A Stroke Survivor's Story
I know what this is like.
Written in first person, because it happened to me.
Jake’s Experience
In February 2019 I tore a vertebral artery skiing in Japan. I was twenty-nine.
A week later, I had my stroke in a remote fishing village outside of Hong Kong, during Chinese New Year. A rickshaw and two ambulance rides got me to a hospital where I did not speak the language and nobody could tell me what I would get back. Eventually, I was told recovery would largely depend on neuroplasticity, which at the time meant little to me – specifically because I asked if there was anything that would support that, with no answer.
Home in Colorado I did “the work” – speech therapy, occupational therapy, physical therapy, and about a year of trying everything else I could find (lots of Lego’s).
Some of it helped. I got most everything back. The part I was not ready for came later, one nobody told me about.
After I stopped “seeming” like I had a stroke, on the inside I was still tired in a way nobody could see, still losing words, still scared at night it’d happen again, and still trying to figure out what was normal.
That was the part of life after stroke I had no language for.
In September 2025 I had a carotid artery dissection and resulting TIA. I did the whole thing again – this time in my own country, in my own language, with insurance and a good doctor and every advantage I had not had the first time.
It was still lonely, and the same part was still missing.
That was the thing that reshaped my vision for PSI.
Not just the psychedelics.
The “Recovery Gap” and learning how to heal from a place of Wholeness.
The fact that I had now done this twice, in two countries, with two completely different levels of access, and both times the hardest stretch was the one with the least written down about it.
That is still what I mean when I talk about whole-person stroke recovery: getting function back matters. So do fear, identity, relationships, agency, meaning, and whether you can find your way back into your own life more powerful than before.
Where Psychedelics Come In
My experience with psychedelics after stroke began the way it does for a lot of people: I was out of options I trusted. So, out of desperation I tried something unknown.
I microdosed LSD, and later psilocybin, alongside the therapies (OT/ST/PT) and the yoga and everything else. As time went on, I gently explored slightly larger doses than microdoses in intentional, supportive, settings.
I think it helped me. A lot. I also know what it helped with was not what I expected.
I can’t say it “repaired” anything particularly. What it seemed to do was make it possible to be in my own life while it was hard. Stop fighting the fact of it long enough to actually participate in my own recovery.
This is my experience, and I want to be incredibly careful about it.
It’s not evidence. Nor a recommendation.
I cannot say it will do the same for you, and I would be suspicious of anyone who might say definitively.
What it did do was make me want to know whether there was anything real underneath it. “Did I stumble into a truth?“ – which is a different thing from believing there is.
What Is Actually Known About Psychedelics After Stroke
From Jake's Field Notes“This time, however, I'm really proud of, and love, the life I have with Patrick, and I understand what I have to lose – and have been clinging desperately to that. So that's where my fear has been coming from. From my attachment.” – Jake Mcwink
What I am, and not
I am a stroke survivor who has spent several years reading everything I could find and talking to as many survivors, caregivers, clinicians, researchers, facilitators, therapists & practitioners, that would talk to me.
I am a Colorado State Licensed Natural Medicine Facilitator, which is a separate professional capacity and is not what PSI does.
I am not a doctor, a scientist or a therapist.
PSI has researchers and clinicians around it precisely because I am not one, and the parts of this website that make scientific claims are held to a standard I do not get to set on my own.
Explore Whole-Person Stroke Recovery
Read Jake’s Field Notes
In the News
“Each time I did something new after the stroke, or something I had always done, it felt like I had to relearn it from the very beginning. And so psychedelics seemed to help improve that process,”
Jake McWink with Amy Wadas“The medicine is not going to fix you, you are going to fix you, and the medicine is going to help you do that.”
-Jake McWink with Kayse Gehret, Michaela Kohmetscher, & Jonna Graulich “I think that there’s another piece of this that maybe doesn’t have anything to do with (neurological) rewiring or all of that. Maybe it’s just simply that it gives your body the space it needs to then activate self healing.
Very similar to when we put a Band-Aid on a cut, the Band-Aid is not doing the fixing, but it’s providing an environment for the self healing intelligence to activate in our bodies. These are wonderful machines and they know how to fix everything.”
-Jake McWink
