ArticlePsychopharmacology2026
Provider perspectives on challenges in treatment during psychedelic therapy.
Article in Psychopharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Methodological fragmentation and integration priorities in psychedelic-assisted therapy assessment: a scoping review.Frontiers in psychiatry · 2026Pooled it
- Psilocybin enhances sociability only in altered behavioural state and does not need an awake experience to be effective.Nature communications · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
rationalePsychedelic treatments are considered to involve unique treatment challenges relative to other psychiatric interventions, though these are typically not explored in detail within clinical trial reports.
objectivesTo determine the types of challenges that providers encounter while administering psychedelic drugs in research settings and to assess provider opinions on safeguards that may be pursued to improve outcomes.
methodsAn anonymous survey was distributed via email to contacts listed on clinicaltrials.gov. for clinical trials of psilocybin and LSD, personal contacts of authors, and through snowball sampling. Free response items were reviewed using qualitative thematic analysis.
results40 qualified respondents completed the survey. Respondents came from varying educational backgrounds (42.5% M.D./D.O., 57.5% other degrees) and practiced in at least 4 countries, 11 U.S. states, and 16 institutions. Respondents had overseen a total of 1656 psychedelic sessions (average = 41.4). Thematic analysis of free response descriptions pertaining to challenges in psychedelic therapy produced 11 distinct themes, with the most commonly reported challenges being intense dysphoria during treatment sessions (42% of respondents), disappointment with the intervention (25% of respondents), and re-engaging with traumatic experience (17% of respondents). 70% of respondents felt that individuals with PTSD or prior trauma warrant additional psychological support. Respondents recommended 9.8 h of total psychological support for individuals with serious mental illness receiving psychedelic treatment for the first time.
conclusionsPsychedelic providers encounter a variety of challenges over the course of psychedelic treatments. These potentialities should be considered during the development of psychological support protocols for clinical trials and any future clinical guidelines.
Indexed as
Identifiers
41139739What OpenQuestion holds
Registered trials
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.