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Manic episode following psilocybin use in a man with bipolar II disorder

A case report

Bibliographic Data

ID15528472
AuthorsHaniya J Halim (University of Alabama at Birmingham), Bradley G Burk (0000-0002-2681-3785, University of Alabama at Birmingham), Rachel E Fargason (University of Alabama at Birmingham), Badari Birur (0000-0003-1258-7585, University of Alabama at Birmingham, corresponding author)
Year2023
Volume14
Pages1221131-1221131
Publication date2023-09-22
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2023.1221131
PMID37810598
OpenAlexW4386961159
LanguageEN
Citations received1
References cited8

There has been an increase in research on the topic of psychedelic substances and their effects as treatment options in neuropsychiatric conditions. Psilocybin is a psychedelic drug that has recently garnered increased interest as an effective treatment modality for treatment-resistant depression, depression associated with terminal conditions, certain substance use disorders, and obsessive-compulsive disorder. However, sparse data exist as to the effects that psilocybin might have on patients at risk for mania, in large part secondary to the exclusion of this patient population from studies due to the concern for inducing mania or worsening illness course. We describe a case of a 21-year-old male with a recent diagnosis of bipolar II disorder who developed a manic episode following the ingestion of psilocybin in the form of hallucinogenic mushrooms. Given the incidence of depression in those with bipolar disorder, impulsivity, and a tendency to abuse substances associated with the illness, further research is needed into the risks of psilocybin and other psychedelic use in those with bipolar disorder

Bipolar disorder · Depression (economics · Hallucinogen · Lithium (medication · Mania · Population · Psilocybin · Psychiatry · Substance abuse · Chemical synthesis and alkaloids · Clinical Psychology · Medicine · Neurotransmitter Receptor Influence on Behavior · Psychedelics and Drug Studies · Psychology

  • Freedom of Recreation

    Open Access•Jason K Day, Michael Th Grooff•Contemporary Drug Problems•2025

  • Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer

    Open Access•Roland R Griffiths, Matthew W Johnson et al.•Journal of Psychopharmacology•2016

  • Pilot study of the 5-HT 2A R agonist psilocybin in the treatment of tobacco addiction

    Open Access•Matthew W Johnson, Albert Garcia-Romeu et al.•Journal of Psychopharmacology•2014

  • Human hallucinogen research

    Open Access•MW Johnson, WA Richards et al.•Journal of Psychopharmacology•2008

  • Safety, Tolerability, and Efficacy of Psilocybin in 9 Patients With Obsessive-Compulsive Disorder

    Francisco Moreno, Francisco A Moreno et al.•The Journal of Clinical Psychiatry•2006

  • Psilocybin-assisted treatment for alcohol dependence

    Open Access•Michael P Bogenschutz, Alyssa A Forcehimes et al.•Journal of Psychopharmacology•2015

  • A Physician’s Attempt to Self-Medicate Bipolar Depression with N,N-Dimethyltryptamine (DMT)

    Tanida Brown, Wanda Shao et al.•Journal of Psychoactive Drugs•2017

Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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