Therapeutic role of psilocybin and 3,4-methylenedioxymethamphetamine in trauma: A literature review
World Journal of Psychiatry – May 19, 2023
Source: OpenAlex
Summary
Psychedelics like MDMA and psilocybin are transforming psychiatry, showing promise for rapid improvement in conditions such as PTSD and depression. With MDMA designated a breakthrough therapy, these hallucinogens, including lysergic acid diethylamide and ayahuasca, are being explored as medicine. Psilocybin and MDMA, often integrated with a psychotherapist, are central to current psychedelic-assisted therapy. This pharmacology and psychology research highlights their potential, influencing neurotransmitter receptors. Chemical synthesis of these compounds is vital for drug studies.
Abstract
With the Food and Drug Administration designation in 2017 of 3,4-methylenedioxymethamphetamine (MDMA) as a breakthrough therapy in post-traumatic stress disorder and psilocybin in treatment-resistant depression, psychedelic drugs have continued to garner the attention of researchers and clinicians for their promise of unmatched, rapid improvement in a multitude of psychiatric conditions. Classic psychedelic drugs including psilocybin, lysergic acid diethylamide, and ayahuasca, as well as non-classic drugs such as MDMA and ketamine, are currently being investigated for a potential therapeutic role in trauma, depressive disorders, and other psychopathologies. However, psilocybin and MDMA each have a functional profile well-suited for integration with psychotherapy. The present review focuses on psilocybin and MDMA in psychedelic-assisted therapy (PAT), as these studies compose most of the literature pool. In this review, we discuss the current and future uses of psychedelic drugs, with an emphasis on the role of MDMA and psilocybin in PAT in the setting of trauma and related comorbidities on the efficacy of psychedelic drugs across multiple psychiatric disorders. The article concludes with thoughts for future research, such as incorporating wearables and standardization of symptom scales, therapy styles, and assessment of adverse drug reactions.