Self-treatment with psychedelic substances for health and wellbeing in Aotearoa New Zealand: an exploratory descriptive study

This study draws attention to, and provides a description of, a previously unmapped and emerging self-medication phenomenon occurring in Aotearoa New Zealand where psychedelic substances are being used in the absence of clinical supervision to address a wide range of health and wellbeing issues, par...

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Main Authors: Chris Arnison, Richard Egan, John H. Shaver
Format: Article
Language:English
Published: Taylor & Francis Group 2025-10-01
Series:Kōtuitui
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/1177083X.2025.2467035
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author Chris Arnison
Richard Egan
John H. Shaver
author_facet Chris Arnison
Richard Egan
John H. Shaver
author_sort Chris Arnison
collection DOAJ
description This study draws attention to, and provides a description of, a previously unmapped and emerging self-medication phenomenon occurring in Aotearoa New Zealand where psychedelic substances are being used in the absence of clinical supervision to address a wide range of health and wellbeing issues, partly in response to unmet mental health needs. We interviewed 34 individuals who had self-administered psychedelics with the intention of improving their health or wellbeing and used thematic analysis to generate themes from the interview data that capture the salient characteristics of this practice. We found that psychedelic substances are being used in Aotearoa New Zealand to address a variety of health and wellbeing concerns, often after other treatment options have been exhausted. Those we spoke to described personalised strategies of using psychedelics which were intended to enhance efficacy and reduce the likelihood of adverse outcomes. Positive results, including symptom remission across a range of clinical disorders and general improvements to psychological wellbeing, were alleged. We highlight concerns this phenomenon raises for clinical practice, offer suggestions for reducing potential harms associated with it, and draw attention to aspects of naturalistic use that future clinical trials might consider exploring more systematically.
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spelling doaj-art-ea286009327747fea37476ec04043c2e2025-08-20T02:57:21ZengTaylor & Francis GroupKōtuitui1177-083X2025-10-0120493795810.1080/1177083X.2025.2467035Self-treatment with psychedelic substances for health and wellbeing in Aotearoa New Zealand: an exploratory descriptive studyChris Arnison0Richard Egan1John H. Shaver2Religion Programme, University of Otago, Dunedin, New ZealandDepartment of Preventive and Social Medicine, University of Otago, Dunedin, New ZealandDepartment of Anthropology, Baylor University, Waco, USAThis study draws attention to, and provides a description of, a previously unmapped and emerging self-medication phenomenon occurring in Aotearoa New Zealand where psychedelic substances are being used in the absence of clinical supervision to address a wide range of health and wellbeing issues, partly in response to unmet mental health needs. We interviewed 34 individuals who had self-administered psychedelics with the intention of improving their health or wellbeing and used thematic analysis to generate themes from the interview data that capture the salient characteristics of this practice. We found that psychedelic substances are being used in Aotearoa New Zealand to address a variety of health and wellbeing concerns, often after other treatment options have been exhausted. Those we spoke to described personalised strategies of using psychedelics which were intended to enhance efficacy and reduce the likelihood of adverse outcomes. Positive results, including symptom remission across a range of clinical disorders and general improvements to psychological wellbeing, were alleged. We highlight concerns this phenomenon raises for clinical practice, offer suggestions for reducing potential harms associated with it, and draw attention to aspects of naturalistic use that future clinical trials might consider exploring more systematically.https://www.tandfonline.com/doi/10.1080/1177083X.2025.2467035Mental healthpsychedelicpsychedelic-assisted therapyself-medicationqualitative
spellingShingle Chris Arnison
Richard Egan
John H. Shaver
Self-treatment with psychedelic substances for health and wellbeing in Aotearoa New Zealand: an exploratory descriptive study
Kōtuitui
Mental health
psychedelic
psychedelic-assisted therapy
self-medication
qualitative
title Self-treatment with psychedelic substances for health and wellbeing in Aotearoa New Zealand: an exploratory descriptive study
title_full Self-treatment with psychedelic substances for health and wellbeing in Aotearoa New Zealand: an exploratory descriptive study
title_fullStr Self-treatment with psychedelic substances for health and wellbeing in Aotearoa New Zealand: an exploratory descriptive study
title_full_unstemmed Self-treatment with psychedelic substances for health and wellbeing in Aotearoa New Zealand: an exploratory descriptive study
title_short Self-treatment with psychedelic substances for health and wellbeing in Aotearoa New Zealand: an exploratory descriptive study
title_sort self treatment with psychedelic substances for health and wellbeing in aotearoa new zealand an exploratory descriptive study
topic Mental health
psychedelic
psychedelic-assisted therapy
self-medication
qualitative
url https://www.tandfonline.com/doi/10.1080/1177083X.2025.2467035
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AT johnhshaver selftreatmentwithpsychedelicsubstancesforhealthandwellbeinginaotearoanewzealandanexploratorydescriptivestudy