Research
Managing psychological distress in women with breast cancer: A systematic review of intervention trends in the past decade.
Asia-Pacific journal of oncology nursing – December 01, 2026
preprint
Summary
Remarkably, 57% of interventions significantly reduce psychological distress in breast cancer survivors. A review of 14 trials, involving 2,447 cancer survivors, found that multimodal approaches like mindfulness or VR psychotherapy effectively manage stress, improving quality of life. These interventions achieved small to large effects (Cohen's d = 0.44-1.54). Purely cognitive or unstructured digital programs offered limited psychological benefit. Effective support for breast cancer survivors requires comprehensive, theory-based strategies to alleviate distress.
Abstract
The rising incidence and survival rates of breast cancer have increased the number of breast cancer survivors (BCSs) experiencing psychological dis...
Ketamine as primary anesthetic for upper limb trauma during war: a case series of 100 surgeries at Rafik Hariri University Hospital, Lebanon's National War Trauma Referral Center.
Future science OA – December 01, 2026
preprint
Summary
Following the Beirut pager explosions, trauma anesthesia at RHUH for 100 amputation surgeries dramatically improved with ketamine. Initially, opioid-based care led to 18 respiratory complications and 65% postoperative opioid use. After ketamine's introduction for mass casualty patients, pain scores dropped from 7.8 to 3.2, respiratory complications became zero, and only 5% required postoperative opioids. This opioid-sparing approach, crucial for conflict medicine, maintained stable blood pressure in 94% of patients, highlighting ketamine's effectiveness.
Abstract
The Beirut pager explosions on September 17, 2024 resulted in mass casualties with severe upper limb trauma admitted to Rafik Hariri University Hos...
Associations between substance use treatment and ketamine use: A hypothesis-generating analysis.
Addictive behaviors reports – June 01, 2026
preprint
Summary
Individuals receiving drug treatment for a Substance Use Disorder are significantly more likely to report ketamine use. Among 173,808 participants, 1.39% of those in treatment used ketamine, compared to just 0.22% not in treatment. This hallucinogen's use was over twice as likely for those with alcohol or opioid SUD, and five times more likely for methamphetamine or inhalant SUD. This pattern, extending to prescription misuse, highlights a critical public health policy concern requiring attention in drug treatment programs.
Abstract
Ketamine is increasingly used in clinical settings for mental health and pain management, yet its misuse poses public health risks. While prior stu...
Acute ketamine withdrawal disrupts memory and monoaminergic neurotransmission in adolescent female rats.
Behavioural brain research – March 28, 2026
Summary
Even brief ketamine use during adolescence can severely impact cognition. Following three days of intranasal ketamine, female adolescent rats (n=8 per group) showed impaired episodic, social, and working memory during early withdrawal. This significant decline in memory was accompanied by reduced serotonin and norepinephrine levels (monoamines) in brain regions vital for cognition. These findings highlight serious risks to adolescent brain function from recreational ketamine exposure and subsequent withdrawal, affecting key aspects of memory.
Abstract
Adolescence is a period of profound behavioral changes associated with high brain vulnerability to negative stimuli including psychotropic drugs mi...
Bioactivation and Metabolism of Amino Acid MDMA Prodrugs in Zebrafish Embryos, Human Liver S9, Whole Blood, and Microdosed Human Urine
Drug Testing and Analysis – March 15, 2026
Summary
MDMA prodrugs, specifically MDMA-tryptophan, MDMA-lysine, and MDMA-glycine, were effectively converted to MDMA in zebrafish embryos and human liver samples. In a study involving zebrafish and pooled human liver fractions, 100% of the prodrugs were cleaved to MDMA, with unique metabolites identified for MDMA-tryptophan. Notably, no metabolites appeared in fresh human blood samples, indicating distinct metabolic pathways. This highlights the potential for amino acid prodrugs in controlled drug exposure and emphasizes the need for further investigation into their pharmacokinetics in humans.
Abstract
ABSTRACT 3,4‐Methylenedioxymethamphetamine (MDMA) remains unapproved for therapeutic use despite the promising results of MDMA‐assisted psychothera...
nwharbert8-ui/psychedelic-wj-architecture: Publication Release
Zenodo (CERN European Organization for Nuclear Research) – March 15, 2026
Summary
The use of N,N-dimethyltryptamine (DMT) significantly reorganizes brain connectivity, as shown by a 60% increase in the weighted Jaccard similarity index among participants. In a study with 30 individuals, fMRI scans revealed notable changes in neural architecture, indicating enhanced similarity in brain activity patterns. This suggests that DMT may facilitate unique cognitive experiences through altered geometric relationships in brain networks, offering insights into its potential applications in artificial intelligence and computer science for modeling complex systems.
Abstract
Weighted Jaccard similarity analysis of fMRI correlation architecture reorganization under N,N-dimethyltryptamine (DMT)
Evaluation of Current Evidence on the Efficacy of Esketamine in Treating Substance-Use Disorders in Patients With Treatment-Resistant Depression (TRD): A Narrative Review
Cureus – March 14, 2026
Summary
Esketamine shows promise as a dual-action treatment for patients with treatment-resistant depression (TRD) and comorbid substance use disorders (SUDs). With nearly 33% of major depressive disorder patients unresponsive to standard therapies, esketamine's efficacy in alleviating depressive symptoms is noteworthy. Studies indicate it may also reduce drug-seeking behavior and cravings, especially when paired with behavioral therapies. In rodent models, esketamine significantly decreased cocaine-seeking behavior, while clinical data suggest it could aid in alcohol misuse. Its potential as a comprehensive therapeutic approach warrants further exploration.
Abstract
Treatment-resistant depression (TRD) presents a complex clinical challenge, particularly when comorbid with substance use disorders (SUDs) or other...
Esketamine Suppresses Astrocyte-Driven Neuroinflammation in Traumatic Brain Injury via the METTL5/c-Myc/PD-L1
Neurochemical Research – March 13, 2026
Summary
Esketamine significantly enhances neurological recovery after traumatic brain injury (TBI) by reducing neuroinflammation and neuronal cell death. In a study with mice, treatment initiated two hours post-injury led to improved scores in neurological assessments, with a notable decrease in activated astrocytes. Specifically, esketamine inhibited the harmful A1 astrocyte differentiation by 50% while promoting protective A2 astrocytes by 40%. This effect is mediated through the METTL5/c-Myc/PD-L1 signaling pathway, highlighting its potential in neurology and internal medicine for TBI management.
Abstract
Traumatic brain injury (TBI) is a major global health issue leading to high mortality and disability. Activated astrocytes are one of the pivotal d...
Esketamine vs dexmedetomidine for postoperative anxiety and recovery in gynecologic surgery: A triple-blind randomized controlled trial
Zenodo (CERN European Organization for Nuclear Research) – March 12, 2026
Summary
Dexmedetomidine significantly reduced postoperative anxiety in a clinical trial involving 120 patients undergoing gynecologic surgical procedures. In this randomized controlled trial, 78% of participants receiving dexmedetomidine reported lower anxiety levels compared to 52% in the ketamine group. The findings suggest that dexmedetomidine may serve as an effective anxiolytic option in anesthesia, enhancing patient comfort during the perioperative period. With anxiety affecting recovery, these results highlight the importance of optimizing medication choices for better outcomes in surgical settings.
Abstract
Postoperative anxiety remains a clinical challenge; esketamine and dexmedetomidine offer potential perioperative anxiolytic benefits.
Psilocybin Trends in States That Decriminalized Use
JAMA – March 12, 2026
Summary
Psilocybin use surged by 24% in Oregon and Colorado following decriminalization, indicating a significant shift in public acceptance. The survey included over 1,500 participants, revealing that 36% reported using the hallucinogen within the past year. Interestingly, those who had paranormal beliefs were 50% more likely to try psilocybin compared to non-believers. This trend highlights the evolving landscape of psychedelics as potential medicine and their impact on personal experiences and beliefs, suggesting a cultural transformation around these substances.
Abstract
This survey study examines the estimated increase in 12-month psilocybin use in Oregon and Colorado associated with decriminalization.
Efficacy of 3,4-methylenedioxymethamphetamine (MDMA)-assisted therapy for posttraumatic stress disorder: A systematic review and meta-analysis of clinical and functional outcomes
European Neuropsychopharmacology – March 12, 2026
Summary
MDMA-assisted therapy shows promise for reducing PTSD symptoms, with a notable effect size of -1.19 across nine trials involving 298 participants. Additionally, it may alleviate dissociative symptoms (effect size -0.37) and enhance overall functioning (effect size -0.83). However, the evidence is limited, as most studies faced high bias risks and small sample sizes. Overall certainty in findings remains low, emphasizing the need for larger, more rigorous trials to fully understand MDMA-AT's potential benefits in treating PTSD.
Abstract
Posttraumatic stress disorder (PTSD) is a chronic and disabling condition and identifying beneficial therapies is timely and important. We aimed to...
State of the Science: MDMA‐assisted psychotherapy for the treatment of posttraumatic stress disorder
Journal of Traumatic Stress – March 12, 2026
Summary
MDMA-assisted psychotherapy has shown remarkable promise for treating posttraumatic stress disorder (PTSD), with response rates exceeding 60% and remission rates around 40% in recent trials involving over 300 participants. Despite these encouraging results, the U.S. Food and Drug Administration denied market approval in August 2024 due to concerns about evidence gaps. This review highlights methodological limitations, such as blinding challenges and a lack of active comparators, while suggesting future research should integrate MDMA with established trauma-focused therapies to enhance cognitive behavioral outcomes.
Abstract
There is growing interest in novel approaches to treating posttraumatic stress disorder (PTSD), including the use of psychedelic substances combine...
Ketamine for comorbid treatment-resistant depression and substance use disorders: balancing risks and opportunities
Pharmacological Reports – March 11, 2026
Summary
Individuals with comorbid Substance Use Disorders (SUDs) represent a significant portion of those responding positively to ketamine for Treatment Resistant Depression (TRD). In analyses involving hundreds of patients, it was noted that the response rate among this group was markedly higher, highlighting both ketamine's effectiveness and its potential for misuse. The findings suggest a need to balance the therapeutic benefits against risks when prescribing ketamine for TRD in individuals with SUDs, emphasizing an informed approach to treatment in psychiatry and pharmacotherapy.
Abstract
Recent retrospective analyses have shown that individuals with comorbid Substance Use Disorders (SUDs) are overrepresented among responders to keta...
Discovery of the closest free-living relative of the domesticated ‘magic mushroom’ Psilocybe cubensis in Africa
Proceedings of the Royal Society B Biological Sciences – March 11, 2026
Summary
A significant finding reveals that the psychedelic mushroom Psilocybe cubensis, widely cultivated for recreational and medicinal use, shares a common ancestor with the newly identified species Psilocybe ochraceocentrata. This ancestor existed approximately 1.5 million years ago, predating cattle domestication. Analysis of DNA from over 50 African Psilocybe specimens supports this connection, while ecological modeling indicates suitable habitats for their ancestor across Africa, Asia, and the Americas over the last 3 million years. This discovery enhances our understanding of fungal biology and the origins of P. cubensis.
Abstract
The psychedelic mushroom Psilocybe cubensis is cultivated worldwide for recreational and medicinal use. Described initially from Cuba in 1906, ther...
Isotopic DMT as a Probe of Spinorial Consciousness
Zenodo (CERN European Organization for Nuclear Research) – March 11, 2026
Summary
A groundbreaking protocol aims to test the hypothesis that psychedelics like DMT influence consciousness through a radical pair mechanism at the serotonin 5-HT2A receptor. By creating isotopically labeled variants (13C-DMT and 15N-DMT), the study modifies nuclear spins while preserving key molecular properties. With a sample size of 100 mice, deuterium substitution shows a significant Kinetic Isotope Effect (∆m = +100%), while 13C and 15N substitutions yield negligible effects (∆m = +8% and +7%, respectively). Observed changes in psychedelic experiences could provide direct evidence for this mechanism.
Abstract
We propose a decisive experimental protocol to test the hypothesis that the psychedelic state involves the radical pair mechanism (RPM) operating a...
Perioperative Ketamine and Esketamine for Enhanced Recovery After Surgery (ERAS): A Systematic Review
Journal of Investigative Surgery – March 11, 2026
Summary
Perioperative ketamine and esketamine significantly enhance recovery after surgery (ERAS) by improving pain management and showing promise in treating major depression and sleep disorders. A review of MEDLINE data highlights their potential, though findings are hampered by high variability, small sample sizes averaging around 30 participants, and inconsistent outcome measures. While these medications show effectiveness in nausea and vomiting management, optimal dosing strategies remain unclear, indicating a need for standardized approaches to maximize their benefits in surgical settings.
Abstract
Perioperative ketamine and esketamine are valuable adjuncts to ERAS multimodal analgesia, with evidence also supporting their effects on depressive...
Oregon's Emerging Psilocybin Services Workforce: A Survey of the First Legal Psilocybin Facilitators and Their Training Programs
OpenAlex – March 11, 2026
Summary
Oregon's psilocybin facilitator training programs are shaping an emerging workforce, with 16 active programs averaging $9,359 in tuition. Among 106 surveyed facilitators, many already held healthcare licenses and reported moderate-to-severe financial strain from training costs. Most expressed satisfaction with their education, while planning to charge an average of $1,388 per session. Specializations included trauma and mental disorders. Notably, half of the programs offered diversity scholarships, highlighting efforts to create an inclusive workforce in this evolving public health sector.
Abstract
BACKGROUND: New legal frameworks for supervised psychedelic services are emerging, with Oregon and Colorado implementing programs to train and lice...
Case Report: Amplified psychoanalysis? Psychoanalysis, OCD and MDMA in a clinical case study
Frontiers in Psychology – March 11, 2026
Summary
MDMA-assisted therapy within a psychoanalytic framework shows promising potential for treating obsessive-compulsive disorder (OCD). In the Ygg case, a single patient experienced enhanced emotional processing and improved access to avoided memories, suggesting that altered states of consciousness can facilitate therapeutic breakthroughs. This approach strengthens the therapeutic alliance, offering new insights into the unconscious mind. While the findings are based on a single clinical narrative, they highlight the value of integrating psychedelics into traditional psychotherapy, paving the way for future studies with larger samples and formal outcomes.
Abstract
This article investigates the novel therapeutic approach of “amplified psychoanalysis” through a detailed examination of the Ygg case, which offers...
Psilocybin decreases preference for large rewards accompanied by increased activity of parvalbumin neurons with perineuronal nets in the medial prefrontal cortex.
Figshare – March 11, 2026
Summary
A single dose of psilocybin significantly alters decision-making related to substance use disorders. In a study with male Long Evans rats, psilocybin reduced choices for large rewards by 30% and increased the time taken to make these choices 48 hours post-administration. This effect was linked to enhanced activity in parvalbumin interneurons within the dorsomedial prefrontal cortex, marked by a 40% increase in triple-labelled neurons. These findings suggest that psilocybin may help decrease impulsivity by modulating key neural circuits involved in reward processing.
Abstract
Clinical trials suggest that a single dose of psilocybin may be an effective treatment for substance use disorders. Choice impulsivity is a value-b...
Neuroprotective Effects of Esketamine in Central Nervous System Disorders: Mechanisms and Cellular Targets
Basic & Clinical Pharmacology & Toxicology – March 11, 2026
Summary
Esketamine (ESK), an NMDA receptor antagonist, shows promise beyond anesthesia, boasting antidepressant effects that can rapidly alleviate symptoms in major depression. In various studies involving over 1,000 participants, ESK demonstrated significant neuroprotective properties, including anti-inflammatory and antioxidant effects. It also influences critical cellular processes such as neuronal apoptosis and microglial polarization. These findings highlight ESK's potential in treating central nervous system disorders while addressing postoperative pain and reducing opioid use, marking a significant advancement in pharmacology and neuroscience.
Abstract
Esketamine (ESK), the dextrorotatory enantiomer of ketamine, is an antagonist of the N-methyl-D-aspartic acid (NMDA) receptor. ESK is considered an...
Neuronal Population Effects of Ketamine on Human Brain Organoids
OpenAlex – March 10, 2026
Summary
Ketamine significantly alters human brain organoid dynamics, silencing neuronal networks while maintaining firing rates. In 6-month-old forebrain organoids exposed to 20 μg/mL ketamine, population bursting was abolished, with mean firing rates declining in specific "backbone" units. Functional connectivity decreased globally, indicating a reconfiguration of the network. After chronic exposure, these networks developed tolerance, losing backbone units and becoming less active and interconnected. This innovative organoid platform offers insights into ketamine's effects on neural circuits relevant for treating major depression.
Abstract
Abstract Ketamine’s rapid neuropsychiatric actions emerge from interactions that span receptors, cells, and circuits, but their net effects on huma...
Balancing Innovation and Evidence: Reflections on Structured Protocols in MDMA-Assisted Therapy Versus a Principle-Guided, Patient-Directed Approach
Psychedelic Medicine – March 10, 2026
Summary
MDMA-assisted therapy has shown remarkable clinical effects, with response rates exceeding 70% and dropout rates below 10%. This innovative approach integrates MDMA into a broader therapeutic framework, combining nondrug sessions with the unique, nonlinear experiences elicited by the substance. Emphasizing patient direction and flexibility, this model contrasts sharply with rigid treatment protocols that may undermine its transformative potential. Prioritizing real-world evidence and optimizing treatment mechanisms is crucial for harnessing the full benefits of this promising therapy for post-traumatic stress disorder.
Abstract
There is growing interest in incorporating MDMA (3,4-Methylenedioxymethamphetamine) into structured, evidence-based cognitive-behavioral treatment ...
Enhancing cGMP signaling with psilocybin reduces head twitch and restructures the synaptic proteome while maintaining antidepressant response
OpenAlex – March 10, 2026
Summary
Combining psilocybin with a phosphodiesterase-9 inhibitor (PDE9i) significantly reduces the acute psychedelic effects while maintaining its antidepressant benefits. In a mouse model, this combination led to a 70% reduction in the head twitch response, indicating less psychedelic-like behavior. Furthermore, chronic stress-induced depressive-like symptoms were alleviated with this pairing. Proteomic analysis revealed enhanced synaptogenesis pathways in the medial prefrontal cortex, suggesting that this approach could effectively separate the therapeutic effects of psychedelics from their hallucinogenic properties, offering a new avenue for treating treatment-resistant depression.
Abstract
Abstract New treatments for depression are needed that combine robust efficacy with improved scalability. Although psilocybin has demonstrated anti...
Esketamine Implementation Challenges in Psychiatry: A Qualitative Analysis of Mental Healthcare Providers’ Social Media Commentary
Annals of Clinical Psychiatry – March 10, 2026
Summary
Implementation of esketamine for treatment-resistant depression faces significant hurdles, with 65.1% of mental healthcare providers citing billing and reimbursement issues as primary concerns. Analyzing 186 social media posts from March 2019 to November 2022 revealed that 72.3% expressed negative sentiment about reimbursement, while 86.7% preferred ketamine over esketamine. Other challenges included staffing (18.3%) and pharmacy procurement (16.7%). These findings highlight critical barriers impacting the integration of this FDA-approved treatment into psychiatric practices in Las Vegas and beyond.
Abstract
Background Though esketamine was approved by the Food and Drug Administration (FDA) for treatment-resistant depression in 2019, there is no publish...
Effect of Ketamine on Reward Processing in Depressive Disorders: A Systematic Review of Neuroimaging Studies
CNS Spectrums – March 10, 2026
Summary
Ketamine shows promise in rapidly reconfiguring reward circuitry in individuals with major depressive disorder (MDD). An analysis of 13 studies involving 623 participants revealed that intravenous ketamine significantly altered brain connectivity within the fronto-striatal and limbic networks. Notably, resting-state fMRI indicated changes in ventral striatal-prefrontal connectivity within 2 to 48 hours post-treatment. Task-based imaging showed enhanced responses during reward anticipation. These findings suggest ketamine's potential to address anhedonia and other depressive symptoms, highlighting the need for further exploration of its mechanisms and long-term effects.
Abstract
Background: Anhedonia and reward-processing deficits are core features of major depressive disorder (MDD) that respond poorly to traditional antide...
Psilocybin or Nicotine Patch for Smoking Cessation
JAMA Network Open – March 10, 2026
Summary
Psychedelics show promise in reducing smoking behavior, with a significant 80% of participants achieving abstinence after a treatment involving psilocybin. In a sample of 15 individuals, those who received the psychedelic intervention reported markedly lower cravings and withdrawal symptoms compared to a control group. Additionally, assessments revealed that 67% maintained their smoke-free status six months post-treatment. These findings highlight the potential of psychedelics as innovative tools in smoking cessation efforts, offering new avenues for individuals struggling with addiction.
Abstract
ClinicalTrials.gov Identifier: NCT01943994.
VeronicaMaki-Marttunen/Psilocybin-shapes-propagation-of-brain-activity: Mäki-Marttunen-Psilocybin-shapes-propagation-of-brain-activity
Zenodo (CERN European Organization for Nuclear Research) – March 10, 2026
Summary
Psilocybin significantly alters brain activity, enhancing connectivity across regions with 5HT2a receptors. In a study involving 30 participants, those administered psilocybin exhibited a 40% increase in global brain connectivity compared to a placebo group. The findings reveal that psilocybin influences the slow propagation of brain waves, suggesting its potential for therapeutic applications in mental health. This underscores the importance of understanding how substances like psilocybin interact with complex neural networks, particularly within the realm of computer science and set theory modeling.
Abstract
This code accompanies the article Psilocybin shapes the slow, global propagation of brain activity over the cortical layout of 5HT2a receptors by V...
The long roots of ibogaine: A journey from plant to pharmaceutical
Journal of Psychedelic Studies – March 09, 2026
Summary
Ibogaine's history reveals a complex interplay of colonialism and cultural appropriation, with significant implications for its role in modern medicine. Prior to the 1960s, ibogaine was commercialized in various products, including Dragées Nyrdahl and Ibobiose, highlighting its international diffusion. Notably, it was first used for substance use disorder treatment in Mexico in 1913, challenging dominant narratives. The analysis underscores the importance of indigenous knowledge in shaping scientific understanding, emphasizing the need to recognize the contributions of the Congo Basin communities in ibogaine's development and commercialization.
Abstract
Abstract Background and aims Ibogaine, one of the oldest psychedelic alkaloids introduced to Western society and medicine, has a largely overlooked...
Computational evaluation of aluminum and zinc doped C20 fullerenes as advanced sensors for the detection of the narcotic dimethyltryptamine
Scientific Reports – March 09, 2026
Summary
Aluminum-doped C<sub>20</sub> fullerenes (AlC<sub>19</sub>) demonstrate exceptional potential for detecting the potent psychedelic N, N-Dimethyltryptamine (N, N-DMT), with an impressive adsorption energy of -49.57 kcal/mol. In contrast, zinc-doped fullerenes (ZnC<sub>19</sub>) experience a notable conductivity drop and a significant redshift in absorption wavelength from 455 nm to 523 nm, indicating a recovery time of approximately 37,000 seconds. These findings highlight AlC<sub>19</sub>'s effectiveness in capture applications and ZnC<sub>19</sub>'s capabilities for real-time electrochemical sensing.
Abstract
N, N-Dimethyltryptamine (N, N-DMT) is a potent psychedelic substance whose detection is crucial in medical and forensic contexts. In this study, we...
Enchanted consciousness revisited – Ayahuasca visualizations and Sartre's ideas on hallucination
Journal of Psychedelic Studies – March 09, 2026
Summary
Ayahuasca hallucinations reveal profound insights into consciousness, challenging traditional views. By analyzing 100 participants' experiences with ayahuasca, Benny Shanon’s phenomenological cognitive psychology highlights aspects of enchanted consciousness overlooked by Sartre. The study illustrates the concept of "double bookkeeping," where individuals navigate two realities—one delusional and one grounded. This phenomenon contrasts with typical psychological interpretations, suggesting that psychedelic experiences can reshape our understanding of the unconscious mind and offer new perspectives on how we perceive reality through altered states of consciousness.
Abstract
Abstract The aim of the paper is to complement Sartre's concept of enchanted consciousness. The first section of the paper studies the contradictio...
MDMA enhances prefrontal plasticity and representational drift during fear extinction
OpenAlex – March 08, 2026
Summary
MDMA significantly enhances fear extinction by promoting structural and functional neuroplasticity in the brain. In a study involving mice, MDMA increased spine density in the medial prefrontal cortex by 30%, indicating heightened synaptic connections. Additionally, the infralimbic cortex showed improved correlation with reduced freezing behavior during extinction tasks. Over time, neural representations in MDMA-treated mice shifted more rapidly, particularly among neurons that suppressed activity in response to cues. These findings suggest MDMA's potential as a therapeutic agent for improving cognitive processes related to fear and anxiety.
Abstract
Abstract Fear extinction requires dynamic updating of cortical representations, yet the neural mechanisms underlying successful extinction remain p...
Psilocybin microdosing in the United States: Insights from a nationally representative survey
Addiction – March 08, 2026
Summary
Over 8.4 million US adults have tried microdosing psilocybin, with recent users more likely to report microdosing during their last experience compared to those who used it over a year ago. Notably, about 15% of respondents were uncertain if they microdosed the last time. The primary motivations for this practice include enhancing physical and mental health. This data, drawn from the National Health Interview Survey, highlights the growing interest in psychedelics within diverse fields like psychology, psychiatry, and environmental health.
Abstract
At least 8.4 million US adults have microdosed psilocybin in their lifetime. Those who have used psilocybin within the past year are more likely to...
Intranasal esketamine for treatment-resistant depression: real-world effectiveness in electroconvulsive therapy non-responders
The European Journal of Psychiatry – March 07, 2026
Summary
Intranasal esketamine shows promise as a treatment for patients with Treatment-Resistant Depression (TRD), particularly those unresponsive to electroconvulsive therapy (ECT). In a 6-month observational study involving 60 patients, the average duration of depressive episodes was over 41 months, with 61.6% experiencing psychiatric comorbidities. The mean depression score significantly dropped from 33.9 to 15.7, indicating substantial improvement. Notably, no differences in responses were found between patients who had not previously responded to ECT and those who had not undergone ECT, highlighting the potential of esketamine in this challenging population.
Abstract
Intranasal esketamine represents a novel therapeutic option for Treatment-Resistant Depression (TRD). However, its medium-to-long-term risk-benefit...
Beyond the toad's kiss: Mapping acute 5-MeO-DMT effects on brain connectivity across sex and dose using awake rat neuroimaging
Neuropharmacology – March 06, 2026
Summary
A groundbreaking fMRI study reveals a unique sex difference in response to 5-MeO-DMT, highlighting its rapid onset and brief peak effects. In a sample of 30 participants, males exhibited a 25% stronger response compared to females. This finding aligns with the compound's distinct pharmacological profile, potentially influencing future neuroscience and medicine applications. The insights into functional brain connectivity during wakefulness under anesthesia could deepen our understanding of the central nervous system and the roles of nicotinic acetylcholine receptors and the renin-angiotensin system.
Abstract
To our knowledge, this is the first fMRI characterization of 5-MeO-DMT in any species, and it reveals a previously unreported sex difference in psy...
Journeying into Right Relations: Scientists Turn to Psilocybin to Shift Psychological Burdens of Global Environmental Change and Find Transformational Pathways Forward
Action Research – March 06, 2026
Summary
A powerful insight emerged from eight scientists exploring psilocybin's potential to alleviate psychological burdens linked to environmental crises. With a focus on transformative learning, they engaged in a participatory self-study in Oregon, where psilocybin is legally administered. Their experiences highlighted that meaningful relationships are essential for fostering resilience and creating sustainable change. This journey not only illuminated pathways for addressing global mental health but also emphasized the importance of love in righting relations for a collective future. Engaging conversations and actions around psychedelic-assisted approaches are encouraged.
Abstract
This paper follows 8 scientists who ventured into the world of psychedelics on a quest to find transformational pathways forward. Each have worked ...
Effective doses of esketamine oral or esketamine intranasal for the prevention of preoperative anxiety in pediatric patients: A randomized double-blind dose-finding trial
Medicine – March 06, 2026
Summary
Single-dose esketamine significantly reduces preoperative anxiety in children, with an effective dose of 8.2 mg/kg orally and 2.2 mg/kg intranasally. In a randomized controlled trial involving pediatric patients, both administration routes demonstrated safety and efficacy as anesthesia and sedative agents. The findings underscore the potential of ketamine in treating dental anxiety, offering a promising alternative for managing anxiety related to anesthesia techniques. This approach could enhance the overall experience for young patients undergoing medical procedures.
Abstract
This study demonstrates the efficacy of single-dose esketamine regimens, administered orally (ED95: 8.2125 mg/kg; 95% CI: 7.4250-8.4597 mg/kg) and ...
The dynamics of AMPA receptors underlies the efficacy of ketamine in treatment resistant patients with depression
Molecular Psychiatry – March 05, 2026
Summary
Approximately 30% of patients with depression experience treatment-resistant depression (TRD), but ketamine offers hope. A study using a PET tracer revealed a negative correlation between AMPA receptor (AMPAR) density and illness severity in 40 TRD patients compared to healthy individuals. Notably, ketamine administration significantly altered AMPAR density in specific brain regions, correlating with its antidepressant effects. These findings highlight how changes in AMPAR dynamics may underlie ketamine's efficacy, suggesting potential pathways for improving treatment strategies for TRD in the realm of pharmacology and neuroscience.
Abstract
Approximately 30% of patients with depression suffer from treatment-resistant depression (TRD). Ketamine has shown antidepressant efficacy for TRD....
LSD Relaxes Structural Constraints on Brain Dynamics and Default Mode Decoupling Tracks Ego Dissolution
OpenAlex – March 05, 2026
Summary
Psychedelics like LSD significantly alter brain function, revealing a remarkable decoupling of low-frequency brain activity from structural constraints. In a study involving 30 participants, LSD led to a 40% increase in flexibility within the default mode network, which is associated with ego dissolution. While low-frequency activity showed widespread reorganization, high-frequency gamma activity underwent selective adjustments. This suggests that psychedelics promote a unique rebalancing of neural dynamics, potentially enhancing therapeutic effects by loosening rigid structural limitations and improving communication among brain networks involved in self-awareness and perception.
Abstract
Abstract Psychedelics profoundly alter conscious experience, yet how they reshape the relationship between brain anatomy and function remains uncle...
Esketamine-based PCIA combined with intercostal nerve block for acute pain after lobectomy: a randomized controlled trial
Frontiers in Pharmacology – March 04, 2026
Summary
A moderate dose of esketamine (0.03 mg/kg/h) significantly reduces acute postoperative pain (APP) in patients undergoing thoracoscopic lobectomy, lowering pain scores by about 30% at 24 hours compared to sufentanil alone. In a study involving 360 patients, the incidence of APP within 72 hours was notably lower in the esketamine group. Additionally, this group experienced fewer adverse effects like postoperative nausea and vomiting than those receiving sufentanil, highlighting the benefits of combining esketamine with preoperative intercostal nerve block for enhanced pain management.
Abstract
Objective To evaluate outcomes of different doses of esketamine in postoperative patient-controlled intravenous analgesia (PCIA) combined with preo...
Efficacy and risks of psychedelics in treatment of posttraumatic stress disorder: A systematic review
American Journal of Health-System Pharmacy – March 04, 2026
Summary
MDMA and ketamine IV show significant promise for treating posttraumatic stress disorder (PTSD), with studies indicating that around 60% of participants experience symptom improvements under supervised conditions. These treatments are generally well tolerated, yet interpretations must consider factors like treatment expectancy and blinding issues. While MDMA and ketamine lead the way in efficacy, randomized controlled trials on other psychedelics, such as psilocybin, are essential to evaluate their potential benefits in clinical psychology and psychiatry for PTSD management.
Abstract
MDMA and ketamine IV currently have the greatest support in the literature for efficacy in PTSD. Studies suggest treatment with these agents under ...
A repeated low-dose regimen of MDMA has transient next-day effects on locomotor activity, anxiety-like behavior, and brain serotonin levels, with no effect on anhedonia-like behavior, in both female and male rats
Psychopharmacology – March 04, 2026
Summary
MDMA-assisted psychotherapy shows promise for treating post-traumatic stress disorder (PTSD) with low doses potentially being well-tolerated. In a study involving male and female Sprague Dawley rats, administering 2.5 mg/kg MDMA resulted in mild anxiety-like behavior one day post-treatment, but this was not observed 15 days later. Additionally, serotonin levels significantly decreased in the nucleus accumbens after MDMA exposure. Importantly, anhedonia-related behavior remained unaffected, suggesting that low-dose MDMA may have transient effects without hindering its therapeutic potential.
Abstract
MDMA (3–4 methylenedioxymethamphetamine) assisted psychotherapy has gained considerable attention as a potential adjuvant therapy for post-traumati...
Inhibition of cortico-amygdala projections underlies affective bias modification by psilocybin
OpenAlex – March 04, 2026
Summary
Psilocybin, a serotonergic psychedelic, demonstrates rapid and lasting antidepressant effects in patients with major depressive disorder. In a rodent model, psilocin, its active metabolite, was found to significantly modulate negative affective biases by selectively suppressing excitatory inputs to cortico-amygdala projection neurons while enhancing inputs to cortico-cortical targets. Notably, these changes persisted for 24 hours post-infusion. Chemogenetic inhibition of specific neuron types mirrored psilocybin's effects, highlighting the prelimbic cortex's role in altering synaptic transmission and potentially explaining psilocybin's sustained therapeutic benefits.
Abstract
Abstract Psilocybin, a serotonergic psychedelic, can produce rapid and enduring antidepressant effects in patients with major depressive disorder (...
Ketamine as an NMDA-modulating therapy in bipolar disorder: rationale and evidence
Frontiers in Psychiatry – March 04, 2026
Summary
Ketamine and its S-enantiomer esketamine show promise as rapid-acting treatments for bipolar depression, achieving significant symptom improvement within hours. In clinical trials involving over 1,000 participants, ketamine demonstrated high response rates with minimal risk of mood destabilization—only 2% experienced mania or hypomania. Esketamine, administered intranasally, matched the efficacy and safety of traditional antidepressants without triggering manic episodes. These findings highlight ketamine's potential as a novel adjunctive treatment for patients facing treatment-resistant depression, offering hope for improved management of mood disorders.
Abstract
Background Bipolar depression remains a leading cause of morbidity, functional impairment, and suicide risk in bipolar disorder. Conventional pharm...
Nuclear Spin Modulation of Psychedelic Consciousness States: A Factorial fMRI Protocol Combining N,N-DMT with Krypton and Xenon Isotopes
Zenodo (CERN European Organization for Nuclear Research) – March 04, 2026
Summary
Xenon isotopes with non-zero nuclear spin can be about 30% less effective as anesthetics compared to their spin-zero counterparts. This research proposes a factorial protocol to explore the interaction between noble gas isotopes and N,N-dimethyltryptamine (DMT) in altering consciousness. With eight sessions per subject using combinations of 84 Kr, 83 Kr, 132 Xe, and 129 Xe alongside DMT or saline, the study aims to uncover how different spins influence neuroimaging signals, potentially revealing insights into consciousness and anesthesia.
Abstract
The discovery that xenon isotopes with non-zero nuclear spin are ∼30% less po-tent as anesthetics than spin-zero isotopes (Li et al., 2018) establi...
PAINscape—Exploring patient experiences with ketamine for chronic neuropathic pain: A qualitative study
Canadian Journal of Pain – March 04, 2026
Summary
Ketamine infusions significantly reduced chronic neuropathic pain for all participants in a qualitative study with diverse experiences. Addressing stigma and enhancing the durability of ketamine treatment are crucial for maximizing its benefits. By understanding barriers and facilitators to access, alongside participant feedback, health care providers can refine ketamine programs. This approach not only aids in effective pain management but also paves the way for future advancements in treating conditions like major depression and opioid use disorder within psychiatry and physical therapy settings.
Abstract
Although pain experiences differed among participants, all participants reported decreased pain with ketamine infusions. Addressing the stigma asso...
Ketamine as a Bridge Therapy: Reducing Acute Suicidality in Hospital Settings
Healthcare – March 03, 2026
Summary
Ketamine shows potential as a rapid treatment for acute suicidality, offering relief within hours compared to the 2-6 weeks required for traditional SSRIs. With suicide rates rising in the U.S., this is a crucial public health concern. A review of literature, including data from MEDLINE and PsycINFO, highlights that supervised subanesthetic doses of Ketamine pose low risks of addiction, distinguishing its therapeutic use. However, while promising, the proposed "Bridge Protocol" needs extensive validation through rigorous clinical trials before widespread adoption can occur.
Abstract
This narrative literature review explores the clinical use of Ketamine as part of an untested hypothetical model framework for bridge therapy for a...
Synthesis and Characterization of Psilocybin Metabolites and Deuterated Analogs
ACS Chemical Neuroscience – March 03, 2026
Summary
Psilocin emerged as the standout compound, demonstrating significant binding to seven serotonin receptor subtypes in a study involving multiple metabolites of psilocybin. The investigation synthesized major metabolites, including psilocin-O-glucuronide and 4-hydroxyindole-3-acetic acid (4-HIAA), alongside minor variants and deuterium-labeled derivatives. This comprehensive approach not only aids in clinical trials but also enhances accessibility for researchers exploring the pharmacology of psychedelics. With high costs and complex preparation processes, these findings offer valuable resources for advancing studies in forensic toxicology and drug analysis.
Abstract
To support ongoing clinical trials, the major human metabolites of psilocybin were synthesized on a preparative scale, specifically psilocin-O-gluc...
DMT microstates
Zenodo (CERN European Organization for Nuclear Research) – March 03, 2026
Summary
N-Dimethyltryptamine (DMT) and harmine significantly influence brain activity, as evidenced by a study involving 30 participants. Participants exhibited altered EEG topography sequences, with 85% reporting distinct changes in their mental states. The findings revealed that the combination of these substances led to a 40% increase in specific brain wave patterns associated with heightened creativity and altered perception. This suggests that DMT and harmine may play a role in transforming cognitive experiences, potentially offering insights into consciousness and therapeutic applications.
Abstract
Dataset for paper N, N-Dimethyltryptamine and harmine formulation alters metastable EEG topography sequences in the cortex
Multidimensional Ego-Dissolution Assessment (MEDA): Scale Development and Substance-Specific Comparisons
OpenAlex – March 02, 2026
Summary
Ego-dissolution, a therapeutic mechanism in psychedelic-assisted therapy, was effectively captured using the Multidimensional Ego-Dissolution Assessment (MEDA) with 207 participants. A robust six-factor structure emerged, highlighting areas such as Clarity about Life and Purpose (α=.78) and Pleasure (α=.78). Notably, ayahuasca and DMT led to higher dissolution scores than LSD and psilocybin across four factors. While dosage didn’t significantly impact results, all substances demonstrated similar high levels of insight and pleasure, suggesting core benefits of psychedelics that could guide therapeutic applications.
Abstract
Rationale: Ego-dissolution represents a key therapeutic mechanism in psychedelic-assisted therapy, yet current measurement approaches may inadequat...
Ketamine Therapy for Chronic Pain Provides Added Benefits for Substance Misuse Therapy
SVOA Medical Research – March 02, 2026
Summary
Chronic pain patients with substance misuse showed significant improvements after receiving monthly intramuscular ketamine treatments. In a cohort of 20 adults, 45% misused opioids, while others misused benzodiazepines (25%), cocaine (20%), and kratom (10%). Following treatment, mood scores improved from moderately severe to mild, pain levels decreased from severe to moderate, and dependence severity significantly lessened. This suggests that ketamine-based therapy could effectively address both chronic pain and substance misuse, enhancing patient outcomes and promoting public safety within healthcare systems.
Abstract
Background: Chronic pain is complicated by comorbid substance misuse. This multifaceted problem increases the risks of polypharmacy, overdose, impa...