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.

6 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

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

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

Pharmacologic Similarities and Differences Among Hallucinogens

Kristin Waters

This paper explains how different hallucinogens change thinking, perception, and mood by acting on different brain targets. Some well-known drugs like LSD, psilocybin, and DMT mainly affect the brain chemical serotonin. Others work by blocking NMDA receptors, by activating opioid receptors, or by keeping chemicals like serotonin, norepinephrine, and dopamine…

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

Is microdosing a placebo? A rapid review of low-dose LSD and psilocybin research

Vince Polito, Paul Liknaitzky
Journal of Psychopharmacology Summary & key facts 2024 14 citations

Researchers reviewed 19 placebo-controlled studies that tested low doses of LSD or psilocybin (this is called microdosing). The studies found measurable changes in brain biology, body responses, how people felt, and how they thought, compared with placebo. But the studies are few and small, often tested only tiny doses in…

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

The potential of 5‐methoxy‐N,N‐dimethyltryptamine in the treatment of alcohol use disorder: A first look at therapeutic mechanisms of action

Stephan Tap
Addiction Biology Summary & key facts 2024 11 citations

This paper is a first look at whether the fast-acting psychedelic 5‑MeO‑DMT might help people with alcohol use disorder. The authors reviewed existing studies in humans and animals and found early signs that 5‑MeO‑DMT can cause intense mystical feelings and a loss of self-boundaries, and that it changes brain rhythms…

Cannabis and Cannabinoid Research Neurotransmitter Receptor Influence on Behavior Psychedelics and Drug Studies LSD Other
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