Top Ten Tips Palliative Care Clinicians Should Know About Psychedelic-Assisted Therapy in the Context of Serious Illness.

Abstract

Psychedelic-assisted therapy (PAT) is a burgeoning treatment with growing interest across a variety of settings and disciplines. Empirical evidence supports PAT as a novel therapeutic approach that provides safe and effective treatment for people suffering from a variety of diagnoses, including treatment-resistant depression, substance use disorder, and post-traumatic stress disorder. Within the palliative care (PC) field, one-time PAT dosing may lead to sustained reductions in anxiety, depression, and demoralization-symptoms that diminish the quality of life in both seriously ill patients and those at end of life. Despite a well-noted psychedelic renaissance in scholarship and a renewed public interest in the utilization of these medicines, serious illness-specific content to guide PAT applications in hospice and PC clinical settings has been limited. This article offers 10 evidence-informed tips for PC clinicians synthesized through consultation with interdisciplinary and international leading experts in the field with aims to: (1) familiarize PC clinicians and teams with PAT; (2) identify the unique challenges pertaining to this intervention given the current legalities and logistical barriers; (3) discuss therapeutic competencies and considerations for current and future PAT use in PC; and (4) highlight critical approaches to optimize the safety and potential benefits of PAT among patients with serious illness and their caregivers.

In the evidence

This study is part of the evidence base for 4 syntheses in the library. Here is how each one recorded it.

• State of the evidence: LSD and psychedelic-assisted therapy ↑Supports

  Psychedelic-assisted therapy can safely and effectively reduce anxiety, depression, and demoralization in seriously ill and end-of-life patients, but practical guidance for palliative care clinicians remains limited.

  Synthesized September 21, 2026

• State of the evidence: LSD for depression ↑Supports

  Psychedelic-assisted therapy can safely and effectively reduce anxiety, depression, and demoralization in seriously ill and end-of-life patients.

  Synthesized September 21, 2026

• State of the evidence: MDMA for depression ↑Supports

  Psychedelic-assisted therapy, including one-time dosing, may lead to sustained reductions in anxiety, depression, and demoralization in seriously ill and end-of-life patients, though practical guidance for clinicians remains limited.

  Synthesized September 21, 2026

• State of the evidence: Psilocybin for end-of-life distress ↑Supports

  Reports that one-time psychedelic-assisted therapy may lead to sustained reductions in anxiety, depression, and demoralization in seriously ill and end-of-life patients, while noting limited practical guidance for clinicians.

  Synthesized September 21, 2026

Comparable studies

Other narrative reviews on psilocybin for end-of-life distress, most cited first.