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A randomized clinical trial of repeated doses of psilocybin for the treatment of obsessive-compulsive disorder - PubMed

4 hours ago
  • #Psilocybin
  • #OCD
  • #Clinical Trial
  • A randomized clinical trial tested repeated psilocybin doses for OCD treatment.
  • Current OCD treatments like serotonin reuptake inhibitors and cognitive-behavioral therapy often fall short.
  • Psilocybin, a 5HT2a agonist psychedelic, showed potential but needed rigorous testing.
  • Fifteen participants received high-dose (300 µg/kg), low-dose (100 µg/kg) psilocybin, or placebo (lorazepam) in Phase 1.
  • Phase 2 involved four additional high-dose psilocybin sessions.
  • OCD severity was measured using the Yale-Brown Obsessive Compulsive Scale (YBOCS).
  • Psilocybin was well-tolerated with no serious adverse events or psychotic symptoms.
  • Psilocybin significantly reduced YBOCS scores, unlike placebo.
  • 73.3% of participants were responders (≥35% YBOCS reduction) after eight weeks.
  • 40% achieved remission, with effects persisting substantially at six months.
  • Cumulative psilocybin dosing correlated with YBOCS score reductions.
  • The study suggests psilocybin is safe and potentially effective for OCD.
  • Larger trials are needed to confirm efficacy and refine protocols.