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Psychedelic drugs may launch a new era in psychiatric treatment, brain scientists say
NPR ^ | December 27, 20225:00 AM ET | JON HAMILTON

Posted on 12/28/2022 2:20:31 PM PST by BenLurkin

One of the hottest tickets at this year's Society for Neuroscience meeting in San Diego was a session on psychedelic drugs.

About 1,000 brain scientists squeezed into an auditorium at the San Diego Convention Center for the symposium, called Psychedelics and Neural Plasticity.

They'd come to hear talks on how drugs like psilocybin and MDMA can alter individual brain cells, can help rewire the brain, and may offer a new way to treat disorders ranging from depression to chronic pain.

"I was pleasantly surprised at the number of people," says Alex Kwan, a biomedical engineer at Cornell University who spoke at the session.

"In the last couple of years there has been a lot of public excitement about psychedelics," Kwan says. "The scientists are catching on now that we just don't know much about what these compounds do."

So during the session, Kwan and several other researchers shared what they are learning about the drugs.

Rewiring the brain Kwan described his own work on how psilocybin, the active ingredient in magic mushrooms, seems to help the brain rewire by generating new connections between neurons.

A study of mice found that psilocybin altered dendrites, the branch-like structures that extend from a nerve cell and receive input from other cells.

Dendrites form connections through small protrusions known as dendritic spines. And in mice that got psilocybin, the size and number of these spines increased by about 10%, which allowed cells to form new connections.

"When we give mice a single dose of psilocybin, we can see those new connections form within a day," Kwan says. "And then they can last more than a month," which is the equivalent of many months in a human.

New connections are a critical part of the rewiring process known as brain plasticity, which allows the brain to learn and adapt.

"Psychedelics seem to elevate plasticity," Kwan says.

One-and-done treatment?

Brain plasticity may explain why a single dose of a psychedelic drug can have a long-lasting impact on disorders like anxiety, depression and PTSD.

"It can be months or years," says Dr. Gitte Knudsen a neurologist from University of Copenhagen in Denmark who spoke at the psychedelics session. "It's a stunning effect."

These long-term effects have been shown with drugs including psilocybin, LSD and DMT (ayahuasca), Knudsen says. In contrast, most existing psychiatric drugs need to be taken every day.

But psychedelic drugs have some drawbacks. They can cause nausea or produce hallucinations that are frightening or unpleasant.

"It can be a quite overwhelming experience to people," Knudsen says. "And for that reason, you need to prepare them for that, and you also need to be with them while they are in the experience."

Even when patients are well prepared for a session, Knudsen says, they may have mixed feelings afterward.

"When people have been through a psychedelic experience in my lab, they say, 'Wow this was amazing, this was just a fantastic experience,'" she says. "And you ask them, 'Well, would you like to come back next week for another session?' They say, 'Thank you, but no thank you.' "

Psychedelics in the mainstream The fact that psychedelics were featured at the world's largest meeting of brain scientists suggests the drugs are poised to enter the scientific mainstream. That's a recent development.

Psychedelic research was popular in the 1950s but pretty much ended after the mid-1960s when the drugs were made illegal in the U.S. and Europe.

In the 1990s, a few researchers began cautiously studying how drugs like LSD, MDMA and psilocybin might help with psychiatric conditions like depression and PTSD.

And in 2016, a pair of studies published by prominent researchers "really piqued everyone's interest," says Dr. Joshua Gordon, who directs the National Institute of Mental Health.

Both studies found that a single treatment with psilocybin reduced anxiety and depression in cancer patients.

That has led to some large studies of psychedelics, including one published in The New England Journal of Medicine in November showing that psilocybin helped people with major depression who hadn't been helped by other treatments.

Studies like that one suggest that psychedelics "are going to be beneficial and useful" in treating psychiatric disorders, Gordon says.

But the effects found in large studies of psychedelics have been much less dramatic than in some of the earlier, smaller studies, Gordon says. Also, he says, some companies hoping to market psychedelics have overstated their benefits.


TOPICS: Weird Stuff
KEYWORDS: lotsofnewpatients
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To: BenLurkin

“Ya see, ya take a warped individual, give him a drug that warps him some more, and hope he comes full circle.”

That’s about “the science” and about their “speed”.


41 posted on 12/28/2022 5:07:34 PM PST by Migraine
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To: jmacusa

I was born in 1990 and all of my most favorite music is from the 1960s and the 1970s and maybe a little bit from the 1980s. Everything from my time seems to be crappe.


42 posted on 12/28/2022 5:21:56 PM PST by MeganC (There is nothing feminine about feminism. )
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To: steve86

https://www.uptodate.com/contents/ketamine-and-esketamine-for-treating-unipolar-depression-in-adults-administration-efficacy-and-adverse-effects/print

Short summary: these can work in the short term when conventional antidepressants don’t, or as an adjunct to conventional ADs. Duration of effect is a real question, as is the number of required follow-up treatments (as many as 45 total treatments reported). Longer term treatment suitability and effectiveness are unknowns. Development of tolerance and dependence are possibilities. Diversion of medical drug supplies for private use has been reported, and crossover to illicit sources of the drug is possible.


43 posted on 12/28/2022 5:33:29 PM PST by steve86 (Numquam accusatus, numquam ad curiam ibit, numquam ad carcerem™)
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To: BenLurkin

Ping to #43


44 posted on 12/28/2022 5:34:51 PM PST by steve86 (Numquam accusatus, numquam ad curiam ibit, numquam ad carcerem™)
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To: MeganC

I’d have to agree Megan. I was born in 1956. Saw the Beatles on The Ed Sullivan Show.

I’m former musician,( a drummer) and a proud fan of The Grateful Dead.

First saw them in ‘72. Been to about a dozen shows over the years. Wish the hell Jerry Garcia had wised up and sobered up but some people just never get the message.


45 posted on 12/28/2022 5:44:26 PM PST by jmacusa (Liberals. Too stupid to be idiots. )
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To: plain talk

Sid did too much cid.


46 posted on 12/28/2022 5:46:33 PM PST by D Rider ( )
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To: GaltAdonis

Oh yes. Studies at a major university show that a full course of leeches and blood letting will return any man to health, vitality and fitness.

Leading doctors agree. s/.


47 posted on 12/28/2022 5:49:32 PM PST by jmacusa (Liberals. Too stupid to be idiots. )
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To: All

Country Joe and The Fish Lyrics

Acid Commercial Lyrics

Hands up Charlie and-uh...
Now if you’re tired or a bit run down,
Can’t seem to getcha feet off the ground,
Maybe you oughta try a little bit of L.S.D.

Only if you want to

Shake your head and rattle your brain,
Make you act just a bit insane,
Give you all the psychic energy you need

Eat flowers and kiss babies
L.S.D.
For you and me!


48 posted on 12/28/2022 6:58:53 PM PST by Prov1322 (Enjoy my wife's incredible artwork at www.watercolorARTwork.com! (This space no longer for rent))
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To: steve86

You get your expert....I’ll get mine.


49 posted on 12/28/2022 8:39:03 PM PST by Az Joe (Live free or die)
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To: M_Continuum

You obviously are an ignorant buffoon.


50 posted on 12/28/2022 8:44:32 PM PST by ifinnegan (Democrats kill babies and harvest their organs to sell)
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To: Az Joe

Feel free to refute anything you’d like in #43.


51 posted on 12/28/2022 8:50:20 PM PST by steve86 (Numquam accusatus, numquam ad curiam ibit, numquam ad carcerem™)
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To: steve86

I already have fool, before you posted #43


52 posted on 12/28/2022 8:51:37 PM PST by Az Joe (Live free or die)
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To: Az Joe

Are you being treated for anger and rage issues as well?


53 posted on 12/28/2022 9:04:27 PM PST by steve86 (Numquam accusatus, numquam ad curiam ibit, numquam ad carcerem™)
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To: steve86

Are you?


54 posted on 12/28/2022 9:54:30 PM PST by Az Joe (Live free or die)
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