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PSILOCYBIN IN THE TREATMENT OF DEPRESSIVE DISORDERS: CLINICAL EVIDENCE AND ITS POTENTIAL TO ADDRESS THE GLOBAL MENTAL HEALTH CRISIS - A REVIEW

Aleksandra Łoś, Kacper Szkodziński, Inga Jakubczyk, Jagoda Maternia, Karolina Majowicz-Czaszyńska, Wiktoria Pempuś, Nikola Król, Barbara Tomaszek, Aleksandra Blok, Dominik Wiater, Gabriela Płodzień

International Journal of Innovative Technologies in Social Science June 24, 2026 DOI: 10.31435/ijitss.2(50).2026.5755 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Population Patients with MDD and TRD
Intervention Psilocybin-assisted therapy
Topics Depression Psilocybin
Keywords Psychosocial Mental health Antidepressant Depression economics Pharmacotherapy Population Depressive symptoms Public health Psychotherapist Clinical psychology Mental illness
Key findings Psilocybin-assisted therapy offers rapid and lasting antidepressant effects for major depressive disorder and treatment-resistant depression, with symptom reduction often within the first week and benefits persisting 6–12 months.

Abstract

Introduction: Depressive disorders are one of the greatest public health challenges worldwide, affecting up to 16% of the population over a lifetime and significantly impacting quality of life, disability, and premature mortality. Major depressive disorder (MDD) is a leading cause of disability, despite the availability of numerous treatment options. In 20–50% of patients, traditional pharmacotherapy and psychotherapy become ineffective, leading to a diagnosis of treatment-resistant depression (TRD).

Objective: The objective of this study was to provide a thorough assessment of current research findings evaluating the efficacy and safety of psilocybin-assisted therapy (PAT) in patients with MDD and TRD, with particular emphasis on rapid antidepressant effects and long-term therapeutic potential.

Methods: A literature review was conducted in the PubMed and Google Scholar databases. Keywords related to psilocybin, depression, treatment-resistant depression, and psychedelic-assisted therapy were used.

Results: Psilocybin-assisted psychotherapy is a promising alternative for the treatment of MDD, TRD, and secondary depression. Compared to traditional antidepressants, PAT is characterized by a faster onset of action, symptom reduction often occurs as early as the first week after starting therapy, and the achieved results may persist long-term for up to 6–12 months. In addition, many patients showed improvement in anhedonia, anxiety, and overall psychosocial functioning.

Conclusions: Psilocybin represents a promising therapeutic alternative for patients with severe depression and TRD, offering rapid and lasting antidepressant effects. Its use could significantly change the approach to treating depression, particularly in cases resistant to standard therapies.

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