Psychedelic Therapy Gains Ground Amid Legal Risks in South Africa

Tue Oct 14 2025 01:35:44 GMT+0300 (Eastern European Summer Time)

In South Africa, shamans are increasingly turning to psychedelic substances in therapeutic practices, navigating a complex landscape of legality and mental health advantages.

Despite the illegality of psychedelic drugs in South Africa, shamans in Cape Town are openly advertising therapies that incorporate substances like psilocybin and MDMA. As mental health issues gain more awareness, clients are drawn to these alternative treatments, even as professionals warn of the dangers and lack of regulation in the field. Personal testimonials highlight the profound impact of these experiences, yet underscore the need for caution and further research.

Although psychedelic drugs are illegal in South Africa, many self-appointed healers and shamans based in Cape Town are openly advertising that they incorporate them in their therapies.

Anyone convicted of their commercial use faces a fine, a prison sentence of up to 25 years, or both.

Photographer Stuart Dods is one of those willing to take the treatment from a shaman.

In an elegant wooden cabin nestled in the forest on Cape Town's outskirts, he is about to undergo his second psychedelic experience to treat a series of mental health issues he has been suffering from. He has tried prescription medication but is convinced psychedelics hold the key to his healing.

Mum passed away suddenly, so that was a hell of a thing. And then my ex broke off a year after mum died as well. So that's kind of when the rug got pulled out a little bit, says the 53-year-old.

At a cost of around $2,000 (£1,500), the psychedelic experience he has chosen involves taking doses of psilocybin (also known as magic mushrooms) and MDMA (also known as the party drug, ecstasy). The organisers say the fee also includes accommodation and a package of support services.

There is a growing body of research and trials into their effectiveness in treating mental health conditions, but there are warnings about their use outside of controlled, clinical settings.

Megan Hardy, who refers to herself as a medicine woman and is in charge of the session with Mr Dods, also takes a smaller dose of both drugs ahead of the ritual. She claims it helps her move into the same frequencies as the person she is treating.

Before the psychedelic ceremony begins, which Stuart has agreed for the BBC World Service to film, Ms Hardy reassures her client he can stop at any time.

However, there are concerns from professionals about the unregulated nature of these experiences. Dr Marcelle Stastny, convenor of the South African Society of Psychiatrists, underscores the importance of consent and the risks associated with being intoxicated during such sessions.

In a contrasting viewpoint, Ms Hardy defends her practices, insisting that their understanding of healing extends beyond conventional medical training.

The statement regarding potential benefits from psychedelics aligns with emerging research but highlights the need for cautious exploration in a legal landscape fraught with risks.

The psychedelic movement is gaining traction, yet practitioners and clients alike must navigate the complexities inherent in these powerful substances.