pbs.org
President Donald Trump’s new pick for surgeon general wrote in a recent book that people should consider using unproven psychedelic drugs as therapy and in a newsletter suggested her use of mushrooms helped her find a romantic partner.
Dr. Casey Means’ recommendation to consider guided psilocybin-assisted therapy is notable because psilocybin is illegal under federal law. It’s listed as a Schedule 1 drug, defined as a substance “with no currently accepted medical use and a high potential for abuse.” Oregon and Colorado have legalized psychedelic therapy, though several cities in Oregon have since banned it.
Means’ nomination follows a pattern from Trump to select people known for their public personas more than their policy positions. In the case of Means, the Republican president said he chose her solely on the recommendation of Health Secretary Robert F. Kennedy Jr. “Bobby thought she was fantastic,” Trump said, adding that he did not know her.
Means, who received her undergraduate and medical degrees from Stanford University, began a medical residency in Oregon but did not complete it. Her medical license is listed as inactive.
She made the recommendation in her 2024 book, “Good Energy”. She suggests a number of strategies to help people “manage and heal the stressors, traumas, and thought patterns that limit us and contribute to our poor metabolic health and thriving.”
One such strategy is to “consider psilocybin-assisted therapy,” referring to the compound found in psychedelic mushrooms. She details her thinking on the subject in a 750-word passage.
“If you feel called, I also encourage you to explore intentional, guided psilocybin therapy,” she wrote. “Strong scientific evidence suggests that this psychedelic therapy can be one of the most meaningful experiences of life for some people, as they have been for me.”