Effects of LSD, DMT and psilocybin on cognitive and psychological functions: A systematic review of the literature
Journal of Psychopharmacology February 16, 2026 Marten Kase, Karl Kristjan Kaup, Jaan Aru 1 citation
A systematic review of 32 placebo-controlled studies from 1990 to 2025 examined the acute and post-acute effects of LSD, DMT, and psilocybin on cognitive and psychological functions. Psychedelics tended to enhance emotional empathy but had no effect on cognitive empathy. Effects on memory varied by task and timing, with some impairments, enhancements, or no change. Dose-dependent impairments occurred in reaction time, attention, and inhibition tasks, though some studies found no effects. Recognition of negative stimuli was impaired under acute effects. Findings on cognitive flexibility were mixed. Many studies had small samples, and finding a reliable placebo is challenging due to psychedelics' unique subjective effects.