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What happens when rigorous pharmacology meets spirituality, psychedelics, and lived experience? In this episode of Tripping Over Love, we sit down with Ben Malcolm, a psychiatric pharmacist known as The Spirit Pharmacist, to explore the real-world questions people have about psychedelics—safety, medications, risk, set and setting, and why education matters more than hype. Ben shares his personal journey from Australia to the U.S. to Costa Rica, how psychedelics shaped his professional path, and why he believes informed, ethical guidance is essential as interest in these substances continues to grow. We discuss ayahuasca, psilocybin, MDMA, ketamine, neuroplasticity, spirituality in psychiatry, and what the future of psychedelic medicine may look like. This conversation is educational in nature and focused on helping people think more clearly, safely, and responsibly about altered states and mental health. 00:00 Why Psychedelics Trigger Fear, Fascination, and Hope 02:08 Meet Ben Malcolm: The Spirit Pharmacist 03:20 The Didgeridoo, Ancient Sound, and Altered States 06:52 How Psychedelics Shaped a Career in Pharmacology 09:30 The Psychedelic Renaissance and What Changed 10:57 Ayahuasca, Underground Access, and Legal Gray Areas 12:14 Psychedelic Safety: Education vs Medical Advice 15:45 Antidepressants, Ayahuasca, and Dangerous Interactions 16:15 Why People Experiment Without Professional Guidance 19:07 Set and Setting: The Biggest Risk No One Explains 22:01 Neuroplasticity: How Psychedelics Actually Change the Brain 24:20 Bias, Advocacy, and the Problem with Psychedelic Hype 25:19 Should Psychiatrists Experience Psychedelics Themselves? 30:01 Empathy, Lived Experience, and Better Mental Health Care 32:11 Spirituality, Psychiatry, and the Missing Conversation 36:01 Ketamine Without the Trip: Breakthrough or Mistake? 39:17 Non-Hallucinogenic Psychedelics and the Future of Treatment 41:11 Fear of Losing Control in Psychedelic Experiences 42:19 Ayahuasca Dosing, Titration, and Ceremony Reality 47:30 Continuous DMT and Mapping Consciousness 48:56 How to Work with Ben Malcolm 50:20 What This Means for the Future of Mental Health LISTEN + FOLLOW Substack: https://trippingoverlove.substack.com/ Instagram: @trippingoverlovepodcast TikTok: @trippingoverlove Facebook: / trippingoverlovepodcast #psychiatry #neuroplasticity #psychedelictherapy