
Psilocybin, the active ingredient in magic mushrooms, has been the subject of growing research interest over the last two decades as a potential treatment for depression. Early studies indicate that psilocybin can significantly reduce depressive symptoms and produce long-lasting improvements in mood. However, it is important to note that psilocybin is a psychedelic substance with hallucinogenic properties, and its use as a treatment for depression should be approached with caution and under carefully controlled conditions. While it shows promise as a treatment for depression, more research is needed to fully understand its potential side effects and long-term complications.
| Characteristics | Values |
|---|---|
| Types of psychedelic drugs that can help with depression | Psilocybin, MDMA (ecstasy) |
| How they work | By encouraging the growth of new connections between neurons in the brain |
| Brain changes | Reduced connections within brain areas that are tightly connected in depression, including the default mode, salience, and executive networks, and increased connections to other regions of the brain |
| Side effects | Headache, nausea, anxiety, dizziness, and elevated blood pressure |
| Treatment duration | Up to a year for most patients |
| Number of doses | Two doses |
| Dose interval | Two weeks apart |
| Treatment setting | Controlled, clinical conditions with extensive psychological support before, during, and after dosing |
| Safety | Should not be self-administered due to potential negative outcomes |
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What You'll Learn
- Psilocybin is a promising alternative treatment for medication-resistant depression
- The effects of psilocybin on the brain differ from SSRIs
- Psilocybin has similar side effects to traditional antidepressants
- Psilocybin may be a safe alternative to traditional medications
- The history of psilocybin research and its potential future as a treatment

Psilocybin is a promising alternative treatment for medication-resistant depression
Psilocybin, the psychedelic ingredient in magic mushrooms, is a promising alternative treatment for medication-resistant depression. It has been found to significantly and rapidly decrease depressive symptoms with moderate effect sizes shortly after and in the weeks following treatment.
Research has shown that psilocybin can be effective in treating major depression for up to a year for most patients. In one study, depressive symptoms were measured before and after treatment using the GRID-Hamilton Depression Rating Scale, a standard depression assessment tool. For most participants, scores decreased from 22.8 at pretreatment to 7.7 at 12 months after treatment.
Psilocybin works differently from conventional antidepressants, making the brain more flexible and fluid and less entrenched in the negative thinking patterns associated with depression. It does this by reducing connections within brain areas that are tightly connected in depression, including the default mode, salience, and executive networks, and increasing connections to other regions of the brain. This ability of the brain to make new connections is called plasticity, and it is thought that psilocybin promotes plasticity by binding to a cellular receptor in neurons called the 5-hydroxytryptamine 2A receptor (5-HT2AR).
While psilocybin shows promise as a treatment for depression, it should be noted that it is not a miracle cure and should not be used as a substitute for traditional medications without medical supervision. The studies conducted on psilocybin have been done under carefully controlled conditions with extensive psychological support before, during, and after dosing. Side effects of psilocybin are similar to those of traditional antidepressants and include headache, nausea, anxiety, dizziness, and elevated blood pressure. However, these side effects are generally well tolerated and fade within 24 to 48 hours.
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The effects of psilocybin on the brain differ from SSRIs
Psilocybin, the active ingredient in so-called "magic mushrooms", has been shown to significantly and rapidly decrease depressive symptoms. Two longer-term follow-up studies have found improvements in mood for a substantial proportion of patients six to twelve months after the last psilocybin session.
Psilocybin has been shown to be a promising therapeutic approach that can lead to significant and durable improvements in depression. It is thought that psilocybin works by encouraging the growth of new connections between neurons in the brain. This ability of the brain to make new connections is called plasticity.
Selective serotonin reuptake inhibitors (SSRIs), on the other hand, are a class of drugs that work by inhibiting the reuptake of serotonin, a neurotransmitter that plays a key role in mood regulation. SSRIs have been the standard treatment for depression for many years. However, they can take several weeks to start working and may not be effective for everyone.
While the exact mechanisms of psilocybin are still being studied, it is known to produce perceptual changes, altering a person's awareness of their surroundings and their thoughts and feelings. Recent studies have shown that psilocybin and SSRIs have different effects on brain activation in response to emotional stimuli. Specifically, psilocybin increased responsivity to neutral faces, while SSRIs reduced responsiveness primarily to fearful and happy faces.
Furthermore, it was previously thought that SSRIs could interfere with the therapeutic potential of psilocybin treatment. However, recent studies have suggested that this may not be the case. In fact, some companies are now developing combination treatments that include both psilocybin and SSRIs, with the aim of providing a superior therapeutic effect by impacting more than one group of receptors in the brain.
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Psilocybin has similar side effects to traditional antidepressants
Psilocybin, the active ingredient in magic mushrooms, has been the subject of growing research interest over the last two decades due to its potential mental health benefits. While psilocybin is a Schedule 1 drug under U.S. federal law because of its hallucinogenic properties and potential for abuse, it has been used for generations by indigenous cultures in religious or spiritual rituals.
Recent studies have compared the antidepressant effects of psilocybin with those of escitalopram, a common selective serotonin reuptake inhibitor (SSRI) used to treat depression. In one study, researchers found that two doses of psilocybin plus psychological support had a similar antidepressant effect as escitalopram taken daily for 6 weeks. At the 6-month mark, the psilocybin group showed sustained improvements in their depressive symptoms, with additional psychological benefits compared to the escitalopram group.
Another study, published in the New England Journal of Medicine, compared psilocybin with escitalopram over a 6-week period in patients with long-standing, moderate-to-severe major depressive disorder. The study found no significant difference in antidepressant effects between the two groups, with a QIDS-SR-16 response occurring in 70% of the psilocybin group and 48% of the escitalopram group. However, other secondary outcomes generally favored psilocybin, and the incidence of adverse events was similar in both groups.
According to Joshua Caballero, an associate professor in UGA's College of Pharmacy, psilocybin and traditional antidepressants have similar acute side effects because they both target serotonin receptors. Caballero emphasizes the need for more research on the long-term side effects and rare serious side effects of psilocybin use. He highlights the potential groundbreaking impact of psilocybin if it can be safely used in a controlled environment.
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Psilocybin may be a safe alternative to traditional medications
Psilocybin, the psychedelic ingredient in magic mushrooms, has been found to be a promising alternative treatment for people with medication-resistant depression and anxiety. Research has shown that psilocybin can significantly and rapidly decrease depressive symptoms, with improvements lasting for up to a year for most patients.
Psilocybin works differently from conventional antidepressants, making the brain more flexible and fluid and less entrenched in the negative thinking patterns associated with depression. It does this by reducing connections within brain areas that are tightly connected in depression and increasing connections to other regions of the brain. This ability of the brain to make new connections is called plasticity, which is promoted by psilocybin's interaction with 5-HT2AR receptors in the brain.
The side effects of psilocybin are similar to those of traditional antidepressant medications and include headache, nausea, anxiety, dizziness, and elevated blood pressure. However, these side effects are generally well tolerated and fade within 24 to 48 hours. It is important to note that psilocybin should not be used as a self-medication for depression, as it should be administered under carefully controlled conditions with extensive psychological support.
While psilocybin shows promise as a treatment for depression, more research is needed to understand the long-term effects and potential risks associated with its use. Additionally, psilocybin may not be suitable for everyone, especially those with a history of childhood adversity or high neuroticism scores, as they may have increased adverse reactions to psychedelics. Nonetheless, psilocybin may be a safe and effective alternative to traditional medications for treating depression.
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The history of psilocybin research and its potential future as a treatment
Psilocybin, the active ingredient in so-called "magic mushrooms", has been used in indigenous medicinal traditions for millennia. One of the earliest known depictions of hallucinogenic mushroom use is a 4000 BCE cave painting in Spain, which illustrates the use of Psilocybe hispanica, a species with hallucinogenic properties. However, modern psychedelic research began much later, in 1938, when Albert Hofmann first synthesized lysergic acid diethylamide (LSD).
Despite the long history of psychedelic use, psychedelic research was severely hampered by governmental interventions throughout the 1970s and 1980s. In more recent decades, persistent education and advocacy have led to an abundance of rigorous research employing psychedelics as tools of discovery and healing. This includes clinical trials with MDMA-assisted therapy for the treatment of PTSD, alcoholism, and social anxiety, as well as psilocybin clinical studies for depression and addiction.
Psilocybin has been shown to significantly and rapidly decrease depressive symptoms with moderate effect sizes shortly after and in the weeks following intervention. Two longer-term follow-up studies have found improvements in mood for a substantial proportion of patients six to twelve months after the last psilocybin session. In a phase 2 clinical trial, a 25-mg dose of psilocybin resulted in a significantly greater reduction in MADRS total scores than a 1-mg dose at 3 weeks in participants with treatment-resistant depression. However, adverse events were also observed, including suicidal ideation or self-injurious behavior, highlighting the need for clinical vigilance in future trials.
Looking forward, longer and larger trials are required to determine the efficacy and safety of psilocybin for treatment-resistant depression. As Natalie Gukasyan, assistant professor of psychiatry and behavioral sciences at Johns Hopkins University School of Medicine, notes, the promising results of psilocybin therapy for depression are in a research setting and require structured support from trained clinicians and therapists. The inclusion of patient perspectives in research is also important to optimize treatment approaches and ensure vulnerable patients are able to cope with the potentially intense experiences induced by psilocybin.
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Frequently asked questions
Psilocybin is a psychedelic compound found in certain mushroom species, also known as magic mushrooms.
Psilocybin acts on a specific subtype of serotonin receptor in the brain, which can result in alterations to mood, cognition, and perception. It also reduces connections within brain areas that are tightly connected in depression, including the default mode, salience, and executive networks, and increases connections to other regions of the brain.
The side effects of psilocybin are similar to those of traditional antidepressants and include headache, nausea, anxiety, dizziness, and elevated blood pressure. However, these side effects are generally well tolerated and fade within 24 to 48 hours.

























