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Olivia Carter

The University of Melbourne

32 papers in the library · 2,026 citations · publishing 2003-2026

Papers

Psilocybin with psychotherapeutic support for treatment-resistant depression: a pilot clinical trial

Therapeutic Advances in Psychopharmacology September 1, 2025 Sally Meikle, Olivia Carter, Paul Liknaitzky et al. 2 citations

In an open-label pilot trial, two 25 mg doses of psilocybin combined with psychotherapy produced a clinically meaningful reduction in depressive symptoms at 3 weeks in people with treatment-resistant depression. The average improvement was sustained at 20 weeks, but individual responses varied: two participants showed lasting benefit, three relapsed, and two did not improve. Mindset before dosing, spiritual experiences, and perceptual changes during the session predicted treatment trajectory, whereas treatment expectations did not. No serious adverse events occurred. The findings support further research into tailoring psilocybin therapy to individual variability.

Dynamical independence reveals anaesthetic specific fragmentation of emergent structure in neural dynamics

bioRxiv Preprint Server July 16, 2025 Borjan Milinkovic, Anil K. Seth, Lionel Barnett et al. 2 citations preprint

Consciousness depends on neural activity across many scales. A new measure, dynamical independence (DI), quantifies these multi-scale relationships. Applying DI to EEG data from people under three anaesthetics, the authors found that propofol and xenon—which abolish conscious report—produce more emergent but highly variable dynamic structure, indicating fragmented macroscopic organisation. Ketamine, which preserves dream-like states, shows reduced overall emergence but partial preservation of macroscopic structure similar to wakefulness. Regional brain contributions varied. The results reveal drug-specific reconfigurations of emergent dynamics, dissociate the amount of emergence from its organisation, and caution against equating emergence with consciousness level.

Psilocybin and Motor Function: A Triple‐Blind, Dose‐Finding Study in Healthy Participants

Psychiatric Research and Clinical Practice July 23, 2024 Chiranth Bhagavan, Richard Kanaan, Olivia Carter et al. 2 citations

A protocol for the first study testing whether movement tasks can be performed safely while under the influence of psilocybin. Twelve healthy participants will each receive three different doses (5 to 20 mg) in a randomized, blinded order at least one week apart. Motor function, safety, brain activity via fMRI, and subjective experience will be measured during the acute drug effects. The study aims to inform future research combining psychedelics with motor retraining for conditions involving motor dysfunction.

Development of the MDMA-Assisted Psychotherapy Side Effects Tool (M-SET): a Delphi study.

BMJ open May 11, 2026 Julia Colcott, Alexandre A Guerin, Olivia Carter et al.

A new tool, the MDMA-Assisted Psychotherapy Side Effects Tool (M-SET), was developed to systematically capture side effects during MDMA-assisted psychotherapy. Experts in MDMA-AP and neuropsychopharmacology participated in a two-round online Delphi process to refine a list of 165 items across four questionnaires covering screening, baseline, medication session days, and follow-up. The tool aims to improve safety monitoring and build a more robust evidence base on the tolerability of MDMA-AP for research and clinical use.

Sustained Effects of Low-to-Moderate Doses of Psilocybin on Brain Connectivity

medRxiv Preprint Server April 17, 2026 Chiranth Bhagavan, Orwa Dandash, Olivia Carter et al. preprint

Psilocybin, a classic psychedelic, acutely alters brain functional connectivity, and these changes are linked to therapeutic doses and subjective effects. Some evidence indicates that such changes persist beyond the acute drug administration period. However, the effects of lower doses on sustained connectivity changes remain unclear.

Just be: Skilful doing nothing is calming, pleasant, and easy — not aversive

September 30, 2025 Toby J. Woods, Andrew W. Corcoran, Olivia Carter et al. preprint

A 15-minute session of Stillness Meditation, which involves skillfully doing nothing, is calming, pleasant, and easy for meditation-naive adults, not aversive as earlier research suggested. In a randomized trial with 165 participants, those practicing Stillness Meditation reported the session as calm, pleasant, and easy, and showed increases in heart rate variability and interbeat interval from baseline. While focused attention led to higher self-reported calm than Stillness Meditation or an audiobook, there were no differences in easiness, pleasantness, or cardiac measures between groups. The findings validate Stillness Meditation as a tool for studying pure consciousness.

229. PSILOCYBIN WITH PSYCHOTHERAPEUTIC SUPPORT FOR TREATMENT-RESISTANT DEPRESSION: A PILOT CLINICAL TRIAL

The International Journal of Neuropsychopharmacology August 1, 2025 Susan Meikle, Olivia Carter, Paul Liknaitzky et al.

A small pilot trial of psilocybin with psychotherapy for treatment-resistant depression found a clinically meaningful reduction in depressive symptoms three weeks after the second dose, with an average improvement of 7.14 points on the depression scale and a large effect size. However, individual responses varied widely: two participants showed lasting improvement, three relapsed, and two saw no substantial benefit. Mindset before dosing and spiritual or perceptual experiences during the session predicted treatment trajectory, but prior expectations did not. The study supports further research into tailoring psychedelic therapy to individual differences.