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.

3 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

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 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

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
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