Cessation and reduction in alcohol consumption and misuse after psychedelic use
Journal of Psychopharmacology – May 14, 2019
Source: OpenAlex
Summary
Remarkably, 83% of individuals with alcohol use disorder (AUD) no longer met diagnostic criteria after naturalistic psychedelic use. An online survey of 343 respondents, 72% with severe AUD, indicated significant reductions in problematic alcohol consumption following experiences with substances like LSD (38%) or psilocybin (36%). Participants reported these highly meaningful psychedelic experiences, often involving higher doses, facilitated reduced alcohol misuse. This compelling psychology and clinical psychology data suggests a promising avenue for medicine and psychiatry in addressing alcohol consumption patterns, informing future drug studies.
Abstract
Background: Meta-analysis of randomized studies using lysergic acid diethylamide (LSD) for alcohol use disorder (AUD) showed large, significant effects for LSD efficacy compared to control conditions. Clinical studies suggest potential anti-addiction effects of LSD and mechanistically-related classic psychedelics for alcohol and other substance use disorders. Aims: To supplement clinical studies, reports of psychedelic use in naturalistic settings can provide further data regarding potential effects of psychedelics on alcohol use. Methods: An anonymous online survey of individuals with prior AUD reporting cessation or reduction in alcohol use following psychedelic use in non-clinical settings. Results: 343 respondents, mostly White (89%), males (78%), in the USA (60%) completed the survey. Participants reported seven years of problematic alcohol use on average before the psychedelic experience to which they attributed reduced alcohol consumption, with 72% meeting retrospective criteria for severe AUD. Most reported taking a moderate or high dose of LSD (38%) or psilocybin (36%), followed by significant reduction in alcohol consumption. After the psychedelic experience 83% no longer met AUD criteria. Participants rated their psychedelic experience as highly meaningful and insightful, with 28% endorsing psychedelic-associated changes in life priorities or values as facilitating reduced alcohol misuse. Greater psychedelic dose, insight, mystical-type effects, and personal meaning of experiences were associated with a greater reduction in alcohol consumption, controlling for prior alcohol consumption and related distress. Conclusions: Although results cannot demonstrate causality, they suggest that naturalistic psychedelic use may lead to cessation or reduction in problematic alcohol use, supporting further investigation of psychedelic-assisted treatment for AUD.