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In the City of Vancouver, buying magic mushrooms, in at least one case, can be as easy as ordering your morning cup of coffee. Many of them tout the benefits of psilocybin, an hallucinogenic compound found in mushrooms that the medical community has been studying for its therapeutic use in treating mental health conditions and end-of-life distress.

From the outside, the mushroom dispensary on the edge of Vancouver’s Downtown Eastside makes no attempt to hide the federally controlled substance it offers. Its owner, Dana Larsen — no stranger to bending the law in the name of drug reform — is proud of his products. Larsen’s dispensary offers psilocybin mushroom products both in sub-hallucinogenic micro-doses, and for higher doses, the filling out of a medical form.

The drug has been illegal since , yet these four dispensaries are operating openly in broad daylight. The Vancouver Police Department acknowledges psilocybin is illegal and those connected to it could face charges but admits it’s focused on landing bigger fish. Tania Visintin in a statement. Last year, the former health minister started using her authority under a section of the act to grant legal exemptions for psilocybin, mainly to people with terminal illness and treatment-resistant depression.

But the City of Vancouver says there are currently no regulations federally, provincially, or municipally that allow for the recreational sale of magic mushrooms. Spencer Hawkswell is the CEO of not-for-profit TheraPsil, which helps Canadians in medical need obtain federal exemptions to access medical psilocybin. But he says it’s a complicated process, with each request needing to be approved by the federal health minister.

So far, his coalition has helped more than 80 Canadians access the drug. The number of Canadians out there who are seeing this research, who are fed up with the treatment options that aren’t working and realize they don’t have alternatives, they’re looking for support. Canada just recently changed its rules on access to psilocybin for medical use, denying it in January to a terminal cancer patient.

Research into psilocybin has found it can be an effective treatment for mental health conditions and addiction. A study published in February found it produced rapid and substantial antidepressants effects in patients with major depressive disorder but also pointed out little is still known about long-term outcomes.

In Vancouver, a company at the forefront of this research is Numinus Wellness. It offers clinical trials of psychedelic-assisted psychotherapy. Devon Christie, senior lead of psychedelic programs at Numinus, says in our regular state of consciousness, we have been conditioned to think in one specific way. And neuroplasticity, this ability for new connections to form and forge, is enhanced,” she said. Patients will often gain new insights and can undergo transformative experiences, she says, while accessing repressed emotions, memories and trauma.

However, it isn’t a process patients should undergo alone but in a controlled setting, paired with a licensed clinician, she said. When it comes to micro-dosing, the practice of consuming very low, sub-hallucinogenic doses of a psychedelic substance, she says the research is still too limited to determine whether the noted benefits were the results of psilocybin or a placebo effect.

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