Snapshot · 2 Bears, 1 Cave with Tom Segura & Bert Kreischer
A photographer at Bert's photo shoot revealed she jumped from a 10-story building during a ketamine treatment, broke both shins, required a tracheotomy, and woke up 4 weeks later in hospital.
Where this was said
At 56:00 · chapter starts 47:57
The drug discussion begins innocuously — Bert wondering why so many sober people in his feed are addicted to kratom — and escalates fast. Tom reveals they used to sponsor kratom as a pre-workout supplement, then they look up the science live: kratom binds to the same opioid receptors as morphine and oxycodone [1] — Tom Segura "Kratom was once a sponsor on their podcast — they told listeners to take it before workouts. Looking it up live, they discover it binds to …" 49:50 . Tom then relays Dr. Drew's brilliant cocaine-vs-PCP behavioral split: cocaine users see cops and run, PCP users see cops and charge [2] — Tom Segura "Dr. Drew's best drug insight: coke people see a cop and bolt; PCP people see a cop and want to fight all of them. The difference between st…" 48:25 . The stories get wilder: a hotel guest returns from breakfast to find a cleaner passed out in their bed after mistaking a bag of ketamine for cocaine; British kids in a park dose an Irish traveler and film his K-hole. Bert concludes he'd consider ketamine only if it helped with his flying anxiety. The chapter closes with Tom referencing Matthew Perry's ketamine death as a sobering data point.
Dr. Drew's best drug insight: coke people see a cop and bolt; PCP people see a cop and want to fight all of them. The difference between stimulant-driven paranoia and dissociative invincibility, explained through pure chaos.
Kratom was once a sponsor on their podcast — they told listeners to take it before workouts. Looking it up live, they discover it binds to the same opioid receptors as morphine and oxycodone. Awkward.
Tom and Bert looked up that kratom's active compounds bind to the same opioid receptors targeted by morphine and oxycodone, acting like a stimulant at low doses and an opioid at high doses.
Bert referenced that actor Matthew Perry died from ketamine use, noting it as one of the drug's real-world dangers.
A photographer at Bert's magazine shoot casually mentioned she'd 'fallen' — then revealed she jumped off a 10-story building during a ketamine treatment for depression, broke both shins, required a tracheotomy, and woke up 4 weeks later in a hospital with no memory. Didn't even scratch her face.
Spencer Greenberg and Jeremy Stevenson analyzed almost 500 self-improvement techniques and found they all reduce to just 12 underlying psychological drivers.
Cold exposure has good short-term alertness benefits but the evidence base for long-term health benefits is much weaker than popularly believed.
In a randomized study of 20 habit-formation techniques run on hundreds of people, almost none of the techniques produced statistically meaningful results.
People given a tiny-habit fallback option (e.g. 10 squats instead of gym) were actually MORE successful at completing the full habit, not less.
The most effective habit-formation technique was 'habit reflection' — recalling a past successful habit, writing down what helped, then applying those lessons to a new habit.
A study found that simply scheduling enjoyable activities was as effective as standard cognitive behavioral therapy for depression, leading to its own therapy called behavioral activation.
The 'worry time' technique — deferring all worries to a designated time of day — helps people realize they have more control over worry than they thought and reveals it is less useful than it feels.
A study found that participants told to try to stay awake while in bed fell asleep faster than participants told to try to sleep — illustrating the paradox of direct effort.
Spencer Greenberg reduced his severe social anxiety dramatically in roughly 6 months through a structured exposure therapy hierarchy, culminating in asking strangers for hugs.
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