Microdosing psilocybin for major depressive disorder: study protocol for a phase II double-blind placebo-controlled randomised partial crossover trial
BJPsych Open February 16, 2026 Zeina Beidas, Anya Ragnhildstveit, Adam Blackman et al. 1 citation
This is a protocol for a phase II trial testing whether very low doses of psilocybin (2 mg, a microdose) can safely and effectively treat major depressive disorder. Forty adults with MDD will receive either psilocybin or a placebo once weekly for four weeks, then all will receive psilocybin for another four weeks. The trial will measure changes in depression symptoms, mood, well-being, attention, creativity, mindfulness, and pro-sociality. Results will be published regardless of outcome. The findings are expected to guide future research on dose regimens, effect sizes, and the role of expectancy bias, and to inform debates about sub-threshold versus threshold doses of psilocybin.