Psychedelic Science Newsletter
Issue #46July 13, 20267 studies

Psilocybin cut two specific brain chemicals in depressed patients — here's what that means

Psychedelic medicine had a busy week: new clues about how psilocybin actually works in the brain, a pilot study in one of psychiatry's hardest-to-treat conditions, and fresh data on ketamine's cognitive footprint.

The field is moving fast enough that the methodological debates are getting their own papers.

Psilocybin's Brain Chemistry Fingerprint Gets Clearer 🍄

  • Researchers running a randomized, placebo-controlled trial measured cerebrospinal fluid before and after psilocybin therapy in patients with major depression — and found two chemicals dropped selectively: galanin and noradrenaline.
  • Both are co-transmitters, meaning they work alongside the main chemical messengers in the brain. Their reduction after psilocybin treatment suggests the drug may be normalizing a stress-signaling system that's overactive in depression.
  • The placebo group didn't show the same pattern, which makes this a cleaner pharmacodynamic signal than most psychedelic studies have produced.

Why it matters: Most psilocybin research focuses on serotonin. This points somewhere different — and gives researchers a measurable target to track in future work.

🥉 Top 5% journal 🔗 Neuropsychopharmacology 🗓️ Jul 7

Key Findings

Psilocybin Tested in Anorexia — A Condition With Almost No Good Treatments 🍄

  • A pilot study in adult females with anorexia nervosa tested psilocybin therapy and found it was both tolerable and showed early signs of therapeutic benefit.
  • Anorexia has among the highest mortality rates of any psychiatric disorder and very few effective pharmacological options, which makes even a small pilot signal worth watching.
💡 Psilocybin shows early promise in one of psychiatry's most treatment-resistant conditions.

DMT Did More Than Lift Mood — It Improved Quality of Life Too

  • Inhaled DMT was associated with reductions in anxiety and improvements in life satisfaction and quality of life in both healthy volunteers and patients with depression — not just symptom scores.
  • The study explored longer-term effects, an area that has been sparse in DMT research, suggesting the drug's impact may extend beyond the acute experience.
💡 DMT's benefits may reach further than depression scores alone suggest.

Ketamine and ECT Both Boost the Same Serotonin Receptor — Despite Very Different Mechanisms

  • A re-analysis of PET brain imaging data from 222 scans across three centers found that both ketamine and electroconvulsive therapy increased serotonin 1B receptor binding — ketamine by about 6%, ECT by about 9%.
  • The two treatments work through completely different primary targets, so finding the same downstream serotonin change suggests a shared pathway that neither treatment was designed to hit.
💡 Two very different fast-acting depression treatments converge on the same serotonin signal.
🥈 Top 2% journal 🔗 Molecular psychiatry 🗓️ Jul 8

Repeat Ketamine Injections Hold Up Over Time — With a Catch

  • An open-label extension of the KADS trial found that repeated subcutaneous ketamine remained effective and safe for treatment-resistant depression over a longer follow-up period.
  • Patients who had received prior ketamine treatment showed different response patterns, raising questions about whether the drug's effectiveness changes with repeated exposure.
💡 Ketamine keeps working long-term, but prior treatment history appears to matter.

First-Time Psychedelic Use Linked to Small Personality Shifts in College Students

  • A year-long study of 102 first-time psychedelic users and over 1,000 non-users at a Berlin university found small increases in openness and small decreases in conscientiousness among new users.
  • The effect sizes were modest, the changes weren't clearly different from first-time users of other illicit substances, and causal interpretation is limited — but the longitudinal design is stronger than most naturalistic psychedelic research.
💡 Psychedelics nudge personality slightly, but the signal is modest and causation is unclear.

Australian Cancer Clinicians Want Psilocybin as a Tool — But Have Questions About Delivery

  • A qualitative study found that Australian healthcare professionals working with cancer patients viewed psilocybin-assisted therapy as a potentially valuable option for existential distress, a symptom with very limited current treatments.
  • Clinicians expressed support in principle but raised practical concerns about how sessions should be structured, who should deliver them, and what training would be required.
💡 Clinicians want psilocybin for cancer distress — the delivery model is the sticking point.
🥉 Top 5% journal 🔗 BMC medicine 🗓️ Jul 7

Implications

Psychedelic research is accumulating enough clinical data that the next hard question isn't whether these drugs do something — it's which patients benefit, through which mechanism, and under what delivery conditions. The galanin and noradrenaline finding in psilocybin trials is a useful step, but whether those biomarker changes actually predict who gets better remains unanswered.

Studies in this issue

Primary sources used for this newsletter.

  1. Psilocybin therapy lowers brain chemicals galanin and noradrenaline in major depression
    main storyNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2026-07-07PMID 42414566
  2. Psilocybin therapy in adult women with anorexia nervosa: pilot study
    key findingThe British journal of psychiatry : the journal of mental science2026-07-07PMID 42414058
  3. Personality changes after first psychedelic use in German college students
    key findingNpj mental health research2026-07-09PMID 42426381
  4. Effectiveness and safety of repeated under-the-skin ketamine for hard-to-treat depression and how past ketamine use may affect results
    key findingThe British journal of psychiatry : the journal of mental science2026-07-06PMID 42403004