TEN YEARS OF THERAPY IN ONE NIGHT

Could a single trip on a piece of African rootbark help a junkie kick the
habit? That was the claim in the 1960s, and now iboga is back in the
spotlight. But is it a miracle cure? Daniel Pinchbeck decided to give it a
go. And life, he says, will never be the same again...

In 1962, Howard Lotsof, a 19-year-old heroin addict in New York, ordered
from a chemist iboga, a plant used in West African rituals, and tried it for
extra kicks. After consuming the bitter rootbark powder, he experienced a
visionary tour of his early memories. Thirty hours later, when the effects
had subsided, he found that he had lost all craving for heroin, without
withdrawal symptoms of any kind. He said he then gave iboga to seven other
addicts and five stopped taking drugs immediately afterwards.

In 1985, Lotsof patented the ibogaine molecule for the purposes of addiction
treatment, but could not get his treatment approved. In the interim years,
ibogaine had been declared, along with LSD and several other psychedelic
molecules, an illegal "schedule one" substance, with potential for abuse and
no medical value. Although it found dedicated support among a ragtag group
of countercultural activists and left-over Yippies, in 1995 the National
Institutes of Health discontinued research into the substance, and
pharmaceutical companies have since ignored it, perhaps due to low profit
potential.

But now, interest in ibogaine is growing rapidly, passing a "tipping point"
through a combination of anecdotal evidence, underground activism,
journalism and scientific research. Articles have appeared in US
publications ranging from the authoritative Journal Of The American Medical
Association (Jama) to the populist Star. The Jama piece, Addiction Treatment
Strives For Legitimacy, described the drug's stalled and tortured path
through the regulatory agencies, noting that the treatment's frustrated
supporters in the US have set up an "underground railroad" to give addicts
access to the drug: "While unknowable scores of addicts continue ingesting
ibogaine hydrochloride purified powder - or iboga whole-plant extract
containing a dozen or more active alkaloids - few trained researchers
witness the events."

The Star took a more colourful approach: "Rare Root Has Celebs Buzzing" it
said, trumpeting the treatment as the hot ticket for "the numerous celebs
who look for relief from their tough lives in the bottom of a bottle of Jack
Daniel's, a needle or prescription medicine". The article insinuates that
"some of our favourite A-listers" not only get cured but enjoy the
hallucinations as an illicit "fringe benefit". Outside the US, new clinics
have opened in Mexico, Canada and Europe, offering reasonably priced,
medically supervised opportunities to try ibogaine as a method of overcoming
addiction. In fact, at one new clinic in Vancouver, the treatment is free.

Iboga is the sacred essence of the religion of the Bwiti tribe of Gabon and
Cameroon. Most members of the tribe ingest it just once in their lives,
during an initiation ceremony in which massive amounts of the powdered bark
are consumed. Through this ritual, they become a baanzi, one who has seen
the other world. "Iboga brings about the visual, tactile and auditory
certainty of the irrefutable existence of the beyond," wrote the French
chemist Robert Goutarel, who studied the Bwiti. The iboga bark's visionary
power is produced by a complicated cocktail of alkaloids that seems to
affect many of the known neurotransmitters, including serotonin and
dopamine. Its complex molecular key may lock into the addiction receptors in
a way that resets patterns and blocks the feedback loops that reinforce
dependency.

In an essay on ibogaine's anti-addictive properties, Dr Carl Anderson of
McLean Hospital, Virginia, speculated that addiction is related to a
disrupted relationship between the brain's two hemispheres, and that
ibogaine may cause "bihemispheric reintegration". Ibogaine also accesses REM
sleep in a powerful way - many people need considerably less sleep for
several months after an ibogaine trip.

Six years ago, I became a member of the Bwiti. I had heard about ibogaine
from an assistant in an anarchist bookstore in New York. On a magazine
assignment, I went to Gabon and took iboga in an initiation ceremony. It was
one of the most difficult, yet rewarding, experiences of my life. I had
heard the substance described as "10 years of psychoanalysis in a single
night" but, of course, I did not believe it. As the tribesmen played drums
and sang around me until dawn, I lay on a concrete floor and journeyed back
through the course of my life up to that point, witnessing forgotten scenes
from childhood. At one point, I had a vision of a wooden statue walking
across the room and sitting in front of me - later, I was told this was "the
spirit of iboga" coming out to communicate with me.

My Bwiti initiation was complicated by a belligerent, greedy shaman who
called himself The King and demanded more money from us before, during and
after the ceremony. The King was also dissatisfied with the visions I
described, and threatened to keep feeding me more iboga until I reported
more impressive sights. The initiation, which lasted more than 20 hours, was
ultimately liberating. At one point, I was shown my habitual overuse of
alcohol and the effect it was having on my relationships, my writing and my
psyche. When I returned to the US, I steadily reduced my drinking to a
fraction of its previous level - an adjustment that seems to be permanent.

Recently, I tried ibogaine for a second time. I took it at the Ibogaine
Association, a clinic in Rosarito, Mexico. I had been contacted by a heroin
addict who had been inspired to take ibogaine after reading the book I wrote
about my experiences: three months after his first treatment in Mexico, he
was still clean - after a 12-year dependency. He told me, "Your book saved
my life." He had given Dr Martin Polanco, the clinic's founder, a copy of my
book, and he had offered me a free treatment. I was curious to see how the
experience would differ away from its tribal context. My new friend wanted
to take it again to reinforce the effect. We went down together.

Polanco estimates that his clinic has treated nearly 200 addicts in its
first 18 months. About one third of those patients have managed to stay
clean - either permanently or for a considerable period; many have returned
for a second treatment. "Ibogaine needs to be much more widely available,"
Polanco says. "We still have a lot to learn about how to administer it, how
to work with it." He does not think iboga is a cure for addiction, but is
convinced it is a powerful tool for treatment - and, in some cases, it is a
cure. He plans to set up several non-profit clinics. "This is something that
should be non-profit," he says. "After all, it is a plant. It came up from
the earth. It does give you some guidance. It shows you how you really are."
He chuckles. "That can be scary."

The Ibogaine Therapy House in Vancouver, British Columbia, opened last
November. "So far, we have treated 14 people quite well," says Marc Emery,
the clinic's founder and head of the BC Marijuana Party. "They all say that
their life has improved." Emery, nicknamed the "Prince of Pot", is funding
the free clinic with proceeds from his successful hemp seed business.
"Ibogaine stops the physical addiction without causing withdrawal," he says,
"and it deals with the underlying psychological issues that lead to drug
use."

Emery estimates that treatment for each patient at the clinic costs around
$1,500 (UKP943), which includes two administrations of the drug. "When I found
out about ibogaine, I felt that someone should be researching this, but the
drug companies aren't interested because there is no commercial potential in
this type of cure." Neither he nor Polanco is too concerned about ambiguous
studies on ibogaine's toxicity. As the Jama article noted, "One reviewer
wrote that the drug's toxicology profile was 'less than ideal', with
bradycardia [an abnormally slow heartbeat] leading the list of worrisome
adverse effects."

"From the masses of reports I have studied, a total of six people have died
around the time they took ibogaine," says Emery. "Some were in poor health,
some took other drugs at the time of their treatment. That doesn't scare me
off. I have a lot of confidence in ibogaine."

At this stage, with little scientific study, the true toxicology of ibogaine
is impossible to determine - the treatment is unlicensed in other countries
and illegal in the US. The decision whether or not to take such a risk is
entirely personal. Emery notes that his clinic screens for heart problems
and other medical conditions that might contraindicate the treatment. It
also gives patients small daily doses of iboga for two weeks after their
initial treatment. "Iboga tends to make anything bad for you taste really
crappy. If possible, we want our patients to quit cigarettes at the same
time. We think that cigarettes can lead people back to other addictions."

Emery notes that nobody has so far criticised the project, and he is seeking
support from local government. "Iboga tells you to change your ways or else
- - it goes over all of your health and personal issues. It is like the ghost
of Christmas past."

Randy Hencken drove us from San Diego to the Ibogaine Association. A
25-year-old former heroin addict who had kicked the habit after two ibogaine
treatments at the clinic, he was now working for the association, going to
local methadone centres with flyers and keeping in contact with former
patients. The first treatment costs $2,800 (UKP1,760), including an initial
medical examination and several days' convalescence afterwards, but
subsequent visits are only $600 (UKP377) - and it seems most addicts need at
least two doses of ibogaine to avoid relapsing.

The Ibogaine Association is in a quiet, dignified house overlooking the
Pacific, decorated with Buddhist statues and yarn paintings from Mexico's
Huichol people. I was given a medical examination by Polanco and a test dose
of the drug. Twentyminutes after ingesting the test dose, I started to feel
nervous and light-headed. As I took the other pills - a gel-capped extract
of the rootbark powder - I realised I was in for a serious trip.

The nurse led me back to my room. My head already spinning, I lay back on
the bed as she hooked me up to an electrocardiograph and headphones playing
ambient music.Why was I doing this again? Ibogaine is no pleasure trip. It
not only causes violent nausea and vomiting, but many of the "visions" it
induces amount to a painful parading of one's deepest faults and moral
failings. I had a loud, unpleasant buzzing in my ears - the Bwiti probably
pound on drums throughout the ceremony to overwhelm this noise. With my eyes
closed, I watched as images began to emerge like patterns out of TV static.
I saw a black man in a 1940s-looking suit. He was holding the hand of a
five-year-old girl and leading her up some stairs. I understood that the
girl in the vision was me and that the man represented the spirit of iboga.
He was going to show me around his castle.

While startling at the time, such an encounter with a seeming "spirit of
iboga" is a typical vision produced by the Bwiti sacrament. In many
accounts, people describe meeting a primordial African couple in the jungle
Sometimes, the iboga spirit manifests itself as a "ball of light" that
speaks to the baanzi, saying, "Do you know who I am? I am the chief of the
world, I am the essential point!" Part of my trip took the form of an
interview that was almost journalistic. I could ask direct questions of "Mr
Iboga" and receive answers that were like emphatic, telegraphed shouts
inside my head - even in my deeply stoned state, I managed to scrawl down in
my notebook many of the responses.

I askedMr Iboga what iboga was. I was told simply: "Primordial wisdom
teacher of humanity!"

Later, my personal faults and lazy, decadent habits were replayed for me in
detail. When I asked what I should do, the answer was stern and paternal:
"Get it straight now!"

This ideal of straightness, uprightness, kept returning during the trip - a
meaningful image for me, as I suffer from scoliosis, a curvature of the
spine. When I was shown other faults that seemed rather petty and
insignificant, I tried to protest that some of these things really didn't
matter. Iboga would have none of it, insisting: "Everything matters!"

Iboga told me that I had no idea of the potential significance of even the
smallest actions. I reviewed some events in my life and my friends' lives
that seemed bitterly unfair. Yet, in this altered state, I felt I could
sense a karmic pattern behind all of them, perhaps extending back to
previous incarnations. Iboga affirmed this, dictating: "God is just!"

To many readers, these insights may sound trivial. They did not feel that
way at the time. They were delivered with great force and minimalist
precision. While they might have been manifestations of my own mind, they
seemed like the voice of an "other". Generally, I never think in such direct
terms about "God", and "primordial wisdom teacher" is not my syntax.

During the night, I had numerous visions and ponderous metaphysical
insights. At one point, I seemed to fly through the solar system and into
the sun, where winged beings were spinning around the core at a tremendous
rate. Up close, they looked like the gold-tinged angels in early Renaissance
paintings. Perhaps due to my recent reading of the Austrian visionary Rudolf
Steiner, this whole trip had a kind of eco-Christian flavour to it. At one
point, I thought of humans as an expression of the Gaian Mind, the earth's
sensory organs and self-reflective capacities, at the planet's present state
of development. If we are changing quickly right now, I considered, it is
only because the earth has entered an accelerated phase of transformation,
forcing a fast evolution in human consciousness.

The loud buzzing sound that ibogaine produced seemed to be something like a
dial tone, as if the alkaloid were in itself a device for communicating on a
different frequency than the usual one. Thinking of my girlfriend and our
child, I realised that I was lucky - "You are lucky!" Mr Iboga echoed. I
felt tremendous, tearful gratitude that I had been given a chance to live
and love, to explore and try to understand so many things.

As so often these days, I pondered on the terrible state of the world - wars
and terrors and environmental ruin. I saw sheets of radioactive flame
devouring cities, huge crowds reduced to cinders. I asked Mr Iboga if this
was going to be the tragic fate of humanity. The answer I received was
startling - and reassuring: "Everything is safe in God's hands!"

As ludicrous as it may sound, this message has stayed with me and alleviated
much paranoia and anxiety. While tripping, I decided that Mr Iboga was a
form of enlightened mind, like a buddha who had chosen a different form, as
a plant spirit rather than human teacher, to work with humanity, imparting a
cosmic message of "tough love". At one point I asked if he would consider
incarnating as a person, and the answer I got was, basically, "Already did
that!" - implying that, in some previous cycle, he had passed through the
perilous stages of evolution we are now navigating. I also came away from
this trip with the suspicion that iboga was the original inspiration for the
tree of the knowledge of good and evil in the Biblical tale. The plant's
placement in equatorial Africa, cradle of humanity, would support this idea,
as well as its sobering moral rectitude. The "good and evil" that iboga
reveals is not abstract but deeply personal, and rooted in the character of
the individual.

Late in the night, I retched and vomited out bitter rootbark residue. I put
on a CD of African drumming. Closing my eyes, I watched a group of smiling
Bwiti women dance around a jungle bonfire. After that, the visions died
down, although it was impossible to sleep until late the next night.

My friend in recovery had a less visionary experience. His faults were also
paraded in front of him in repetitive loops that seemed endless. At one
point, I heard him scream out, "No! No! No!" He saw a possible future for
himself if he didn't kick heroin - becoming a dishwasher, sinking into
dissolute old age with a bad back and a paunch. He asked what he could do to
help save the world. He was told: "Clean up your room!" Meditating on his
experience later, my friend quipped, "Ibogaine is God's way of saying,
'You're mine!' "

Daniel Pinchbeck's book about his experiences, Breaking Open The Head: A
Visionary Journey From Cynicism To Shamanism, is published by Flamingo at
UKP12