Lena: So—if we think of the 5-HT2A receptor as the "volume knob" for the brain's internal noise—what happens when that knob gets turned all the way up? You mentioned "desynchronization"—but to me—that sounds like it would just be chaos. How does chaos turn into a "meaningful" altered state?
Miles: It’s a "creative" chaos. Think of it as "neural desynchronization." Normally—the brain's networks—like the "default mode network" which handles your sense of "self" and your internal monologue—are very tightly synchronized. They fire in a predictable—rhythmic pattern. This "synchrony" is what keeps your "priors"—your beliefs—so entrenched. But when you stimulate those 5-HT2A receptors—that tight rhythm "breaks." The "top-down" control—that "guardrail" we talked about—simply destabilizes.
Lena: And that’s the "REBUS" model—the "relaxed beliefs"?
Miles: Exactly. "Relaxed Beliefs Under Psychedelics." When the top-down control is relaxed—the brain enters an "anarchic" state. But "anarchy" in the brain isn't just a riot—it’s a "window of opportunity." Because the usual "high-level" networks are no longer dominating—other parts of the brain that don't usually talk to each other suddenly start "communicating." You might get "cross-talk" between your visual system and your emotional centers—or your sense of "self" might start to merge with your "sensory input."
Lena: This explains "synesthesia"—right? Seeing sounds or tasting colors? The "folders" the brain usually keeps things in are suddenly left open?
Miles: Precisely. The "hierarchical" structure becomes "flatter." And this leads to two complementary processes that are central to current psychedelic science. First—there’s the "acute neural desynchronization"—the "breaking" of the old patterns. And second—there’s "subacute neuroplasticity." This is the "window" that opens up after the experience. Because the old—"entrenched" network patterns—the "canals" of thought—have been destabilized—the brain is more "plastic"—more able to "rewire" itself in the days and weeks that follow.
Lena: So—it’s like "shaking the snow globe." The "flakes" of our thoughts are all stirred up—and when they settle—they don't necessarily have to land in the same places they were before.
Miles: That is a perfect analogy. And this "shaking" has profound clinical implications. Think about conditions like "depression"—"addiction"—or "OCD." In these states—the brain is often "stuck" in a very rigid—very "heavy" set of "priors." "I am worthless"—"I need this substance"—"The world is dangerous." These beliefs are so "canalized" that the brain can't see any other way. By "relaxing" those beliefs—even temporarily—you give the person a chance to "see" a different reality. You’re essentially "resetting" the "prediction machine."
Lena: But—is the "experience" itself necessary? I’ve heard there’s a debate about whether you could just take a "non-hallucinogenic" version of these compounds—something that "rewires" the brain without the "trippy" part. Does the "subjective experience"—the "mystical" feeling—actually matter for the healing?
Miles: That is one of the most "heated" debates in the field right now. On one side—you have the "biological" camp—suggesting that if we can trigger the "neuroplasticity"—the growth of new "dendritic spines" on the neurons—then the "experience" is just a side effect. But on the other side—you have the "psychological" camp—backed by some pretty strong data. Studies have consistently shown that the "intensity" of the "mystical-type experience"—measured by things like a sense of "unity"—"ineffability"—and "noetic quality"—is one of the strongest predictors of whether someone will have a lasting "therapeutic response."
Lena: "Noetic quality"—that’s a word we don't use every day. It means the feeling that the experience is "realer than real"—right? That you’ve gained "actual knowledge" rather than just had a "hallucination"?
Miles: Exactly. It’s the "feeling of knowing." From a "Bayesian" perspective—it’s like the brain has "updated" its model of the world with a "massive" new data point. If you’ve felt a sense of "oneness" with the entire universe—it’s very hard to go back to a model of the world where you are "completely alone and isolated." The "subjective experience" is the "re-training" of the model.
Lena: It’s like the difference between "reading" about how to ride a bike and actually "feeling" the balance. You can't just "calculate" the neuroplasticity—you have to "live" the shift. But if we’re talking about "mystical" experiences—that’s not just "fixing" a problem. That sounds like it’s moving into the realm of "peak performance"—the kind of states people describe in "flow." How does the "quieting of the inner critic" in flow compare to this "anarchy" of the 5-HT2A state?
Miles: They are two different "paths" to the same "boundary." While the psychedelic state is "anarchic"—"flow" is more about "extreme alignment." But in both—the "inner critic"—the "default mode network"—goes "offline."