The real distinction here is mechanism of action. Psilocybin helps fix psychoemotional problems in an enduring sense. You take one, or three, doses and your per

The real distinction here is mechanism of action. Psilocybin helps fix psychoemotional problems in an enduring sense. You take one, or three, doses and your personality and self-understanding are permanently altered. Alcohol works acutely. So I totally agree the term therapeutic is an arbitrary label; all drugs have effects and thus can be therapeutic for condition X and deleterious for condition Y. But worth noting that psilocybin and MDMA produce enduring benefits whereas alcohol appears not to.