Iboga Initiation and the Wisdom of Discomfort - Paije Alexandra West

In this episode of The Psychedelic Podcast, Paul F. Austin speaks with Paije Alexandra West, founder of ETÉREO, about iboga, ibogaine, and Bwiti initiation. Drawing on Paul's recent retreat experience at ETÉREO in Baja, they examine what can be lost when iboga is reduced to a clinical alkaloid and how traditional ceremony can coexist with rigorous medical screening. Paije explains the differences between iboga root bark and total alkaloid extract, the role of Bwiti music, and why discomfort, community, and long-term integration are central to working responsibly with this demanding medicine. Paije Alexandra West is the founder and lead iboga provider at ETÉREO | Center for Truth, an iboga retreat center outside Todos Santos, Baja California Sur. A twice-initiated Bwiti practitioner, she began on the clinical side, supporting guests through detox and aftercare at ibogaine clinics. Her commitment deepened after losing her brother to a fentanyl overdose. Paije trained in Gabon with the Missoko Bwiti, completed the Nyembe rites in 2022, and was initiated with the Fong in 2025. Her work combines traditional Bwiti ceremony with EKGs, pharmacist reviews, licensed therapists, and IFS-informed integration. She runs ETÉREO with her husband and co-founder, Fletcher Burdick, and co-founded the Stone West Foundation. Highlights: How iboga differs from isolated ibogaine treatment What medicalized approaches can lose when culture and ceremony are removed Combining Bwiti tradition with clinical screening and emergency preparation Why responsible providers must be willing to say no Iboga root bark versus total alkaloid extract How Bwiti music shapes the ceremonial experience Discomfort, community, and the limits of modern convenience Why iboga requires long-term integration rather than a quick-fix mindset Episode Links: ETÉREO Stone West Foundation ETÉREO on Instagram @etereo__baja Paije on Instagram: @paijealexandrawest Find full show notes and links here: https://thethirdwave.co/podcast/episode-372/?ref=278 Episode Sponsors: SSRI Deprescribing & Psychedelic Readiness Training with Dr. Dave Rabin Disclaimer: This content is for educational, informational, and entertainment purposes only. We do not promote or encourage the illegal use of any controlled substances. Nothing said here is medical or legal advice. Always consult a qualified medical or mental health professional before making decisions related to your health. The views expressed herein belong to the speaker alone, and do not reflect the views of any other person, company, or organization.