Skip to content

The effects of psychedelics on attention deficit and hyperactivity disorder - a systematic review.

Helerin Raikkerus, Andrea Bujour, Mark Kennedy, Jari Tiihonen

Acta Neuropsychiatrica June 10, 2026 DOI: 10.1017/neu.2026.10088 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Systematic review Randomized Cross-sectional Case report Peer reviewed
Population Patients with ADHD
Topics Ketamine LSD
Keywords ADHD Hallucinogens
Key findings There is not sufficient evidence to give recommendations on psychedelic use for ADHD.

Abstract

Attention deficit and hyperactivity disorder (ADHD) is a prevalent neuropsychiatric disorder (Drechsler et al., 2020). Recently, psychedelics have become of interest regarding developing treatment options for ADHD. The aim of this systematic review is to find all studies from the APA PsychInfo and MEDLINE databases, where psychedelics have been used for ADHD and assess whether further clinical studies are warranted. APA PsychInfo and MEDLINE were searched on the 20th of August 2025 for studies discussing ADHD and lysergic acid diethylamide (LSD) or psilocybin or dimethyltryptamine (DMT) or mescaline or phencyclidine or 3,4-methylenedioxymethamphetamine (MDMA) or ketamine. Primary research articles in English where the effects of the psychedelics mentioned on ADHD in humans were included. N = 1023 results were identified. Six studies were included - one randomised controlled trial (RCT) finding no statistically important difference compared to placebo, 3 cross sectional studies where respondents reported positive effect of psychedelics and one where the statistically important improvement was measured by the Child Bipolar Questionnaire. In addition, one case study, where both, depressive symptoms and functioning improved with ketamine. There is not sufficient evidence to give recommendations on psychedelic use for ADHD. In addition, it is not known whether patients, whose depressive symptoms have responded positively to ketamine, have also had ADHD. Also, no research was found on how psychedelics affect patient subgroups with different etiopathology causing their symptoms. Although only six studies filled the inclusion criteria, they bring out valuable implications for further research.

Comparable studies

Other systematic reviews and meta-analyses on LSD, most cited first.

Study Year Design Participants
Lysergic acid diethylamide (LSD) for alcoholism: meta-analysis of randomized controlled trials Participants in randomized controlled trials of LSD for alcoholism 2012 Meta-analysis n = 536
Antidepressive, anxiolytic, and antiaddictive effects of ayahuasca, psilocybin and lysergic acid diethylamide (LSD): a systematic review of clinical trials published in the last 25 years Patients from included clinical trials 2016 Systematic review
Default Mode Network Modulation by Psychedelics: A Systematic Review Participants from included studies 2022 Systematic review
Efficacy, tolerability, and safety of serotonergic psychedelics for the management of mood, anxiety, and substance-use disorders: a systematic review of systematic reviews Patients with mood, anxiety, or substance-use disorders, including cancer patients and... 2018 Systematic review of systematic reviews
Therapeutic Use of LSD in Psychiatry: A Systematic Review of Randomized-Controlled Clinical Trials Patients with psychiatric disorders, primarily alcoholism 2020 Systematic review n = 567

Explore topics