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Dr. Andrew MacLean Pagon MD PhD

Casa
Peru
Lima
Dr. Andrew MacLean Pagon MD PhD

Senior Consultant Psychiatrist & (Entheogenic) Psychotherapist

This page is about Dr. Andrew MacLean Pagon, Consultant Holistic, Integrated, Transcultural and Transpersonal GP and Psychiatrist. Our aim is to promote our unique approach to medicine and healing through our Ayahuasca retreats and other treatments. Integrated, transcultural and transpersonal medicine and psychiatry, where the whole individual is taken into account, are essential in order to heal the root cause of illness whether it lies on the physical or mental-emotional planes. Our unique approach combines modern and traditional medicine to not only achieve a state of no disease but to empower people to take decisive action to continuously improve and transform their lives. We regard life as a continuous healing process where higher degrees of physical, mental-emotional and spiritual health can always be achieved. We provide integrated, transcultural and transpersonal medicine and psychiatry that blends modern and traditional medicine. The objective is to address not only physical symptoms but also the psychological, cultural, racial, social, environmental & spiritual aspects of health and illness.

14/02/2026

A Valentine’s Day Wish

On this day of love, I send my cheer,
To all You wonderful souls, so dear.
May Your hearts be light, Your spirits high,
With laughter and joy that soar to the sky.

Infinite blessings, hugs warm and true,
Slàinte to friendships, both old and new.
Cheers to the love that unites us today—
Happy Valentine’s, in every way!

©DrAndrewMacLeanPagonMDPhD2026
( द्रुविद् रिषि द्रुवेद सरस्वती Druid Rishi Druveda Saraswati)
All rights reserved.

13/02/2026

A Life of Principle: The Courage to Live and Die for One’s Truth

When one finally finds a way of life one truly loves and honours, one also has to come up with the unfathomable courage to live and die for it.

Cuando uno finalmente encuentra una manera de vida que uno ama de verdad y honora, uno también tiene que llegar a la valentía insondable para vivir y morir por ella.

The sentiment expressed is a profound acknowledgement of the deep commitment and passion one must muster to live in accordance with one’s deeply held needs, understandings, beliefs, and values.

Discovering a way of life that resonates with one’s core, true self can be an incredibly fulfilling experience, but it also requires the determination to uphold those values even in the face of adversity.

This adversity may include self-doubt, physical injury or various illnesses, rejection, poverty of all sorts, the loss of a dear or loved one, and struggles to succeed in one’s chosen career or vocation.

Living for something one truly believes in often means making very difficult choices, standing firmly against opposition, and sometimes sacrificing immediate comfort or conventional success.
It can involve significant risk, as true commitment to a way of life may challenge societal norms or one’s intrapersonal, interpersonal, professional, and societal relationships.

The idea of having the courage to die for one’s understandings, values, and beliefs adds a rather dramatic and ultimate layer to this dedication.
It suggests a willingness to face the greatest sacrifice rather than betray one’s true principles.
Throughout history, many people have become symbols of such courage, having laid down their lives for causes they believed in—whether in the realms of science, medicine, politics, religion, spiritual teachings, social justice, or personal freedom.

However, the notion of dying for one’s understandings, values, and beliefs is not a literal requirement for every two-legged (human) who finds a way of life they truly love. More commonly, it is the daily acts of courage, honesty, integrity, and perseverance in living according to one’s principles that define a life lived fully with true honour.

The true challenge is to balance this commitment with the practical aspects of life, maintaining various forms of relationships, and navigating a world that might not always share or support one’s understandings, beliefs, and values.

It is about finding ways to contribute positively to the world around one while staying true to one’s life path.
This often requires a nuanced understanding of one’s values, the flexibility to constantly grow and adapt, and the wisdom to choose battles that are truly worth fighting.

©DrAndrewMacLeanPagonMDPhD2026
( द्रुविद् रिषि द्रुवेद सरस्वती Druid Rishi Druveda Saraswati)
All rights reserved.

12/02/2026

Erythroxylum coca: Sacred Medicine, Nutrition, and Cultural Significance

Erythroxylum coca Lam., Erythroxylaceae (the coca family), commonly known as the coca plant, is a sacred, medicinal, and nutritional shrub native to the Andean region ( Peru and Bolivia) with indigenous use documented for over 8,000 years (Nanchoc Valley in present-day northern Peru).4
It is fundamentally distinct from processed co***ne, delivering mild, sustained effects when chewed or consumed as tea, due to slower alkaloid absorption and lower concentrations in the whole leaf.2

Historical and Cultural Context

Indigenous Heritage and Timespan
Coca cultivation and use date back over 8,000 years in the Andes and Amazon, as evidenced by archaeological findings and genomic studies of cultigens like E. coca var. ipadu and E. novogranatense var. truxillense.[4]
European accounts from the 16th century CE confirm its role among indigenous peoples for elevating mood, aiding digestion, and suppressing appetite.[1]
For Quechwa and Aymara communities, coca embodies a profound cosmological connection to the environment.4[5]

Sacred and Spiritual Dimensions
Coca serves as a sacred conduit between two-legged (human), natural, and spiritual realms, with chewing ( chacchar, acullicar) forming acts of reciprocity to Pachamama (Mother Earth) and Apus (mountain spirits).[1]
Shamanic curanderos employ leaves for divination, interpreting thrown patterns to diagnose ailments or foresee events.[1]
It also facilitates social harmony, sealing agreements and marking rituals for births, marriages, and funerals.4

Nutritional Composition and Effects

Mineral, Vitamin, and Fibre Content
Traditional Andean knowledge attributes high nutritional value to coca leaves, including calcium for bone health (sometimes compared to milk), alongside potassium, phosphorus, iron, vitamins B1, B2, C, E, and insoluble dietary fibre.[1]
However, quantitative analyses in modern studies are limited; alkaloid content averages 0.72–0.77% (primarily co***ne), with other compounds like methylecgonine cinnamate and hygrine present, but specific mineral/vitamin data require further verification.2

Energy, Appetite, and Metabolic Regulation

Coca provides mild, sustained energy without caffeine-like crashes, suppressing hunger, thirst, and fatigue—vital for high-altitude labour.2[4]
Studies note temporary appetite suppression linked to enhanced glucose availability, potential blood flow improvements, and mild vasoconstriction reducing blood viscosity via atropine-like effects on red blood cell production.[1]
No addiction or withdrawal occurs from traditional whole-leaf use due to low alkaloid levels (

12/02/2026

Join the 5th Annual Psychedelic Therapeutics & Drug Development Conference on May 19-20, 2025 in San Diego, CA to explore psychedelic drug research.

12/02/2026

Of Kin and Kindness: A Stewardship of Belonging

In the heart of each and every being,
Lies a thread of kinship, gleaming.
When we see the world as kin,
Pure love and respect begin.

Many, if not too many, abuse everything because they regard it as a commodity belonging to them. When they see everything as a community to which they intrinsically belong, they may begin to use it with pure love and utter respect.

The observation touches on the living concept of stewardship versus ownership.
The attitude of ownership often implies absolute dominance and the right to use resources without consideration for others, including all forms of life, or for long-term consequences.
This usually leads to abuse and unsustainable practices because the focus is on individual benefit rather than collective well-being.

Conversely, viewing the world and its resources as a community fosters a sense of interconnectedness and responsibility.
This perspective encourages sustainable and respectful use of resources, recognising that one’s actions affect not only oneself but also others, including all life forms and future generations.
When people see themselves as part of a larger living whole, they are more likely to act with care and consideration, treating the environment and shared resources with pure love and utter respect.

This shift in perspective is fundamental to many environmental, spiritual, and social movements promoting sustainability, conservation, and responsibility.
It echoes past and present indigenous worldviews where the land and environment are seen as sacred, living entities with which two-leggeds (people) have a reciprocal relationship, rather than commodities to exploit.

Encouraging a true sense of community and belonging, rather than exclusive ownership, can be facilitated through wholesome education, cultural and spiritual shifts, and policies promoting sustainability and ethical resource use.
It also requires cultivating empathy, compassion, and a sense of moral responsibility towards others, including all life forms and the planet.

When we honour all as kin,
A healing and curing journey can begin.
With pure hearts aligned in shared respect,
We build a future, whole and perfect.

©DrAndrewMacLeanPagonMDPhD2026
( द्रुविद् रिषि द्रुवेद सरस्वती Druid Rishi Druveda Saraswati)
All rights reserved.

12/02/2026

Celestial Dance

In stardust whispers, secrets lie,
A cosmic map beneath the sky.
Planets weave their ancient tales,
In silent orbits, truths unveil.

Though science doubts, the spirit knows,
In starry paths, the seeker grows.
A dance of light, both near and far,
Guides the soul by its shining star.

Astrology, while lacking rigorous scientific validation, holds a powerful sway over the psyche.
It offers a celestial map, a cosmic tapestry woven with threads of myth and mystery, guiding individuals through the labyrinth of existence.
The stars, though distant, whisper ancient secrets that resonate deeply within our spirits.

In a world that is increasingly chaotic and unpredictable, astrology provides a framework for understanding.
It is less about empirical evidence and more about the narrative it creates—a story where planets and stars are characters in the grand play of life.
This narrative, rich with symbolism, reflects our timeless quest for meaning.

From a psychological perspective, astrology serves as a mirror, reflecting our hopes, needs, fears, and desires.
It invites introspection—a gentle nudge to explore the depths of our psyches.
The alignment of celestial bodies becomes a metaphor for the alignment of the soul, encouraging balance and harmony.

Astrology also taps into the poetic nature of existence. It translates the cold, indifferent universe into a personal, intimate experience. The planets, in their intricate dance, echo the rhythms and cycles of life.
Mercury retrograde invites reflection, Venus in transit whispers of love and beauty, and Saturn’s stern gaze teaches patience and resilience.

Humorously, one might say that astrology is the universe’s way of keeping us on our toes.
It teases with its cryptic messages, urging us to find deep meaning in the mundane.
The skepticism it faces often adds to its charm—it thrives in the paradox of belief and disbelief, a cosmic jest that invites us to smile and laugh at the absurdity of it all.

Spiritually, astrology connects us to something greater than ourselves. It reminds us that we are part of a vast, interconnected cosmos.
The stars, with their eternal presence, inspire awe and wonder, serving as a reminder of the divine mystery that permeates the universe.

In the end, astrology’s true power lies not in predicting the future, but in enriching the present.
It encourages us to live with intention, finding beauty and significance in every moment.
For those who seek it, astrology acts as a compass, guiding us through the ever-changing tides of life with grace and wisdom.

©DrAndrewMacLeanPagonMDPhD2026
( द्रुविद् रिषि द्रुवेद सरस्वती Druid Rishi Druveda Saraswati)
All rights reserved.

11/02/2026

Is mental and emotional distress best framed as a brain disease to be suppressed or a two-legged (human) experience of the mind to be understood and worked through?

Dr. Peter R. Breggin, MD, (born 11 May 1936), is a prominent Jewish American psychiatrist renowned for his decades-long, vocal opposition to mainstream psychiatric practices.
Often termed the "Conscience of Psychiatry," his work fundamentally challenges the biological model that dominates the field.
In his seminal book, Toxic Psychiatry, he presents a comprehensive indictment of standard interventions, arguing that psychiatric drugs and electroconvulsive therapy (ECT) often cause more harm than good, acting as chemical straitjackets or brain-disabling treatments rather than genuine cures.

The Foundation of His Critique

The "Brain-Disabling" Thesis
Central to Dr. Breggin's argument is the concept that most psychiatric treatments, particularly neuroleptics (antipsychotics) and benzodiazepines, work by impairing normal brain function—inducing a state of lethargy or mental and emotional blunting that is mistaken for therapeutic effect.

Rejection of the Chemical Imbalance Theory
He vigorously disputes the popularised serotonin hypothesis of depression, asserting it is a myth unsupported by evidence, used to market drugs. He posits that mental and emotional distress is primarily psychosocial in origin.

Emphasis on Iatrogenic Harm
A major pillar of his work is documenting potential long-term neurological damage, such as tardive dyskinesia from antipsychotics or permanent post-withdrawal syndromes from antidepressants and benzodiazepines.

Institutional and Financial Critique
Dr. Breggin implicates a powerful alliance of pharmaceutical companies, compliant regulatory bodies, and a psychiatry profession that has, in his view, abandoned its psychosocial roots for a more lucrative, drug-centred model.

His Proposed Humanistic Alternative
Therapeutic Love, Compassion and Empathy

Dr. Breggin advocates for "caring, caring, and more caring" as the cornerstone of healing.
He emphasises empathic listening, compassionate dialogue, and the therapeutic relationship itself as the primary agents of change.

Psychosocial Understanding
He stresses exploring the personal, familial, and social conflicts underlying distress, favouring approaches derived from psychodynamic, family systems, and existential therapies.

Empowerment Over Passivity
His model seeks to empower individuals, viewing them as capable agents in their own recovery, in stark contrast to the passive "patient" role enforced by a pharmaceutical medication-centric model.

Broader Commentary and Legal Work
COVID-19 Pandemic -Co-authoring COVID-19 and the Global Predators: We Are the Prey, Dr. Breggin extended his critique of institutional power to the global pandemic response, framing it as an exercise in predatory control and fear-mongering.

Forensic Psychiatry
He has served as an expert witness in numerous high-profile legal cases, testifying on the dangerous effects of psychiatric drugs, which has cemented his role as an influential, if controversial, figure in the courtroom.

Contextualisation Within Wider Healing Paradigms
His critique engages with several other paradigms that also challenge reductionist biomedicine, though with important distinctions:

Holistic and Transpersonal Psychiatry:
While sharing a critique of reductionist biomedicine, Dr. Breggin's work is not explicitly aligned with holistic or transpersonal schools, which often incorporate spiritual dimensions and integrated and alternative therapies he does not specifically endorse.

Entheogenic Psychotherapy
This emerging field represents a complex counterpoint. While involving psychoactive substances—which Dr. Breggin generally opposes—its emphasis on profound psychospiritual insight, healing and potential cures through non-ordinary states of consciousness differs radically from the daily suppression sought by conventional psychiatric drugs. Dr. Breggin would likely remain sceptical of its medicalisation.

Integrated, Metabolic and Functional Medicine
This paradigm offers a balanced approach advocated by many modern practitioners—combining lifestyle, nutrition, exercise, targeted therapy, and judicious, time-limited pharmaceutical use only when truly necessary, supported by collaborative care within multidisciplinary teams and patient-centred decision-making.
This stands in direct contrast to Dr. Breggin’s more absolute rejection of conventional psychiatric medication. Its approach integrates evidence considerations from high-quality research and personalised treatment plans, clarifying the scope by acknowledging that effectiveness and safety claims depend on individual circumstances and available evidence, and avoiding absolutism by recognising that both pharmacological and non-pharmacological strategies can play complementary roles.

A pivotal distinction in this debate concerns the relationship between mind, brain, and consciousness.
Dr. Breggin’s humanistic model prioritises the conscious, subjective mind—the realm of personal meaning, relationship, and experience—as the primary site of both distress and healing.
He views the brain as the physical organ impacted by disabling chemical interventions, arguing that tampering with its biochemistry often suppresses consciousness rather than resolving mental and emotional suffering.
This separation underscores his core argument: mental and emotional distress is not merely a brain disease to be suppressed, but a two-legged (human) experience of the conscious mind to be understood.

Conclusion
Dr. Peter Breggin remains a pivotal and polarising force in mental and emotional health discourse. His unwavering humanistic advocacy serves as a crucial ethical and moral counterweight to the excesses of biological psychiatry, relentlessly reminding the profession of the primacy of the two-legged (human) relationship and the potential perils of its most potent tools.
While his wholesale rejection of pharmacotherapy is disputed by the majority of the medical establishment, his critiques have undeniably spurred greater scrutiny of drug safety, informed consent, and the need for psychosocial care.
Ultimately, the debate he embodies centres on a fundamental question: is mental and emotional distress best framed as a brain disease to be suppressed or a two-legged (human) experience of the mind to be understood and worked through?
Dr. Breggin’s life’s work is a profound argument for the latter.

©DrAndrewMacLeanPagonMDPhD2026
( द्रुविद् रिषि द्रुवेद सरस्वती Druid Rishi Druveda Saraswati)
All rights reserved.

11/02/2026

The Sapphire of the Silences: A Portrait of the Himalayan Blue Poppy

In the Himalayan heights, where the cold winds sweep, a celestial blossom of blue pierces the mountain silence.
This dance of colour in the frosty air, the ethereal blue poppy, stands as one of the botanical world's most exquisite and elusive treasures.

Botanical Provenance and Nomenclature
Scientific Designation:
Known as Meconopsis betonicifolia Franch.
(syn. Meconopsis baileyi), it belongs to the Papaveraceae (poppy) family.

Western Discovery:
It was first formally described for Western science in 1912 CE by Lt. Col. Frederick Marshman Bailey, CIE, FRGS—a British political officer, diplomat, spy, explorer and a late protagonist of the imperial "Great Game" in Central Asia.

Horticultural Allure:
Following its discovery, its mesmerising colour sparked immediate fervour amongst botanists and gardeners, though its cultivation outside native habitats proved notoriously challenging.

Native Habitat and Physiology
Range:
It is indigenous to the high-altitude regions of Nepal, Tibet (Xizang), and northern Myanmar.

Altitude:
It thrives at elevations between 2,000 and 5,000 metres (approximately 6,562 to 16,404 feet).

Growing Conditions:
It prefers cool, moist environments with slightly alkaline to acidic soils.

Signature Hue:
The flower's distinctive azure to violet-blue pigmentation is a complex result of anthocyanin pigments, heavily influenced by soil pH and intense ultraviolet light at high altitudes.

Cultural and Spiritual Significance and Uses
Symbolic Meaning:
In several Himalayan cultures, the bloom is a potent symbol of transcendence, spiritual enlightenment, and the ephemeral nature of existence, its rarity mirroring the elusive pursuit of higher consciousness.

Traditional Medicine
Some local Himalayan traditional medical systems, such as Tibetan Buddhist and Tibetan Bön traditions, attribute medicinal properties to Meconopsis species. These are used in remedies for respiratory complaints and inflammation, though robust scientific validation for these uses remains limited. I shall write more about it in my forthcoming article.

Life Cycle and Ecology
Growth Habit:
It is a herbaceous perennial, hardy across much of the United Kingdom, blooming from late spring to early summer.

Pollination:
Its large, saucer-shaped flowers attract bees and butterflies, which are vital for cross-pollination.

Life Span:
The plant is often monocarpic or short-lived perennial, typically flowering in its second or third year before setting seed and dying.

Seed Dispersal:
Seeds are wind-dispersed (anemochory) and can remain viable in the soil bank for several years, awaiting ideal conditions for germination.

Conservation Status and Threats
Wild Scarcity:
While a prized ornamental in gardens, over-collection from the wild and habitat disturbance have rendered it increasingly scarce in its natural settings.

Preservation Imperative:
Concerted conservation efforts, including habitat protection and the promotion of cultivated stock, are essential to preserve its natural populations and safeguard its genetic diversity.

To conclude, the Himalayan blue poppy, with its ethereal beauty and exacting alpine requirements, remains a profound symbol of nature's sublime artistry.
Its enduring allure captivates the two-legged (human) spirit, serving as a poignant reminder of the delicate balance and intricate complexity inherent to the world's high-altitude ecosystems.

©DrAndrewMacLeanPagonMDPhD2026
( द्रुविद् रिषि द्रुवेद सरस्वती Druid Rishi Druveda Saraswati)
All rights reserved.

10/02/2026

The Brother Wound: A Comprehensive Exploration

The brother wound is a term describing the profound pain,mental, emotional and spiritual isolation, and disconnection many men experience within their relationships with other men. Its manifestations include chronic competition, mental and emotional stoicism, a fear of vulnerability, and a pervasive distrust, which collectively poison the potential for authentic, supportive male connection.

Physical Manifestations
Somatic Symptoms:
The body often registers this wound as chronic muscular armouring—especially in the shoulders, chest, and jaw—digestive issues, and stress and tension-related fatigue.

Stress Response:
The constant pressure to perform, dominate, or suppress mental and emotional states keeps the nervous system in a state of guarded arousal, elevating baseline cortisol and adrenaline levels.

Embodied Dis-ease:
Unprocessed mental, emotional and spiritual states become stored, contributing to a higher risk of hypertension, substance misuse as a coping mechanism, and a general neglect of physical wellbeing.

Energetic & Subtle-Body Impact
Blocked Masculine Flow:
Healthy masculine energy, which thrives on purpose, meaning, grounded action, and protective community, becomes distorted into aggression or apathy.

Isolation as Blockage:
Viewing other men solely as rivals or as mental and emotional liabilities creates dense energetic walls, stifching the flow of camaraderie and mutual support.

Cycles of Depletion:
Vital life force energy is wasted in posturing, silent rivalry, and internal mental and emotional battles, leading to a collective state of drained resilience.

Mental & Emotional Landscape
Scarcity Conditioning:
Rooted in societal narratives that frame power, respect, and success as extremely limited resources only attainable through domination.

Internalised Competition:
Fuels a relentless comparison of status, class, wealth, and strength, breeding insecurity, loneliness, and a pre-emptive hostility that prevents deep friendship.

Emotional Toll:
Breeds frustration, a deep-seated sadness (often misdirected as anger), and a defensive emotional numbness that makes genuine connection feel dangerous.

Spiritual Disconnection
Estrangement from the Divine Masculine:
Represents a rupture from the spiritual principles of integrity, empathic and compassionate strength, stewardship, and brotherhood inherent in the masculine aspect of the divine.

Hindered Growth:
This disconnection can stall spiritual development, as the path often requires the mirroring, challenge, and support found in sacred brotherhood.

Path to Healing and Potential Cures:
Involves engaging with spiritual practices that explicitly honour the sacred bond between men, seeing brotherhood as a spiritual practice in itself.

Psychological Underpinnings
Internalised Patriarchy:
The subconscious and unconscious adoption of rigid, patriarchal norms of masculinity that equate vulnerability with weakness, leading men to police these traits in themselves and others.

Self-Worth Erosion:
Contributes to a fragile self-esteem overly dependent on external validation, performance, and dominance, resulting in imposter syndrome and identity crises.

Therapeutic Approaches:
A holistic psychological strategy may include modalities like cognitive behavioural therapy (CBT) for reframing, compassion-focused therapy, and, where suitable and professionally guided, psychodynamic or entheogenic psychotherapy to access and heal and potentially cure deep-seated patterns of isolation.

Shamanic & Ancestral Perspective

Soul Wound Recognition:
Viewed as a fracture in the soul or spirit, often echoing through lineage—carrying the pain of ancestral betrayals, wars where brothers fought brothers, or a history where men were reduced to disposable providers and warriors.

Intergenerational and Transgenerational Trauma:
The wound is frequently not personal in origin but inherited, requiring acknowledgement of the historical collective trauma of men severed from mental, emotional and spiritual community.

Ceremonial Healing and Potential Cures:
Healing calls for rituals—such as talking stick circles, wilderness quests, ancestral forgiveness work, or communal drumming—designed to restore balance, initiate men into conscious maturity, and reconnect the individual to a healed lineage of manhood.

The Path to Holistic Integration

Healing and curing the brother wound is a multidimensional process of rewriting the narrative from one of isolation and competition to one of brotherhood and collaborative strength. It demands conscious awareness, radical self-acceptance, and the deliberate cultivation of mental, emotional and spiritual courage.
Men are called to become archaeologists of their own conditioning, to grieve the inherited divides, and to consciously choose vulnerable solidarity.
In doing so, the very armour that once caused numbness can become a site of profound strength—transforming the wound into a wellspring of authentic power and unshakeable fellowship.

In the forest of manhood, where oaks ought to stand tall,
The brother wound remains the chill, a silent, shared wall.
Yet in the fire of healing, and cure, where silence and truth meet,
Men reclaim their whole pure hearts, and make their bond complete.

©DrAndrewMacLeanPagonMDPhD2026
( द्रुविद् रिषि द्रुवेद सरस्वती Druid Rishi Druveda Saraswati)
All rights reserved.

Dirección

Casa 6, Avenida Petit Thouars 4534, Miraflores
Lima
15046

Horario de Apertura

Lunes	09:00 - 17:00
Martes	09:00 - 17:00
Miércoles	09:00 - 17:00
Jueves	09:00 - 17:00
Viernes	09:00 - 17:00
Sábado	09:00 - 17:00

Teléfono

+51926409620

Página web

https://psaequilibrium.com/en/

Notificaciones

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