Wie man weniger denkt: Meta-kognitive Therapie und weitere Methoden gegen Grübeln nach psychedelischen Krisen

The article argues that rumination and catastrophizing may turn a difficult psychedelic experience into prolonged anxiety, derealization, hypervigilance and withdrawal. It illustrates this with Yaakov, whose severe distress followed a poorly supported two-gram psilocybin experience, and Matias, whose derealization lasted years after vaping DMT but eventually improved when he shifted away from inward-focused practices and toward exercise and ordinary life. The author presents this as a working hypothesis rather than an established explanation, noting that severity, support, personal circumstances and history may also matter. To reduce rumination, the article highlights attention-demanding exercise and evidence-based therapies including CBT, ACT, mindfulness-based CBT, Compassion-Focused Therapy and Meta-Cognitive Therapy. Psychedelics and TMS are mentioned as more experimental approaches, not necessarily first choices.