The development of psilocybin therapy for treatment-resistant depression: an update

Psilocybin is a classic psychedelic drug that has attracted increasing research interest over the past 10 years as a possible treatment for mood, anxiety and related conditions. Initial phase 2 clinical trials of psilocybin given alongside psychological support for major depression and treatment-res...

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Main Authors: Anya Borissova, James J. Rucker
Format: Article
Language:English
Published: Cambridge University Press 2024-02-01
Series:BJPsych Bulletin
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056469423000256/type/journal_article
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author Anya Borissova
James J. Rucker
author_facet Anya Borissova
James J. Rucker
author_sort Anya Borissova
collection DOAJ
description Psilocybin is a classic psychedelic drug that has attracted increasing research interest over the past 10 years as a possible treatment for mood, anxiety and related conditions. Initial phase 2 clinical trials of psilocybin given alongside psychological support for major depression and treatment-resistant depression (TRD) demonstrated encouraging signs of basic safety, further confirmed by a large study in groups of healthy volunteers. The first international multi-centre randomised controlled trial was published in 2022, with signs of efficacy for the 25 mg dose condition in people with TRD when compared with an active placebo. Phase 3 trials in TRD are scheduled to start in 2023. Early evidence suggests that single doses of psilocybin given with psychological support induce rapid improvement in depressive symptoms that endure for some weeks. We therefore provide a timely update to psychiatrists on what psilocybin therapy is, what it is not, and the current state of the evidence-base.
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spelling doaj.art-91f886211a9a4dd6b6d807ac36608b362024-01-22T00:08:35ZengCambridge University PressBJPsych Bulletin2056-46942056-47082024-02-0148384410.1192/bjb.2023.25The development of psilocybin therapy for treatment-resistant depression: an updateAnya Borissova0https://orcid.org/0000-0003-3847-8512James J. Rucker1https://orcid.org/0000-0003-4647-8088Centre for Neuroimaging Sciences, King's College London, UKInstitute of Psychiatry, Psychology & Neuroscience, King's College London, UK South London and Maudsley NHS Foundation Trust, London, UKPsilocybin is a classic psychedelic drug that has attracted increasing research interest over the past 10 years as a possible treatment for mood, anxiety and related conditions. Initial phase 2 clinical trials of psilocybin given alongside psychological support for major depression and treatment-resistant depression (TRD) demonstrated encouraging signs of basic safety, further confirmed by a large study in groups of healthy volunteers. The first international multi-centre randomised controlled trial was published in 2022, with signs of efficacy for the 25 mg dose condition in people with TRD when compared with an active placebo. Phase 3 trials in TRD are scheduled to start in 2023. Early evidence suggests that single doses of psilocybin given with psychological support induce rapid improvement in depressive symptoms that endure for some weeks. We therefore provide a timely update to psychiatrists on what psilocybin therapy is, what it is not, and the current state of the evidence-base.https://www.cambridge.org/core/product/identifier/S2056469423000256/type/journal_articleDepressive disordersnovel CNS drugsindividual psychotherapyeducation and trainingout-patient treatment
spellingShingle Anya Borissova
James J. Rucker
The development of psilocybin therapy for treatment-resistant depression: an update
BJPsych Bulletin
Depressive disorders
novel CNS drugs
individual psychotherapy
education and training
out-patient treatment
title The development of psilocybin therapy for treatment-resistant depression: an update
title_full The development of psilocybin therapy for treatment-resistant depression: an update
title_fullStr The development of psilocybin therapy for treatment-resistant depression: an update
title_full_unstemmed The development of psilocybin therapy for treatment-resistant depression: an update
title_short The development of psilocybin therapy for treatment-resistant depression: an update
title_sort development of psilocybin therapy for treatment resistant depression an update
topic Depressive disorders
novel CNS drugs
individual psychotherapy
education and training
out-patient treatment
url https://www.cambridge.org/core/product/identifier/S2056469423000256/type/journal_article
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