just my 2 cents about that :
If all, I'm not the most sane person on earth. Ive not much discussed that here (I'm not well known here anyway) because of the stigma of drug user + psy diagnosis, but I got various diagnosis, from possible schizotypal, BPIII suspicion, to simple neurosis (in reality I just don't want to wage slave and was looking for a girlfriend). A form of dysthymia is at the very least expected, and I'm treated for it with 100mg amilsupride a day (work very well, I'm 99% asymptomatic).
I didn't took 5ht2a since something like 9 month, but 2 years ago, I was taking FUCKTON of it. 500mcg ALD52 trips, overdosed on 150mg tryptamine 4acoDMT 4hoMET mix (accident), one time I even ate the entire bag of 4hoMET on a benzo binge, resulting in the need of even more blackout or I would have lost my shit (took at least 300mg, effect can't be described in words even on benzo). At the end of my psyche journey, I was totalling 50mg to 100mg (with the exceptionnal 150/200) 4hoMET 4acoDMT each 3 day, using tolerance for not going too much insane (done it for 2 month or 3 with small pause). As you understand, I like 5ht2a.
5ht2a is the ONLY class of drugs that didn't had any detrimental effect in health. With stim, I can't take the comedown anymore, hard dissociative begin to have a bit the same problem (experienced dissociation episode for 1 to 3 week after the comedown, I didn't see many things about that, didn't know it was possible), I experienced DP/DR one time from cannabis, MDMA and 3mmc fucked me for 3 week, I got DP/DR from Salvia for 4 month 2 times, and I'm hooked on opiate (tapering, I want my way out of drugs now).
But even with these "basis", susceptibility to DP/DR, mental health possible problem, if I take 5ht2a, I know 48h after, I'm normal. I hope it will stay the same way as it's the only drug I want to continue to use (but with moderation now)