Can the inequality of psychological distress due to migration be seen as a bioethics issue?
Where the sidewalks stop. Sending a letter in the mail can cost you 120,000 COP/41 USD, but a joint 2,000 COP/.70 USD. Every new apartment comes with servants’ quarters attached to the laundry room. Buses and trucks push black clouds into your pores. Would you like meat with your meat or more meat? Men, this. Women, that. Everyone is looking. ¿BIEN O QUE? Run before you get hit. Breast and butt enhancement. Worship God and a virgin. “Oh my, how this place has changed.” Hasta abajo. High interest rates at banks. GOOOOOOOOL. Thunder. Fruit you’ve never tried. Grocery lines that are never express. Rat tails. Arepas con quesito. Please take a number. Maximum capacity. “No, no, really, hire a driver.” Mr. Tea at the country club. Pico y placa. Unfinished buildings, unfinished business. Días violentos en la comuna 13. Mazda, Mazda, Mazda, Renault. Venezuelan migrants trying to get their families out. Saturday sin, Sunday mass. “Yo no creo en las brujas pero que las hay las hay.” Numerology readings and pink quartz somehow under your pillow. European backpackers flocking to resort hostels to sit on the beach and drink beer. Selfies so they know. Chicharrón everything. “Restaurants don’t let me park my taxi outside when I’m a customer, so I don’t really eat out.” Don’t question, have faith. Buenas. Nonconsensual reggaeton. Got cut in line for the cable line. +DMT, -TV written all over the city. People say hi. Hooks under the table. Don’t give papaya. White lace on a five-year-old girl. Her brother almost went priest. Juice with added sugar or milk? Postobón brings the family together. Weekend lunches into TV marathons. Magic realism can’t extinguish the trash fires, but the butterflies are real. Long tees asking if you wanna buy some coke. More likely perico (not the bird). Trauma. Un tinto, porfa. Bricks. Near misses on motorcycles. Feedback loops break with a punch in the face. Two condors poisoned in Tayrona. “It’s God’s Will.” Cream paint job with tinted windows. Still a patrón. Don’t say his name. Salsa, merengue, bachata, cumbia, vallenato, champeta. Brave bicyclists wearing facemasks. Nada cambia. Single/American/male tourists who often refer to themselves as digital nomads and openly cackle over the conversion rate. Parents hustling candy at traffic lights. Sniffing gasoline will suppress the hunger. Medellín es una chimba. A child begs for money while an older man watches from a distance. The leaves will breathe it all in and spit it all out until the valley suffocates.
Just one inhale sent me falling backward into my pillow. A phantom in my mirror sat up from my body, then walked away. My eyelids shut, and I shot into space. Flying through vibrant tunnels of geometric patterns and down paths not unlike Mario Kart 64’s Rainbow Road, I eventually landed on “the other side.” Everything was white and black, simultaneously. I seemed to be standing on firm ground in the clouds, with the agency to navigate. I was in the void. There was no distinction between high and low or here and there. Though I’m not religious, Ganesha — Hindu god of beginnings and “remover of obstacles” — appeared. The elephant figure pulsated in the center of my vision as several arms swayed up and down. I was awestruck, eager to explore. I turned and faced a large audience, a sea of young Asian boys. (Don’t ask why. I know it’s specific.) They were all giving me a thumbs-up, cheering me on. Smiling eyes roared in unison: “Keep doing what you’re doing, Erica. You’re doing the right thing.”
At this point, my roommate opened the door, and the visions evaporated. I told her, “I’m on DMT. Please shut the door.” The room returned to silence. The walls seemed to be morphing and dripping with sheen paint. Then, just as suddenly as I’d blasted off, I made a gentle landing back to sober consciousness. I checked the clock. Only 20 minutes had passed. I remember thinking, “That’s it?” But now, several years later, the psychological benefits of that experience continue to crystalize.
That was it. Just one bong rip of DMT — also known as N,N-dimethyltryptamine, a molecule found nearly everywhere in nature and a powerful hallucinogenic — sent me out of this world. I had no idea it would also send me the precise message I needed to hear as a 20-year-old trying to figure out my life.
Like many young people, I went through a period of feeling uncertain about everything. What to do, how to be. I was depressed, skipping class, avoiding responsibilities. (Smoking pot all day didn’t quite ease the existential anxiety.) To escape this inherent developmental discomfort, I used all sorts of substances: alcohol, marijuana, cocaine, sketchy pressed pills, various pharmaceuticals. But psychedelics were always different. Rather than a diversion from reality, they provided a meaningful and direct confrontation with my inner self and this outer space we find ourselves tucked into.
On larger doses of LSD, I’ve seen divine feminine figures in kaleidoscopic vision. All women in one woman, or me. Yoni, apparently. On psilocybin (four grams, a doozy), I once forgot everything about the world, including myself. Even my name. Rediscovering everything as I returned from the fog renewed my appreciation and awe of existence. When you forget that music exists and hear a song for what feels like the first time, even T-Pain on WiLD 94.9 can bring tears to your eyes. On ketamine, the most mundane information transforms into divine comedy. And on MDMA, I’ve connected more deeply with people I love. Once I even saw green energy sparks coming out of my hands after rubbing them together. I was able to see the unseeable.
Each of these seemingly sacred experiences has brought me closer to what feels like my most “authentic self.” And while the psychedelic experience has historically been written from a male perspective, with an emphasis on ego loss as the big shebang, that recurrent theme has been a bit less profound for me and other women I’ve spoken to about psychedelic visions. Maybe ego loss is less focal to the female psychedelic experience because we’re primary caregivers biologically. Maybe it’s neurochemically and socially easier for us to “lose ourselves” in flow states of caregiving, such that becoming aware of a lack of boundaries between ourselves and the world may be a bit less mind-blowing. Instead, reaching an inner state of pure self-compassion, giving my ego a damn hug for once, and being reintroduced to myself sans judgment has been paramount. Some space to say: It’s okay. You’re okay.
Reflecting on all the substances I’ve taken, DMT stands above and beyond the rest. DMT delivered the words of encouragement I desperately needed as a young woman to “find my way.” Not a degree. Not a boyfriend. Not a grade on a paper. Not a like on Instagram. I needed to know within the deepest part of myself that I was okay; I was enough. A very basic human need that comes more naturally to some than others.
That brief message brought me back home within myself. And over time, it made it easier to ignore self-doubt and distractions from my truest goals, dreams, and desires. The things that make me talk too fast. The things that make me write. The things that make me feel full: love and learning. The things in this world that need some editing and rewriting.
People familiar with DMT will often ask, “Did you break through?” And I did. After cosmic travel — whether in a spacecraft or within your own mind — your perspective is bound to shift. Anxiety lifts. Everyday trials and tribulations seem more petty than before. Spiraling thoughts of self-doubt become irrelevant, because, according to the laws of universe, it’s going to be okay. Really, you’re doing just fine. For anyone who grew up programmed to think otherwise — that they’re not good enough, that they should conform like this or dress like that, that they deserve less — a psychedelic experience can help send those negative thoughts out of orbit. DMT politely called bullshit on all that disorienting psychosocial conditioning that surrounded me as a young woman, and then said: Keep going.