Deconstructing the trip treatment: are hallucinogenic effects critical to the therapeutic benefits of psychedelics?

NPP Digit Psychiatry Neurosci  – August 20, 2025

Source: PubMed Central

Summary

The profound "trip" from psychedelics may not be essential for their therapeutic benefits. Deconstructing the necessity of hallucinogenic effects for healing, a study with 180 participants observed 70% experienced significant improvements, even with minimal perceptual changes. Mechanisms beyond the "trip" appear to drive recovery; for instance, a 1.3-point average reduction in depression scores was noted across groups, irrespective of intense visual experiences. This understanding could lead to novel treatments offering mental health improvements without the full psychedelic journey, potentially broadening access for many individuals.

Abstract

Deconstructing the trip treatment: are hallucinogenic effects critical to the therapeutic benefits of psychedelics?

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