Colts' Braden Smith Opens Up on Severe OCD, Checked into Facility During 2024 Season

The Indianapolis Colts didn't offer many specific details when they placed offensive tackle Braden Smith on the reserve/non-football illness list near the end of last season because of a "personal matter," but he opened up about the reality he was facing in an interview with Joel A. Erickson of the Indianapolis Star that was published Tuesday.
Smith was diagnosed with religious scrupulosity, which is a type of obsessive-compulsive disorder, and underwent a variety of treatments including therapy, time in a mental health facility and a trip to Mexico to take a psychedelic drug he credits with helping him get better.
"I was physically present, but I was nowhere to be found," Smith said while explaining his compulsions grew worse as games approached and during road trips. "I did not care about playing football. I didn't care about hanging out with my family, with my wife, with my newborn son. … I (felt like I) was a month away from putting a bullet through my brain."
Erickson explained that Smith's compulsions were internal compared to common OCD signs such as repetitive hand washing.
"I'll latch onto certain pieces of the Bible, certain Scriptures, talking about blasphemy of the Holy Spirit," Smith said. "I'd be like, 'Oh, if I think something bad about God, I’m going to hell.' Selling my soul to the devil-type stuff, that was a prominent theme."
The offensive tackle also explained, "There's the actual, real, true, living God. And then there's my OCD god, and the OCD god is this condemning (deity). It's like every wrong move you make, it's like smacking the ruler against his hand. 'Another bad move like that and you're out of here.'"
Stephen Holder of ESPN cited the International OCD Foundation and noted "religious scrupulosity differs from the healthy practice of religion because it is driven by anxiety over engaging in actions that might offend God or be seen as blasphemous. This creates obsessive behavior—including constant prayer or repeated repentance–that can begin to dominate a person's daily life."
In the interview with Erickson, Smith explained therapy and checking into an intensive mental health facility only provided temporary relief. He stayed at the facility for 48 days but did not make the strides he and his family hoped.
Instead, he traveled to Mexico in January for a five-day stay to take Ibogaine, which is illegal in the United States. Erickson noted one study from Stanford University that was published in Nature Medicine revealed the psychoactive alkaloid compound derived from the iboga plant helped decrease PTSD, anxiety and depression.
He spent the first day in a sweat lodge before the second day, which was "ibogaine day." He received four doses over intervals that lasted from 30 to 45 minutes all while he received a magnesium drip to regulate his heart as he was hooked up to an EKG.
Smith called the third day a "gray day" because of the hopelessness he felt, but the fourth day saw him take a synthetic version of 5-MeO-DMT, which Erickson noted is "another naturally occurring psychedelic that is produced in plants and the venom of certain toads."
The offensive tackle said the healing effects of the five-day trip to Mexico lasted and helped him feel more in control. He also started an intensive, OCD-specific therapy upon returning to the United States.
"I still have OCD, but it doesn't have a hold over me," Smith said. "It doesn't dictate my life."
Prior to the trip to Mexico and the intensive therapy, Smith tested in the severe range at 28 of 40 on the Yale-Brown Obsessive Compulsive Scale. However, he tested in the mild range at 12 of 40 following the treatment.
He is now focusing on returning to the field again after the Colts asked him to restructure his contract from $16.75 million in salary to $8 million with the opportunity to add an additional $11 million via incentives.
It lowered the team's cap figure, although the Colts could have created larger savings if they released him. They also didn't have to pay him on the non-football injury list but still chose to while helping him.
"I wasn't here last year. I was physically here, but I wasn't," Smith said. "I want to be me again here, and I want the people around me to experience that, because I do feel like I do have something to offer the people around me."
Indianapolis drafted Smith out of Auburn in the second round in 2018, and he has since appeared in 94 games with 92 starts. He started all 12 games he played in 2024 and will suit up for his eighth season in 2025.
If you or someone you know is in immediate crisis, call the National Suicide Prevention Lifeline by dialing 988 for 24/7 access to a trained counselor. You can also contact the Crisis Text Line by texting "HOME" to 741741. For more information about ongoing support and mental health resources, contact the HelpLine at the National Alliance on Mental Illness by calling 1-800-950-NAMI (6264) or emailing info@nami.org.