Frontier mental health research: psychedelics & drug studies

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34 papers

Psilocybin for Sadness or low mood

Based on 34 papers

Research on psilocybin for low mood and depression is promising but still early. Small clinical trials that pair psilocybin with professional therapy have found reductions in depressive symptoms, and some people report benefits that last weeks or months after one or a few doses. Scientists also see brain changes in lab and animal studies that could explain mood effects, but the exact reasons are not settled. Important limits remain. Most clinical studies are small, often use the drug together with therapy (so it is hard to separate drug from therapy), and the participants are not very diverse. Safety in these studies has been acceptable under careful medical supervision, but more and larger trials are needed to know how well psilocybin works long term and how safe it is for many different people.

Key findings

  • Small clinical trials report that psilocybin given together with therapy can reduce symptoms of depression or low mood. 15132 15063 15056 15060
  • Some studies found that one or a few doses produced improvements that lasted for weeks or months in some people. 15049 15086 15135
  • Most clinical studies combined psilocybin with preparatory and follow-up psychotherapy, and researchers say the therapy, a person’s mindset, and the treatment setting matter a lot for the results. 15056 15065 15086 15063
  • The overall evidence is still limited: many trials are small, some lack full blinding (so people may know which treatment they got), and larger, longer, controlled studies are needed before psilocybin can be a standard treatment. 15056 15078 15070 15085
  • Lab and animal research shows psilocybin and related compounds can boost the brain’s ability to form new connections (called neuroplasticity) and may reduce some markers of brain inflammation, which could help explain mood benefits but is not proven in people yet. 15132 15050 15091 15049
  • Blood studies looking for increases in BDNF (a protein linked to brain plasticity) after psychedelics did not find clear changes, so useful blood markers are still uncertain. 15129
  • In clinical trials done with careful medical support, reported side effects were usually mild to moderate and short-lived, but acute difficult psychological reactions can occur, so safety depends on controlled settings and proper screening. 15135 15055 15063 15086
  • People of color and other groups are underrepresented in psychedelic studies, which means we do not know if the results apply equally across different ethnic and cultural groups. 15095 15094
  • There is a debate about whether the intense subjective experience (the 'trip') is needed for therapeutic benefit. That debate makes it hard to design perfect placebo-controlled trials. 15078 15071 15086

Management of Treatment-Resistant Depression: Challenges and Strategies

Daphne Voineskos, Zafiris J. Daskalakis, Daniel M. Blumberger

This paper is a careful review of research about treatment-resistant depression. The authors looked through medical studies to see how doctors define this kind of depression, what makes it hard to assess, and which treatments have been tried. They describe drug strategies like adding lithium or thyroid hormone, switching antidepressant…

Electroconvulsive Therapy Studies Treatment of Major Depression Tryptophan and brain disorders Ketamine 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

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

The psychedelic renaissance and the limitations of a White-dominant medical framework: A call for indigenous and ethnic minority inclusion

Jamilah R. George, Timothy I. Michaels, Jae Sevelius, Monnica T. Williams
Journal of Psychedelic Studies Summary & key facts 2019 212 citations

This paper reviews the recent comeback of psychedelic research and points out that much of that work borrows from indigenous healing traditions. The authors say Indigenous people, ethnic and racial minorities, women, and other marginalized groups are often left out of research and the mainstream story about psychedelic medicine. The…

Biochemical Analysis and Sensing Techniques Chemical synthesis and alkaloids Psychedelics and Drug Studies MDMA Psilocybin

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

The therapeutic potential of psilocybin: a systematic review

Jan van Amsterdam, Wim van den Brink
Expert Opinion on Drug Safety Summary & key facts 2022 73 citations

This paper looked across existing studies of psilocybin and found that, when it is given along with psychotherapy or therapy-style support, it looks promising as a treatment for several mental health problems, including cases that did not get better with other treatments. But the authors say the current studies are…

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

From psychiatry to neurology: Psychedelics as prospective therapeutics for neurodegenerative disorders

Urszula Kozłowska, Charles D. Nichols, Kalina Wiatr, Maciej Figiel
Journal of Neurochemistry Summary & key facts 2021 71 citations

This review looks at research on psychedelic drugs, especially psilocybin. It says recent human studies show a single dose can give lasting relief from severe depression, and regulators have given two late-stage psilocybin trials special 'Breakthrough Therapy' status. The paper also pulls together lab and animal studies that suggest psychedelics…

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

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

The Therapeutic Potential of Psychedelic-assisted Therapies for Symptom Control in Patients Diagnosed With Serious Illness: A Systematic Review

Lucas Oliveira Maia, Yvan Beaussant, Ana Cláudia Mesquita Garcia

This paper looked at 20 clinical trials to see whether therapies that use psychedelic drugs together with talking therapy can help people who have serious, life‑limiting illnesses. The review found that these therapies often helped with psychological and spiritual problems like anxiety, low mood, and fear of dying. The drugs…

Chemical synthesis and alkaloids Complementary and Alternative Medicine Studies Psychedelics and Drug Studies Ketamine LSD
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