Attitudes toward psychedelics and psychedelic-assisted psychotherapy among Australian mental healthcare providers

Australian mental health clinicians—general practitioners, psychiatrists, and psychologists—generally hold positive attitudes toward psychedelic-assisted therapy, but concerns about safety and efficacy persist, especially among psychiatrists. Psychiatrists were significantly more likely than psychologists to perceive psychedelic use as unsafe under medical supervision and to question the scientific rigor of current research. Many clinicians relied on informal sources like podcasts and internet media for information, indicating gaps in evidence-based education. Clinicians who had personal experience with psychedelics were more likely to agree that these substances improve outcomes when combined with psychotherapy and show promise for treating psychiatric disorders. Targeted educational initiatives from professional bodies are needed to support informed clinical decision-making.

Study at a glance

Abstract

Background: Recent regulatory changes in Australia have approved 3,4-methylenedioxymethamphetamine for treating post-traumatic stress disorder and psilocybin for treatment-resistant depression. However, limited data exists on Australian mental healthcare providers’ attitudes, knowledge and readiness to implement with psychedelic-assisted psychotherapy. Methods: A cross-sectional survey was conducted between December 2023 and March 2024, targeting Australian general practitioners, psychiatrists and psychologists. Participants completed online questionnaires developed based on the Knowledge, Attitude and Practices framework to explore mental healthcare providers’ knowledge, attitudes and practices toward psychedelics. Results: The survey was completed by 109 clinicians (21% psychiatrists, 56% psychologists, 23% general practitioners). Attitudes toward psychedelic-assisted therapy were positive. However, safety and efficacy concerns persisted, particularly among psychiatrists, who were significantly more likely than psychologists to perceive psychedelic use as unsafe under medical supervision and question the scientific rigor of current research. Self-rated knowledge positively predicted actual knowledge, though many clinicians relied on informal sources such as podcasts and Internet-based media, highlighting gaps in evidence-based education. Clinicians with personal experience of psychedelic use expressed higher levels of agreement with statements relating to psychedelics improving outcomes in conjunction with psychotherapy and showing promise in treating psychiatric disorders. Conclusion: While Australian mental healthcare providers generally support psychedelic-assisted psychotherapy, significant safety and efficacy concerns remain, particularly among psychiatrists. Targeted educational initiatives from professional bodies, emphasizing evidence-based training and accessible resources, are essential to support informed clinical decision-making and safe therapeutic practices in this emerging field.