Australian psychologists' attitudes towards psychedelic‐assisted therapy and training following a world‐first drug down‐scheduling

📖 Top 20% JournalNov 5, 2024Drug and alcohol review

Australian psychologists' views on psychedelic therapy and training after drug rescheduling

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Abstract

Most psychologists displayed positive attitudes towards psychedelics, particularly for treating chronic mental health conditions like depression.

Positive views on the therapeutic potential of psychedelics were common among psychologists.
Concerns were raised about the limited evidence for efficacy and possible adverse experiences associated with psychedelic-assisted therapy.
Many psychologists reported having limited detailed knowledge of the specific interventions involved in psychedelic-assisted therapy.
The importance of comprehensive education and training programs for psychologists was emphasized to ensure competence in administering these therapies.
Psychiatrists expressed openness to innovative training methods and novel treatments, highlighting a need for improved educational frameworks.

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INTRODUCTION: This study explores the attitudes of psychologists towards psychedelics and psychedelic-assisted therapy (PAT) following the world-first regulatory changes in 2023 in Australia which permitted psilocybin and 3,4-methylenedioxy-methamphetamine (MDMA) to be used in clinical services.

METHODS: A purposive sample of 20 Australian psychologists was recruited using snowball sampling. Semi-structured interviews were conducted which explored participants' attitudes, knowledge and concerns about PAT. Data were coded and analysed to identify and develop theme categories.

RESULTS: Most psychologists exhibited positive attitudes towards psychedelics and their therapeutic potential, viewing them as promising for addressing chronic mental health conditions like depression. However, there was a notable concern regarding the limited evidence on efficacy and potential adverse experiences, as well as the complexity of the individualised treatment protocol. Despite enthusiasm, many psychologists had limited detailed knowledge about the interventions themselves. The need for comprehensive education and training programs, including exposure to psychedelic experiences and credible higher education institutions, was emphasised to ensure competence in administering PAT.

DISCUSSION AND CONCLUSIONS: Psychologists displayed notably positive attitudes towards PAT, likely reflecting both shifting perceptions of psychedelics and self-selection bias within the sample. Despite this optimism, concerns were raised about psychiatric risks and the necessity for comprehensive and reputable training and supervision. The cohort showed openness to both novel treatments and innovative training methods, underscoring the importance of enhancing educational frameworks to ensure effective implementation of PAT.

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