# PT 653 - Dr. Michael Alpert and Peter Alberding - ALS, Existential Distress, and Ketamine Therapy Page: https://stenobird.com/podcast/psychedelics-today-777076/pt-653-dr-michael-alpert-and-peter-alberding-als-existential-distress-and-ketamine-therapy Text version: https://stenobird.com/podcast/psychedelics-today-777076/pt-653-dr-michael-alpert-and-peter-alberding-als-existential-distress-and-ketamine-therapy.md Podcast: [Psychedelics Today](https://stenobird.com/podcast/psychedelics-today-777076) Published: 2026-04-16T19:38:00+00:00 Episode link: https://psychedelicstoday.libsyn.com/pt-652-dr-michael-alpert-and-peter-alberding-als-existential-distress-and-ketamine-therapy Audio file: https://traffic.libsyn.com/secure/psychedelicstoday/PT_653_-_michael_albert.mp3?dest-id=381511 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/psychedelics-today-777076/episodes/pt-653-dr-michael-alpert-and-peter-alberding-als-existential-distress-and-ketamine-therapy Duration seconds: 4767 ## Resource ALS and ketamine therapy are at the center of this conversation with psychiatrist Dr. Michael Alpert and Peter Alberding , who was diagnosed with ALS in late 2023. Alpert is a Boston-area psychiatrist with experience in MDMA-assisted therapy research for PTSD and a private practice that includes ketamine-assisted psychotherapy . Alberding shares what it has been like to face a fatal neurodegenerative illness while working with ketamine in a structured clinical setting. Alberding explains that he was not looking for a casual psychedelic experience. He wanted help facing fear, grief, loss of function, and the reality of death. Over time, ketamine-assisted psychotherapy became a tool for processing those changes more directly than talk therapy alone had allowed. ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/psychedelics-today-777076/episodes/pt-653-dr-michael-alpert-and-peter-alberding-als-existential-distress-and-ketamine-therapy/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/psychedelics-today-777076/pt-653-dr-michael-alpert-and-peter-alberding-als-existential-distress-and-ketamine-therapy.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.