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frightened. day. know best." 228 * THE SESSIONS only fine tremors, but these quickly progressed to rather pronounced whole- body shakes. / hate this part. My own body, my energy starts to shake. It's like after any spiritual trip. It's like an aftershock. Every time I do any kind ofpsy- choactive drug I shakefor awhile. Do other people do that? An unexpected vulnerability. I answered carefully, seeing an opening to a more honest and deeper relationship. "Sometimes, especially after the high dose. Not usually af- ter the low dose. I wonder if it's fear." He actually seemed quite uncomfortable, shaking, looking somewhat Don't worry, this is nothing. It doesn't matter ifit's a big dose or little dose of anything. I shake because of the post-traumatic effects. His shivering started going away while he filled out the question- naire. He felt fine after completing it, ate a light snack, and left for the Later, Laura and I talked about Carlos's reaction to this little dose of DMT. While he described its effects as "miniscule," his body had a rather dif- ferent reaction to it. We thought it best to bend the rules a little and give him 0.2 mg/kg before jumping to 0.4. When I told him, Carlos offered no resistance to the plan: "You guys This foresight seemed warranted. As I entered the room the next week, Carlos was shaking badly in response to the ward nurse having failed three times to start his IV line. In the offhanded manner we were beginning to recognize, he said, "This started in the 1970s when I went into a church once." I started leaning toward being more concerned for his welfare than that our white man's DMT "wouldn't be enough." I warned him, "This will push you. It will give you an idea what twice this amount might be like. It is a psychedelic dose." "Okay, I'm looking forward to it. I'd like to have some more of a psy- chedelic effect."