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Psilocybin-assisted psychotherapy for methamphetamine dependence

A case report involving daily methamphetamine use

Bibliographic Data

ID15518521
AuthorsJeanne Brett (0000-0003-3065-7495, UNSW Sydney, corresponding author), Jonathan Brett, Elizabeth Knock (St Vincent's Hospital Melbourne), Kathy Watson (St Vincent's Hospital Melbourne), Steven M Albert (0000-0001-6786-9956, UNSW Sydney), Steven Albert, Krista J Siefried (0000-0002-6534-3325, UNSW Sydney), Jeffrey Guss (New York University)
Year2024
Volume15
Pages1490907-1490907
Publication date2024-12-06
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2024.1490907
PMID39713770
OpenAlexW4405122998
LanguageEN
Citations received1
References cited25

Methamphetamine (MA) dependence leads to severe physical and psychological issues. Current treatments, including psychosocial therapies and residential rehabilitation, face limitations such as high relapse rates, cost, and accessibility issues. As a result, there is an urgent need for novel approaches to treat MA dependence that are effective, affordable, and accessible to patients. Psilocybin, the active component in numerous mushrooms of the Psilocybe genus, has shown potential for enhancing psychotherapy for various addiction and mental health issues due to its effects on perception, cognition, and affect. Psilocybin-assisted psychotherapy (PAT) has demonstrated initial safety and efficacy in treating alcohol, cocaine, and nicotine dependence. The case presented here describes a 36-year-old transwoman and daily MA user, who participated in a single-arm open-label clinical trial assessing feasibility and safety of PAT for MA dependence at St. Vincent's Hospital, Sydney. Following inpatient withdrawal management and one session of psilocybin-assisted therapy, she experienced significant cognitive and emotional shifts and sustained MA abstinence. She reported improved mental health over 3 months following treatment completion. She also noted increased self-esteem, mindfulness, and distress tolerance. This study suggests that PAT (following inpatient MA withdrawal management) may offer a scalable, safe, and effective approach for treating MA dependence. However, further research is required to confirm the generalisability and efficacy of PAT for broader populations of people using MA. It is encouraging that this participant, a daily MA user, showed improvements in mood and cognition, in addition to abstinence from MA

Hallucinogen · Methamphetamine · Psilocybin · Psychiatry · Psychotherapist · Chemical synthesis and alkaloids · Medicine · Neurotransmitter Receptor Influence on Behavior · Psychedelics and Drug Studies · Psychology · Pharmacology

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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