Acute and post-dosing effects of single-dose psilocybin for obsessive-compulsive disorder in a randomized, double-blind, placebo-controlled trial: an interpretative phenomenological analysis
Frontiers in Psychiatry December 10, 2025 T. H. W. Ching, B. Stahnke, S. Shnayder et al. 3 citations
In a qualitative study of the first randomized placebo-controlled trial of psilocybin for treatment-refractory obsessive-compulsive disorder (OCD), interviews with 12 participants revealed four major themes: influences on the psilocybin experience (set and setting), acute effects (perceptual, metacognitive, emotional, and impact on OCD), post-dosing changes in OCD symptoms and perceptions, and post-dosing changes beyond OCD symptoms. Acute effects were often lower in intensity, possibly due to interference by OCD symptoms. Some acute and post-dosing effects mapped onto mechanisms of evidence-based psychotherapies like exposure and response prevention and acceptance and commitment therapy, suggesting potential for integrating psilocybin with structured psychotherapy for OCD.