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Kabir Nigam

14 papers in the library · 110 citations · publishing 2022-2026

Papers

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Psychological Adverse Effects of Psychedelic Use.

The Primary Care Companion For CNS Disorders June 25, 2026 Franklin King, Juliana Zambrano, Erin Mauney et al.

The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service discuss diagnosis and management of hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms or...

Medical Complications of Psychedelics.

The Primary Care Companion For CNS Disorders June 23, 2026 Franklin King, Brian S. Barnett, S Trevor Taylor et al.

The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service discuss diagnosis and management of hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms or...

Psilocybin-assisted therapy for demoralisation in hospice patients: feasibility, safety and preliminary efficacy

BMJ Supportive & Palliative Care November 3, 2025 Yvan Beaussant, Zachary Sager, Caitlin W. Brennan et al. 1 citation

Objectives To assess the feasibility, safety and preliminary efficacy of psilocybin-assisted therapy (PAT) for demoralisation in terminally ill patients receiving home hospice care. Methods In this open-label pilot trial, 4607 home hospice patients at a large community hospice were screened over 22 months; 66 were approached, 15 enrolled and 10 received psilocybin. Participants completed two...

“To Have the Encounter with Our Own Finiteness in that Existential Way”: Descriptions of Existential Experience in Patients with Cancer and Major Depression Participating in Psilocybin-Assisted Group Therapy

Psychedelic Medicine October 8, 2025 Elise C. Tarbi, Skye A. Miner, Kabir Nigam et al. 1 citation

Background: Cancer poses an existential threat for patients and caregivers. Psilocybin-assisted therapy (PAT) has emerged as a potential tool to meet these existential needs, yet little is known about how patients describe this element of their cancer journey, and how it might be affected by PAT, especially in the group therapy context. Purpose: To explore how patients with cancer and...

Ketamine in treating opioid use disorder and opioid withdrawal: a scoping review.

Frontiers in Psychiatry 2025 Mary R Shen, Dylan E Campbell, Anika Kopczynski et al. 10 citations

Opioid use disorder (OUD) continues to be a public health crisis in the United States, with mortality having doubled over the last twenty years, leading to significant economic cost, morbidity, and mortality. This has caused significant demand for novel therapeutics. Preliminary evidence demonstrates that ketamine may be helpful in treating OUD as well as serve as an adjunct during treatment of...

Ketamine for refractory depression: Save the best for last?

Journal of psychopharmacology (Oxford, England) 2025 Kabir Nigam, Franklin King, Fernando Espí Forcén 4 citations

Ketamine has recently been shown to be non-inferior to electroconvulsive therapy (ECT), one of psychiatry's most effective treatments for depression. Given the novelty of ketamine as well as its interventional nature, ketamine is currently viewed as an alternative to ECT and as such, considered a third-line agent for treatment-refractory depression. However, available data suggest that ketamine...

Set and setting in psilocybin-assisted therapy: A qualitative study of patients with cancer and depression.

General Hospital Psychiatry 2025 Yvan Beaussant, Elise C. Tarbi, Kabir Nigam et al. 3 citations

Psilocybin-assisted therapy (PAT) shows promise for cancer-related depression, yet little research has examined how therapeutic context shapes patient experiences. While set (mindset) and setting (environment) are considered central to psychedelic treatment, empirical evidence on their role in PAT acceptability remains limited. This study explores factors influencing the acceptability of PAT...

Advancing ketamine in the treatment hierarchy for refractory depression.

The British journal of psychiatry : the journal of mental science October 25, 2024 Kabir Nigam, Franklin King, Fernando Espí Forcén 2 citations

Evidence indicates that ketamine is highly effective, has a lower side effect profile and is better tolerated compared to many augmentation strategies for refractory depression. This, combined with data on psychiatric treatment outcome mediators, suggests that earlier intervention with ketamine could improve outcomes for patients suffering from refractory depression.

Psychedelic-assisted therapy for treating anxiety, depression, and existential distress in people with life-threatening diseases

Cochrane Database of Systematic Reviews September 11, 2024 Sivan Schipper, Kabir Nigam, Yasmin Schmid et al. 34 citations

Implications for practice Psychedelic-assisted therapy with classical psychedelics (psilocybin, LSD) may be effective for treating anxiety, depression, and possibly existential distress, in people facing a life-threatening disease. Psychedelic-assisted therapy seemed to be well tolerated, with no treatment-emergent serious adverse events reported in the studies included in this review. However,...

Older adults in psychedelic-assisted therapy trials: A systematic review

Journal of Psychopharmacology 2024 Lisa Bouchet, Zachary Sager, Antoine Yrondi et al. 22 citations

Background: Growing clinical interest in psychedelic-assisted therapies has led to a second wave of research involving psilocybin, lysergic acid diethylamide (LSD), 3,4-methylenedioxymethamphetamine (MDMA) and other substances. Data suggests that these compounds have the potential to treat mental health conditions that are especially prevalent in older adults such as depression, anxiety,...

Acceptability of psilocybin‐assisted group therapy in patients with cancer and major depressive disorder: Qualitative analysis

Cancer December 18, 2023 Yvan Beaussant, Kabir Nigam, Zachary Sager et al. 22 citations

Abstract Background The present study explored the acceptability of psilocybin‐assisted group therapy from the perspective of patients with cancer and depression who participated in a clinical trial assessing the safety and efficacy of this novel intervention. Methods Guided by the conceptual framework of acceptability, the authors conducted semi‐structured interviews with participants of the...

Psychedelics and Related Pharmacotherapies as Integrative Medicine for Older Adults in Palliative Care.

Clinics in geriatric medicine August 1, 2023 Kabir Nigam, Kimberly A Curseen, Yvan Beaussant 3 citations

Psychological distress at the end of life is a common experience that lacks effective treatments. This is in part due to the multidimensional nature of psychological distress at the end of life, encompassing an interplay between psychosocial and existential distress as well as physical symptom burden. Research shows that psychedelic-assisted therapy is an effective treatment of end of life...

Psychedelic/entactogen-assisted therapy for treatment of anxiety, depression and existential distress in adult palliative care

Cochrane Database of Systematic Reviews November 21, 2022 Sivan Schipper, Kabir Nigam, Vanessa Piechotta et al. 4 citations

This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the benefits and harms of psychedelic/entactogen‐assisted therapy compared to placebo or active comparators (e.g. antidepressants) for treatment of anxiety, depression, and existential distress in adult palliative care.

Psychedelic-Assisted Therapies in Patients With Serious Illness: Opportunities and Challenges

Psychiatric Annals September 1, 2022 Michael Ljuslin, Kabir Nigam, Roxanne Sholevar et al. 4 citations

In addition to physical symptoms and treatment burden, people affected by serious illness experience psychological, social, and spiritual distress. Medical professionals who care for them, including psychiatrists and other mental health clinicians, attend to these multiple dimensions of suffering with the hope and promise of improving patients' quality of life. Yet anxiety, depression,...