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Psilocybin-assisted psychotherapy in adults with depression – A literature review

Marie Celine Dorczok, Gloria Mittmann, Thomas Ettl, Verena Steiner‐hofbauer

Progress in Neuro-Psychopharmacology and Biological Psychiatry September 24, 2025 DOI: 10.1016/j.pnpbp.2025.111508 via OpenAlex

Summary

AI-generated from the abstract

Psilocybin-assisted therapy combined with structured psychological support produces sustained reductions in depressive symptoms in people with treatment-resistant depression and major depressive disorder. Higher doses generally yield stronger benefits. Despite its potential as a holistic treatment, methodological limitations—including variation in study designs, inconsistent psychological support, and difficulty with blinding due to the drug's subjective effects—underscore the need for standardized protocols in future research to ensure reliable outcomes. Further work is needed to clarify the mechanisms behind its therapeutic effects.

Study at a glance

Characteristics Review Peer reviewed
Population People with treatment-resistant depression and major depressive disorder
Intervention structured psychological support
Citations 2
Key finding Psilocybin-assisted therapy combined with structured psychological support produces sustained reductions in depressive symptoms in treatment-resistant depression and major depressive disorder, with higher doses generally yielding stronger benefits.

Abstract

PAP combined with structured psychological support shows sustained reductions in depressive symptoms for treatment-resistant depression and major depressive disorder. Higher doses generally yield stronger benefits. While PAP holds significant potential as a holistic treatment, methodological limitations, such as heterogeneity in study designs, inconsistent levels of psychological support and difficulties in blinding due to the nature of the drug's effect, highlight the need for more standardized protocols in future studies to ensure reliable outcomes. More research is needed to better understand the mechanisms underlying its therapeutic effects.

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