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Sarah Maguire

Faculty of Medicine and Health, Central Clinical School, InsideOut Institute for Eating Disorders, The University of Sydney, Sydney, NSW, Australia.

3 papers in the library · 17 citations · publishing 2021-2025

Papers

Psilocybin as a Novel Pharmacotherapy for Treatment-Refractory Anorexia Nervosa

OBM Neurobiology June 24, 2021 Sarah-Catherine Rodan, Phillip Aouad, Iain S. Mcgregor et al. 10 citations

Anorexia nervosa (AN) has high mortality and treatment costs, and cognitive behavioural therapy (CBT) achieves remission in at most 50% of adults. Drop-out and relapse rates are high, and no approved pharmacological treatments exist. Over the past two decades, research into classic psychedelics (LSD, 5-MeO-DMT, DMT, and psilocybin) shows that one or two exposures can produce lasting reductions in anxiety and depression, which are the most common co-morbid psychiatric symptoms in AN. The authors suggest that classic psychedelics, especially psilocybin, may normalize dysfunctional neurobiological systems in AN and offer a novel intervention, particularly for treatment-resistant patients.

Prescription and Nonprescription Drug Use Among People With Eating Disorders.

JAMA network open July 1, 2025 Sarah-Catherine Rodan, Sarah Maguire, Noah Meez et al. 5 citations

In a large international survey of over 6,600 adults with eating disorders or disordered eating, cannabis and psychedelics were rated as most helpful for improving eating disorder symptoms, while prescription antidepressants were seen as beneficial for overall mental health but not for eating disorder symptoms, except for fluoxetine in bulimia nervosa and lisdexamfetamine in binge-eating disorder. Alcohol, nicotine, and tobacco were rated as most harmful. The findings suggest that cannabis and psychedelics may alleviate eating disorder symptoms, supporting further research into these substances as potential treatments.

Psychedelic use in individuals living with eating disorders or disordered eating: findings from the international MED-FED survey.

Journal of eating disorders July 24, 2025 Sarah-Catherine Rodan, Noah Meez, Sophie Lloyd-Hurwitz et al. 2 citations

Among adults with eating disorders, about one in three reported having used a psychedelic drug at some point, and one in five had used one in the past year. Users tended to be younger, less likely to take prescription drugs or be hospitalized for their eating disorder, and more likely to use other non-prescription drugs and to have ADHD, PTSD, ASD, or substance misuse. Those with anorexia nervosa were less likely to report psychedelic use, while those with an undiagnosed eating disorder were more likely. Qualitative comments described profound transformation, increased connectedness, and new insights into illness, though a few reported bad trips or worsened symptoms. The findings suggest psychedelics may hold promise for this population and warrant clinical trials.