A Vipassana meditation course given in jail led to significant reductions in alcohol, marijuana, and crack cocaine use after release, compared to standard treatment. Participants also experienced fewer alcohol-related problems and psychiatric symptoms, along with improvements in positive psychosocial outcomes. The findings suggest mindfulness-based practices offer a viable alternative for individuals who have not succeeded with or do not wish to attend traditional addiction treatments.
In a small qualitative study of the first randomized controlled trial of psilocybin-assisted psychotherapy for alcohol use disorder, participants reported that the treatment helped them process emotions tied to painful past events, fostered self-compassion, self-awareness, and feelings of interconnectedness. The acute drug sessions laid the groundwork for more self-compassionate regulation of negative affect. Participants also described newfound belonging and improved relationship quality. The findings suggest psilocybin increases the malleability of self-related processing, reduces shame and self-critical thoughts, improves affect regulation, and lowers alcohol cravings, indicating that integrating self-compassion training with psychedelic therapy may enhance AUD treatment outcomes.