Neuroscience and biobehavioral reviews
August 1, 2025
Lucie Berkovitch, Baptiste Fauvel, Katrin H Preller et al.
8 citations
Psilocybin, a psychedelic compound, shows fast-acting and sustainable efficacy for treating psychiatric disorders. A systematic review of 81 neuroimaging studies found that psilocybin reproducibly impacts brain networks, particularly the default mode network, though other findings were inconsistent. Effects include acute alterations in self-experience, sensory and emotional processing, and sustained changes in mood, personality, and social functioning. In patients with depression, clinical outcomes correlated with brain changes. The review indicates psilocybin induces acute and long-lasting functional brain changes, shedding light on mechanisms underlying its subjective and therapeutic effects.
European journal of psychotraumatology
December 1, 2026
Maud Rothärmel, Lila Mekaoui, François Kazour et al.
1 citation
In a retrospective study of 22 adults with treatment-resistant depression and comorbid post-traumatic stress disorder who received esketamine nasal spray, trauma re-experiencing episodes occurred during treatment sessions. For 16 patients (72.7%) these episodes disappeared as sessions progressed. Treatment was stopped for 6 patients (27.3%) due to re-experiencing. Among those who continued esketamine, depression response rate was 45.5% and remission 22.7%; PTSD improvement rate was 45.5% and remission 18.2%. The findings suggest esketamine can be safely administered in this comorbid population and that trauma re-experiencing does not prevent clinical improvement.
medRxiv Preprint Server
March 31, 2026
Maia Mallevays, Louise Fuet, Michel Danon et al.
1 citation
preprint
In patients with treatment-resistant depression receiving esketamine, mystical experiences—similar to those induced by classic psychedelics—occurred in 58% of patients, with high variability across sessions. Higher mean and peak scores on the Mystical Experience Questionnaire (MEQ-30) were associated with greater improvement in depression severity, while dissociative or other non-mystical effects were not. Positive mood and mystical dimensions of the MEQ predicted therapeutic outcomes, and baseline spirituality predicted both treatment response and peak MEQ scores in the first week. These findings suggest that psychedelic-like mystical experiences may contribute to esketamine's therapeutic efficacy.
bioRxiv Preprint Server
February 10, 2025
Masih Rahmati, Flora Moujaes, Nina Purg Suljič et al.
1 citation
preprint
Working memory deficits in disorders like schizophrenia may stem from disrupted brain cell tuning. Using fMRI, researchers found that ketamine, which blocks NMDA receptors, broadens neural spatial tuning in healthy people, reducing the precision of brain responses across visual, parietal, and frontal areas and worsening spatial working memory accuracy. These tuning changes were more consistent across individuals and brain regions than overall activation changes and correlated with memory performance. The results link NMDA receptor disruption to altered brain circuit dynamics and memory impairment, offering a target for developing treatments.
Journal of affective disorders
May 1, 2026
Michel Danon, Gabriela Ostronoff, Anne-Cécile Petit et al.
Regulatory approvals for intranasal esketamine in treatment-resistant depression differ on its indication for suicidal ideation. In a two-center observational study of 261 adults with moderate-to-severe treatment-resistant depression, eight esketamine sessions over four weeks improved both depressive symptoms and suicidal ideation. However, after statistically adjusting for the antidepressant effect, the reduction in suicidal ideation was no longer significant. The findings suggest that esketamine's anti-suicidal effect does not persist independently of its antidepressant effect.
bioRxiv : the preprint server for biology
November 8, 2025
Lucie Berkovitch, Alexandre Salvador, Thomas Andrillon et al.
preprint
Low doses of ketamine, an NMDA-receptor antagonist, disrupt the ability to consciously perceive visual information in healthy people. In a double-blind, placebo-controlled experiment with 21 volunteers, ketamine increased visual masking and reduced conscious perception of a digit. The N1 component of brain activity, an early marker of visual processing, was significantly reduced under ketamine and correlated with conscious access. Ketamine also induced psychotic-like and manic-like symptoms, but only the psychotic-like dimension was linked to impairments in conscious access. These findings suggest ketamine attenuates early visual brain responses, impairing conscious access, and that this mechanism differs in some ways from that seen in schizophrenia.