Attitudes of European psychiatrists on psychedelics: a qualitative study.

Psychiatrists in Europe who are not involved in psychedelic research see both promise and risk in psychedelic-assisted psychotherapy (PAP). Based on interviews with 12 specialists and trainees from 8 countries, four themes emerged: psychedelics hold potential, they are dangerous, their future is uncertain, and psychiatry is ambivalent toward them. Respondents acknowledged PAP's potential but considered its evidence base not yet robust enough. They reported that education on psychedelics is lacking in medical and psychiatric training and should be improved to help mental health experts participate in decisions about PAP.

Study at a glance

Abstract

It is important to understand how mental health practitioners view recent findings on psychedelic-assisted psychotherapy (PAP) as there is potential this treatment may be incorporated into clinical practice. The aim of our study was to explore how psychiatrists who are not involved in psychedelic research and who are located in the European region perceive psychedelics and PAP. We conducted online semi-structured interviews with 12 psychiatry specialists and psychiatry trainees from 8 European countries. Data were analyzed using a general inductive approach informed by codebook thematic analysis. Based on the interviews, we developed four main themes and 14 sub-themes, including (1) Psychedelics hold potential, (2) Psychedelics are dangerous, (3) Future of psychedelics is uncertain, and (4) Psychiatry is ambivalent toward psychedelics. Our respondents-psychiatrists acknowledged the potential of PAP but remained cautious and did not yet perceive its evidence base as robust enough. Education on psychedelics is lacking in medical and psychiatric training and should be improved to facilitate the involvement of mental health experts in decision-making on PAP.