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.

28 papers

LSD

Based on 28 papers

Research on LSD sits inside a larger return to studying classic psychedelics. In carefully run studies, LSD and related drugs have shown promise for problems like depression, anxiety, PTSD, addiction, and distress near the end of life. Most research gives the drug in medical settings together with therapy and careful preparation. We still do not have final answers. Trials are often small, many questions about how the drugs work remain open, and some harms show up when people use LSD outside supervised research. Scientists are cautious: findings are interesting and sometimes strong, but more large, diverse, and long-term studies are needed.

Key findings

  • Researchers are testing LSD and other classic psychedelics for conditions such as depression, anxiety (including anxiety tied to serious illness), post‑traumatic stress disorder (PTSD), and addiction. 15135 15098 15055 15085 15068 15060
  • In research, LSD is usually given in a clinic with trained therapists. People get careful screening, preparation before the session, and follow‑up therapy afterward. 15065 15063 15086 15098
  • Most controlled trials use one or a few supervised, full doses given during a therapy session. Separate studies test very low ‘microdoses’ taken more often. 15086 15117 15063
  • Clinical studies and reviews report reduced anxiety and depression and improved well‑being after psychedelic‑assisted therapy, sometimes lasting weeks or months after one or a few sessions. 15055 15068 15063 15135
  • Scientific work shows LSD and similar drugs act mainly on a brain serotonin receptor called 5‑HT2A. They also seem to increase brain plasticity and change brain network patterns, which could help break rigid thinking. 15046 15050 15135
  • When LSD and other psychedelics are used under medical supervision, trials have generally reported acceptable safety with mostly short‑lived side effects in study participants. 15135 15055 15063
  • Use of psychedelics outside controlled settings has been linked to more reports of psychotic or manic symptoms, and drug‑induced hallucinations can sometimes cause serious or lasting problems in some people. 15133 15080 15072
  • Important questions remain. Researchers debate whether a full psychedelic experience is required for benefit, how long effects last, who will benefit most, and whether trial results apply to diverse populations because many studies are small and lack diversity. 15078 15086 15095 15117

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

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

Legal highs: staying on top of the flood of novel psychoactive substances

David Baumeister, Luis M. Tojo, Derek K. Tracy

This review explains the fast-growing problem of so-called "legal highs", which are better called novel psychoactive substances or NPS. Unknown labs keep making slightly different chemicals to avoid bans, and this led to about 80 new substances being spotted in one year. The paper groups these drugs into five main…

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

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

Investigation of self-treatment with lysergic acid diethylamide and psilocybin mushrooms: Findings from the Global Drug Survey 2020

Emma I Kopra, Jason Ferris, Adam Winstock, Kim P. C. Kuypers, Allan H. Young, James Rucker
Journal of Psychopharmacology Summary & key facts 2023 58 citations

Researchers used responses from the Global Drug Survey 2020 to look at how people try to treat themselves with LSD and psilocybin mushrooms. In this large international sample, many people reported positive results, but unwanted or difficult effects were reported more often than you see in carefully controlled medical studies.…

Chemical synthesis and alkaloids Natural Compound Pharmacology Studies Psychedelics and Drug Studies LSD Psilocybin

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

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
Summaries and links are for general information and education only. They are not a substitute for reading the original publication or for professional medical, legal, or other advice. Always refer to the linked source for the full study.