Ethical and Practical Considerations for the Use of Psychedelics in Psychiatry

Mar 29, 2023Psychiatric services (Washington, D.C.)

Ethical and Practical Issues in Using Psychedelics for Mental Health Treatment

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Abstract

Psychedelic-assisted psychotherapies are in an investigational stage and require more research before general clinical use can be considered.

There is growing interest among psychiatrists in the potential applications of psychedelic treatments.
Current discussions highlight the importance of informed consent and addressing patient vulnerability when using psychedelics.
Equity and access to psychedelic therapies are critical issues as they move closer to regulatory approval.
The review emphasizes the need for ethical considerations due to the unique altered states of consciousness associated with psychedelics.
Differences between clinical and nonclinical uses of psychedelics must be understood to avoid ethical pitfalls.

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In recent years, psychedelic-assisted psychotherapies have reentered the realm of rigorous scientific inquiry, garnering much attention from both the psychiatric community and the broader public. Headlines on major media platforms frequently tout the psychedelic future of psychiatry, and patients increasingly ask about the prospect of using psychedelics during their sessions. Despite this enthusiasm, psychedelics remain in an investigational stage, and more research and regulatory work are required before psychedelics can be deemed appropriate for general clinical use. In this climate, psychiatrists are increasingly curious about the prospects of psychedelic treatments. This review's goal was to help psychiatrists better understand the complexities of the burgeoning field of psychedelic-assisted psychotherapy. The discussion encompasses issues surrounding psychedelics in their current investigational stage and issues for psychiatrists to consider should psychedelics become available for broad clinical use. This review discusses research equipoise in the context of the current enthusiasm for psychedelics, informed consent, patient vulnerability, equity and access, differences between clinical and nonclinical psychedelic uses, and psychedelic self-enhancement. As psychedelics move closer toward regulatory approval beyond research settings, it is vital that these promising treatments be used ethically. The unique features of psychedelic therapies, including the altered states of consciousness they produce and the vulnerability that such states entail for patients, require careful consideration to minimize potential ethical pitfalls. This review seeks to ensure that psychiatrists are equipped to use psychedelic psychotherapy both ethically and effectively.

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Ethical and Practical Considerations for the Use of Psychedelics in Psychiatry

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