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.