Frontier mental health research: psychedelics & drug studies

Each month our editorial team sifts through hundreds of papers and curates notable findings—for practitioners and informed readers who want to stay current with the evidence. Subscribe to the monthly Research Digest for expert analysis and concise summaries of key papers.

2 papers

Ketamine for Anxiety

Based on 18 papers

Research on ketamine for anxiety is early but shows some promising signs. A small number of clinical trials report that ketamine can reduce anxiety symptoms for some people, sometimes for weeks after treatment. However, the studies are few, varied in how they were done, and often small, so we do not yet have strong, clear proof. Scientists have ideas about how ketamine may work. It acts on the brain’s glutamate system and seems to change how brain circuits connect and adapt. But measurements like blood BDNF (a protein linked to brain change) do not show a clear pattern after these drugs, so the biological story is still incomplete. Safety and the role of therapy around the drug are important topics that need more study.

Key findings

  • Some clinical trials report that ketamine can reduce anxiety symptoms in people with diagnosed anxiety disorders. 15068
  • Ketamine can act quickly in mood disorders, with clinical studies showing fast symptom drops in depression; this fast action is one reason researchers test it for anxiety too. 10149 15068
  • The overall evidence for ketamine in anxiety is limited. Trials are few, often small, and use different methods, so conclusions are tentative. 15068 15085
  • Researchers think ketamine works mainly through the glutamate system and by increasing brain plasticity (the brain’s ability to change), based on animal and human studies. 15091 10148
  • Blood measurements of BDNF (a protein tied to brain change) do not show a reliable increase after drugs like ketamine in pooled human studies, so blood BDNF is not a clear marker of ketamine’s effects. 15129
  • Common short-term risks seen with ketamine and similar psychedelic-assisted treatments include dissociation (a strange or detached feeling), faster heart rate, dizziness, and headache; careful screening and preparation are recommended in therapy programs. 10149 15065 15099
  • Non-drug factors matter. Studies of psychedelic and ketamine-assisted therapy emphasize preparation, safe setting, and follow-up therapy as important for safety and outcomes, but methods vary between clinics and trials. 15065 15063 15085
  • Key questions remain: how long benefits last, the best dose and schedule for anxiety, who benefits most, and long-term safety. More large, well-controlled trials are needed. 10149 15068

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

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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