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Psychedelic-assisted therapy: An overview for the internist

Franklin King, Brian S. Barnett, Erin Mauney

Cleveland Clinic Journal of Medicine March 1, 2025 DOI: 10.3949/ccjm.92a.24032 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Interventions Psychedelic-assisted therapy MDMA Psilocybin Lysergic acid diethylamide
Topics Psychedelic-assisted therapy
Keywords Intensive care medicine
Citations 11
Key findings Psychedelic-assisted therapy may be efficacious for several conditions, but the FDA declined to approve MDMA in 2024 and requested another phase 3 trial.

Abstract

Preliminary evidence suggests that psychedelic-assisted therapy-the enhancement of psychotherapy with psychedelics such as 3,4-methylenedioxymethamphet-amine (MDMA) and psilocybin-may be efficacious for depression, posttraumatic stress disorder, substance use disorders, and other conditions. Therapeutic psychedelic research is advancing steadily, with psilocybin, MDMA, and lysergic acid diethylamide designated breakthrough therapies by the US Food and Drug Administration (FDA). However, in August 2024, the FDA declined to approve a New Drug Application for MDMA and asked its sponsor to conduct another phase 3 trial. Clinicians are urged to prepare for the possible return of psychedelics to medicine.