Frontier mental health research: psychedelics & drug studies

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12 papers

Ketamine for Sadness or low mood

Based on 33 papers

Research shows ketamine can lift low mood and depression faster than standard antidepressants for some people. Many clinical trials report rapid improvements, often within hours to a day, especially in people whose depression did not improve on usual medicines. However, effects after a single dose often fade over days to weeks, and scientists are still studying how to give ketamine safely over the long term. Scientists have good short-term evidence for ketamine and for a related nasal drug called esketamine. At the same time, researchers warn about common short-term side effects, unclear long-term risks, possible misuse, and gaps in understanding exactly how ketamine works in people. More large and longer studies are needed to answer these questions.

Key findings

  • Ketamine can reduce depressive symptoms quickly, sometimes within hours and with clear improvement by about 24 hours. 15070 10149 10152
  • The benefit after a single ketamine infusion often peaks around 24 hours and commonly fades over about one to two weeks unless repeated doses are given. 15070 10149
  • A nasal form of ketamine called esketamine has been approved for treatment-resistant depression and has shown faster and larger symptom drops when combined with an oral antidepressant in trials. 15070 12156
  • Ketamine can help some people labeled 'treatment-resistant' who did not get better with at least two standard antidepressant trials. 10153 8950 10152
  • Repeated or flexible dosing schedules can increase the number of people who reach remission, but research shows results vary and practices differ between clinics. 10159 10149
  • Short-term side effects often include dissociation (strange or dreamlike feelings), brief increases in blood pressure, faster heart rate, headache, and dizziness. These usually pass within hours in clinical studies. 10159 12156 10153
  • Researchers agree the evidence is strongest for short-term benefits, but many trials are small or short, so long-term safety and how long benefit lasts are still uncertain. 10153 10151 15064
  • At the brain level, ketamine mainly affects the glutamate system (blocking NMDA receptors and increasing AMPA activity), which may boost connections between neurons and activate growth-related signals; however, some blood markers (like BDNF) do not consistently change in human studies. 10146 10147 10148 15129
  • Non-drug factors matter. A person’s mindset, the treatment setting, preparation, and what they were exposed to beforehand can shape the ketamine experience and possibly the outcome. 15065 15075 15096
  • Experts and patients raise concerns about long-term risks, possible misuse, how to monitor treatment, and the need for clearer public information and more research before wider rollout. 10153 12365 15087 15085

Psychedelic-Assisted Psychotherapy: A Paradigm Shift in Psychiatric Research and Development

Eduardo Ekman Schenberg
Frontiers in Pharmacology Summary & key facts 2018 229 citations

This paper describes psychedelic-assisted psychotherapy, which means giving drugs like ketamine, MDMA, psilocybin, LSD or ibogaine together with guided therapy. The authors say this approach has shown promising safety and benefits so far, even for people who did not get better with usual treatments. They also argue that these therapies…

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

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

Ketamine and serotonergic psychedelics: An update on the mechanisms and biosignatures underlying rapid-acting antidepressant treatment

Jenessa N. Johnston, Bashkim Kadriu, Josh Allen, Jessica R. Gilbert, Ioline D. Henter, Carlos A. Zarate
Neuropharmacology Summary & key facts 2023 59 citations

This paper reviews what scientists know about how ketamine and classic serotonergic psychedelics (like psilocybin and LSD) can lift depression quickly. The authors compare how the drugs work in the brain, point out that ketamine has the strongest clinical evidence so far, and say psychedelics show early promise but need…

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

Therapeutic mechanisms of psychedelics and entactogens

Boris D. Heifets, David E. Olson
Neuropsychopharmacology Summary & key facts 2023 59 citations

This paper reviews human and animal research on so-called psychedelics (like psilocybin and LSD) and entactogens (mainly MDMA). The authors say these drugs can produce fast improvements in mental health that sometimes last for months or longer. But we do not yet understand exactly how they work. Human studies point…

Biochemical Analysis and Sensing Techniques Neurotransmitter Receptor Influence on Behavior Psychedelics and Drug Studies Ketamine LSD

A century of research on psychedelics: A scientometric analysis on trends and knowledge maps of hallucinogens, entactogens, entheogens and dissociative drugs

Marco Solmi, Chaomei Chen, Charles Daure, Anne Buot, Michael Ljuslin, Vincent Verroust, et al.

Researchers looked at published papers about psychedelic drugs from the last century, using citation maps and other tools to see how the field changed up to March 2022. They found that research was small and mostly about safety for many decades, then grew a lot after the 1990s into a…

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

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

Psychedelics in the treatment of unipolar and bipolar depression

Oliver G. Bosch, Simon Halm, Erich Seifritz

This paper reviews past and recent research on classic psychedelics and some newer psychedelic-like drugs as treatments for unipolar and bipolar depression. Classic psychedelics named in the paper are LSD, psilocybin, mescaline, and ayahuasca. Early carefully controlled studies of psilocybin show encouraging results for unipolar depression, and ketamine (in the…

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

Imprinting: expanding the extra-pharmacological model of psychedelic drug action to incorporate delayed influences of sets and settings

Nicolas Garel, Julien Thibault Lévesque, Dasha A. Sandra, Justin Lessard-Wajcer, Elizaveta Solomonova, Michael Lifshitz, et al.

Researchers looked back at recordings and interviews from 26 people who got ketamine infusions for treatment-resistant depression. They found that things people were exposed to in the days before treatment — especially digital media like videos — sometimes showed up inside their ketamine experiences and changed how emotional or “mystical”…

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

Therapeutic (Sub)stance: Current practice and therapeutic conduct in preparatory sessions in substance-assisted psychotherapy—A systematized review

Sascha Thal, Michelle Wieberneit, Jason M. Sharbanee, Petra Skeffington, Paris Baker, Raimondo Bruno, et al.
Journal of Psychopharmacology Summary & key facts 2022 23 citations

The authors reviewed 83 papers and guides about how therapists prepare people for substance-assisted psychotherapy — therapy that uses drugs like psilocybin, LSD, MDMA, or ketamine together with psychological support. They found clear agreement that good preparation before a drug session is important for safety and for helping people get…

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