Psychedelics as Psychiatric Medications
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Library of Congress Control Number: 2022952041
ISBN 9780192863607
eISBN 9780192678522
DOI: 10.1093/med/9780192863607.001.0001
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Preface
We are very pleased to present this book, which provides a current appraisal of a very fast-moving field. We are gratified by having chapters by thought leaders from across the world, who have given a good sense of where we came from, where we are, and where we are going, in terms of psychedelics as treatments for psychiatric maladies and addictions. It should be noted that this book has embraced a very broad definition of psychedelics and related agents, including ketamine (a dissociative anaesthetic) and N-methyl-3,4-methylenedioxyamphetamine (MDMA, an entactogen), along with the classic psychedelics (e.g. psilocybin, D-lysergic acid diethylamide (LSD), dimethyltryptamine (DMT), ibogaine, and mescaline), as well as some lesser-known agents (muscimol, salvinorin A, mescaline, 2C-B, and 5-methoxy-DMT). This has been in part a response to the fact that these agents are all novel in terms of mechanisms of action; that all entail a rethinking of traditional therapeutic wrap around, in terms of the psychotherapeutic component (which, for ease, we refer to as psychedelic-assisted psychotherapy or PAP), and that all are in a stage of excited discovery. Indeed, the excitement associated with the revisiting of these agents as potential treatments for mental health and addictions is evidenced by a massive surge in publications, lectures, and media coverage.
We believe this book will be helpful to specialists and nonspecialists alike. The science and art of psychedelic psychiatry are presented, along with due cautions and concerns for how the future of this fascinating group of compounds can, along with psychotherapeutic support, help patients with a range of mental health and addiction problems.
David Nutt and David Castle
February 2022
Contents
Chase Thompson and Ishrat M. Husain
Laurie Higbed and Ben Sessa
James J. Rucker and David Erritzoe
Michael C. Mithoefer and David E. Presti
Mihai Avram, Felix Mller, and Stefan Borgwardt
Daniel Perkins, Simon G. D. Ruffell, and Jerome Sarris
Deborah C. Mash
James Linden and Daniel Robin
Joshua D. Di Vincenzo, Joshua D. Rosenblat, and Roger S. McIntyre
Joanna C. Neill, Mohammed Shahid, Rosalind Gittins, Anne K. Schlag, and Frank I. Tarazi
David Castle, Nicole Ledwos, and David Nutt
5-HT | Serotonin |
ACE | Adverse childhood experience |
ACLS | Advanced Cardiac Life Support |
AR | Augmented reality |
ASI | Addiction Severity Index |
BD | Bipolar disorder |
BDNF | Brain-derived neurotrophic factor |
BOLD | Blood oxygen level-dependent |
CADSS | Clinician-Administered Dissociative States Scale |
CAPS | Clinician-Administered PTSD Scale |
CBCT | Cognitive-behavioural conjoint therapy |
CDLIN | Controlled Drug Local Intelligence Networks |
CEQ | Challenging Experiences Questionnaire |
CNS | Central nervous system |
CRP | C-reactive protein |
CSA | Controlled Substances Act |
DAAC | Drug Abuse Advisory Committee |
DMN | Default-mode network |
DMT | N, N-dimethyltrpyamine |
DOS | Delirium observation scale |
DSM-5 | Diagnostic and Statistical Manual of Mental Disorders, fifth ed. |
EBI | Emotional Breakthrough Inventory |
EC | Endothelial cell |
ECG | Electrocardiogram |
EEG | Electroencephalogram |
EMA | European Medicines Agency |
FDA | Food and Drug Administration |
FM | Frequency Modulation |
GABA | -Aminobutyric acid |
GERD | Gastroesophageal reflux |
GLP | Good Laboratory Practice |
GPCR | G-protein coupled receptor |
HNK | Human Natural Killer |
IASC | Inventory of Altered Self-Capacities |
IBN | Intrinsic brain networks |
ICD-10 | International Classification of Diseases, tenth ed. |
IPT | interpersonal psychotherapy |
LSD | D-lysergic acid diethylamide |
MAOI | Monoamine oxidase-A enzyme inhibitor |
MAPS | Multidisciplinary Association for Psychedelic Studies |
MDA | 3,4-Methylenedioxyamphetamine |
MDD | Major depressive disorder |
MDMA | 3,4-Methyl-enedioxy-methamphetamine |
MEG | Magnetoencephalography |
MEQ | Mystical Experiences Questionnaire |
MHRA | Medicines and Healthcare products Regulatory Agency |
MI | Motivational interviewing |