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Charles L. Raison

48 papers in the library · 2,060 citations · publishing 2009-2026

Papers

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Well-being as a primary endpoint in clinical trials: a call for consensus

npj Mental Health Research August 6, 2026 Elliot Marseille, Hannes Kettner, Tyrone J. Sgambati et al.

Abstract Psychiatric trials typically define success as symptom reduction, yet patients prioritize meaning, vitality, and functioning. This imbalance undervalues experiential benefits, distorting clinical, policy, and FDA decisions. Psychedelic trials illustrate this, where robust well-being gains sometimes accompany modest symptom effects. We argue well-being should be elevated to co-primary...

Psilocybin-Assisted Early Palliative Care for Demoralization and Chronic Pain: An Open-Label Pilot Study.

medRxiv July 14, 2026 Ali J Zarrabi, Tanja Mletzko, George H. Grant et al. preprint

Demoralization, a syndrome of helplessness, hopelessness, and loss of meaning and chronic pain are common sources of distress in early palliative care. Psilocybin-assisted therapy (PAT) is an emerging intervention with preliminary data suggesting improvements in pain and demoralization. To date, PAT has not been studied among people living with both demoralization and chronic pain nor has it...

Mindfulness mediates depressive symptom improvement during heated yoga: a secondary analysis of a randomized controlled trial

medRxiv July 10, 2026 Daniel Copeland, Naoise Mac Giollabhui, Louisa G Sylvia et al. preprint

Background: Despite growing evidence that lifestyle interventions reduce depressive symptoms, the psychological mechanisms underlying these effects remain poorly understood. This study examined whether mindfulness and rumination mediate the antidepressant effects of heated yoga (HY), a multicomponent intervention combining physical activity, attentional training, and thermoregulatory stress....

Some Religious and Spiritual Experiences Associated with Depression Resemble Hypomania/Mania

July 1, 2026 Ari Brouwer, Charles L. Raison preprint

This paper explores whether some religious and spiritual experiences (RSEs) associated with depression resemble hypomania/mania. Content analysis and phenomenological analysis were used to characterize first-person RSE reports associated with depression (N = 249). Findings reveal that some RSEs that follow depression are characterized by long-duration states (lasting days to weeks) of positive...

DOI: 10.31234/osf.io/ew5mh_v1 (opens in new tab) Psychopathology Depression economics Psychosocial Mental health +13

Religious and Spiritual Experiences (RSEs) of Demons, Devils, and Satan: An Analysis of Features and Relationships to Psychopathology and Culture

June 21, 2026 Ari Brouwer, Charles L. Raison preprint

This paper examines first-person experiences of demons, devils, and Satan contained in the Alister Hardy RERC database of religious and spiritual experiences (RSEs). Word frequency analysis, content analysis, and phenomenological analysis are used to characterize the features of demonic experiences and how they relate to psychopathology and religious/cultural affiliations. Results show that...

DOI: 10.31234/osf.io/g3spn_v1 (opens in new tab) Psychopathology Mental health Religious experience Interpretative phenomenological analysis +3

The Allostatic Reset Model (ARM) of Psychedelic Action

PsyArXiv March 28, 2026 David W. Lawrence, Ari Brouwer, Nicholas Fabiano et al. preprint

Despite being induced by a transient pharmacological exposure, psychedelic experiences can catalyze enduring psychological transformation, presenting a central challenge for understanding the mechanism of action of psychedelic medicines. To address this challenge, the Allostatic Reset Model (ARM) of psychedelic action is proposed, which conceptualizes psychedelic therapeutic effects as a...

Electrophysiological effects of psilocybin co-administered with midazolam.

Translational Psychiatry February 14, 2026 Michael H Sutherland, Christopher R. Nicholas, Richard C Lennertz et al.

The serotonergic psychedelic psilocybin induces neural plasticity and profoundly alters consciousness. The benzodiazepine midazolam blunts neural plasticity and induces conscious sedation and amnesia at low doses. In our recent open label pilot study, we administered oral psilocybin (25 mg) along with intravenous midazolam at doses allowing a full psychedelic experience while blunting memory...

Spaces : A Student-Informed, Course-Based Program to Enhance Wellbeing and Present-Moment Awareness in University Undergraduates

medRxiv January 16, 2026 Donald J. Noble, Charles L. Raison preprint

Abstract Introduction The wellbeing of university undergraduates is a pressing area of concern, with one in five students reporting serious psychological distress. In previous semesters of a course on mental wellbeing, we asked undergraduates to engage with a standardized wellness program for the general population and provide feedback through weekly surveys and a final reflection paper. Based...

Health-related behavioral changes following the use of psychedelics in naturalistic settings.

Preventive Medicine Reports August 1, 2025 Pedro J. Teixeira, Rakesh Jain, Andrew Penn et al. 1 citation

Psychedelics have been increasingly studied for their potential to influence mental health and well-being, yet their relationship with broader health behaviors remains underexplored. This study examined associations between lifetime psychedelic use and health-related behaviors, including substance use, dietary habits, and impulsive tendencies. Using an extensive cross-sectional online survey,...

A qualitative analysis of the psychedelic mushroom come-up and come-down.

npj Mental Health Research February 7, 2025 Ari Brouwer, Joshua K Brown, Earth Erowid et al. 5 citations

Psychedelic therapy has the potential to become a revolutionary and transdiagnostic mental health treatment, yielding enduring benefits that are often attributed to the experiences that coincide with peak psychedelic effects. However, there may be an underrecognized temporal structure to this process that helps explain why psychedelic and related altered states of consciousness can have an...

DOI: 10.1038/s44184-024-00095-6 (opens in new tab) Full text (opens in new tab) Stress relief Psychedelics Mental health Altered states +1

A critical evaluation of psilocybin-assisted therapy protocol components from clinical trial patients, facilitators, and caregivers.

Psychotherapy January 13, 2025 Roman Palitsky, Jessica L Maples-Keller, Caroline Peacock et al. 13 citations

Psilocybin-assisted therapy (PAT) is an experimental treatment with transformative promise. Developing standards for PAT psychotherapy protocols is a priority, but psychotherapeutic protocol components of PAT have been subjected to little rigorous research. This study was designed to assess protocol components in a trial of PAT. The Enhanced Critical Incident Technique (E-CIT) was used to...

DOI: 10.1037/pst0000551 (opens in new tab) Psychedelic therapy Psilocybin treatment Mental health care Therapeutic protocols +1

From Suffering to Salvation: Making Sense of Religious Experiences

International Journal for the Psychology of Religion December 13, 2024 Ari Brouwer, LeRon Shults, Charles L. Raison

ABSTRACT The diverse nature of religious and spiritual experiences (RSEs) eludes easy comparison or conceptualization. Here we explore the phenomenological, situational and conceptual principles that connect eighty-two diverse RSE reports from the Hardy Database (https://alisterhardytrust.uwtsd.ac.uk/). We tentatively suggest that in addition to being unexpectedly significant and imbued with...

Leveraging meditation research for the study of psychedelic-related adverse effects.

International Review of Psychiatry December 1, 2024 Roman Palitsky, Nicholas K. Canby, Nicholas T. van Dam et al. 6 citations

Psychedelics have shown early evidence for a range of benefits and low harm profiles in extant research. However, adverse effects (AEs) research in psychedelics has been limited, leading to underspecified AE profiles, inconsistent measurement, and potential undercounting of AEs. The development of safe, effective psychedelic therapies and treatments for AEs when they occur requires a thorough...

Predicting psychosocial intervention response from baseline gene expression.

Brain, Behavior, and Immunity October 1, 2024 Itay Ricon-Becker, Taylor N West, Barbara L. Fredrickson et al.

To address the challenge of predicting psychological response to a psychosocial intervention we tested the possibility that baseline gene expression profiles might provide information above and beyond baseline psychometric measures. The genomics strategy utilized individual level inferences of transcription factor activity to predict changes in loneliness and affect in response to two...

DOI: 10.1016/j.bbi.2024.08.004 (opens in new tab) Full text (opens in new tab) Clinical psychology Personalized psychotherapy Social genomics

An estimate of the number of people with clinical depression eligible for psilocybin-assisted therapy in the United States

Psychedelics September 13, 2024 Syed F. Rab, Charles L. Raison, Elliot Marseille 5 citations

This study aims to estimate the lower, middle, and upper bounds of potential demand for psilocybin-assisted therapy (PSIL-AT) for major depressive disorder (MDD) and treatment-resistant depression (TRD) in the United States. We calculated potential PSIL-AT demand for MDD and TRD by estimating the number of U.S. patients with MDD, identifying those in treatment, and determining who qualifies as...

DOI: 10.61373/pp024r.0025 (opens in new tab) Psilocybin therapy Depression treatment Healthcare access Public health

Co-administration of midazolam and psilocybin: differential effects on subjective quality versus memory of the psychedelic experience.

Translational Psychiatry September 12, 2024 Christopher R. Nicholas, Matthew I Banks, Richard C Lennertz et al. 10 citations

Aspects of the acute experience induced by the serotonergic psychedelic psilocybin predict symptomatic relief in multiple psychiatric disorders and improved well-being in healthy participants, but whether these therapeutic effects are immediate or are based on memories of the experience is unclear. To examine this, we co-administered psilocybin (25 mg) with the amnestic benzodiazepine midazolam...

Psilocybin desynchronizes the human brain.

Nature August 1, 2024 Joshua S. Siegel, Subha Subramanian, Demetrius Perry et al. 241 citations

A single dose of psilocybin, a psychedelic that acutely causes distortions of space-time perception and ego dissolution, produces rapid and persistent therapeutic effects in human clinical trials1-4. In animal models, psilocybin induces neuroplasticity in cortex and hippocampus5-8. It remains unclear how human brain network changes relate to subjective and lasting effects of psychedelics. Here...

DOI: 10.1038/s41586-024-07624-5 (opens in new tab) Full text (opens in new tab) Psychedelics Brain connectivity Consciousness Mental health

Psychotomimetic compensation versus sensitization.

Pharmacology Research & Perspectives August 1, 2024 Ari Brouwer, Robin Carhart-Harris, Charles L. Raison 5 citations

It is a paradox that psychotomimetic drugs can relieve symptoms that increase risk of and cooccur with psychosis, such as attention and motivational deficits (e.g., amphetamines), pain (e.g., cannabis) and symptoms of depression (e.g., psychedelics, dissociatives). We introduce the ideas of psychotomimetic compensation and psychotomimetic sensitization to explain this paradox. Psychotomimetic...

DOI: 10.1002/prp2.1217 (opens in new tab) Full text (opens in new tab) Psychedelic Psychosis Pychotomimetic Schizophrenia +3

A framework for assessment of adverse events occurring in psychedelic-assisted therapies

Journal of Psychopharmacology July 31, 2024 Roman Palitsky, Deanna M Kaplan, John Perna et al. 32 citations

Objective: Despite considerable research examining the efficacy of psychedelic-assisted therapies (PATs) for treating psychiatric disorders, assessment of adverse events (AEs) in PAT research has lagged. Current AE reporting standards in PAT trials are poorly calibrated to features of PAT that distinguish it from other treatments, leaving many potential AEs unassessed. Methods: A...

DOI: 10.1177/02698811241265756 (opens in new tab) Dosing Psychosocial Adverse effect Protocol science +6

The trajectory of psychedelic, spiritual, and psychotic experiences: implications for cognitive scientific perspectives on religion

Religion, Brain & Behavior July 11, 2024 Ari Brouwer, Charles L. Raison, F. Leron Shults 3 citations

Fruitful comparison of psychedelic, spiritual, and psychotic experiences requires a degree of phenomenological nuance. Some shared features of these phenomena, such as encounters and communications with supernatural entities, are obfuscated by scientific and clinical terminology. Other supposed distinctions are based on an atemporal view of dynamic experiences. In Section 2 of this...

DOI: 10.1080/2153599x.2024.2349151 (opens in new tab) Cognition Perception Clarity Cognitive psychology +1

Charles L. Raison: Elucidating the role of conscious experience in the therapeutic effects of psychedelics as a means to optimize clinical outcomes

Psychedelics March 8, 2024 Charles L. Raison

Charles Raison, MD, is a Professor of Human Ecology and Psychiatry in the Department of Psychiatry, School of Medicine and Public Health, University of Wisconsin-Madison. Dr. Raison also serves as Director of Clinical and Translational Research for Usona Institute, as Director of the Vail Health Behavioral Health Innovation Center, Director of Research on Spiritual Health for Emory Healthcare,...

The Temporal Trajectory of the Psychedelic Mushroom Experience Mimics the Narrative Arc of the Hero’s Journey

Research Square February 23, 2024 Ari Brouwer, Joshua K. Brown, Earth Erowid et al. 5 citations preprint

Abstract Psychedelic therapy has the potential to become a revolutionary and transdiagnostic mental health treatment, yielding enduring benefits that are often attributed to the experiences that coincide with peak psychedelic effects. However, there may be an underrecognized temporal structure to this process that helps explain why psychedelic and related altered states of consciousness can...

Spiritual health practitioners’ contributions to psychedelic assisted therapy: A qualitative analysis

PLoS One January 2, 2024 Caroline Peacock, Erin Brauer, Ali John Zarrabi et al. 27 citations

Background Psychedelic-assisted therapies hold early promise for treating multiple psychiatric conditions. However, absent standards for the care, teams providing psychedelic-assisted therapy pose a major roadblock to safe administration. Psychedelics often produce spiritually and existentially meaningful experiences, and spiritual health practitioners have been involved in administering...

DOI: 10.1371/journal.pone.0296071 (opens in new tab) Thematic analysis Health care Psychotherapist Qualitative research +1

Psychedelic Use Among Psychiatric Medication Prescribers: Effects on Well-Being, Depression, Anxiety, and Associations with Patterns of Use, Reported Harms, and Transformative Mental States.

Psychedelic Medicine September 1, 2023 Zachary Herrmann, Adam W. Levin, Steven P Cole et al. 9 citations

Mental health problems including depression, anxiety, suicide, and burnout are common among health care providers. Resilience and well-being are factors thought to protect against these incidents. Clinical trials and naturalistic studies of psychedelic compounds have shown decreases in depression, anxiety, and suicidality while suggesting improvements in well-being. This secondary analysis of a...