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LSD-assisted psychotherapy for anxiety associated with a life-threatening disease: A qualitative study of acute and sustained subjective effects

Peter Gasser, Katharina Kirchner, Torsten Passie

Journal of Psychopharmacology November 11, 2014 DOI: 10.1177/0269881114555249 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Prospective follow-up with qualitative content analysis Peer reviewed
Sample size 10
Population Patients with anxiety associated with life-threatening diseases
Intervention LSD-assisted psychotherapy
Duration 12-month follow-up
Topics Anxiety LSD Psychedelic-assisted therapy
Keywords Psychotherapist Situational ethics Clinical psychology Qualitative research
Citations 458
Post-publication review 1 comment on PubPeer (opens in new tab) · last active September 2016
Key findings LSD-assisted psychotherapy produced sustained reductions in anxiety and improvements in quality of life over 12 months, with no lasting adverse reactions.

Abstract

Objective: A recently published study showed the safety and efficacy of LSD-assisted psychotherapy in patients with anxiety associated with life-threatening diseases. Participants of this study were included in a prospective follow-up.

Method: 12 months after finishing LSD psychotherapy, 10 participants were tested for anxiety (STAI) and participated in a semi-structured interview. A Qualitative Content Analysis (QCA) was carried out on the interviews to elaborate about LSD effects and lasting psychological changes.

Results: None of the participants reported lasting adverse reactions. The significant benefits as measured with the STAI were sustained over a 12-month period. In the QCA participants consistently reported insightful, cathartic and interpersonal experiences, accompanied by a reduction in anxiety (77.8%) and a rise in quality of life (66.7%). Evaluations of subjective experiences suggest facilitated access to emotions, confrontation of previously unknown anxieties, worries, resources and intense emotional peak experiences à la Maslow as major psychological working mechanisms. The experiences created led to a restructuring of the person’s emotional trust, situational understanding, habits and world view.

Conclusions: LSD administered in a medically supervised psychotherapeutic setting can be safe and generate lasting benefits in patients with a life-threatening disease. Explanatory models for the therapeutic effects of LSD warrant further study.

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