I’ll start out saying I never encourage anyone to use psychedelics, and I don’t give individual medical advice. As you know and as Michael stated, modern studies exclude such folks. That said, there are those with anecdotal reports of psychedelics helping with bipolar disorder ( e.g., https://icpr2020.net/poster-presenters/benjamin-mudge/ ). Also, all else being equal, having another competent and sober person present is going to be less risky, relatively speaking, than being by oneself. And all else being equal, lower doses will be less risky than higher doses. I’ll end by saying there is definitely some risk that a psychedelic experience can exacerbate mania, and some of the anecdotal reports of prolonged adverse reactions look like mania rather than psychotic episodes.
I’ll start out saying I never encourage anyone to use psychedelics, and I don’t give individual medical advice. As you know and as Michael stated, modern studies exclude such folks. That said, there are those with anecdotal reports of psychedelics helping with bipolar disorder ( e.g., https://icpr2020.net/poster-presenters/benjamin-mudge/ ). Also, all else being equal, having another competent and sober person present is going to be less risky, relatively speaking, than being by oneself. And all else being equal, lower doses will be less risky than higher doses. I’ll end by saying there is definitely some risk that a psychedelic experience can exacerbate mania, and some of the anecdotal reports of prolonged adverse reactions look like mania rather than psychotic episodes.