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Rachel Yehuda

17 papers in the library · 329 citations · publishing 2021-2026

Papers

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Balancing Innovation and Evidence: Reflections on Structured Protocols in MDMA-Assisted Therapy Versus a Principle-Guided, Patient-Directed Approach

Psychedelic Medicine March 10, 2026 Amy Lehrner, Miryam Sperka, Lauren Lepow et al. 1 citation

There is growing interest in incorporating MDMA (3,4-Methylenedioxymethamphetamine) into structured, evidence-based cognitive-behavioral treatment protocols for post-traumatic stress disorder. Yet this risks overlooking the distinctive qualities of MDMA-assisted therapy, which has already demonstrated strong clinical effects, high response rates, and low dropout using a principle-guided,...

The case for an integrative model: Hypotheses and rationale for integrative MDMA-Assisted Psychotherapy (IMAP)

Psychedelics January 8, 2026 Rachel Yehuda, Amy Lehrner, Miryam Sperka et al. 2 citations

The original MAPS manual for MDMA-assisted therapy (MDMA-AT) opened a therapeutic frontier for PTSD. However, it drew critique for concepts—such as “inner healing intelligence” – that originated in transpersonal traditions rather than academic or empirically grounded clinical models. While many patients found the therapies helpful, these constructs were difficult to interpret and standardize....

Investigational psilocybin treatment for post-traumatic stress disorder: a qualitative study of participant experience, trauma engagement, and differences from standard treatment.

EClinicalMedicine December 1, 2025 Nadav Liam Modlin, Victoria Williamson, Guy M. Goodwin et al. 2 citations

Post-traumatic stress disorder (PTSD) is a debilitating condition leading to significant personal and societal burden. Standard treatments frequently demonstrate limited efficacy, leading to persistent symptoms and high dropout rates. Psilocybin has shown promise in treating depression, a condition that is often comorbid with PTSD. We aimed to explore participant experiences of psilocybin...

Investigating the safety and tolerability of single-dose psilocybin for post-traumatic stress disorder: A nonrandomized open-label clinical trial

Journal of Psychopharmacology August 29, 2025 Niall M. Mcgowan, James Rucker, Rachel Yehuda et al. 10 citations

Background: Post-traumatic stress disorder (PTSD) is a debilitating condition for which there are few efficacious treatments. Psilocybin is being studied for use in treatment-resistant depression but has not yet been investigated in PTSD. Aims: The trial’s primary outcome was to investigate the safety and tolerability of single-dose psilocybin in participants with PTSD. Methods: This was a...

Combining Ketamine Infusions and Written Exposure Therapy for Chronic PTSD: An Open-Label Trial.

The Journal of Clinical Psychiatry April 2, 2025 Adriana Feder, Oneysha Brown, Sarah B. Rutter et al.

Objective: This open-label clinical trial examined the preliminary efficacy of combining a course of 6 ketamine infusions with a brief, evidence-based exposure-based psychotherapy-written exposure therapy (WET)-in patients with chronic posttraumatic stress disorder (PTSD). Methods: The trial was conducted between June 2021 and October 2023. Patients with chronic PTSD and high-moderate to severe...

Psychedelics assisting therapy, or therapy assisting psychedelics? The importance of psychotherapy in psychedelic-assisted therapy.

Front Psychol February 5, 2025 Joseph A. Zamaria, Gisele Fernandes-Osterhold, Jonathan Shedler et al. 21 citations

Psychedelics assisting therapy, or therapy assisting psychedelics? The importance of psychotherapy in psychedelic-assisted therapy.

The Epidemiology of Psychedelic Use Among United States Military Veterans

Journal of Psychoactive Drugs September 12, 2024 Katinka Hooyer, Rachel Yehuda, Alan K. Davis et al. 4 citations

We sought to identify patterns of psychedelic use among United States military veterans, compare demographic variables and perspectives of those who did and did not report use, and characterize benefits and adverse outcomes associated with use. Respondents (N = 426) were recruited to complete an online cross-sectional survey. Approximately one-half (51%) reported using psychedelics. Most did so...

Effects of MDMA-assisted therapy for PTSD on self-experience

PLoS One January 10, 2024 Rachel Yehuda, Leah Bedrosian, Charlotte Harrison et al. 52 citations

Introduction There is a resurgence of interest in the therapeutic potential of psychedelic substances such as 3,4-methylenedioxymethamphetamine (MDMA). Primary findings from our randomized, double-blind, placebo-controlled, multi-site Phase 3 clinical trial of participants with severe PTSD (NCT03537014) showed that MDMA-assisted therapy induced significant attenuation in the...

The Psychedelic Future of Post-Traumatic Stress Disorder Treatment

Current Neuropharmacology January 5, 2024 Tamar Glatman Zaretsky, Kathleen M. Jagodnik, Robert Barsic et al. 73 citations

Abstract: Post-traumatic stress disorder (PTSD) is a mental health condition that can occur following exposure to a traumatic experience. An estimated 12 million U.S. adults are presently affected by this disorder. Current treatments include psychological therapies (e.g., exposure-based interventions) and pharmacological treatments (e.g., selective serotonin reuptake inhibitors (SSRIs))....

Preventing the Gaps in Psychedelic Research from Becoming Practice Pitfalls: A Translational Research Agenda.

Psychedelic Med (New Rochelle) December 13, 2023 Andrew Penn, Rachel Yehuda 7 citations

The reemergence of psychedelic medicines as clinical treatments has generated considerable interest in both professional and popular arenas. Although evidence is promising for psychedelic-assisted therapy (PAT), there is much that is not yet known and needs to be researched so as to understand how to safely and effectively utilize PAT in clinical populations and to most effectively deploy PAT...

A Heuristic Approach: Against Consensus Definitions of Psychedelics.

Psychedelic Med (New Rochelle) December 13, 2023 Lauren Lepow, Hope Kronman, Rachel Yehuda 2 citations

Introduction: The field of psychedelic research and therapy is growing at an unprecedented rate, as is the need for shared terminology to allow for coherent conversations about these medicines. However, proclaiming consensus definitions at the present time may be a premature closure, limiting the possibility of what psychedelics can teach about the mind and brain. Objective: Our goal in this...

Psychedelic Therapy—A New Paradigm of Care for Mental Health

JAMA August 31, 2023 Rachel Yehuda, Amy Lehrner 33 citations

An increasing number of clinicians and researchers have become interested in the potential of psychedelic drugs for the treatment of mental health disorders, including depression, anxiety, posttraumatic stress disorder, eating disorders, and addictions.1,2

Critical Period Plasticity as a Framework for Psychedelic-Assisted Psychotherapy.

Focus (American Psychiatric Publishing) July 1, 2023 Lauren Lepow, Hirofumi Morishita, Rachel Yehuda 9 citations

As psychedelic compounds gain traction in psychiatry, there is a need to consider the active mechanism to explain the effect observed in randomized clinical trials. Traditionally, biological psychiatry has asked how compounds affect the causal pathways of illness to reduce symptoms and therefore focus on analysis of the pharmacologic properties. In psychedelic-assisted psychotherapy (PAP),...

Reducing the Harms of Nonclinical Psychedelics Use Through a Peer-Support Telephone Helpline

Psychedelic Medicine May 19, 2023 Mollie Pleet, Joshua White, Joseph A. Zamaria et al. 12 citations

Introduction: A resurgence of interest in the use of psychedelics for mental health and wellness has stimulated greater experimentation with psychedelics in society. Although clinical psychedelic trials protect research participants by offering a safe setting, thorough preparation, and containment during and after ingestion of psychedelic medicines, many try these substances without the benefit...

Pilot study suggests DNA methylation of the glucocorticoid receptor gene (NR3C1) is associated with MDMA-assisted therapy treatment response for severe PTSD

Frontiers in Psychiatry February 6, 2023 Candace R. Lewis, Joseph Tafur, Sophie Spencer et al. 29 citations

BackgroundPrevious research has demonstrated that epigenetic changes in specific hypothalamic-pituitary-adrenal (HPA) genes may predict successful psychotherapy in post-traumatic stress disorder (PTSD). A recent Phase 3 clinical trial reported high efficacy of 3,4-methylenedioxymethamphetamine (MDMA)-assisted therapy for treating patients with severe PTSD compared to a therapy with placebo...

Self-experience in MDMA assisted therapy of PTSD

medRxiv Preprint Server January 3, 2023 Bessel Van der Kolk, Julie B. Wang, Rachel Yehuda et al. 2 citations preprint

In recent years there has been a resurgence of interest in the therapeutic potential of psychedelic substances such as 3,4-methylenedioxymethamphetamine (MDMA). This renaissance of psychedelic studies opens the door for a new paradigm in psychiatric medicine: drug-facilitated psychotherapy. In this study we report the findings of a randomized, double-blind, placebo-controlled, multi-site Phase...

Critical Period Plasticity as a Framework for Psychedelic-Assisted Psychotherapy

Frontiers in Neuroscience September 20, 2021 Lauren Lepow, Hirofumi Morishita, Rachel Yehuda 70 citations

As psychedelic compounds gain traction in psychiatry, there is a need to consider the active mechanism to explain the effect observed in randomized clinical trials. Traditionally, biological psychiatry has asked how compounds affect the causal pathways of illness to reduce symptoms and therefore focus on analysis of the pharmacologic properties. In psychedelic-assisted psychotherapy (PAP),...