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Nat Med

ISSN 1078-8956; 1546-170x;

5 papers in the library · 446 citations · publishing 2021-2026

Papers

Increased global integration in the brain after psilocybin therapy for depression.

Nat Med April 11, 2022 Richard E. Daws, Christopher Timmermann, Bruna Giribaldi et al. 432 citations

Psilocybin therapy produces rapid and sustained antidepressant effects that correlate with a global increase in brain network integration. In two clinical trials, one open-label in treatment-resistant depression and one double-blind randomized controlled trial comparing psilocybin with escitalopram in major depressive disorder, functional MRI showed that psilocybin reduced brain network modularity, making higher-order functional networks more interconnected and flexible. The antidepressant response to escitalopram was milder, with no changes in brain network organization. These consistent efficacy-related brain changes across both studies suggest that psilocybin's antidepressant mechanism involves global increases in brain network integration.

A short-acting psychedelic intervention for major depressive disorder: a phase IIa randomized placebo-controlled trial.

Nat Med February 16, 2026 David Erritzøe, Tommaso Barba, Tiffanie Benway et al. 4 citations

A single 21.5-mg intravenous dose of the psychedelic DMT, given with psychotherapeutic support, produced a rapid and significant reduction in depressive symptoms in adults with moderate-to-severe major depressive disorder. In a double-blind, placebo-controlled trial with 34 participants, those receiving DMT showed a greater decrease in depression scores at two weeks compared to placebo. Antidepressant effects persisted up to three months in an open-label phase. Adverse events were mostly mild to moderate, and no serious adverse events occurred.

The promise of psychedelic medicine in psychiatry.

Nat Med November 1, 2025

Psychedelic medicine holds promise for treating a range of psychiatric conditions, particularly depression and post-traumatic stress disorder, by inducing profound changes in consciousness and brain function. The article discusses the potential of substances like psilocybin and MDMA to facilitate therapeutic breakthroughs when combined with psychotherapy. It highlights that these treatments may offer lasting benefits after only a few sessions, though challenges remain regarding safety, accessibility, and integration into mainstream clinical practice. The authors suggest that careful research and regulation could unlock significant advances in mental health care.