Over the last decade, we’ve seen scientific interest in these drugs explode. But most clinical trials of psychedelics have been small and plagued by challenges. And a lot of the trial results have been underwhelming or inconclusive.
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In [one study], a team based in Germany gave 144 volunteers with treatment-resistant depression either a high or low dose of psilocybin or an “active” placebo, which has its own physical (but not hallucinatory) effects, along with psychotherapy. …
The volunteers who got psilocybin did show some improvement—but it was not significantly any better than the improvement experienced by those who took the placebo. …
Not great news so far.
The authors of the second study took a different approach. Balázs Szigeti at UCSF and his colleagues instead looked at what are known as “open label” studies of both psychedelics and traditional antidepressants. In those studies, the volunteers knew when they were getting a psychedelic—but they also knew when they were getting an antidepressant.
The team assessed 24 such trials to find that … psychedelics were no more effective than traditional antidepressants.















