Evidence map›Paper›PMID 37004409›Full record

Trial reportJournal of psychiatric research2023

Pilot study of single-dose psilocybin for serotonin reuptake inhibitor-resistant body dysmorphic disorder.

Franklin R Schneier, Jamie Feusner, Michael G Wheaton, Gloria J Gomez, Giselle Cornejo, Akansha Mahesh Naraindas, David J Hellerstein

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Journal of psychiatric research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
21.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Magnitude of response in treatment and control groups within psychedelic trials for psychiatric disorders: A meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2026
    Pooled it
  3. Pooled it
  4. Trials, trips, and tribulations: pathways for implementing psychedelic therapy in Ireland.The international journal of neuropsychopharmacology · 2026
    Review
  5. Review
  6. Innovations to improve outcomes and uptake of psychotherapies for mental disorders: a state-of-the-art review.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
    Article
  7. Psychedelic therapeutics in psychiatric conditions.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  8. Article
  9. Review
  10. Review
  11. The Emergence of Psilocybin in Psychiatry and Neuroscience.Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  12. Review
  13. Article
  14. Psilocybin: From Psychiatric Pariah to Perceived Panacea.The American journal of psychiatry · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Body dysmorphic disorder.Nature reviews. Disease primers · 2024
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 4 countries.

Franklin R SchneierNew York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032, USA; Columbia University Department of Psychiatry, 1051 Riverside Drive, New York, NY, 10032, USA. Electronic address: franklin.schneier@nyspi.columbia.edu.
Jamie FeusnerUniversity of Toronto, Toronto, Canada.
Michael G WheatonNew York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032, USA; Barnard College, 3009 Broadway, New York, NY, 10027, USA.
Gloria J GomezNew York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032, USA.
Giselle CornejoNew York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032, USA.
Akansha Mahesh NaraindasUCD School of Psychology, University College Dublin, John Henry Newman Bldg, Stillorgan Rd, Belfield, Dublin 4, Ireland.
David J HellersteinNew York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032, USA; Columbia University Department of Psychiatry, 1051 Riverside Drive, New York, NY, 10032, USA.
Université Bourgogne Franche-Comté · FRNew York Psychoanalytic Society and Institute · USUniversity College Dublin · IEUniversity of Toronto · CA

Funding

Neural mechanisms of perceptual abnormalities and their malleability in bodydysmorphic disorderR01MH121520 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI FEUSNER, JAMIE · 2020 to 2025
$2.8M
Exogenous Modulation of Visual Perception And Connectivity in Body Dysmorphic Disorder (EMPAC-BDD)R21MH128815 · NIMH · CENTRE FOR ADDICTION AND MENTAL HEALTH · PI FEUSNER, JAMIE · 2022 to 2023
$273k
NIMH NIH HHS R01 MH121520NIMH NIH HHS R21 MH128815
6 · The paper itself

Abstract

objectiveBody dysmorphic disorder (BDD) is an often-severe condition in which individuals are preoccupied by misperceptions of their appearance as defective or ugly. Only serotonin reuptake inhibitors and cognitive-behavioral therapy have been demonstrated efficacious in randomized controlled trials. Psilocybin is a psychedelic drug with growing evidence for safety and efficacy in treatment of depression. This study aimed to pilot test the feasibility, tolerability, safety, and efficacy of psilocybin treatment of adults with BDD.

methodsIn this open-label trial, 12 adults (8 women, 4 men) with moderate-to-severe non-delusional BDD that had been unresponsive to at least one serotonin reuptake inhibitor trial received a single oral dose of psilocybin 25 mg. There was no control group. Psychological support was provided before, during, and after the dosing session. The primary outcome measure for efficacy was the Yale-Brown Obsessive Compulsive Disorder Scale Modified for BDD (BDD-YBOCS) score during 12 weeks of assessments after dosing.

resultsAll participants completed dosing and all follow-up assessments. BDD-YBOCS scores decreased significantly over 12 weeks of follow-up (p < .001) with a large effect size (partial eta squared = 0.54), and significant changes from baseline were present at week 1 and persisted through week 12. Secondary efficacy measures of BDD symptoms, conviction of belief, negative affect, and disability also improved significantly, and no serious adverse events occurred. At week 12, seven participants (58%) were rated responders, based on ≥30% decrease in BDD-YBOCS.

conclusionThis study provides promising preliminary support for psilocybin as a treatment of BDD, warranting future controlled studies.

Indexed as

Body Dysmorphic DisordersSelective Serotonin Reuptake InhibitorsAdultFemaleHumansMalePilot ProjectsPsilocybinTreatment OutcomePsilocybinSelective Serotonin Reuptake InhibitorsBody dysmorphic disorderClinical trialHallucinogenPsilocybin

Identifiers

PMID37004409
PMCPMC10967229
OpenAlexW4361279088

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.