Eli5: What exactly is ‘ego death’ and its role in treatment with psychedelic substances?

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I’ve read stories about how it’s a sought after side-effect and key factor for treating mental health issues using substances like psilocybin or ketamine. What about it actually helps improve the mind? For those that have experienced it, what does it feel like?

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A lot of people journey through life without ever being aware of the wider reality. Call it main character syndrome or something. The ego is only concerned with things that directly concern them. Ego is built from how you think others perceive you, whether you are attractive or ‘normal’, how you compare to society. You might have hang ups around religion or what your parents or peers instilled upon you.

A ‘trip’ can shed the layers of perception and leave you with the realisation that you’re just a bag of water and chemicals with a brainstem, floating in the universe. You can get the sense that it is miraculous that you exist right now. You are a fizzing mess of atoms that is somehow conscious of your existence. The realisation of how profoundly unimportant you are and how fleeting your time here is and how little your everyday stresses and worries matter in the grand scheme of things is what I would call ego death.

After such a breakthrough “Do what thou wilt shall be the whole of the law.” You can do anything you like with your existence. It’s better for everyone if you are kind and generous and loving, but ultimately it doesn’t really matter.

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