Psychedelics: From Cave Art to 21st-Century Medicine for Addiction
European Addiction Research – September 25, 2024
Source: OpenAlex
Summary
Psychedelics offer compelling new hope for treating addiction. A comprehensive review spanning 40 years of Psychedelics and Drug Studies highlights their therapeutic potential in medicine and psychiatry. Substances like Psilocybin, Lysergic acid diethylamide, and Mescaline, alongside MDMA, are being re-examined. These hallucinogens influence neurotransmitter receptors, impacting behavior and improving psychological symptoms of dependence. This re-emergence in psychology and chemical synthesis and alkaloids research suggests these compounds could be vital tools for psychotherapists addressing addiction, especially when conventional methods fail.
Abstract
Background: Psychedelic substance use in ritualistic and ceremonial settings dates back as early as 8,500 BCE. Only in recent years, from the mid-20th century, we have seen the re-emergence of psychedelics in a therapeutic setting and more specifically for the treatment of addiction. This article aims to review research over the past 40 years using classic (psilocybin, lysergic acid diethylamide [LSD], dimethyltryptamine [DMT], mescaline) and atypical (ketamine, ibogaine, 5-MeO-DMT, 3,4-methylenedioxymethamphetamine) psychedelics for the treatment of addiction. Summary: We will start with an overview of the pharmacology and physiological and psychological properties of psychedelic substances from pre-clinical and clinical research. We will then provide an overview of evidence gathered by studies conducted in controlled research environments and naturalistic and ceremonial settings, while we identify the proposed therapeutic mechanisms of each psychedelic substance. Key Messages: Classic and atypical psychedelics show promise as therapeutic alternatives for the treatment of addiction, through the improvement of psychological and physiological symptoms of dependence. A more comprehensive understanding of the ancient and present-day knowledge of the therapeutic potential of psychedelics can facilitate hope for psychedelic therapeutics in the treatment of addiction, especially for individuals who have failed other conventional treatment methods.