Design: theSkimm | Photo: Getty Changing Minds:Psychedelics are making their way into the mainstream. And into modern medicine. Can they heal America’s mental health crisis? The Story“Mommies Who Mushroom.” “Can MDMA Save a Marriage?” “LSD Capitalism.” If it seems like psychedelics are everywhere, don’t worry — you’re not hallucinating. Substances like psilocybin (aka shrooms), ketamine, MDMA, and LSD are having a moment. Tell me more.Americans were anxious, depressed, and highly medicated before the pandemic. Now, the nation’s mental health crisis is even worse. But the medical field’s opening up to alternatives, especially for treatment-resistant depression or PTSD. There are currently more than 70 shrooms studies, looking at its effects on everything from eating disorders to opioid addiction. For the first time in decades, the FDA gave the go-ahead to a major LSD trial for anxiety. It approved esketamine (derived from ketamine) for treatment-resistant depression a few years ago. And could greenlight MDMA-assisted therapy next. When can we get a script for these? Not to be a downer, but it may take time. Even though the FDA has fast-tracked studies of some psychedelics, the gov still classifies most of these as Schedule 1 substances. Meaning, there’s no “currently accepted medical use” and they have “high potential for abuse.” Maybe that explains why funding for studies has been hard to find. Or why the recommended treatment plans might be so intense and expensive. Wait, back up. Is all of this even legal?Yes, but only in clinical research. Which doesn’t include your friends who are microdosing. Unless you live in Oregon, which has decriminalized all drugs and voted to legalize psilocybin in a therapeutic setting. (The state is still working out the details.) Or, if you’ve been prescribed ketamine. It’s an FDA-approved anesthetic, but is increasingly used off-label as a mental health treatment. theSkimm Psychedelics are still illegal in most of the US. But some are also being called breakthrough therapies for mental health. It’s probably too soon to know if they’ll one day be as common as Prozac or Zoloft. But it’s clear some Americans say ‘it’s high time’ for new solutions. |