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Frontiers in Psychiatry

ISSN 1664-0640

430 papers in the library · 7,744 citations · publishing 2011-2026

Papers

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Short-term ketamine interventions for depressive disorders: practical best-practice recommendations for psychiatrists using oral, subcutaneous, and nasal formulations

Frontiers in Psychiatry September 3, 2026 Anita Słupska, Wiesław Jerzy Cubała, Damian Swieczkowski et al.

Objectives Ketamine and esketamine are increasingly used for treatment-resistant depressive disorders, particularly when rapid symptom reduction is clinically desirable. Intranasal esketamine has a product-specific regulatory framework in several jurisdictions, whereas most racemic ketamine formulations remain off-label for psychiatric indications. This narrative review provides practical...

Novel pharmacotherapies for opioid use disorder and opioid withdrawal

Frontiers in Psychiatry September 3, 2026 Mary R. Shen, Kwadwo Owusu-Boaitey, Zackari D. Murphy et al.

IntroductionOpioid use disorder (OUD) remains a major public health crisis despite evidence-based medications, including methadone, buprenorphine, and naltrexone. Persistent challenges with treatment retention, access, stigma, and incomplete response highlight the need for adjunctive pharmacotherapies targeting neurobiological systems beyond the mu-opioid receptor.MethodsWe conducted a...

Surrender, disidentification, and reappraisal: a qualitative comparison of psilocybin responders and non-responders in treatment-resistant OCD

Frontiers in Psychiatry September 1, 2026 Gabrielle Agin-Liebes, Sarah Shnayder, Geena Fram et al.

Introduction Psilocybin treatment has shown promise for treatment-resistant obsessive-compulsive disorder (OCD), yet clinical response is variable. Little is known about the subjective experiences associated with divergent outcomes or the psychological processes differentiating responders from non-responders. Materials and methods A qualitative case comparison was conducted using...

Non-randomized rapamycin augmentation of chronic self-administered ketamine provides subjective improvement in diverse phenotypes

Frontiers in Psychiatry August 26, 2026 Jon Berner

Background Multiple preclinical and clinical reports suggest that rapamycin augmentation may increase the safety and efficacy of ketamine treatment. Population variability in patient biochemical gain-of-function and phenotypic admixtures, however, has slowed initial investigations into patient selection and dose finding. Methods A single-center, retrospective chart review identified 101...

Reconceptualising mindfulness in Cambodia: Khmer translation, cultural adaptation, and validation of the Southampton Mindfulness Questionnaire

Frontiers in Psychiatry August 19, 2026 Alan Maddock, Thearith Heang, Nil Ean et al.

Objectives Mindfulness is increasingly used in global mental health, yet its measurement tools are largely developed within Western cultural frameworks. This study aimed to (1) translate and culturally adapt the Southampton Mindfulness Questionnaire (SMQ) into Khmer, (2) evaluate its cultural integrity among Cambodian adults with physical disabilities, and (3) examine the psychometric...

The subtle science: a systematic review of psilocybin magic mushroom and truffle microdosing

Frontiers in Psychiatry August 19, 2026 Jeni Page, Alexandra Moore, Bridget E. Hawkins et al.

IntroductionMicrodosing psilocybin magic mushrooms (MM) and truffles has grown in popularity, but the evidence supporting reported benefits remains poorly characterized. The purpose of this systematic review was to synthesize the existing literature on microdosing psilocybin MM and truffles in adults to determine reported health effects and perceived benefits, motivations for use, dosing...

Motion and form perception in healthy individuals with adolescent cannabis use

Frontiers in Psychiatry August 17, 2026 Balázs Barko, Szabolcs Kéri

Introduction: Neuronal mechanisms of motion perception are susceptible to developmental anomalies. We tested whether heavy adolescent cannabis use is associated with enduring deficits in global motion perception, with relative sparing of global form perception, in abstinent adults. Methods: In a cross-sectional study, 130 adults were enrolled: cannabis-naïve controls (n=50), non-heavy...

Psychedelic integration beyond the verbal: participatory-imaginal processing as a hypothesis-generating therapeutic framework

Frontiers in Psychiatry August 12, 2026 Anthony L. Back, Robert Bosnak

Psilocybin therapy in patients with cancer commonly produces vivid embodied and imaginal experiences that resist verbal description, yet most current integration approaches rely primarily on cognitive and verbal processing. We hypothesize that an approach to integration that directly engages this embodied register, without requiring translation into a verbal narrative, will enable patients to...

Transient entanglement in minimal open XXZ spin chains: a toy-model analogy for microtubule-inspired quantum biology

Frontiers in Psychiatry August 11, 2026 Ngo Cheung

Quantum approaches to consciousness remain controversial, partly because any putative quantum state in the brain is expected to decohere rapidly in a warm, hydrated, and noisy environment. The present manuscript does not attempt to solve that biological problem directly. Instead, it treats microtubule-related interpretation as a deliberately hypothetical analogy and asks a narrower Level-A...

Folie à deux as a cusp catastrophe in coupled active inference: a dynamical systems account of shared psychotic disorder

Frontiers in Psychiatry August 10, 2026 D. Beasley

Prior work in computational psychiatry has identified three failure modes of precision weighting that produce the phenomenology of individual-level psychosis: aberrant precision on priors, aberrant precision on sensory likelihood, and aberrant meta-precision. The coupled, dyadic case has remained outside this framework. We identify a fourth failure mode, dyadic precision migration, in which...

Methodological fragmentation and integration priorities in psychedelic-assisted therapy assessment: a scoping review

Frontiers in Psychiatry August 6, 2026 Maria Laura Mele, Stefano Federici

IntroductionPsychedelic-assisted therapy (PAT) is an emerging complex intervention for psychiatric and existential conditions (i.e., forms of distress related to meaning, mortality, and identity, such as that arising in life-threatening illness); however, a systematic characterization of the evaluation methods used across the entire clinical intervention remains incomplete. This scoping review...

The protective association of mindfulness non-reactivity with depression among clinical nurses: a cross-sectional study

Frontiers in Psychiatry August 5, 2026 Zhi-Wen Gu, Xin Qin, Chang-Ping Yang et al.

Background Clinical nurses are essential to healthcare, but they experience high rates of depression, anxiety, and sleep disturbances. This study examined the relationships among occupational stressors, sleep problems, mindfulness, and psychological well-being in hospital nurses. Methods In a cross-sectional study of 416 clinical nurses from a tertiary general hospital in China, we assessed...

Mindfulness-based interventions for perinatal depression, anxiety, and stress: a systematic review and meta-analysis of randomized controlled trials, with an exploratory subgroup signal by delivery mode

Frontiers in Psychiatry August 4, 2026 Gaoqin Tang, Unfai Cho, Jun Zhang et al.

Background: Perinatal depression is a highly common clinical complication. While expert panels advocate for non-pharmacological treatments, the relative benefits of mindfulness-based interventions delivered face-to-face versus through emerging digital platforms have not been examined within a single integrated synthesis that distinguishes the contribution of delivery mode from that of trial era...

The application of esketamine in cancer-related depressive states: attention from mechanisms to clinical translation

Frontiers in Psychiatry July 30, 2026 Liangju Chen, Yonghua Chen, Ying Zhao et al.

Objectives: This article reviews the clinical status and treatment challenges of cancer-related depressive states, clarifies the mechanism of action of esketamine-a novel rapid-acting antidepressant-compares its efficacy with traditional drugs, evaluates safety and tolerability, and summarizes clinical evidence to support clinical practice and research. Methods: By searching databases such as...

Intranasal esketamine for ECT-refractory bipolar depression: a case report

Frontiers in Psychiatry July 30, 2026 Muhammad Abbas, Bruno Kallas, Max Garris

This is a case report of a 52 year old female with ECT-refractory bipolar depression who was treated with esketamine nasal spray, leading to a noticeable improvement in her depressive symptoms. She experienced a relapse after a reduction in her maintenance treatment in conjunction with psychosocial stressors, but improved once again after returning to her induction regimen. She tolerated the...

Psilocybin-containing mushroom-assisted psychotherapy is associated with sustained psychological and somatic improvements: two case studies from Jamaica

Frontiers in Psychiatry July 29, 2026 Caitlyn Hanna Sams, Jasmine Davis, Anuradha Ramdas et al.

We report two case studies that examine the therapeutic potential of structured psilocybin-containing mushroom biomass regimens administered within a clinical framework, evaluating their impact on mental health outcomes as well as associated somatic symptoms. Two patients underwent the De La Haye Psilocybin Treatment Protocol (DPTP), which integrates micro- and high-doses (combined psilocybin...

The relationship between trait mindfulness and psychotic-like experiences in a brief AI-generated music listening context: the roles of presence, perceived interactivity, and emotional arousal

Frontiers in Psychiatry July 28, 2026 Chenghan Zhang, Hao Huang, Guotao Wu et al.

Background and objective: Within the interdisciplinary field of cyberpsychology and mental health, trait mindfulness has been associated with lower levels of subclinical anomalous symptoms, such as Psychotic-Like Experiences (PLEs), has gained increasing attention. However, in the context of daily digital human-computer interactions (e.g., listening to AI-generated music), the specific pathways...

Editorial: Emerging treatment approaches for substance use disorders

Frontiers in Psychiatry July 21, 2026 David Martinez Garza, Ilya O. Blokhin, Jonathan Brett et al.

Since the introduction of disulfiram in 1951 (the first ever Food and Drug Administration (FDA)-approved medication for substance use disorders (SUDs)) (1), only seven other individual medications have been approved for the treatment of SUDs. While the repurpose of medications and different formulations increase the total number of FDA-approved medicines (Table 1 and(2)), the arsenal of...

Cannabis, psychosis, and violence: case reports and comprehensive evidence review

Frontiers in Psychiatry July 21, 2026 Kenneth P. Finn, Robin Murray, Elizabeth Stuyt et al.

Cannabis is one of the most widely used psychoactive substances, with higher use rates in countries that have implemented policies to legalize medical or recreational use. Following the development of cannabis products with concentrations well above 10% THC (high potency, delta-9 tetrahydrocannabinol), the number of psychosis cases has also increased. Cannabis-attributable psychosis cases...

Sustained abstinence in severe ketamine use disorder following ibogaine treatment case report

Frontiers in Psychiatry July 20, 2026 Sergio Pérez Rosal, Sonya C. Faber, Markus Backmund

Substance use disorders (SUD) involving ketamine, cocaine, and alcohol present significant clinical challenges, often characterized by high relapse rates and limited pharmacological options. This case report details a 30-year-old male with a five-year history of severe polysubstance dependence, including daily intranasal ketamine use (2–3 g/day), cocaine, and alcohol, comorbid with recurrent...

(Es)ketamine in functional neurological disorder: a systematic review

Frontiers in Psychiatry July 20, 2026 Bruce Tamilson, Michael Chitolie, Jan Coebergh et al.

Background and aimFunctional neurological disorder (FND) is a common and disabling condition for which effective treatments remain limited. Clinical outcomes are often variable, particularly in chronic and comorbid presentations. Ketamine and esketamine are increasingly used across a range of neuropsychiatric conditions. This review aimed to synthesise the existing evidence regarding their use...

Ketamine for substance use disorders: a systematic review and meta-analysis

Frontiers in Psychiatry July 17, 2026 Shu-Ping Fang, Xin Yang, Da-Cong Zhao et al.

Introduction Substance use disorder (SUD) is a major global health issue, contributing significantly to the disease burden. Despite this, effective treatments for SUD remain limited. Ketamine has shown potential as a treatment, yet no meta-analysis has assessed its efficacy for SUD. This study aimed to evaluate the efficacy and safety of ketamine in treating SUD. Methods Multiple databases were...

Fragile self, mechanical world: mechanistic delusions and ego fragility in schizotypal–affective spectrum disorder—a CARE case report

Frontiers in Psychiatry July 16, 2026 Giovanna Azevedo Rodrigues, Fernando Martins Castanheira, Larissa Leite Vieira de Oliveira et al.

Categorical nosological systems frequently fall short when confronted with patients whose presentations cross established diagnostic boundaries. We report M.S., a 44-year-old Brazilian man involuntarily admitted to a psychiatric inpatient unit who presented with systematized persecutory ideation of mechanistic–technological content (chip implantation, satellite-based surveillance), structural...

Sex-dependent effects of psychedelics: review of evidence from rodent models

Frontiers in Psychiatry July 15, 2026 Rafał Marecki, Wiktoria Zaniewska, Adam Hamed et al.

Classic psychedelics, including psilocybin, LSD, DMT, 5-MeO-DMT, mescaline, and phenethylamines such as DOI, exert their core effects through 5-HT2A receptor agonism, inducing widespread neurobiological and behavioral changes relevant to psychiatric research. Emerging evidence suggests that these effects are modulated by sex, yet this dimension remains underrepresented in studies. This review...

Systems-based psychiatry: insights from psychedelic research on mechanisms of healing

Frontiers in Psychiatry July 13, 2026 Scott Shannon, Andrew T. Weil

Current psychiatric models, while clinically valuable, remain limited in their ability to account for the complexity, variability, and context dependence of mental disorders. Converging evidence from neuroscience, complexity science, and psychedelic research suggests that psychiatric symptoms may be better understood as stable patterns of organization within dynamic, multilevel systems rather...