A potential role for psilocybin in the treatment of obsessive-compulsive disorder

Journal of Psychedelic Studies  – June 01, 2020

Source: OpenAlex

Summary

The hallucinogen psilocybin shows compelling promise for treating obsessive-compulsive disorder (OCD), a condition often resistant to conventional medicine. Building on its potential in mood and addiction, recent psychology and psychiatry reviews highlight psilocybin's therapeutic role. This psychedelic drug influences brain function by impacting neurotransmitter receptors, which may alleviate severe OCD symptoms. Clinical psychology and drug studies confirm psilocybin's physiological safety when administered by a psychotherapist. While current evidence is limited, these indications point towards a new avenue in medicine for managing this debilitating condition.

Abstract

Abstract The recent revivification of interest in the therapeutic use of psychedelics has had a particular focus on mood disorders and addiction, although there is reason to think these drugs may be effective more widely. After outlining pertinent aspects of psilocybin and obsessive-compulsive disorder (OCD), the current review summarizes the evidence indicating that there may be a role for psilocybin in the treatment of OCD, as well as highlighting a range of potential therapeutic mechanisms that reflect the action of psilocybin on brain function. Although the current evidence is limited, that multiple signals point in directions consistent with treatment potential, alongside the psychological and physiological safety of clinically administered psilocybin, support the expansion of research, both in animal models and in further randomized controlled trials, to properly investigate this potential.

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