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Psilocybin shows mixed results for patients with treatment‐resistant depression

The Brown University Psychopharmacology Update July 1, 2026 Peer reviewed DOI: 10.1002/pu.31461

Summary

Patients with treatment-resistant depression who underwent psilocybin-assisted psychotherapy experienced clinically meaningful improvement in depressive symptoms compared to those receiving a placebo. However, there was no significant effect on the primary outcome of treatment response measured 6 weeks after the first dose of psilocybin.

Study at a glance

Design Phase 2b trial
Population patients with treatment-resistant depression
Key finding Psilocybin-assisted psychotherapy led to meaningful improvements in depressive symptoms compared to placebo.

Abstract

Patients with treatment‐resistant depression who received psilocybin‐assisted psychotherapy showed clinically meaningful improvement in depressive symptoms relative to placebo, a Phase 2b trial has found. However, the study did not show a significant effect on the primary outcome of treatment response 6 weeks after the first of two doses of psilocybin. Study results were published online March 18, 2026 in JAMA Psychiatry .

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