Psychedelic treatments show promise for OCD while cannabis doesn’t, review finds

A recent review of alternative treatments for obsessive compulsive disorder (OCD) indicates that psychedelic treatments show promise for the disorder while cannabis does not.

Dr Michael Van Ameringen, a psychiatry professor at McMaster University in Ontario, Canada and lead author of the review published in the Journal of Psychiatric Research, said that 40-60 % of OCD patients get either partial or no relief with available treatments, including SSRIs and exposure and response prevention therapy.

While psychedelics and cannabinoids have become part of the conversation surrounding OCD – a disorder characterized by intrusive, obsessive thoughts and/or compulsive behaviors – there is a much larger body of published evidence on the efficacy of these substances for more common conditions, like depression and anxiety.

“We wanted to hone down and really understand, is there evidence for these things that have been talked about to be used as the next step treatments?” Van Ameringen explained.

Given the paucity of existing literature, Van Ameringen said he didn’t know what to expect. To make up for the lack of published information, he included conference presentations and preliminary, unpublished findings in the review paper.

Upon compiling available evidence, Van Ameringen and his team found “stronger signals” for the efficacy of psychedelics, specifically psilocybin (the psychoactive component of “magic mushrooms,”) than for cannabinoids like THC and CBD.

Van Ameringen theorizes that the difference is related to how these substances interact with areas of the brain related to OCD. While cannabinoids activate the brain’s CB1 receptors, which regulate symptoms like compulsions and anxiety, available evidence shows they don’t offer lasting relief from OCD symptoms.

Psilocybin, on the other hand, can reduce connectivity in the brain’s default mode network, which “essentially is involved in self referential thinking and rumination. The default mode network is really activated in OCD”, he says.

A difference in the methodology of cannabis and psilocybin studies might also have contributed to the different results, says Dr Mohamed Sherif, a psychiatrist and computational neuroscientist at Brown University who will lead a future clinical trial on psilocybin for OCD. Psychedelic clinical trials, like the one Sherif is planning, tend to offer patients not only medication but also encouragement to frame their experience as a therapeutic “journey”.

“This was not done in cannabinoids [studies,]” Sherif explained.

Dr Terrence Ching, a clinical psychologist at the Yale School of Medicine, similarly wondered if the way people use cannabis versus psilocybin might explain the different outcomes. While people tend to use cannabis for temporary relief, psilocybin can help facilitate actual changes in the brain and in patients’ perception of their OCD.

“One could use cannabis for the same therapeutic reason, of confronting something deeper about their OCD or their obsessive fears. But conventionally, people tend to use cannabis for an avoidance function,” Ching explained.

Preliminary results from Ching’s clinical trial on a single dose of psilocybin for OCD were included in Van Ameringen’s review paper, and showed that psilocybin was effective for OCD symptoms compared to placebo. Ching is now preparing the results of the trial for publication, and planning a second clinical trial where OCD patients will receive two doses of psilocybin at different times.

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Psychedelics produce enduring behavioral effects and functional plasticity through mechanisms independent of structural plasticity

Activation of serotonin 2A (5-HT2A) receptors is thought to underly the long-lasting antidepressant effects of psychedelics such as psilocybin, but beyond that, the molecular and cellular mechanisms involved are not well understood. Recent preclinical studies using mice have primarily examined relatively short time points after psychedelic administration, which does not address the long-lasting effects of psilocybin in humans (i.e., several months or more). We utilized a rat experimental system to demonstrate that both psilocybin and the selective 5-HT2A receptor agonist 25CN-NBOH reduce immobility in the forced swim test without a decrease in effect size for at least three months after a single administration of the psychedelic. There were no overt behavioral differences between psilocybin and 25CN-NBOH treated animals, suggesting 5-HT2A receptor activation is sufficient to produce long-lasting behavioral changes. Functional cellular plasticity in neurons from the medial prefrontal cortex (mPFC) of these animals was assessed using brain slice electrophysiology. Functional plasticity was evident for both psychedelics several months after treatment, and Layer 5 excitatory pyramidal neurons demonstrated significant changes in resting membrane potential, firing rates, and synaptic excitation. Recorded neurons were examined by microscopy for synaptic density and spine classification, which found no differences between control and psychedelic-treated. Gene expression studies for several presynaptic and postsynaptic markers in the mPFC indicated no differences in expression between groups. Together, our results indicate a single treatment with a psychedelic is sufficient to elicit very long-lasting behavioral and cellular changes through enduring function plasticity rather than structural plasticity.

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A psychedelic tour of Earth’s ecosystems – from the desert to Siberia

Every mind-bending molecule in nature has an evolutionary origin; a defence against being eaten, a lure for pollinators, or perhaps a happy biochemical accident. Though they seem extraordinary, life has evolved psychedelic molecules that alter consciousness across almost every ecosystem.

Let’s take a tour of our surprisingly psychedelic planet.

The tropical rainforests hum with chemical diversity. Among the 10,000 tree species living in the Amazon are several which produce dimethyltryptamine (DMT), the molecule that makes psychedelic brew ayahuasca so powerful. DMT is a naturally occurring tryptamine molecule, which derives from the same chemical building block that gives us serotonin and melatonin, chemical messengers that change our mood and help us sleep.

One of these tree species, the Psychotria viridis, or chacruna, is a small understory tree from the plant family that also gives us coffee. Other DMT-producing species include yopo (Anadenanthera peregrina), a tree native to the Amazon that is also found in the Caribbean. Yopo is in the legume family, a close relative of beans, chickpeas and lentils. Scientists aren’t sure why some species in the same family develop psychedelic compounds while others don’t.

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Mom opens up about taking psychedelics while pregnant, breastfeeding to ‘address’ issues

A microdosing mom who took psychedelic mushrooms while pregnant and breastfeeding says it has given her “more patience” as a parent.

Mikaela de la Myco, 31, began ingesting psylocibin mushrooms – a type of hallucinogenic mushroom – four months into her pregnancy with her son, aged five.

Following battles with alcohol addiction, ingesting mushrooms was a way for Mikaela “to address” her issues before her son was born.

Microdosing is the practice of taking small doses of psychedelic substances with the aim of improving mental well-being and cognitive function.

Mikaela continues to microdose, ingesting mushrooms in a “variety of forms” including capsules, chocolate, whole dried form and in tea.

She believes there is a “stigma” placed on moms who ingest mushrooms but they can be a “catalyst” for changes in behavior.

Mikaela, an educator and folk herbalist, from San Diego, California, said: “Like many mothers I had a relationship with psylocibin mushrooms before I became pregnant and it was tremendously supportive in many areas of my life.

“I sought to consult with others on the topic and was able to receive information from an elder who expressed to me that in her tradition they ingest while pregnant and that the relationship that mothers have with mushrooms doesn’t break just because of pregnancy.

“I had some concerns in pregnancy – specifically my relationship and addiction to alcohol that I wanted to address with microdosing because I didn’t want to carry on my alcoholism experience in my own family to my child.

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Ohio Health Agency Grants $400,000 To Fund Psychedelics Education And Training For First Responders, Doctors And More

An Ohio health agency is providing a state university with a $400,000 grant to educate first responders, law enforcement, emergency departments and behavioral specialists about how to deal with potential adverse psychedelic experiences as more people use the substances for medical or recreational purposes.

Amid the expanding psychedelics reform movement, there’s been increased attention to the possible health benefits of substances like psilocybin and ibogaine. But only a handful of states allow for the regulated use of certain psychedelics, typically in medically supervised settings.

Ohio is not among those states yet, but Ohio State University (OSU) is now launching its Psychedelic Emergency, Acute, and Continuing Care Education (PEACE) initiative, with nearly half a million dollars of funding from the state Department of Behavioral Health’s (DBH) SOAR Innovation grant program.

“People have started to learn about the benefits of psychedelics while, at the same time, the federal government categorizes these as controlled substances,” Stacey Armstrong, associate director of the OSU’s Center for Psychedelic Drug Research and Education (CPDRE), said in a press release last week.

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‘I am melting, help me’: The 30-year-old drug website that transformed psychedelic research

Thirty years ago, drug users flocked to a website called Erowid to describe experiences on everything from Advil to LSD. Today it’s become a goldmine for researchers and governments.

“I am melting, help me.” This is not only an unusual plea for assistance. It’s also the title of a “trip report”: one person’s experience with the powerful dissociative drug phencyclidine (known as PCP). And it’s just one of many thousands of mind-bending anecdotes filed to Erowid, a website that, since the early days of the internet, has built one of the world’s most influential records of drug use and its effects.

This year marks the 30th anniversary of the scrappy, grassroots project, which hosts data on everything from caffeine to cannabis to paracetamol (also known as Tylenol) to heroin, like a Wikipedia on all things pharmaceutical. Users post information about purifying street drugs, rolling joints and the health implications of drug misuse. Visitors to the site can find information about drug toxicology and interactions between chemicals. They can even wade through the archives of Albert Hoffman, the Swiss chemist who first synthesised lysergic acid diethylamide – or LSD.

But perhaps most intriguing of all are the 45,000-plus trip reports in the “Experience Vault”. These hallucinatory tales, with titles such as “Tripping Alone on 1.5 Grams From Hell”, “The Weekend At The Edge Of The Universe” and “The Thumbprint”, where an unfortunate soul loses their mind on a drug related to LSD called AL-LAD, do not just make for idle internet fodder. They have become vital for academic research, especially for esoteric and illegal substances where clinical data does not exist or is challenging to obtain.

“People publishing their personal experiences and experimenting outside of the legal and academic bubble has led to the science, in many ways,” says David Luke, associate professor of psychology at the University of Greenwich in the UK who studies psychedelics and has conducted clinical trials using microdoses of LSD. “There was so little published academic research and so few resources for exploring the use of psychoactive drugs that Erowid was invaluable for research, and to understand issues around safety and experiences.” 

Today, the social stigma around some types of drug use has softened to the point that Ayahuasca ceremonies, mushrooms and ketamine have even become a fixture in some corners of the business world. While these substances are still illegal in many countries, a growing number of places are choosing to decriminalise drugs that were previously subject to extensive crack downs. In recent years, psychedelics have also gathered renewed interest from the scientific community as a potential approach for treating conditions such as post-traumatic stress disorder. Their use, however, remains controversial and in some places unregulated therapeutic use of these drugs has led to tragedy.

Back in 1995, when Erowid was founded, psychedelics were very much of the underground. This was a hostile time for drug reform, just over a decade since US president Ronald Reagan had expanded the war on drugs

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Psychedelic beer may have helped pre-Inca empire in Peru schmooze elite outsiders and consolidate power

The growth of a pre-Inca civilization known as the Wari may have been aided by psychedelic-laced beer, researchers propose in a new study.

The Wari flourished from roughly A.D. 600 to 1000 and are known for their mummified burials, human sacrifices, and elaborate objects created out of gold, silver and bronze. They also built cities such as Huari and Pikillaqta, which contained temples and dwellings for elite inhabitants, and controlled much of Peru as well as parts of Argentina and Chile.

In the new study, published Monday (Oct. 6) in the journal La Revista de Arqueología Americana (The Journal of American Archaeology), the researchers suggest that Wari rulers used psychedelics mixed in beer to help grow their empire. They explain that the “afterglow” — the long-term effect of drinking the mix — would have lasted weeks and that communal feasts where it was drunk would have brought people together. While the body may excrete psychedelics quickly, the aftereffects can last for days or weeks.

The study authors noted that the remains of seeds from a plant named Anadenanthera colubrina (also known as vilca) have been found at Wari sites, including near the remains of beer made from a plant called Schinus molle. Mixing the vilca, which is known to produce a psychedelic effect, with the beer would have “lessened but extended the high,” Justin Jennings, a curator of South American Archaeology at the Royal Ontario Museum and co-author of the paper, told Live Science in an email.

In the paper, the authors noted that scientific studies of similarly acting psychedelics found that people who took them tended to display “greater openness and empathy.”

These traits “would have been highly desirable for a Wari political system that depended on friendly, routine face-to-face interactions between people who had once been strangers or even enemies,” the researchers wrote in their paper.

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From trips to treatments: how psychedelics could revolutionise anti-inflammatory medicine

Once synonymous with hippies and hallucinatory experiences, psychedelic drugs are now being explored for their medical potential. The stigma of that era resulted in research being suppressed by drug laws, yet with mental health treatments hitting limits, scientists have returned to this controversial corner of medicine.

Substances like psilocybin (found in magic mushrooms) and ayahuasca are now being taken seriously by scientists and doctors, not for the visions they induce, but for the healing potential they possess.

Initially, this focused on treating mental health conditions like depression, where currently prescribed drugs only help a minority of patients. But these investigations have now expanded to include diseases driven by inflammation, which psychedelic drugs may help reduce by calming down the immune system.

In both human cells grown in laboratory dishes and animal studies, psychedelic drugs like DMT, LSD, and a compound called (R)-DOI can block the release of inflammatory molecules called cytokines. These protein molecules fuel conditions like rheumatoid arthritisasthma and even depression, as well as increasing brain damage following traumatic brain injury.

Advantage over steroids

But these drugs have a considerable advantage over typical anti-inflammatory medications like steroid drugs because psychedelics appear to work without suppressing healthy immune function, which is a major problem with steroids.

Significantly, these laboratory findings are beginning to be confirmed in studies in humans. Evidence is growing that psychedelics could hold the key to managing inflammation, one of the body’s central drivers of many chronic diseases, including depressionarthritis and heart conditions.

Take psilocybin, the active ingredient in magic mushrooms. In a study involving 60 healthy participants, just one dose was enough to significantly lower levels of two key inflammatory molecules – TNF-alpha and IL-6 – over the following week.

However, not all studies have shown the same clear results. Some only had a few participants and others were complicated by the fact that some participants had previous drug experience, which could affect the results.

One big challenge with studying psychedelics in medical research is that it’s very hard to hide who got the real drug and who got a placebo. When someone has a strong psychedelic experience, it’s obvious they didn’t just take a sugar pill.

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Utah Church That Uses Marijuana, Psychedelics And Vapes As Sacraments Sues Over Police Raids

Months after Utah’s ban on flavored vapes, Blackhouse, a former Sugar House vape shop, became a sanctuary and a safe haven for those searching to get flavored cartridges—for spiritual and religious practices.

The electronic cigarettes joined other sacraments that have been at the center of religious legal challenges in the state like psychedelic mushrooms and cannabis. But, after Utah law enforcement agencies raided the Sugar House location, as well as the Salt City Sanctuary in South Salt Lake in August, all of these sacraments have been put into legal question, with the Sugarleaf Church, the institution overseeing both sanctuaries, initiating a lawsuit to keep them.

“Officers arrived using riot gear, AR-15s, pry bars, and battering rams, forcibly entered both sanctuaries, and immediately began disabling the security systems and surveillance cameras with a crow bar,” the church said in a lawsuit filed in U.S. District Court in Salt Lake City in August.

During the raids officers confiscated cannabis and psilocybin products, which the church called “sacramental property,” as well as thousands of flavored vape cartridges, blank checkbooks, waivers, clergy rosters, cash donations, tablets and membership records.

The church is asking a judge to order law enforcement to stop interfering with members’ free exercise of religion and to award compensatory damages. The institution is also asking the South Salt Lake Police Department and the Utah State Bureau of Investigation to undergo mandatory religious sensitivity training and for the immediate return of property.

At Salt City Sanctuary the agents seized “4.24 kilograms of packaged marijuana flower; over a kilogram of ‘fresh flower’ marijuana; 956 1-gram pre-rolled marijuana joints, 8 display jars of marijuana flower, 152.5 grams of psilocybin mushrooms, mushroom gummies and sample packs, numerous edibles with THC, and rolling papers,” according to a motion to dismiss filed by the Salt Lake County District Attorney’s Office.

At Blackhouse, officers confiscated “significant quantities of raw marijuana; psilocybin mushrooms; THC vapes, cookies, gummies, candies, syrups, oils, and similar products; psilocybin cookies, gummies, and similar products; and over 3,000 flavored vape cartridges and order receipts,” the district attorney’s office said in its motion.

Joshua Robers, a church reverend, was also arrested and booked into Salt Lake County Jail during the Salt City Sanctuary raid. He faces multiple charges in 3rd District Court, including possession of a controlled substance with intent to distribute, a third-degree felony.

The Salt Lake County District Attorney’s Office filed a motion to dismiss the lawsuit this month and declined to comment because the litigation is ongoing.

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Massachusetts Lawmakers Approve Bill To Create Psychedelic Therapy Pilot Program

Massachusetts lawmakers have approved a bill to establish a pilot program for the regulated therapeutic use of psychedelics.

The pilot program proposal from Sen. Cindy Friedman (D) advanced through the legislature’s Joint Committee on Health Care Financing on Thursday. It’s now been referred to the Joint Committee on Health Care Financing for further consideration.

The measure is one of two pieces of legislation on the issue that are set to be taken up at a hearing before a different committee in November.

The bill, S.1400, is light on specifics, leaving many details of the pilot program up to regulators with the Department of Public Health (DPH). But in general, it calls for a “pilot program to allow for the monitored mental health care of clinically appropriate patients using psychedelic materials.”

It would involve the “on-site administration by a multi-disciplinary care team in a supervised licensed mental health clinic setting.”

DPH could only issue licenses for up to three health facilities to administer and study the psychedelics in the state. They would be tasked with “establishing the best and safest clinical practices for psychedelic mental health treatment programs in the commonwealth and for the purposes of collecting patient outcomes data regarding the benefits of psychedelic pharmacotherapy.”

“Eligible pilot program organizations must exclusively focus operations and treatment on mental health and cannot be subsidiaries, affiliates or members of cannabis industry organizations, psychedelic molecule development companies or pharmaceutical companies,” the bill text states.

The department would be required to develop rules for the program, including setting standards for people to apply to participate, patient assessments and ongoing monitoring, clinical staffing and the administration of psychedelic medicines.

“All pilot program participant organizations must track patient care outcomes data related to the identification, diagnosis and psychedelic treatment of depression, anxiety, post-traumatic stress disorder and substance use disorder,” it says. “These data sets must be shared with the department to assist in the refinement of best clinical protocols and final regulatory frameworks for the safe use of psychedelic material in Massachusetts.”

The bill, as well as a separate measure to provide a more limited pilot program for psilocybin therapy alone, will also be the focus of a hearing on November 10 before the Joint Committee on Mental Health, Substance Use and Recovery.

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