06/06/2026
We give dying patients morphine for physical pain. But we give them nothing for the existential terror of dying. That's about to change.
In palliative care, we've gotten good at managing physical suffering. Pain, nausea, breathlessness. But for the thing that keeps someone up at 3 AM β the raw, wordless dread of ceasing to exist β our tools remain surprisingly limited.
Psilocybin and ketamine are changing that. Not with sedation. Not with numbness. With something that looks different for each person. For some, less fear. For others, a deeper sense of connection, meaning, or acceptance.
Not because they stopped caring about life. But because something shifted in how they relate to the reality of its ending.
This is not fringe. This is the future of how we die.