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Joshua Woolley

30 papers in the library · 2,423 citations · publishing 2019-2026

Papers

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Are psychedelics anti-inflammatory? A systematic review and meta-analysis of studies examining the immunomodulatory effects of serotonergic psychedelics.

Brain, Behavior, and Immunity September 28, 2026 Anna Skovgaard Lerche, Dennis Parker Kelley, Michael E Benros et al.

Serotonergic psychedelics are promising treatments for neuropsychiatric disorders, and their immunomodulatory effects may contribute to their clinical efficacy. However, we lack a systematic review and meta-analysis of these effects across in vitro, in vivo non-human, and human studies. We systematically searched PubMed, EMBASE, Web of Science, PsycINFO, LILACS and ClinicalTrials.gov for all...

DOI: 10.1016/j.bbi.2026.107033 (opens in new tab) Full text (opens in new tab) 5-ht2ar Inflammation Meta-analysis Serotonergic psychedelics +1

Major life changes following psychedelic use: A retrospective survey among people using psychedelics naturalistically

Scientific Reports April 15, 2026 Jacob S. Aday, Nicolas G. Glynos, Anne Baker et al.

Psychedelic drugs show promise in facilitating a variety of long-term psychological changes, but they may also lead to unexpected major life changes that have not been captured by measures typically used in clinical trials. The Psychedelic-related Major Life Changes Questionnaire ( P-MLCQ ) was created to assess psychedelic-related major life changes across 10 different domains and evaluated in...

DOI: 10.1038/s41598-026-48084-3 (opens in new tab) Full text (opens in new tab) Psychedelic Major life changes Beliefs Questionnaire

Allostatic Recalibration Theory (ART): Serotonergic Psychedelics Exert Transdiagnostic Therapeutic Effects by Recalibrating Allostasis to the Environment

SSRN Electronic Journal 2026 Dennis Parker Kelley, Gabriel Sturm, Katy Venable et al. preprint

Serotonergic psychedelics produce therapeutic effects in clinical trials of diverse neuropsychiatric disorders, and preclinical models of inflammatory, cardiometabolic, and neuropsychiatric diseases. These effects appear largely mediated by the serotonin 5-HT2A receptor (5-HT2AR). How could psychedelics elicit transdiagnostic therapeutic effects through a single receptor across tissues as...

Development of a mandarin version of the five dimensional altered states of consciousness (5D-ASC) rating scale.

Drug Science, Policy and Law 2026 Jacob S. Aday, Zoe Zong, Jonathan Song et al.

The Five Dimensional Altered States of Consciousness (5D-ASC) Rating Scale is a self-report measure used to characterize changes in consciousness induced by pharmacological (e.g., psychedelics) and non-pharmacological methods (e.g., meditation), and predict clinical outcomes. Although it has been widely used with English-speaking participants, there is no version that has been adapted for...

DOI: 10.1177/20503245251412692 (opens in new tab) Full text (opens in new tab) 5d-asc Mandarin Diversity Language accessibility +2

A meta-analytic analysis of the acute effects of MDMA on empathy and emotion recognition in humans

Scientific Reports November 29, 2025 Leehe Peled-Avron, Jacob S. Aday, Madeline M. Pantoni et al. 1 citation

3,4-methylenedioxymethamphetamine (MDMA) is an amphetamine derivative known as an "entactogen," influencing emotional and social processing. Phase III clinical trials of MDMA-assisted psychotherapy for post-traumatic stress disorder have reported promising results, and MDMA-assisted therapy is currently under regulatory review. However, the precise mechanisms underlying positive treatment...

MDMA-assisted Acceptance and Commitment Therapy for Posttraumatic Stress Disorder: Rationale for a New Approach

September 7, 2025 Mathew Herbert, Brian H. Blanco, Dimitri Perivoliotis et al. preprint

There is promise for 3,4-Methylenedioxymethamphetamine (MDMA)-assistedpsychotherapy as a highly effective and durable treatment for posttraumatic stress disorder(PTSD). However, the Food and Drug Administration rejected MDMA-assisted psychotherapy inits current form, expressing concerns about the lack of standardization and empirical basis ofpsychotherapy methods. This highlights the need to...

DOI: 10.31234/osf.io/7xyfq_v1 (opens in new tab) MDMA Standardization Posttraumatic stress Cognition +5

Psilocybin therapy for mood dysfunction in Parkinson's disease: an open-label pilot trial.

Neuropsychopharmacology April 9, 2025 Ellen Bradley, Kimberly Sakai, Gisele Fernandes-Osterhold et al. 23 citations

Mood dysfunction is highly prevalent in Parkinson's disease (PD), a main predictor of functional decline, and difficult to treat-novel interventions are critically needed. Psilocybin shows early promise for treating depression and anxiety, but its potential in PD is unknown, as safety concerns have excluded people with neurodegenerative disease from previous trials. In this open-label pilot...

DOI: 10.1038/s41386-025-02097-0 (opens in new tab) Full text (opens in new tab) Psilocybin therapy Parkinson's disease treatment Psychedelic medicine Neurological research +1

A systematic review of participant diversity in psychedelic-assisted psychotherapy trials.

Psychiatry Research March 1, 2025 Stephanie L. Haft, Amanda E. Downey, Marissa Raymond-Flesch et al. 22 citations

A lack of diverse and representative participant samples in mental health intervention research perpetuates mental health disparities. This issue has become a salient concern in studies of psychedelic-assisted psychotherapy (PAT), which is emerging as a promising mental health intervention. This systematic review evaluates the reporting, representation, and analysis of participant...

DOI: 10.1016/j.psychres.2025.116359 (opens in new tab) Full text (opens in new tab) Psychedelic research MDMA Therapy Systematic review Clinical diversity +2

Psychedelic-assisted psychotherapy: where is the psychotherapy research?

Psychopharmacology August 1, 2024 Jacob S. Aday, David Horton, Gisele Fernandes-Osterhold et al. 39 citations

Psychedelic-assisted psychotherapy (PAP) has emerged as a potential treatment for a variety of mental health conditions, including substance use disorders and depression. Current models of PAP emphasize the importance of psychotherapeutic support before, during, and after ingestion of a psychedelic to maximize safety and clinical benefit. Despite this ubiquitous assumption, there has been...

Content analysis of Reddit posts about coadministration of selective serotonin reuptake inhibitors and psilocybin mushrooms.

Psychopharmacology August 1, 2024 Kimberly Sakai, Ellen Bradley, Joseph A. Zamaria et al. 10 citations

Treatments with the serotonergic psychedelic psilocybin are being investigated for multiple neuropsychiatric disorders. Because many patients with these disorders use selective serotonin reuptake inhibitors (SSRIs), understanding interactions between psilocybin and SSRIs is critical for evaluating the safety, efficacy, and scalability of psilocybin-based treatments. Current knowledge about...

Editorial: Down the rabbit hole - the psychological and neural mechanisms of psychedelic compounds and their use in treating mental health and medical conditions.

Frontiers in Psychiatry June 10, 2024 Leehe Peled-Avron, Jacob S. Aday, Amilia Lydia Kalafateli et al. 2 citations

Editorial on the Research Topic Down the rabbit hole -the psychological and neural mechanisms of psychedelic compounds and their use in treating mental health and medical conditions Psychedelic substances have demonstrated promising therapeutic effects across a wide range of mental health conditions including depression (1-13) anxiety disorders including generalized anxiety (14-16) and social...

DOI: 10.3389/fpsyt.2024.1431389 (opens in new tab) Full text (opens in new tab) Mental health Psychedelics Psychiatric treatment Therapeutic research

Psilocybin therapy and anorexia nervosa: a narrative review of safety considerations for researchers and clinicians.

Journal of Eating Disorders April 24, 2024 Amanda E. Downey, Anita V. Chaphekar, Joshua Woolley et al. 13 citations

Clinical trials using psilocybin therapy to treat anorexia nervosa (AN) are currently underway. The safety and tolerability of psilocybin is of utmost importance in individuals with AN who may present unique medical vulnerabilities. The purpose of this review is to describe how the common physiologic adverse effects of psilocybin may impact medical complications experienced by individuals with...

A Plea for Nuance: Should People with a Family History of Bipolar Disorder Be Excluded from Clinical Trials of Psilocybin Therapy?

Psychedelic Medicine February 28, 2024 Joshua Woolley, Amanda E. Downey, Ellen Bradley et al. 2 citations

Balancing the need for effective treatments against the potential for serious adverse events in those undergoing psilocybin therapy with a family history of BD, we argue for caution in psychedelic clinical trials but not outright exclusion of these individuals. Our risk stratification tool allows for more nuanced inclusion and exclusion criteria.

Single-Dose Psilocybin Treatment for Major Depressive Disorder

JAMA August 31, 2023 Charles L. Raison, Gerard Sanacora, Joshua Woolley et al. 493 citations

Importance Psilocybin shows promise as a treatment for major depressive disorder (MDD). Objective To evaluate the magnitude, timing, and durability of antidepressant effects and safety of a single dose of psilocybin in patients with MDD. Design, Setting, and Participants In this phase 2 trial conducted between December 2019 and June 2022 at 11 research sites in the US, participants were...

DOI: 10.1001/jama.2023.14530 (opens in new tab) Full text (opens in new tab) Psilocybin therapy Clinical depression treatment Psychedelic medicine Mental health research +1

“But the reality is it's happening”: A qualitative study of eating disorder providers about psilocybin‐assisted psychotherapy

International Journal of Eating Disorders August 8, 2023 Maxine Boyd, Joshua Woolley, Amanda E. Downey et al. 7 citations

Abstract Objective This study invited providers who care for patients with eating disorders to inform engagement, communication, and collaboration with psilocybin‐assisted psychotherapy interventions. Method Medical and mental health providers who treat patients with eating disorders were recruited via professional referral networks and participant driven sampling from across California to...

DOI: 10.1002/eat.24041 (opens in new tab) Psilocybin Eating disorders Psychological intervention Psychotherapist +2

MDMA-Assisted Therapy for Severe PTSD: A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study.

FOCUS: The Journal of Lifelong Learning in Psychiatry July 1, 2023 Jennifer Mitchell, Michael P. Bogenschutz, Alia Lilienstein et al. 97 citations

Post-traumatic stress disorder (PTSD) presents a major public health problem for which currently available treatments are modestly effective. We report the findings of a randomized, double-blind, placebo-controlled, multi-site phase 3 clinical trial (NCT03537014) to test the efficacy and safety of 3,4-methylenedioxymethamphetamine (MDMA)-assisted therapy for the treatment of patients with...

Effects of ayahuasca on gratitude and relationships with nature: An open-label, naturalistic study

June 7, 2023 Jacob S. Aday, Emily K. Bloesch, Alan K. Davis et al. 1 citation preprint

Ayahuasca is a psychedelic brew that has been the focus of an increasing number of investigations for its potential therapeutic effects. In addition to psychiatric improvements, qualitative studies and anecdotal reports suggest that ayahuasca use may influence gratitude and relationships with nature. Yet, to date, these specific changes have been understudied. Here, participants (N = 54)...

DOI: 10.31234/osf.io/t32qp (opens in new tab) Full text (opens in new tab) Ayahuasca Gratitude Prosocial behavior Clinical psychology +1

Increases in aesthetic experience following ayahuasca use: An open-label, naturalistic study

May 15, 2023 Jacob S. Aday, Emily K. Bloesch, Alan K. Davis et al. 3 citations preprint

Psychedelic drugs are currently being investigated for their potential to facilitate a variety of long-lasting psychological changes. One area of psychological functioning that has yet to be systematically investigated in psychedelic research regards aesthetic experiences. This is surprising given the notable acute changes in perception induced by the drugs as well as the wealth of anecdotal...

Personal Psychedelic Use Is Common Among a Sample of Psychedelic Therapists: Implications for Research and Practice

Psychedelic Medicine February 16, 2023 Zachary Skiles, Noa Eaton, Lisa Fredenburg et al. 49 citations

Background: An emerging controversy in psychedelic therapy regards the appropriateness or necessity of psychedelic therapists having personal experience using psychedelics themselves. Although there are a number of potential advantages and disadvantages to personal use among psychedelic therapists, no studies to date have measured their use or other aspects of their training. Materials and...

DOI: 10.1089/psymed.2022.0004 (opens in new tab) Full text (opens in new tab) Sample material Psychotherapist Clinical psychology

Great Expectations: recommendations for improving the methodological rigor of psychedelic clinical trials

Psychopharmacology April 1, 2022 Jacob S. Aday, Boris D. Heifets, Steven D. Pratscher et al. 214 citations

RationalePsychedelic research continues to garner significant public and scientific interest with a growing number of clinical studies examining a wide range of conditions and disorders. However, expectancy effects and effective condition masking have been raised as critical limitations to the interpretability of the research.ObjectiveIn this article, we review the many methodological...

Psilocybin for Trauma-Related Disorders.

Current Topics in Behavioral Neurosciences 2022 Amanda J Khan, Ellen Bradley, Aoife O'Donovan et al.

Posttraumatic stress disorder (PTSD) is a debilitating, chronic disorder and efficacy rates of current PTSD treatments are underwhelming. There is a critical need for innovative approaches. We provide an overview of trauma and PTSD and cite literature providing converging evidence of the therapeutic potential of psilocybin for PTSD. No study to date has investigated psilocybin or...

DOI: 10.1007/7854_2022_366 (opens in new tab) Full text (opens in new tab) Psilocybin Posttraumtic stress disorder Psychedelics Trauma +1

Evaluating the risk of psilocybin for the treatment of bipolar depression: A review of the research literature and published case studies

Journal of Affective Disorders Reports September 22, 2021 David E. Gard, Mollie Pleet, Ellen Bradley et al. 33 citations

Growing evidence suggests that psilocybin, the active ingredient in hallucinogenic mushrooms, can rapidly and durably improve symptoms of depression, leading to recent breakthrough status designation by the FDA and legalization for mental health treatment in some jurisdictions. Depression in bipolar disorder is associated with significant morbidity and has few effective treatments. However,...

DOI: 10.1016/j.jadr.2021.100240 (opens in new tab) Full text (opens in new tab) Psilocybin Depression economics Bipolar disorder Psychotherapist +3

MDMA-assisted therapy for severe PTSD: a randomized, double-blind, placebo-controlled phase 3 study.

Nature Medicine June 1, 2021 Jennifer Mitchell, Michael P. Bogenschutz, Alia Lilienstein et al. 965 citations

Post-traumatic stress disorder (PTSD) presents a major public health problem for which currently available treatments are modestly effective. We report the findings of a randomized, double-blind, placebo-controlled, multi-site phase 3 clinical trial (NCT03537014) to test the efficacy and safety of 3,4-methylenedioxymethamphetamine (MDMA)-assisted therapy for the treatment of patients with...

DOI: 10.1038/s41591-021-01336-3 (opens in new tab) Full text (opens in new tab) PTSD Treatment MDMA Therapy Clinical trials Mental health breakthrough

Evaluating the Risk of Psilocybin for the Treatment of Bipolar Depression: A Systematic Review of Published Case Studies

medRxiv April 7, 2021 David E. Gard, Mollie Pleet, Ellen Bradley et al. preprint

Abstract Objective: Given the treatment limitations of depression in bipolar disorder, we evaluated the known risks of using psilocybin (and similar substances) in this population, including a systematic assessment of published case histories, to assess the risk of psilocybin as a treatment of depression in bipolar disorder. Data Sources: A comprehensive search of case studies published through...