Frontier mental health research: psychedelics & drug studies

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54 papers

Addiction

Based on 33 papers

Researchers are testing several new and old approaches to treat addiction. The most attention is on psychedelic-assisted psychotherapy — that is, giving a drug like psilocybin, MDMA, or ibogaine together with careful therapy — and on new drug compounds tested in animals. Some early clinical trials and many reviews call these approaches “promising,” but most evidence is still limited, mixed, or from small studies. At the same time, for some substances like methamphetamine there are no approved medicines that clearly reduce use. Animal studies and new chemical versions of old drugs show strong early results, but human safety and larger trials are still needed. Researchers also stress that the drug effect and the therapy around it (preparation, setting, and follow-up) both matter for how well treatment works.

Key findings

  • Giving psychedelic drugs together with psychotherapy has shown promising results in small clinical trials and reviews for some addictions and other mental illnesses. 15063 15051 15085 15073
  • MDMA-assisted therapy has the strongest and most consistent trial evidence for PTSD, and psychedelic therapies more broadly have growing but still limited evidence for some forms of addiction. 15063 15053 15085
  • Ibogaine has shown signs of helping with addiction in some studies, but it carries serious heart and neurological risks that stopped some earlier trials. 15085
  • Researchers made new “oxa-iboga” compounds that in lab heart-cell tests did not show the heart-rhythm risk of ibogaine, and in rats a single dose reduced long-term opioid use and relapse-like behavior. 15115
  • For methamphetamine use disorder, there are currently no approved medicines that clearly reduce cravings or lead to lasting abstinence in people. 15116
  • 5‑MeO‑DMT (a fast, short-acting psychedelic) is being explored as a possible treatment for alcohol use disorder, but the evidence is early; human reports show powerful subjective effects and brain-rhythm changes that might be relevant. 15122
  • Good preparation and therapeutic support before and after a psychedelic session — things like safety screening, building trust, and planning the setting — are widely agreed to be important for safety and likely for outcomes, but exact methods vary across studies. 15065 15051 15063
  • Some promising findings come from small studies, animal work, or historical reports. That means results may not always apply to people yet, and researchers note limits like small sample sizes and underrepresentation of people of color in trials. 15073 15095 15085
  • When ketamine is used under medical supervision for depression, large reviews find few clear cases of dependence, but patients still report worry about addictive risk and want more long-term safety data and monitoring. 8828 12365
  • In some communities, traditional healers use plant remedies for alcohol-related problems. These reports document local practices but do not prove those plants are effective in controlled clinical trials. 15118

Emotion-regulation strategies across psychopathology: A meta-analytic review

Amelia Aldao, Susan Nolen–Hoeksema, Susanne Schweizer
PubMed Summary & key facts 2010 6,290 citations

This meta-analysis combined 241 effect sizes from 114 studies to test how six habitual emotion-regulation strategies relate to symptoms of anxiety, depression, eating disorders, and substance-related problems. Rumination showed the strongest (large) link with symptoms. Avoidance, problem solving, and suppression showed medium-to-large links, while reappraisal and acceptance showed smaller (small-to-medium)…

Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Child and Adolescent Psychosocial and Emotional Development Mental Health Research Topics

Psychedelics reopen the social reward learning critical period

Romain Nardou, Edward J. Sawyer, Young Jun Song, M. F. Wilkinson, Yasmin Padovan‐Hernandez, Júnia L. de Deus, et al.
Nature Summary & key facts 2023 303 citations

Researchers gave different psychedelic drugs to mice and found the drugs could reopen a window of brain plasticity used for learning social rewards. This reopened window went along with changes in a social hormone system in a key reward area of the brain and with changes in genes that control…

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

Towards an understanding of psychedelic-induced neuroplasticity

Abigail E. Calder, Gregor Hasler
Neuropsychopharmacology Summary & key facts 2022 272 citations

This review looks at studies about classic psychedelics (like LSD, psilocybin, and DMT/ayahuasca) and their effects on neuroplasticity — the brain’s ability to change. Animal studies show these drugs can raise genes tied to plasticity and cause dendrite and synapse growth. Human results are mixed, especially when studies use blood…

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

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

The effectiveness of psychodynamic psychotherapies: An update

Peter Fonagy
World Psychiatry Summary & key facts 2015 241 citations

Researchers reviewed many outcome studies and meta-analyses of psychodynamic therapy, which is a type of talking therapy that explores feelings, relationships, and past experiences. They found that psychodynamic therapy often works better than doing nothing (for example being on a waitlist, getting only usual care, or a placebo) for depression,…

Mental Health and Psychiatry Personality Disorders and Psychopathology Psychotherapy Techniques and Applications

Attention-deficit-hyperactivity disorder and reward deficiency syndrome

Kenneth Blum, Amanda Lih Chuan Chen, Eric R. Braverman, David E. Comings, Thomas J.H. Chen, Vanessa Arcuri, et al.

This paper reviews genetic studies that link several genes to higher risk for ADHD. It says problems in the brain's reward system—especially low dopamine activity—may make people seek things that raise dopamine. The authors propose that these gene variants form a “reward deficiency syndrome” (RDS) that may include ADHD, and…

Attention Deficit Hyperactivity Disorder Bipolar Disorder and Treatment Neurotransmitter Receptor Influence on Behavior

Cannabinoids in health and disease

Natalya M. Kogan, Raphael Mechoulam

This webpage explains how DoktorABC offers medical cannabis services in Germany. You fill an online medical questionnaire, a licensed doctor reviews it, and may issue a prescription. The page also describes costs, delivery times, legal status, types of products, common effects of THC and CBD, and possible side effects.

Cannabis and Cannabinoid Research Neuroscience and Neuropharmacology Research Neurotransmitter Receptor Influence on Behavior

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

Kratom—Pharmacology, Clinical Implications, and Outlook: A Comprehensive Review

Steven Eastlack, Elyse M. Cornett, Alan D. Kaye
Pain and Therapy Summary & key facts 2020 167 citations

Kratom is a tropical plant whose leaves are made into tea, powders, or extracts. The review says kratom can act like a stimulant at low doses and like an opioid at higher doses, producing pain relief and euphoria, and that use is rising in parts of the world. The authors…

Alkaloids: synthesis and pharmacology Berberine and alkaloids research Traditional and Medicinal Uses of Annonaceae
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