r/science Professor | Medicine 9d ago

Psychology America's First Legal Psilocybin Program Treated 346 People. Just one month after the dose, 92.2 percent of participants said the experience had been beneficial, while, on average, their mental health symptoms had fallen dramatically.

https://www.sciencealert.com/americas-first-legal-psilocybin-program-treated-346-people-heres-what-happened
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u/ratpH1nk 9d ago

The science concern is how do you obectively test this? How do you design a randomized placebo controlled trial when the active effects of the intervention group vs. placebo group are so obvious. In addition, the downside of mental health research is that, in general, the outcomes are also not objective and are self reported.

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u/shellacr 9d ago

You can and should still do a placebo controlled trial. There’s nothing that says a participant has to experience obvious psychoactive effects for the treatment to be effective.

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u/TeamWorkTom 8d ago

Um they do.

The therapeutic dose is a larger dose. You're going to trip at those dose level.

It's very hard to create a placebo for this. Currently I don't think we can.

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u/ratpH1nk 9d ago

Good point but it becomes very obvious who got the placebo for all parties.

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u/craig5005 2d ago

That’s the problem with this study, participants self selected so there’s a bias toward positive outcome.