Psy.D show art Truth Medicine: Zen, Psychedelics, and the Healing Heart - Michael Ryoshin Sapiro, Psy.D

The Psychedelic Podcast

In this episode of The Psychedelic Podcast, Paul F. Austin welcomes Dr. Michael Ryoshin Sapiro, a Zen Buddhist monk, psychologist, and psychedelic psychotherapist whose new book explores how awakening and clinical science meet through the heart. Find full show notes and links here:   They discuss how Zen simplicity informs psychedelic work, the nuances between psychedelic-assisted and psychedelic psychotherapy, and how Dr. Sapiro tailors ketamine sessions for trauma recovery in first responders and veterans. Together they unpack the art of surrender, the role of spirituality in therapy,...

info_outline
Somatic Intelligence: Healing Trauma Through Embodiment - Chen Lizra show art Somatic Intelligence: Healing Trauma Through Embodiment - Chen Lizra

The Psychedelic Podcast

In this episode of The Psychedelic Podcast, Paul F. Austin speaks with Chen Lizra, founder of the Power of Somatic Intelligence. A somatic coach, TED Speaker, and plant medicine facilitator, Chen bridges embodiment, trauma healing, and shamanic wisdom to help high achievers reconnect with the body’s innate intelligence. Find full show notes and links here:   Drawing from her own healing journey and decades of work in the Amazon, Chen shares how somatic intelligence allows us to regulate the nervous system, dissolve ancestral imprints, and reclaim authentic power. She and Paul explore...

info_outline
Amanita Awakening: The Future of Functional Fungi - Jeff Stevens & David Shisel show art Amanita Awakening: The Future of Functional Fungi - Jeff Stevens & David Shisel

The Psychedelic Podcast

In this episode of The Psychedelic Podcast, Paul F. Austin sits down with Jeff Stevens and David Shisel, co-founders of Psyched Wellness, the first publicly traded company in North America to bring an Amanita muscaria extract to market. Find full show notes and links here:   Together, they discuss the mushroom’s unique pharmacology, Psyched Wellness’ multi-year path through Health Canada’s safety testing, and the broader implications for the future of functional fungi. Paul also explores the tension between innovation and regulation, as Jeff and David share insights from operating...

info_outline
 
More Episodes

Following our recent conversation with Dr. Robin Carhart-Harris on the neuroscience of SSRIs and psychedelics, this bonus episode takes the next step—focusing on clinical realities, tapering strategies, and patient safety.

Find full show notes and links here: https://thethirdwave.co/podcast/episode-313b/?ref=278

Dr. Dave Rabin—a board-certified psychiatrist, neuroscientist, and co-founder of Apollo Neuro—joins Paul F. Austin for a candid, protocol-driven conversation. Together, they unpack why combining SSRIs with psychedelics can be dangerous, how to safely taper with support tools like ketamine and CBDA, and how to prepare clients for deeper psychedelic work.

If you’re a facilitator, therapist, or simply someone navigating antidepressants and interested in microdosing, this episode offers practical, medically-grounded insights.

Highlights:

  • How SSRIs blunt emotional range and alter awareness
  • The neuroscience of serotonin and psychedelic receptors
  • Serious risks of serotonin syndrome when mixing with SSRIs
  • Ketamine’s role in tapering and unlocking neuroplasticity
  • Practical tools to regulate the nervous system during SSRI withdrawal
  • Recommended psilocybin strains for sensitive or anxious clients
  • How long-term SSRI use may (or may not) affect psychedelic response
  • Safety-first protocols for psychedelic integration
  • The future of microdosing as a sustainable antidepressant approach

Episode Links:

Curious about becoming a certified psychedelic coach? Join Paul F. Austin Thursday, July 31 2025, 10:00 AM PT for a free info session exploring the Psychedelic Coaching Institute’s Practitioner Certification Program—an immersive training that blends science, ceremony, and real-world coaching to help you lead others through lasting transformation. Learn More.

Episode Sponsor: