Frontier mental health research: psychedelics & drug studies

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16 papers

Addiction

Based on 33 papers

Researchers are testing several new and old approaches to treat addiction. The most attention is on psychedelic-assisted psychotherapy — that is, giving a drug like psilocybin, MDMA, or ibogaine together with careful therapy — and on new drug compounds tested in animals. Some early clinical trials and many reviews call these approaches “promising,” but most evidence is still limited, mixed, or from small studies. At the same time, for some substances like methamphetamine there are no approved medicines that clearly reduce use. Animal studies and new chemical versions of old drugs show strong early results, but human safety and larger trials are still needed. Researchers also stress that the drug effect and the therapy around it (preparation, setting, and follow-up) both matter for how well treatment works.

Key findings

  • Giving psychedelic drugs together with psychotherapy has shown promising results in small clinical trials and reviews for some addictions and other mental illnesses. 15063 15051 15085 15073
  • MDMA-assisted therapy has the strongest and most consistent trial evidence for PTSD, and psychedelic therapies more broadly have growing but still limited evidence for some forms of addiction. 15063 15053 15085
  • Ibogaine has shown signs of helping with addiction in some studies, but it carries serious heart and neurological risks that stopped some earlier trials. 15085
  • Researchers made new “oxa-iboga” compounds that in lab heart-cell tests did not show the heart-rhythm risk of ibogaine, and in rats a single dose reduced long-term opioid use and relapse-like behavior. 15115
  • For methamphetamine use disorder, there are currently no approved medicines that clearly reduce cravings or lead to lasting abstinence in people. 15116
  • 5‑MeO‑DMT (a fast, short-acting psychedelic) is being explored as a possible treatment for alcohol use disorder, but the evidence is early; human reports show powerful subjective effects and brain-rhythm changes that might be relevant. 15122
  • Good preparation and therapeutic support before and after a psychedelic session — things like safety screening, building trust, and planning the setting — are widely agreed to be important for safety and likely for outcomes, but exact methods vary across studies. 15065 15051 15063
  • Some promising findings come from small studies, animal work, or historical reports. That means results may not always apply to people yet, and researchers note limits like small sample sizes and underrepresentation of people of color in trials. 15073 15095 15085
  • When ketamine is used under medical supervision for depression, large reviews find few clear cases of dependence, but patients still report worry about addictive risk and want more long-term safety data and monitoring. 8828 12365
  • In some communities, traditional healers use plant remedies for alcohol-related problems. These reports document local practices but do not prove those plants are effective in controlled clinical trials. 15118

Psychedelics reopen the social reward learning critical period

Romain Nardou, Edward J. Sawyer, Young Jun Song, M. F. Wilkinson, Yasmin Padovan‐Hernandez, Júnia L. de Deus, et al.
Nature Summary & key facts 2023 303 citations

Researchers gave different psychedelic drugs to mice and found the drugs could reopen a window of brain plasticity used for learning social rewards. This reopened window went along with changes in a social hormone system in a key reward area of the brain and with changes in genes that control…

Chemical synthesis and alkaloids Neurotransmitter Receptor Influence on Behavior Psychedelics and Drug Studies Psilocybin

Inclusion of people of color in psychedelic-assisted psychotherapy: a review of the literature

Timothy I. Michaels, Jennifer Purdon, Alexis Collins, Monnica T. Williams
BMC Psychiatry Summary & key facts 2018 247 citations

The authors reviewed psychedelic-assisted psychotherapy studies published from 1993 to 2017 to see how many people of color took part. They found 18 studies with about 280 people. About 82% of participants were non-Hispanic White, while only small percentages were African American, Latino, Asian, indigenous, or mixed race. Because so…

Natural Compound Pharmacology Studies Neurotransmitter Receptor Influence on Behavior Psychedelics and Drug Studies Ayahuasca LSD

Psychedelics in Psychiatry: Neuroplastic, Immunomodulatory, and Neurotransmitter Mechanisms

Antonio Inserra, Danilo De Gregorio, Gabriella Gobbi
Pharmacological Reviews Summary & key facts 2020 215 citations

This review looked at many studies about classic psychedelics (like psilocybin and LSD), MDMA, ketamine, and plant medicines (like ayahuasca). The authors explain how these drugs can change the brain’s wiring, calm inflammatory processes, and shift key brain chemicals. Those actions may help explain why small clinical trials and animal…

Neurotransmitter Receptor Influence on Behavior Psychedelics and Drug Studies Tryptophan and brain disorders Ayahuasca Ketamine

Psychedelic Treatments for Psychiatric Disorders: A Systematic Review and Thematic Synthesis of Patient Experiences in Qualitative Studies

Joost J. Breeksema, Alistair Niemeijer, Erwin Krediet, Eric Vermetten, Robert A. Schoevers
CNS Drugs Summary & key facts 2020 207 citations

Researchers collected and read 15 studies where patients described their own experiences with psychedelic treatments for mental disorders. These studies looked at about 180 patient accounts across different drugs and different illnesses. Even though the drugs and treatment settings were very different, many patients described similar helpful processes, such as…

Chemical synthesis and alkaloids Neurotransmitter Receptor Influence on Behavior Psychedelics and Drug Studies Ayahuasca Ibogaine

Psychedelic medicine: a re-emerging therapeutic paradigm

Kenneth W. Tupper, Evan Wood, Richard Yensen, Matthew W. Johnson

Researchers around the world have started clinical studies again to see if psychedelic drugs can help treat serious mental health problems. This work picks up after research that stopped around the 1950s. Scientists are running controlled studies to test whether these substances can safely reduce problems like depression, anxiety, addiction…

Chemical synthesis and alkaloids Neurotransmitter Receptor Influence on Behavior Psychedelics and Drug Studies Ketamine LSD

Legal highs: staying on top of the flood of novel psychoactive substances

David Baumeister, Luis M. Tojo, Derek K. Tracy

This review explains the fast-growing problem of so-called "legal highs", which are better called novel psychoactive substances or NPS. Unknown labs keep making slightly different chemicals to avoid bans, and this led to about 80 new substances being spotted in one year. The paper groups these drugs into five main…

Forensic Toxicology and Drug Analysis Neurotransmitter Receptor Influence on Behavior Psychedelics and Drug Studies Cannabis Ketamine

Psychedelic therapy in the treatment of addiction: the past, present and future

Rayyan Zafar, Maxim Siegel, Rebecca Harding, Tommaso Barba, Claudio Agnorelli, Shayam Suseelan, et al.
Frontiers in Psychiatry Summary & key facts 2023 87 citations

This paper reviews research on using psychedelic drugs to treat addiction. The authors say scientific and medical interest has grown a lot in the last ten years and that early evidence is starting to show these treatments can be safe and may help with psychiatric problems including addiction. The review…

Forensic Toxicology and Drug Analysis Neurotransmitter Receptor Influence on Behavior Psychedelics and Drug Studies

Psychedelic Therapy’s Transdiagnostic Effects: A Research Domain Criteria (RDoC) Perspective

John R. Kelly, Claire M. Gillan, Jack Prenderville, Clare Kelly, Andrew Harkin, Gerard Clarke, et al.
Frontiers in Psychiatry Summary & key facts 2021 61 citations

This paper reviews clinical and lab studies about psychedelic therapy, which means using a psychedelic drug together with psychological support. The authors say this approach looks promising for several different mental health problems that share rigid or harmful patterns of feeling, thinking, or acting — especially major depression, depression that…

Chemical synthesis and alkaloids Neurotransmitter Receptor Influence on Behavior Psychedelics and Drug Studies

Psychedelics: Alternative and Potential Therapeutic Options for Treating Mood and Anxiety Disorders

Henry Lowe, Ngeh J. Toyang, Blair Steele, Justin Grant, Amza Ali, Lorenzo Gordon, et al.
Molecules Summary & key facts 2022 52 citations

This paper is a review of research about psychedelic drugs and whether they could help with mood and anxiety problems. It explains that these drugs were used for thousands of years in some cultures, then were banned in the 1960s which slowed scientific study. The authors describe a new wave…

Chemical synthesis and alkaloids Neurotransmitter Receptor Influence on Behavior Psychedelics and Drug Studies Ayahuasca LSD

Psychedelic therapies reconsidered: compounds, clinical indications, and cautious optimism

Jennifer Mitchell, B. Anderson
Neuropsychopharmacology Summary & key facts 2023 44 citations

This review describes a rapid rise in medical research on psychedelic drugs over the past five years. Several later-stage clinical trials have been published, and many different drugs — including psilocybin, MDMA, ketamine, LSD, ayahuasca, and ibogaine — are being tested for conditions such as depression, post‑traumatic stress, addiction, obsessive‑compulsive…

Chemical synthesis and alkaloids Neurotransmitter Receptor Influence on Behavior Psychedelics and Drug Studies Ayahuasca Ibogaine

Novel Treatment Approaches for Substance Use Disorders: Therapeutic Use of Psychedelics and the Role of Psychotherapy

Michael Koslowski, Matthew W. Johnson, Gerhard Gründer, Felix Betzler
Current Addiction Reports Summary & key facts 2021 36 citations

This paper reviews recent studies on using psychedelic drugs together with psychotherapy to treat people who have problems with substance use. The authors found promising signs that this approach can be done safely and may help reduce harmful drug use when the drugs are given in carefully controlled, therapeutic settings.…

Chemical synthesis and alkaloids Neurotransmitter Receptor Influence on Behavior Psychedelics and Drug Studies

Serotonergic Psychedelics in Neural Plasticity

Kacper Łukasiewicz, Jacob J. Baker, Yi Zuo, Ju Lu

This review explains that classical serotonergic psychedelics — drugs like psilocybin, DMT (in ayahuasca), LSD, and ibogaine — can change brain cells and connections in lab and animal studies. These drugs have been shown to help neurons grow new branches and form more synapses, which are the contact points where…

Chemical synthesis and alkaloids Neurotransmitter Receptor Influence on Behavior Psychedelics and Drug Studies Ayahuasca Ibogaine
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