Maintenance Intramuscular Ketamine-Assisted Psychotherapy, a Retrospective Chart Review of Efficacy, Adverse Events, and Dropouts from a Community Practice DOI
Wesley C. Ryan, Boris D. Heifets

Journal of Psychoactive Drugs, Год журнала: 2024, Номер unknown, С. 1 - 15

Опубликована: Ноя. 22, 2024

The use of ketamine and ketamine-assisted psychotherapy (KAP) for treatment depression has grown dramatically, though much these data are short term. clinical profile maintenance remains poorly characterized. We assessed KAP efficacy, tolerability, reasons dropout. This observational study retrospectively analyzed electronic health records from an addiction psychiatry practice offering intramuscular with contemporaneous the depression. All patients receiving between January 2016 September 2022 were included, yielding 1,114 sessions 70 patients. response was quantified via global impression-severity scale. Side effects dropout extracted charts. Comorbidities include anxiety disorder (79%) or substance (49%). induction yielded 82% response, maintained above 80% after six months (sessions q21 days, 1.13 mg/kg mean dose). Many (38%) remained in at least one year. Nausea management accounted nearly all as-needed medication use. Antihypertensives seldom utilized. Chronic side notable case disorder, resulting residential treatment. Dropouts cited logistical half time only 9.7% time. robust improvements mood, anxiety, Maintenance effectively extended benefit largely well tolerated.

Язык: Английский

Uncovering Psychedelics: From Neural Circuits to Therapeutic Applications DOI Creative Commons

Alberto Melani,

Marco Bonaso, Letizia Biso

и другие.

Pharmaceuticals, Год журнала: 2025, Номер 18(1), С. 130 - 130

Опубликована: Янв. 19, 2025

Psychedelics, historically celebrated for their cultural and spiritual significance, have emerged as potential breakthrough therapeutic agents due to profound effects on consciousness, emotional processing, mood, neural plasticity. This review explores the mechanisms underlying psychedelics’ effects, focusing ability modulate brain connectivity circuit activity, including default mode network (DMN), cortico-striatal thalamo-cortical (CSTC) loops, relaxed beliefs under psychedelics (REBUS) model. Advanced neuroimaging techniques reveal capacity enhance functional between sensory cerebral areas while reducing connections associative areas, decreasing rigidity rendering more plastic susceptible external changings, offering insights into outcome. The most relevant clinical trials of 3,4-methylenedioxymethamphetamine (MDMA), psilocybin, lysergic acid diethylamide (LSD) demonstrate significant efficacy in treating treatment-resistant psychiatric conditions such post-traumatic stress disorder (PTSD), depression, anxiety, with favorable safety profiles. Despite these advancements, critical gaps remain linking molecular actions efficacy. highlights need further research integrate mechanistic optimize tools both therapy understanding human cognition.

Язык: Английский

Процитировано

2

Clinical and preclinical evidence of psilocybin as antidepressant. A narrative review DOI
I. Erkizia-Santamaría, Igor Horrillo, J. Javier Meana

и другие.

Progress in Neuro-Psychopharmacology and Biological Psychiatry, Год журнала: 2025, Номер unknown, С. 111249 - 111249

Опубликована: Янв. 1, 2025

Язык: Английский

Процитировано

0

Psychedelic iatrogenic structural dissociation: an exploratory hypothesis on dissociative risks in psychedelic use DOI Creative Commons

Steven Elfrink,

Leigh Bergin

Frontiers in Psychology, Год журнала: 2025, Номер 16

Опубликована: Март 4, 2025

This paper introduces the hypothesis of Psychedelic Iatrogenic Structural Dissociation (PISD), proposing that psychedelics may reactivate dissociated traumatic material, increasing risk psychological destabilization in trauma-exposed individuals. Grounded structural dissociation theory, this framework suggests can disrupt balance between daily functioning (the Apparently Normal Personality, ANP) and trauma-related responses Emotional EP), leading to resurfacing unintegrated memories. A review recent studies highlights persistent adverse effects associated with psychedelic use, including emotional dysregulation, identity fragmentation, derealization, perceptual disturbances, particularly among individuals early trauma histories. To mitigate these risks facilitate processing, integration practices, body-focused therapies, structured social support systems are proposed as key interventions. Additionally, emerging neurophysiological models suggest reconfigure dissociative processes through modulation entrenched patterns, potentially facilitating or vulnerability destabilization, depending on individual contextual factors. These findings underscore necessity trauma-informed screening, preparation, protocols enhance safety efficacy for vulnerable populations.

Язык: Английский

Процитировано

0

Regulatory Challenges of Integrating Psychedelics into Mental Health Sector DOI Creative Commons

Kerem Kemal Soylemez,

Emma Marie de Boo,

Joanne Lusher

и другие.

Psychoactives, Год журнала: 2025, Номер 4(2), С. 11 - 11

Опубликована: Апрель 22, 2025

Psychedelic substances have recently emerged as a promising method for treating mental health conditions, despite history of stigmatization and restriction in use. The present review synthesizes existing literature on the therapeutic potential psychedelics such LSD, psilocybin, MDMA addressing specific conditions like depression, anxiety, addiction. On reviewing literature, it became apparent that when administered controlled settings with psychological support, can induce profound insights, leading to long-lasting positive changes mood, cognition, behaviour. This discusses ethical, social, regulatory challenges linked using within sector across different countries, how these might influence societal beliefs towards their efficacy Further research would be beneficial eliciting deeper understanding use field health, development standardized administration protocols thorough appreciation implications long-term outcomes. revolutionize treatment while underlining urgent need rigorous scientific inquiry this topic ethical considerations surrounding purposes.

Язык: Английский

Процитировано

0

Historians on Drugs: Toward an Empirical Historiography of Global Psychedelic Cultures DOI

Joseph Christian Greer

South Atlantic Quarterly, Год журнала: 2025, Номер 124(2), С. 263 - 293

Опубликована: Апрель 1, 2025

Scholarship on the global history of psychedelics is divided into two rival approaches. This article analyzes these approaches, emphasizing way in which ideological biases both sides have stymied serious research use psychedelic substances across space and time, before introducing empirical approach as an alternative. The most prevalent view, “pharmacological Calvinism,” essentializes mind-altering drugs their users degenerate or antisocial. reductive has defined intellectual mainstream academic disciplines to present. In contrast pharmacological Calvinism, entheogenic school offers a maximalist interpretation psychedelics’ impact human culture cognition, presenting consciousness-expanding “secret key” behind world's religious traditions, mythology, folklore. proposes that corrective overstatements schools, it by comparatively granular draws from deep understanding primary sources placed conversation with apparatuses secondary literature. Distinctly uninterested unveiling “key” any tradition, this interprets multiplicity meanings values associated powerful psychotropics, alongside other modes ecstasy transpersonal relationality, integral dimension story.

Язык: Английский

Процитировано

0

Maintenance Intramuscular Ketamine-Assisted Psychotherapy, a Retrospective Chart Review of Efficacy, Adverse Events, and Dropouts from a Community Practice DOI
Wesley C. Ryan, Boris D. Heifets

Journal of Psychoactive Drugs, Год журнала: 2024, Номер unknown, С. 1 - 15

Опубликована: Ноя. 22, 2024

The use of ketamine and ketamine-assisted psychotherapy (KAP) for treatment depression has grown dramatically, though much these data are short term. clinical profile maintenance remains poorly characterized. We assessed KAP efficacy, tolerability, reasons dropout. This observational study retrospectively analyzed electronic health records from an addiction psychiatry practice offering intramuscular with contemporaneous the depression. All patients receiving between January 2016 September 2022 were included, yielding 1,114 sessions 70 patients. response was quantified via global impression-severity scale. Side effects dropout extracted charts. Comorbidities include anxiety disorder (79%) or substance (49%). induction yielded 82% response, maintained above 80% after six months (sessions q21 days, 1.13 mg/kg mean dose). Many (38%) remained in at least one year. Nausea management accounted nearly all as-needed medication use. Antihypertensives seldom utilized. Chronic side notable case disorder, resulting residential treatment. Dropouts cited logistical half time only 9.7% time. robust improvements mood, anxiety, Maintenance effectively extended benefit largely well tolerated.

Язык: Английский

Процитировано

0