Frontier mental health research: psychedelics & drug studies

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13 papers

Ayahuasca for Anxiety

Based on 13 papers

Research on ayahuasca for anxiety is small but shows some promising signs. A few clinical studies — including one trial that tested ayahuasca — reported lower anxiety after treatment, and many reviews say psychedelic treatments can help anxiety in some people. However, most studies are small, vary a lot in how they are done, and often include mostly White participants, so we cannot be sure the findings apply to everyone (15068, 15082, 15085, 15095). Scientists have ideas about how ayahuasca might work. Its active chemical, DMT, acts on serotonin-linked brain systems and lab and animal studies show it can change brain connections. But human brain markers are harder to measure, and one big review found no clear change in a common blood marker (BDNF) after psychedelic drugs, so the exact brain changes in people are still uncertain (15082, 15050, 15091, 15129). Overall, more large, careful trials and better safety data are needed before strong conclusions can be made (15068, 15085).

Key findings

  • A small number of clinical studies found that psychedelic treatments reduced anxiety symptoms, and one trial specifically tested ayahuasca and reported lower anxiety afterward. 15068
  • Many reviews say psychedelic medicines, including ayahuasca, give promising results for mood and anxiety problems, but the evidence is still early and limited. 15058 15085 15082
  • DMT, the main active compound in ayahuasca, mainly works on serotonin-related brain receptors and can help the brain form new connections in lab and animal studies. 15082 15050 15059
  • Human studies that measure a blood protein called BDNF (a marker people sometimes use to guess at brain change) did not show clear rises after giving psychoplastogen drugs, which includes some psychedelics. 15129
  • The treatment setting, preparation, and follow-up therapy matter a lot; many patients say trust, safety, the therapist, and music shape whether the experience helps them. 15092 15063 15087
  • Some animal studies show that effects can depend on dose and sex, and high doses of related compounds have caused harm in animals, so safety is not fully known. 15050 15085
  • Clinical trials so far are small and often short. Some report benefits that last for weeks, but bigger and longer studies are needed to know how long help lasts and who benefits most. 15068 15063 15085
  • People of color were greatly underrepresented in many older psychedelic psychotherapy studies, so findings may not apply well across different ethnic and cultural groups. 15095

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

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 Commercialization: A Wide-Spanning Overview of the Emerging Psychedelic Industry

Jacob S. Aday, Brian S. Barnett, Dan Grossman, Kevin S. Murnane, Charles D. Nichols, Peter S. Hendricks
Psychedelic Medicine Summary & key facts 2023 49 citations

This article is a broad review of the new psychedelic industry. The authors look at how psychedelic drugs and clinics moved from decades-old research into a fast-growing business with hundreds of companies and big investment. They describe what companies are trying to sell, point out major scientific, legal, and ethical…

Chemical synthesis and alkaloids Diverse academic research themes Psychedelics and Drug Studies Ayahuasca Ibogaine

The Emerging Field of Psychedelic Psychotherapy

Gregory Barber, Scott T. Aaronson
Current Psychiatry Reports Summary & key facts 2022 48 citations

This review looks at recent research where drugs like MDMA and psilocybin are given inside carefully run therapy programs. People get hours of preparation, one or more drug sessions, and several follow-up therapy sessions to help make sense of the experience. Trials so far show big improvements for some people…

Chemical synthesis and alkaloids Diverse academic research themes Psychedelics and Drug Studies Ayahuasca Ibogaine

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

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

Effects of Psychedelics in Older Adults: A Prospective Cohort Study

Hannes Kettner, Leor Roseman, Adam Gazzaley, Robin Carhart‐Harris, Lorenzo Pasquini

Researchers followed 62 older adults (age 60 and up) and 62 younger adults who planned to take part in guided psychedelic group sessions. People in both age groups reported better well-being in the weeks after the sessions, but older adults experienced weaker immediate drug effects during the sessions. For older…

Biochemical Analysis and Sensing Techniques Chemical synthesis and alkaloids Psychedelics and Drug Studies Ayahuasca LSD

Efficacy and Safety of Psychedelics in Treating Anxiety Disorders

Leah Feulner, Thanpicha Sermchaiwong, Nathan Rodland, David Galarneau
Ochsner Journal Summary & key facts 2023 15 citations

Researchers reviewed published clinical trials testing psychedelic drugs for people diagnosed with anxiety disorders. They found nine trials that used ayahuasca, ketamine, LSD, MDMA, or psilocybin. Overall, the studies showed reduced anxiety symptoms and better self-image or social functioning for people with generalized anxiety, social anxiety, or anxiety linked to…

Chemical synthesis and alkaloids Psychedelics and Drug Studies Ayahuasca Ketamine

Three Naturally-Occurring Psychedelics and Their Significance in the Treatment of Mental Health Disorders

Nataliya S. Vorobyeva, Alena A. Kozlova
Frontiers in Pharmacology Summary & key facts 2022 14 citations

This paper reviews research on three naturally occurring psychedelics: psilocybin, ibogaine, and N,N-dimethyltryptamine (the active part of the brew ayahuasca). It explains that these drugs work on the brain's serotonin system and summarizes growing studies that suggest they might help with problems like post-traumatic stress disorder, major depression, anxiety, and…

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

Effects of psychoplastogens on blood levels of brain-derived neurotrophic factor (BDNF) in humans: a systematic review and meta-analysis

Abigail E. Calder, Adrian Hase, Gregor Hasler
Molecular Psychiatry Summary & key facts 2024 10 citations

Researchers pooled results from 29 human studies that measured blood levels of a protein called brain-derived neurotrophic factor, or BDNF, after people received so-called psychoplastogen drugs such as ketamine or psychedelics. They found no clear change in blood BDNF after these drugs. The authors say this does not prove the…

Neurotransmitter Receptor Influence on Behavior Psychedelics and Drug Studies Treatment of Major Depression Ayahuasca Ketamine
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