Skip to content

Australian & New Zealand Journal of Psychiatry

ISSN 0004-8674

21 papers in the library · 780 citations · publishing 1994-2026

Papers

Sort Most recent Most cited

Improving access to novel treatments for treatment-resistant depression: The potential role of specialist clinics in Australia

Australian & New Zealand Journal of Psychiatry May 26, 2026 Yash Giri, Paul Furst, Colleen Loo et al. 1 citation

Treatment-resistant depression is a condition with significant morbidity, despite the current standard of treatment, including traditional pharmacotherapy, psychotherapy, augmentation strategies and electroconvulsive therapy. While novel therapies have emerged, such as ketamine/esketamine, transcranial magnetic stimulation and psilocybin-assisted therapy, the uptake of these treatments is...

Psilocybin in the real world: Regulatory, ethical, and operational challenges in Australia’s clinical landscape

Australian & New Zealand Journal of Psychiatry December 17, 2025 Megan Dutton, Paul Schwenn, Jules S Mitchell et al. 1 citation

Australia’s reclassification of psilocybin as a Schedule 8 substance for treatment-resistant depression represents a significant shift in psychiatric policy. While this regulatory change positions Australia as a global leader in psychedelic medicine, its implementation has revealed substantial challenges. This article critically examines the regulatory, ethical and operational complexities...

Ketamine in psychiatry: Ethical imperatives in harnessing a controversial yet promising therapy

Australian & New Zealand Journal of Psychiatry December 11, 2025 Adem T. Can, Jim Lagopoulos, Paul B Fitzgerald et al. 2 citations

Ketamine has emerged as a rapid-acting intervention for treatment-resistant psychiatric disorders, generating both enthusiasm and unease. While evidence demonstrates robust antidepressant, anxiolytic and anti-suicidal effects, ketamine also carries risks, including dissociation, dependence and uncertain long-term safety. Its reputation as a recreational drug further complicates clinical...

Ketamine/esketamine in the treatment of depression with comorbid borderline personality disorder or traits: A systematic review of effectiveness

Australian & New Zealand Journal of Psychiatry September 20, 2025 Emma Scott, Don Thomas Thekkuden, Katelyn Kerr et al. 2 citations

This is the first systematic review to assess the effectiveness of ketamine/esketamine in this cohort. Our findings suggest that ketamine/esketamine may be useful in improving symptoms of depression, in those with comorbid borderline personality disorder. Limited study data are available; however, given case reports of suicidal ideation and self-harm following treatment cessation, as well as...

Attitudes toward psychedelics and psychedelic-assisted psychotherapy among Australian mental healthcare providers

Australian & New Zealand Journal of Psychiatry July 15, 2025 Zohaib Nadeem, Stephen Parker, Hugh McGovern et al. 7 citations

Background: Recent regulatory changes in Australia have approved 3,4-methylenedioxymethamphetamine for treating post-traumatic stress disorder and psilocybin for treatment-resistant depression. However, limited data exists on Australian mental healthcare providers’ attitudes, knowledge and readiness to implement with psychedelic-assisted psychotherapy. Methods: A cross-sectional survey was...

The safety of psilocybin-assisted psychotherapy: A systematic review

Australian & New Zealand Journal of Psychiatry December 13, 2024 Rosana Freitas, Efstathia Stephanie Gotsis, Alexander T. Gallo et al. 14 citations

Introduction: Psilocybin, a classical psychedelic, has been rescheduled for use in psilocybin-assisted psychotherapy for treatment-resistant depression in Australia. While evidence for its use is promising, understanding the associated risks is crucial. Accordingly, this review aims to collate adverse event data from psilocybin-assisted psychotherapy clinical trials and evaluate its definition,...

A taxonomy of regulatory and policy matters relevant to psychedelic-assisted therapy in Australia

Australian & New Zealand Journal of Psychiatry April 16, 2024 Samuel P Hatfield, Nicollette Lr Thornton, Kayla Greenstien et al. 9 citations

Objectives: The Australian government recently rescheduled psilocybin and 3,4-methylenedioxymethamphetamine for limited clinical uses. This change has raised various regulatory concerns and challenges for the field of psychedelic-assisted therapy. To provide clarity, we aimed to comprehensively catalogue the matters relating to psychedelic-assisted therapy that are or could be regulated....

Understanding subjective experience in psychedelic-assisted psychotherapy: The need for phenomenology

Australian & New Zealand Journal of Psychiatry November 17, 2022 Riccardo Miceli Mcmillan, Anthony Vincent Fernandez 30 citations

Psychedelic-assisted psychotherapy is being investigated as a treatment for a range of psychiatric illnesses. Current research suggests that the kinds of subjective experiences induced by psychedelic compounds play key roles in producing therapeutic outcomes. To date, most knowledge of therapeutic psychedelic experiences are derived from psychometric assessments with scales such as the Mystical...

A systematic literature review and meta-analysis of the effect of psilocybin and methylenedioxymethamphetamine on mental, behavioural or developmental disorders

Australian & New Zealand Journal of Psychiatry March 12, 2022 Steve Kisely, Mark Connor, Andrew A Somogyi et al. 36 citations

Objectives: There is an increasing interest in combining psilocybin or methylenedioxymethamphetamine with psychological support in treating psychiatric disorders. Although there have been several recent systematic reviews, study and participant numbers have been limited, and the field is rapidly evolving with the publication of more studies. We therefore conducted a systematic review of PubMed,...

The challenges ahead for psychedelic ‘medicine’

Australian & New Zealand Journal of Psychiatry March 4, 2022 Suresh Muthukumaraswamy, Anna Forsyth, Rachael Sumner 59 citations

With the extensive public, commercial and scientific interest from what has been widely termed the psychedelic renaissance, it is important that the scientific practices and results obtained from its implementation into medicine are put under a critical microscope. While there are numerous works on the potential benefits and applications of psychedelics as medicines, relatively little has been...

Medicinal psychedelics for mental health and addiction: Advancing research of an emerging paradigm

Australian & New Zealand Journal of Psychiatry March 21, 2021 Daniel Perkins, Jerome Sarris, Susan L. Rossell et al. 53 citations

The medical use of psychedelic substances (e.g. psilocybin, ayahuasca, lysergic acid diethylamide and 3,4-methylenedioxymethamphetamine) is attracting renewed interest, driven by a pressing need for research and development of novel therapies for psychiatric disorders, as well as promising results of contemporary studies. In this Viewpoint, we reflect upon the ‘Clinical Memorandum on...

Psilocybin-assisted therapy for depression: How do we advance the field?

Australian & New Zealand Journal of Psychiatry November 22, 2019 Sally Meikle, Paul Liknaitzky, Susan L. Rossell et al. 19 citations

In the quest for new treatment options for depression, attention is being paid to the potential role of psychedelic drugs. Psilocybin is of particular interest given its mechanism of action, its benefits in early trials and its relatively low side effects burden. This viewpoint outlines a number of key issues that remain to be elucidated about its potential use in the clinical environment,...

Ketamine for suicidal ideation in adults with psychiatric disorders: A systematic review and meta-analysis of treatment trials

Australian & New Zealand Journal of Psychiatry November 15, 2019 Katrina Witt, Jennifer Potts, Anna A.m. Hubers et al. 203 citations

OBJECTIVE: Ketamine may reduce suicidal ideation in treatment-resistant depression. But it is not known how quickly this occurs and how long it persists. We undertook a systematic review and meta-analysis to determine the short- and long-term effectiveness of ketamine for suicidality. METHOD: CENTRAL, EMBASE, Medline, and PsycINFO were searched until 12 December 2018. Randomised controlled...

Mindfulness-based cognitive therapy for recurrent depression: A translational research study with 2-year follow-up

Australian & New Zealand Journal of Psychiatry March 4, 2014 Graham Meadows, Frances Shawyer, Joanne Enticott et al. 66 citations

OBJECTIVE: While mindfulness-based cognitive therapy (MBCT) has demonstrated efficacy in reducing depressive relapse/recurrence over 12-18 months, questions remain around effectiveness, longer-term outcomes, and suitability in combination with medication. The aim of this study was to investigate within a pragmatic study design the effectiveness of MBCT on depressive relapse/recurrence over 2...

Kava: A Comprehensive Review of Efficacy, Safety, and Psychopharmacology

Australian & New Zealand Journal of Psychiatry November 15, 2010 Jerome Sarris, E. LaPorte, Isaac Schweitzer 157 citations

OVERVIEW: Kava (Piper methysticum) is a South Pacific psychotropic plant medicine that has anxiolytic activity. This effect is achieved from modulation of GABA activity via alteration of lipid membrane structure and sodium channel function, monoamine oxidase B inhibition, and noradrenaline and dopamine re-uptake inhibition. Kava is available over the counter in jurisdictions such as the USA,...

Qualitative Review of Serotonin Syndrome, Ecstasy (MDMA) and the use of Other Serotonergic Substances: Hierarchy of Risk

Australian & New Zealand Journal of Psychiatry July 25, 2007 Edmund Silins, Jan Copeland, Paul Dillon 76 citations

Growth of the antidepressant market and widespread use of the illicit drug ecstasy (methylenedioxymethamphetamine; MDMA) creates a need to delineate the potential harms associated with the concomitant use of ecstasy and serotonergic pharmaceutical drugs. One such harm is serotonin syndrome. The study aimed to synthesize the risk of serotonin syndrome associated with the concomitant use of...

Catatonia LSD Induced?

Australian & New Zealand Journal of Psychiatry June 1, 1995 K. M. H. Perera, A. Ferraro, M. R. M. Pinto 11 citations

The case of a patient who developed catatonia one week following Lysergic Acid Diethylamide (LSD) ingestion is presented. The psychosis developed two days after the intake. The catatonic syndrome resolved dramatically following one treatment of electroconvulsive therapy (ECT). This is perhaps the first case report of catatonia following the use of LSD. The need for a diagnostic category of...

Clinical Practice beyond Science: Debunking the Scientific Myth

Australian & New Zealand Journal of Psychiatry March 1, 1994 George Halasz 8 citations

The theme of the RANZCP 28th Conference questioned the science of clinical practice. This question is explored in the light of prevailing paradigms of 20th century psychiatry and recent claims by scientism, especially biologism, that assumes an organic causation for all abnormal behaviour. It is argued that a paradigm of objective science is necessary to understanding many aspects of mental...