Major Depressive Disorder (MDD)Treatment-Resistant Depression (TRD)Depressive DisordersPTSDAnxiety DisordersSafety & Risk ManagementPersonality & Trait Factors

Psychedelic Knowledge and Opinions in Psychiatrists at Two Professional Conferences: An Exploratory Survey

This survey study (n=106) asked psychiatrists at two conferences about their knowledge (many aware of the promise) and opinions/concerns (lack of training, logistics, patients with contraindications) regarding psychedelic therapy. Those who worked more in research, know more about psychedelics, or were less concerned about the addictive potential scored higher in their beliefs on the effectiveness of psychedelic-assisted therapy.

Authors

  • Rick Doblin
  • Brian Barnett
  • Yvan Beaussant

Published

Journal of Psychoactive Drugs
individual Study

Abstract

Despite resurgent interest in psychedelic-assisted therapy, our insights into psychiatrists’ knowledge and opinions about medicinal psychedelic applications are surprisingly narrow. Therefore, we anonymously surveyed psychiatrists attending psychedelic didactic presentations at two national meetings about these issues using a 26-item questionnaire. Response rate was 40.20% (106/264). Respondents were 41.73 ± 13.31 years old (range: 24-80) and 64.42% were male. They largely believed psychedelics show treatment promise and strongly supported federal funding for medicinal psychedelic research. The most common concerns were the lack of trained psychedelic-assisted therapy providers, the logistics of psychedelic-assisted therapy delivery, the administration of psychedelics for patients with contraindications, and diversion. The most desired psychedelic-related educational topics were potential benefits of psychedelic-assisted therapy, how to conduct psychedelic-assisted therapy, psychedelic pharmacology, and psychedelic side effects. Factors associated with increased belief in psychedelics’ treatment potential included working primarily in research, scoring higher on a psychedelic knowledge test, and reporting less concern about psychedelics’ addictive potential. Working primarily in research and consult-liaison psychiatry fellowship training were positively associated with support for medicinal psychedelic legalization, while increased concerns about addictive potential and attending psychiatrist status were negatively associated. Support for legalization of non-medicinal psychedelic use was negatively associated with age and positively associated with support for legalization of medicinal psychedelic use.

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Research Summary of 'Psychedelic Knowledge and Opinions in Psychiatrists at Two Professional Conferences: An Exploratory Survey'

Introduction

Following decades of limited progress because of stigma, regulatory barriers, and scarce funding, interest in medicinal psychedelic research has accelerated. The introduction summarises recent clinical advances: psilocybin showing promise for anxiety and depression, Phase 2 and Phase 3 trials underway for major depressive disorder and treatment-resistant depression, and a positive Phase 3 trial of MDMA-assisted therapy for PTSD that could lead to regulatory approval in the United States. The authors also note growing regulatory openness illustrated by esketamine approvals and legal exemptions or compassionate-use programmes for LSD, MDMA, and psilocybin in several countries. They describe the typical resource-intensive model for psychedelic-assisted therapy (preparatory sessions, long drug sessions co-led by two therapists, and integration sessions) and argue that psychiatry should prepare for likely wider adoption and the consequent changes to psychotherapy delivery. Barnett and colleagues set out to characterise psychiatrists' knowledge, attitudes, and educational interests regarding psychedelic-assisted therapies. Specifically, the study aimed to survey psychiatrists who attended psychedelic didactic presentations at two national U.S. professional meetings in late 2019 to assess (1) factual knowledge about psychedelics, (2) beliefs about treatment potential and funding, (3) concerns about implementation and safety, and (4) preferred topics for psychedelic-related education. The authors position the work as addressing a gap in the mainstream psychiatric literature, noting only one prior U.S. national survey of psychiatrists on these topics.

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Study Details

References (9)

Papers cited by this study that are also in Blossom

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Glynos, N., Fields, C. W., Barron, J. et al. · Journal of Psychoactive Drugs (2022)

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