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Paul Liknaitzky

Monash University, Deakin University

33 papers in the library · 440 citations · publishing 2019-2026

Papers

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Child and maternal health outcomes following antenatal exposure to classic psychedelic substances: a systematic review.

Research Square May 19, 2026 Sunjuri Sun, Claudia Hanson, Peter S. Hendricks et al.

As the cultural, scientific, and legal landscape surrounding psychedelics continues to shift toward greater access and acceptability, it is likely that increasing numbers of women of reproductive age may be exposed to these substances. Despite this, the evidence on antenatal exposure has not been systematically reviewed. To synthesize the human literature on child and maternal outcomes...

Delayed psilocybin treatment after repeated mild traumatic brain injury recovers chronic behavioural deficits, reduces microglial density, and enhances hippocampal neurogenesis in rats

Research Square February 23, 2026 Sandy R Shultz, Josh Allen, Grace O'Regan et al.

Abstract Repeated mild traumatic brain injury (RmTBI) can produce lasting cognitive, emotional, and social deficits (e.g., persistent post-concussion symptoms; PPCS). Despite the prevalence of RmTBI in sports, military, and domestic violence settings, effective treatments to alleviate the neurological consequences of RmTBI remain limited. Psilocybin, a serotonergic psychedelic, can enhance...

Participant Experiences of Therapeutic Touch in Psilocybin-Assisted Therapy.

Brain and Behavior February 1, 2026 Rachel Ham, John Gardner, Adrian Carter et al. 1 citation

Although commonly used in psychedelic-assisted therapy, the role of therapeutic touch remains loosely defined and ethically sensitive. Gaining insight into how participants experience and interpret touch during psychedelic sessions is essential for informing safe and effective clinical practice. Participants were sampled from a large randomized clinical trial of psilocybin-assisted therapy that...

Psilocybin Experiential Therapist Training: Insights from a World-First Study

medRxiv November 17, 2025 Georgia Ioakimidis-Macdougall, John Gardner, Paul Liknaitzky preprint

Abstract First-hand experience with psychedelics may help clinicians develop skills and knowledge needed to work with the profound changes to conscious awareness occasioned by psychedelics. However, the topic remains contentious and underexplored. In this world-first study, we investigated the utility of psilocybin experiential therapist training in a sample of 14 mental healthcare...

“So many relationships in the room”: Participant perspectives on the affordances and challenges of co-therapy in psychedelic assisted therapy

September 26, 2025 Rachel Ham, John Gardner, Adrian Carter et al. preprint

Psychedelic-assisted therapy (PAT) frequently utilises a “cotherapy” model, in which two therapists jointly support participants or patients through preparation, dosing, and integration sessions. While common in clinical trials, the experience of cotherapy from the participant perspective remains underexplored. This qualitative study examined experiences of cotherapy within a trial of...

Psilocybin‐assisted psychotherapy for methamphetamine use disorder: A pilot open‐label safety and feasibility study

Addiction September 20, 2025 Elizabeth Knock, Krista J. Siefried, Gillinder Bedi et al. 4 citations

Abstract Background & Aims There are few effective treatments for methamphetamine use disorder, despite increasing global demand. Here, we assessed the safety and feasibility of outpatient psilocybin‐assisted psychotherapy for methamphetamine use disorder. Design Single arm, open label pilot study. Setting Outpatient public stimulant treatment program at St. Vincent's Hospital, Sydney,...

Psilocybin with psychotherapeutic support for treatment-resistant depression: a pilot clinical trial

Therapeutic Advances in Psychopharmacology September 1, 2025 Sally Meikle, Olivia Carter, Paul Liknaitzky et al. 2 citations

Background: Depressive disorders are a major global health challenge, with many individuals unresponsive to existing treatments. Novel psychedelic therapies show promise but require further research. Objectives: This study aimed to evaluate the feasibility, safety and effectiveness of psilocybin with psychotherapeutic support for treatment-resistant depression (TRD), investigate predictors of...

229. PSILOCYBIN WITH PSYCHOTHERAPEUTIC SUPPORT FOR TREATMENT-RESISTANT DEPRESSION: A PILOT CLINICAL TRIAL

The International Journal of Neuropsychopharmacology August 1, 2025 Susan Meikle, Olivia Carter, Paul Liknaitzky et al.

Abstract Background Depressive disorders are a major global health challenge, with many individuals unresponsive to existing treatments or left with residual symptoms such as impairments in cognition and social functioning. Emerging psychedelic therapies show promise for treating depression but require further research. Aims & Objectives This pilot study aimed to evaluate the feasibility,...

620. IDENTIFICATION OF BLOOD BIOMARKERS OF PSILOCYBIN-ASSISTED THERAPY TREATMENT RESPONSE FOR GENERALISED ANXIETY DISORDER

The International Journal of Neuropsychopharmacology August 1, 2025 Andrew S. Gibbons, Paul Liknaitzky, Suresh Sundram

Abstract Background Early intervention and management of Generalised Anxiety Disorder (GAD) is essential to effectively reduce both symptom severity and the risk of developing other psychiatric disorders. However, current first-line treatments are only about 50% effective, with high rates of relapse and many adverse effects. Psychedelic medicines, such as psilocybin, have emerged as promising...

Exploring psychedelic experiences among people who regularly use methamphetamine: Findings from an international survey.

Drug and Alcohol Dependence July 1, 2025 Dilara Bahceci, Krista J. Siefried, Maureen Steele et al.

Methamphetamine use disorder, associated with significant morbidity and mortality, has limited effective treatments. Psychedelic-assisted psychotherapy shows promise, but data on its safety and efficacy in this population are limited. This exploratory study describes the demographic, substance use, and mental health characteristics of people who used methamphetamine and psychedelics and the...

Reframing psychedelic regulation: Tools, not treatments

Drug Science Policy and Law June 16, 2025 Max Wolff, Natalie Gukasyan, Leor Roseman et al. 5 citations

Current regulation frameworks for medicines struggle to address the combination of pharmacological and psychotherapeutic elements in psychedelic therapy. We propose a more appropriate and advantageous approach may be to regulate psychedelic drugs as therapeutic tools or adjuncts to psychotherapy, rather than as treatments for specific mental disorders. Drawing parallels with anesthetics, which...

Insights on psychedelics: A systematic review of therapeutic effects.

Neuroscience and Biobehavioral Reviews June 1, 2025 Joshua Kugel, Ruben Laukkonen, David B. Yaden et al. 15 citations

Insight - a sudden change in understanding or perspective that feels true or reliable - is a common occurrence during psychedelic experiences, and often considered by clinicians and patients to be central to their therapeutic value. However, their occurrence and role has not been systematically assessed. We reviewed all peer-reviewed studies that published data on insight catalysed by a classic...

The ethical use of therapeutic touch in psychedelic-assisted therapy: a qualitative study of researcher perspectives and experiences.

Therapeutic Advances in Psychopharmacology 2025 Diana McHerron, Michaela Barber, Rachel Ham et al.

Physical touch is often included as a supportive or therapeutic tool in psychedelic-assisted therapy (PAT), involving instrumental forms of physical contact, supportive touch and somatic techniques. However, participants under the influence of psychedelics have reduced capacity to provide consent, are more suggestible and may experience and interpret therapeutic touch in ways they did not...

Australian psychologists' attitudes towards psychedelic‐assisted therapy and training following a world‐first drug down‐scheduling

Drug and Alcohol Review November 5, 2024 Jordan J. Negrine, Cheneal Puljević, Jason Ferris et al. 8 citations

Abstract Introduction This study explores the attitudes of psychologists towards psychedelics and psychedelic‐assisted therapy (PAT) following the world‐first regulatory changes in 2023 in Australia which permitted psilocybin and 3,4‐methylenedioxy‐methamphetamine (MDMA) to be used in clinical services. Methods A purposive sample of 20 Australian psychologists was recruited using snowball...

Lost in translation? Qualitative interviews with Australian psychedelic-assisted therapy trial clinicians.

Psychol Psychother September 16, 2024 Michaela Barber, John Gardner, Paul Liknaitzky et al. 3 citations

BACKGROUND: Policy changes in Australia mean that psychedelic-assisted therapy (PAT) is now available to consumers outside of clinical trials. Yet, the regulatory frameworks guiding the practice of PAT are underdeveloped, and the evidence base for guiding clinical practice is diverse and emerging, resulting in anticipated challenges in translation to community practice. Mental health clinicians...

Rethinking Therapeutic Strategies for Anorexia Nervosa: Insights From Psychedelic Medicine and Animal Models.

Focus (American Psychiatric Publishing) July 1, 2024 Claire J. Foldi, Paul Liknaitzky, Martin L Williams et al.

Anorexia nervosa (AN) has the highest mortality rate of any psychiatric disease, yet available pharmacological treatments are largely ineffective due, in part, to an inadequate understanding of the neurobiological drivers that underpin the condition. The recent resurgence of research into the clinical applications of psychedelic medicine for a range of mental disorders has highlighted the...

Is microdosing a placebo? A rapid review of low-dose LSD and psilocybin research

Journal of Psychopharmacology June 14, 2024 Vince Polito, Paul Liknaitzky 16 citations

Some recent research and commentary have suggested that most or all the effects reported by people who microdose psychedelics may be explained by expectations or placebo effects. In this rapid review, we aimed to evaluate the strength of evidence for a placebo explanation of the reported effects of microdosing. We conducted a PubMed search for all studies investigating psychedelic microdosing...

The psychedelic call: analysis of Australian Poisons Information Centre calls associated with classic psychedelics.

Clinical toxicology (Philadelphia, Pa.) April 1, 2024 Rachael Wilkes, Darren M Roberts, Paul Liknaitzky et al. 8 citations

The global use of certain classical psychedelics has increased in recent years, but little is known about their spectrum of toxicity within Australia. We aim to describe calls to New South Wales Poisons Information Centre relating to exposures to classical psychedelics including lysergic acid diethylamide, psilocybin, N,N-dimethyltryptamine, ayahuasca, mescaline and ibogaine. This is a...

Producing Altered States of Consciousness, Reducing Substance Misuse: A Review of Psychedelic-Assisted Psychotherapy, Transcendental Meditation and Hypnotherapy

Psychoactives March 25, 2024 Agnieszka D. Sekula, Prashanth Puspanathan, Luke A. Downey et al. 1 citation

A set of interventions that can produce altered states of consciousness (ASC) have shown utility in the treatment of substance misuse. In this review, we examine addiction-related outcomes associated with three common interventions that produce ASCs: psychedelic-assisted psychotherapy (PP), Transcendental Meditation (TM) and hypnotherapy (HT). While procedurally distinct, all three...

How psychedelic-assisted therapy works for depression: expert views and practical implications from an exploratory Delphi study.

Front Psychiatry September 28, 2023 Lauren Johansen, Paul Liknaitzky, Maja Nedeljkovic et al. 5 citations

How psychedelic-assisted therapy works for depression: expert views and practical implications from an exploratory Delphi study.

Is Microdosing a Placebo?

June 4, 2023 Vince Polito, Paul Liknaitzky 2 citations preprint

Some recent research and commentary have suggested that most or all the effects reported by people who microdose psychedelics may be explained by expectations or placebo effects. Here we step through all the available evidence from dose-controlled studies that have investigated the effects of low doses of LSD and psilocybin. We suggest eight reasons why current claims that microdosing is...

Exploring psilocybin-assisted psychotherapy in the treatment of methamphetamine use disorder

Frontiers in Psychiatry March 14, 2023 Jonathan Brett, Elizabeth Knock, Paul Liknaitzky et al. 16 citations

Methamphetamine use disorder is a chronic relapsing condition associated with substantial mental, physical, and social harms and increasing rates of mortality. Contingency management and psychotherapy interventions are the mainstays of treatment but are modestly effective with high relapse rates, while pharmacological treatments have shown little to no efficacy. Psilocybin-assisted...

Preparing for psychedelic therapies in Australia

October 18, 2022 Paul Liknaitzky

Psychedelic therapies have the potential to treat mental illness but there’s still a long way to go. After decades in the wilderness, psychedelic therapies are making a comeback into clinical research and are poised to re-enter medical care. When used alongside psychotherapy, drugs like psilocybin (found in ‘magic mushrooms’) and MDMA (found in ‘ecstasy’) have […]

The emerging science of microdosing: A systematic review of research on low dose psychedelics (1955–2021) and recommendations for the field

Neuroscience & Biobehavioral Reviews May 21, 2022 Vince Polito, Paul Liknaitzky 110 citations

The use of low doses of psychedelic substances (microdosing) is attracting increasing interest. This systematic review summarises all empirical microdosing research to date, including a set of infrequently cited studies that took place prior to prohibition. Specifically, we reviewed 44 studies published between 1955 and 2021, and summarised reported effects across six categories: mood and...

The psychological processes of classic psychedelics in the treatment of depression: a systematic review protocol.

Syst Rev May 5, 2022 Lauren Johansen, Paul Liknaitzky, Maja Nedeljkovic et al. 9 citations

BACKGROUND: There is currently renewed interest in the use of psychedelic therapy in the treatment of psychiatric disorders, including depression. The proposed systematic review will aim to identify, evaluate and summarise the psychological processes of change underlying psychedelic therapy for depression in the current literature and consider the implications these processes may have on the...