Psilocybin-assisted psychotherapy for treatment-resistant depression: Which psychotherapy?

depression mental health nursing psilocybin psychedelics psychotherapy treatment-resistant depression

Journal

International journal of mental health nursing
ISSN: 1447-0349
Titre abrégé: Int J Ment Health Nurs
Pays: Australia
ID NLM: 101140527

Informations de publication

Date de publication:
Dec 2023
Historique:
revised: 06 08 2023
received: 19 05 2023
accepted: 08 08 2023
medline: 27 11 2023
pubmed: 17 8 2023
entrez: 17 8 2023
Statut: ppublish

Résumé

This perspective paper explores the choice of psychotherapy for psilocybin-assisted psychotherapy for treatment-resistant depression. There is evidence to support the use of some psychotherapies in treating 'treatment-resistant' depression, and emerging evidence for the efficacy of psilocybin. The next step which is the focus of this paper is to identify psychotherapies that are both effective and congruent with the psilocybin experience. The evidence for the efficacy of the psychotherapies is drawn from a Cochrane review and the analysis of their congruence with the psilocybin experience is drawn from a qualitative meta-synthesis of the experience of psilocybin. The paper will examine whether three one-to-one psychotherapies identified as effective in the treatment of treatment-resistant depression are compatible with the psilocybin experience. Each psychotherapy will be examined in relation to its congruence with the qualitative evidence that suggests the choice of psychotherapy needs to give priority to the subjective experience, facilitate emotional processing, support connectedness with others, acceptance of the self as emotional and support change based on the person's insights into their relationships with others and the world in which they live. We conclude that interpersonal psychotherapy and intensive short-term dynamic psychotherapy align with that experience, although others are currently being trialled.

Identifiants

pubmed: 37589380
doi: 10.1111/inm.13214
doi:

Substances chimiques

Psilocybin 2RV7212BP0
Hallucinogens 0

Types de publication

Journal Article

Langues

eng

Pagination

1766-1772

Informations de copyright

© 2023 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.

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Auteurs

Marie Crowe (M)

Department of Psychological Medicine, University of Otago, Christchurch, New Zealand.

Jenni Manuel (J)

Department of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Māori and Indigenous Health Institute, University of Otago, Christchurch, New Zealand.

Dave Carlyle (D)

Department of Psychological Medicine, University of Otago, Christchurch, New Zealand.

Cameron Lacey (C)

Department of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Māori and Indigenous Health Institute, University of Otago, Christchurch, New Zealand.

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