Psychedelic therapy advocates consistently dismiss these concerns as exaggerated or isolated incidents that are inevitable in any therapy. Ultimately, this obscures how the underlying theories associated with the MAPS MDMA-AT therapy manual can facilitate abuse. It is essential to recognize how the underlying methods and clinical beliefs of the leading psychedelic therapy researchers facilitated exploitation. Prominent LSD researcher and psychiatrist Sidney Cohen even warned that psychedelic therapists “included an excessively large proportion of psychopathic individuals.” Rick Strassman’s 2022 The Psychedelic Handbook: A Practical Guide to Psilocybin, LSD, Ketamine, MDMA, and Ayahuasca is one exception to the trend of total silence on psychedelic therapy abuse.