09/09/2025
A summary of: Are Psychedelic Agents Ready for Prime Time as Stand-Alone Treatments?
An editorial by: Claudio N. Soares, MD,PhD, MBA
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In the 1950s and 1960s, psychedelic research was a growing field. Low-dose “psycholytic” therapy with L*D was used to help patients lower defences and access deeper emotions in psychotherapy, while higher-dose “psychedelic therapy” aimed to produce transformative, mystical experiences thought to support recovery from depression, anxiety, and even alcoholism. Although early reports were promising, many of these studies lacked rigorous controls, and when stricter trials failed to replicate the results, the field lost credibility and momentum.
Recently research on using psychedelics for mental health has reemerged, but with far more rigorous scientific methodology. A recent randomized, double-blind, placebo-controlled trial by Robison et al., (2025) tested whether psychedelics can function as stand-alone treatments. The trial included 198 adults with moderate-to-severe generalized anxiety disorder, randomized to receive a single dose of pharmaceutical-grade L*D (MM120) at 25 -200 μg doses, or placebo. No psychotherapy was paired with the intervention.
Results were compelling: at 4 weeks, both the 100 μg and 200 μg doses showed significant reductions in anxiety symptoms. At 12 weeks, 65% of patients in the 100 μg group responded, and nearly half achieved remission. Improvements in depressive symptoms were also observed.
While questions remain about long-term durability, dropout rates, and how to integrate such treatments into clinical practice, this is the first trial to show that a psychedelic can produce substantial and lasting reductions in anxiety symptoms without psychotherapy. This marks a turning point in psychedelic science, moving it closer to mainstream psychiatry.
The link to the entire editorial:
If one sought psychological support in the 1950s and 1960s, there was a reasonable chance they would be offered lysergic acid diethylamide (L*D) to facilitate and enhance the depth of the psychotherapeutic experience. That practice became known as a psycholytic approach,1 in which L*D was...