Research & Studies

What the research actually says

Every summary states the finding and the limitation. Early promising results are not proof, and we won't present them that way.

Summaries are written for general readers and simplify complex studies. Always read the original source before drawing conclusions.
Current evidence2023

Exercise and depressive symptoms

British Journal of Sports Medicine umbrella review

A review of many previous reviews looked at physical activity for depression, anxiety and distress.

Findings

Physical activity was associated with meaningful reductions in depressive and anxiety symptoms across populations.

Limitations

Wide variation in study quality and in how activity was measured.

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Current evidence2023

Slow breathing practices and anxiety

Meta-analytic literature

Researchers pooled trials of slow, paced breathing techniques.

Findings

Slow-breathing practices showed small to moderate reductions in self-reported anxiety and improvements in heart-rate variability.

Limitations

Short interventions, small samples and limited blinding.

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Current evidence2022

Psilocybin for treatment-resistant depression

Imperial College London / Compass Pathways trials

A clinical trial gave supervised psilocybin alongside psychological support to people whose depression had not responded to other treatments.

Findings

A single 25mg supervised dose was associated with a larger short-term reduction in depression scores than a 1mg comparison dose.

Limitations

Short follow-up, small numbers, participants often guessed which group they were in, and adverse events including suicidal ideation were recorded in some participants.

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Current evidence2022

Psilocybin-assisted therapy and heavy drinking

NYU Langone

A randomised trial paired psychotherapy with either supervised psilocybin or an active placebo for people with alcohol use disorder.

Findings

The psilocybin group reported fewer heavy drinking days over the follow-up period.

Limitations

Modest sample, difficulty blinding, and all sessions occurred with extensive professional support that unsupervised use does not replicate.

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Current evidence2021

Self-blinded microdosing and the placebo question

Imperial College London

A large self-blinded citizen-science study compared people taking microdoses with people unknowingly taking placebo.

Findings

Both groups improved on wellbeing measures, and the differences between real microdoses and placebo were largely explained by expectation.

Limitations

Self-selected participants, self-reported outcomes, and non-standardised dosing.

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Studies & ongoing research

Published trials and where to follow the science as it happens.

Published2022

Psilocybin for Treatment-Resistant Depression

COMPASS Pathways — Phase 2b trial

The largest psilocybin trial to date (233 participants) found a single 25mg dose with psychological support significantly reduced depression scores vs. 1mg at 3 weeks. Phase 3 trials are ongoing.

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Published2021

Psilocybin vs. Escitalopram for Depression

Imperial College London — NEJM

A double-blind trial comparing psilocybin to a leading SSRI. Published in the New England Journal of Medicine. Read the full paper for the nuances — the headlines oversimplified it.

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Ongoing2021–2023

MDMA-Assisted Therapy for Severe PTSD

MAPS — Phase 3 trials

Phase 3 results published in Nature Medicine. Note: the FDA did not approve MDMA-assisted therapy in 2024 and requested additional research — a reminder that this field is still evolving.

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Ongoing

Johns Hopkins Center for Psychedelic & Consciousness Research

Johns Hopkins University

The leading academic centre in the US, running studies on psilocybin for depression, smoking cessation, Alzheimer's, anorexia and more. Their site lists active trials and publications.

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Published2014

Psilocybin for Smoking Cessation

Johns Hopkins pilot study

A small open-label pilot found 80% of participants abstinent at 6 months — remarkable for a treatment-resistant population. Small sample, no control group, but it opened the door to larger trials.

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Important context2021

Microdosing Research — Self-Blinding Citizen Science

Imperial College London

One of the largest placebo-controlled microdosing studies found that expectation effects may explain many reported benefits. Essential reading before taking microdosing claims at face value.

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Search yourself

ClinicalTrials.gov — Psychedelic Studies

US National Library of Medicine

The official registry of clinical trials. Search 'psilocybin', 'MDMA' or 'ketamine' to see every registered study — recruiting, active and completed — so you can follow the science yourself.

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