Will psilocybin lose its magic in the clinical setting?
Therapeutic Advances in Psychopharmacology – January 01, 2022
Source: OpenAlex
Summary
Psilocybin, a potent hallucinogen, is gaining mainstream attention as a novel depression treatment. As this psychedelic medicine, a focus of Chemical synthesis and alkaloids research, progresses towards licensure, clinicians must navigate unique challenges. Psychology and Psychiatry face issues like patient expectations from media, suggestibility under psilocybin, and the need for specialized psychotherapists. This narrative review, relevant to Complementary and Alternative Medicine Studies, recommends measures to ensure psilocybin-assisted therapy becomes a safely accessible medication. Future prescribers in Psychiatry need awareness of these pitfalls.
Abstract
Psilocybin as a novel treatment for depression is garnering a lot of attention from both the mainstream media and the academic community. Although phase 3 trials are only just beginning, we feel that it is important for clinicians to consider what psilocybin-assisted psychotherapy might look like in the clinical setting. In this narrative review article we have considered the difficulties that may arise as psilocybin emerges from the research setting, which may hamper its progress towards becoming a licenced medication. Psilocybin has its own unique challenges: the expectation patients come to dosing with having read overwhelmingly positive media; patient suggestibility under the influence of psilocybin and requirement for specialised therapists to name a few. We have also made some recommendations for measures that should be taken in both the phase 3 trials and with clinicians to try and minimise some of the issues raised. In doing so our hope is that psilocybin will continue towards becoming a licenced medication that suitable patients are able to access with relative ease. Practicing psychiatrists need to have an awareness of the potential pitfalls of psilocybin as they will be responsible for prescribing it in the future.