Microdosing with psychedelics to self-medicate for ADHD symptoms in adults: A prospective naturalistic study.
Eline Haijen, Petra P M Hurks, Kim P. C. Kuypers
Neuroscience Applied October 26, 2022 DOI: 10.1016/j.nsa.2022.101012 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Prospective study Placebo-controlled Peer reviewed |
|---|---|
| Sample size | 233 |
| Population | Adults with ADHD who intended to start microdosing on their own initiative |
| Duration | 4 weeks |
| Topics | Microdosing |
| Citations | 17 |
| Key points | Microdosing classic psychedelics was associated with decreases in ADHD symptoms and increases in well-being, but not with improved time perception, and effects were unchanged by concurrent medication use or comorbidities. |
Abstract
ADHD in adulthood is often overlooked, which negatively affects the individual's well-being. First-line pharmacological interventions are effective in many ADHD patients, relieving symptoms rapidly. However, there seems to be a proportion of individuals who discontinue, or fail to respond to these treatments. For these individuals, alternative treatment options should be explored. A retrospective survey study reported that using classic psychedelics in low, repeated doses, so called microdosing (MD), was rated as being more effective than conventional treatments for ADHD. The current prospective study aimed to measure the effect of MD on ADHD symptoms, well-being and time perception. Adults with ADHD who had the intention to start MD on their own initiative to self-treat their symptoms were measured before MD and two- and four weeks later. It was expected that ADHD symptoms would decrease, well-being would increase, and performance on a time perception task would improve after MD. It was investigated if conventional medication use alongside MD and comorbidities alongside ADHD influenced the effect of MD. Sample sizes included N=233, N=66, and N=47, respectively. The results showed decreases and increases in ADHD symptoms and well-being, respectively. No improved performance on a time perception task was found. Conventional medication use and having comorbidities did not change the effect of MD on ADHD symptomatology and well-being after four weeks of MD. Placebo-controlled experimental studies are needed to explore further whether there is a beneficial effect of MD for ADHD, beyond the placebo-effect.
Comparable studies
Other observational and cohort studies on microdosing, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Microdosing psychedelics: personality, mental health, and creativity differences in microdosers Respondents recruited from online forums | 2019 | Observational study | |
| Positive expectations predict improved mental-health outcomes linked to psychedelic microdosing Individuals planning a weekly microdosing regimen | 2021 | Prospective observational study | n = 81 |
| Might Microdosing Psychedelics Be Safe and Beneficial? An Initial Exploration. More than a thousand individuals from 59 countries | 2019 | Observational cohort | n = 1,000 |
| Psilocybin microdosers demonstrate greater observed improvements in mood and mental health at one month relative to non-microdosing controls Psilocybin microdosers and non-microdosing comparators | 2022 | Naturalistic observational study | n = 1,133 |
| Nonlinear Pharmacokinetics of Oral Quinidine and Verapamil in Healthy Subjects: A Clinical Microdosing Study Healthy subjects | 2011 | Observational cohort |
Citations in the library
Cited by 16
- Psychedelic therapies reconsidered: compounds, clinical indications, and cautious optimism. Neuropsychopharmacology July 21, 2023
- Is microdosing a placebo? A rapid review of low-dose LSD and psilocybin research Journal of Psychopharmacology June 14, 2024
- Safety and Efficacy of Repeated Low-Dose LSD for ADHD Treatment in Adults: A Randomized Clinical Trial. JAMA Psychiatry June 1, 2025
- Cognitive functioning associated with acute and subacute effects of classic psychedelics and MDMA - a systematic review and meta-analysis. Scientific Reports June 26, 2024
- Effects of psychedelic microdosing versus conventional ADHD medication use on emotion regulation, empathy, and ADHD symptoms in adults with severe ADHD symptoms: A naturalistic prospective comparison study European Psychiatry 2024
and 11 more in the library
Cites 11
- Self-blinding citizen science to explore psychedelic microdosing. Elife March 2, 2021
- Acute Subjective and Behavioral Effects of Microdoses of Lysergic Acid Diethylamide in Healthy Human Volunteers Biological Psychiatry June 3, 2019
- The effects of microdose LSD on time perception: a randomised, double-blind, placebo-controlled trial Psychopharmacology November 26, 2018
- Motives and Side-Effects of Microdosing With Psychedelics Among Users The International Journal of Neuropsychopharmacology May 30, 2019
- Might Microdosing Psychedelics Be Safe and Beneficial? An Initial Exploration. Journal of Psychoactive Drugs 2019
and 6 more in the library