Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Showing posts with label LSD. Show all posts
Showing posts with label LSD. Show all posts

Sunday, August 16, 2026

Novel LSD Formulation Significantly Improves Anxiety Symptoms

 

Anxiety EXISTS DIRECTLY BECAUSE OF THE FUCKING FAILURE OF YOUR DOCTOR TO NOT HAVE 100% RECOVERY PROTOCOLS!

Post stroke anxiety(20% chance).  

Novel LSD Formulation Significantly Improves Anxiety Symptoms

 Single-dose DT120 ODT achieved significant, sustained reductions in HAM-A anxiety scores vs placebo at week 12, with clinical efficacy observed as early as day 2.Positive topline data were announced from a phase 3 trial evaluating DT120 (lysergide) orally disintegrating tablets (ODT) in adults with generalized anxiety disorder (GAD).  DT120 ODT is a proprietary tartrate salt form of lysergide, a semi-synthetic psychedelic that acts as a partial agonist at serotonin-2A receptors. The randomized, double-blind, placebo-controlled, phase 3 Voyage trial (ClinicalTrials.gov Identifier: NCT06741228) evaluated the safety and efficacy of DT120 ODT in adults with GAD and a baseline Hamilton Anxiety Rating Scale (HAM-A) total score of 20 or greater.  Study participants (N=214) were randomly assigned to receive a single 100µg dose of DT120 ODT (n=107) or placebo (n=107) during a 12-week double-blind treatment period (Part A). Eligible participants were then allowed to transition into a 40-week open-label extension phase (Part B), during which up to 4 additional doses of the semi-synthetic psychedelic could be administered based on symptom severity.   The primary endpoint was the change from baseline in HAM-A total score at week 12. The total score ranges from 0 to 56, with higher scores indicating more severe symptoms.  Findings showed treatment with DT120 ODT significantly improved HAM-A total score from baseline compared with placebo at week 12 (least squares [LS] mean change, -11.6 vs -6.2; placebo-adjusted difference, -5.4; P <.0001; effect size, d =.81). Clinical improvement was seen starting from day 2 and was sustained throughout the double-blind treatment period.  Notably, at week 1, the LS mean change from baseline in HAM-A total score (key secondary endpoint) was -11.9 in the psychedelic treatment arm vs -4.2 in the placebo arm (placebo-adjusted difference, -7.7; P <.0001).  Patients treated with D120 ODT also demonstrated significantly greater improvements in Clinical Global Impression–Severity (CGI-S) Scale scores compared with placebo as early as day 2 (LS mean change, -1.0 vs -0.2; placebo-adjusted difference, -0.8; P <.0001) and maintained through week 12 (LS mean change, -1.0 vs -0.4; placebo-adjusted difference, -0.6; P <.0001). DT120 ODT was well tolerated, with no new safety signals observed. No suicidality signal or suicidal behavior was reported in Part A of the trial. “The unprecedented efficacy demonstrated in Voyage should raise the bar for what patients and clinicians expect from GAD treatments and reinforces our belief that DT120 has the potential to redefine care for the millions of patients in need,” said Rob Barrow, Chief Executive Officer of Definium Therapeutics. “Importantly, the consistent, large effect size we’ve now observed across three studies underscores the potential of DT120 to transform psychiatry and usher in a new era of mental health care.” DT120 ODT is also being evaluated in adults with GAD in the ongoing, 3-arm, phase 3 Panorama trial (ClinicalTrials.gov Identifier: NCT06809595).

References:

Definium Therapeutics announces positive topline results from phase 3 Voyage study of DT120 ODT in generalized anxiety disorder. News release. Definium. August 12, 2026. https://www.businesswire.com/news/home/20260812579720/en/Definium-Therapeutics-Announces-Positive-Topline-Results-from-Phase-3-Voyage-Study-of-DT120-ODT-in-Generalized-Anxiety-Disorder

Tuesday, March 3, 2026

Psychedelics and the Extracellular Matrix: Rewiring Neuroplasticity and Metaplasticity for Next-Generation Psychiatric Therapies

 Oh, your incompetent? doctor didn't put together protocols on psychedelics years ago? And your incompetent board of directors hasn't fired them yet?

What about all these drugs for stroke recovery? Doesn't your doctor read the literature AND create protocols from that research? NO? SO TOTALLY INCOMPETENT THEN?

DMT (8 posts to November 2020)

ecstasy (19 posts to November 2012)

LSD (5 posts to September 2018)

CerAxon (5 posts to January 2012)

citicoline (15 posts to October 2011)

magic mushrooms (10 posts to October 2014) 

psilocybin (14 posts to May 2014)

  • Psychedelics (25 posts to August 2018)
  • Psychedelics and the Extracellular Matrix: Rewiring Neuroplasticity and Metaplasticity for Next-Generation Psychiatric Therapies


    Affiliations & Notes
    Article Info
    Publication History:
    Received August 11, 2025; Revised January 24, 2026; Accepted February 19, 2026; Published online February 27, 2026

    Abstract

    Classic psychedelics such as psilocybin, lysergic acid diethylamide (LSD), and N,N-dimethyltryptamine (DMT) have emerged as potent modulators of neuroplasticity and metaplasticity in the adult brain, offering novel therapeutic strategies for neuropsychiatric disorders. Recent findings reveal that beyond their transient psychotropic effects, these compounds activate serotonin 5-HT2A receptors and downstream signaling cascades—including CaMKII, ERK, mTOR, and brain-derived neurotrophic factor (BDNF) pathways—thereby inducing synaptogenesis, dendritic spine remodeling, and transcription of immediate early genes. Critically, the brain's extracellular matrix (ECM), particularly perineuronal nets (PNNs), has been identified as a central regulator of synaptic stability and a key target of psychedelic action. Psychedelics transiently disrupt ECM integrity by loosening PNNs and reorganizing pericellular scaffolds, a process that reopens developmentally restricted critical periods of plasticity and restores circuit-level flexibility. These ECM-mediated metaplastic effects appear essential to the sustained therapeutic outcomes observed in clinical studies of psychedelic-assisted therapy for depression, post-traumatic stress disorder (PTSD), addiction, and potentially neurodegenerative diseases. This manuscript synthesizes current cellular, molecular, and translational evidence highlighting the ECM as a dynamic and permissive substrate through which classic psychedelics exert long-lasting structural and functional brain changes, underscoring its potential as a target for precision interventions in neuropsychiatric care.

    Sunday, February 8, 2026

    Psilocybin-Induced Neuroplasticity and Sustained Antidepressant Effects.

    Well, hasn't your competent? doctor already prescribed various types of psychedelics to get you recovered? 

    What about all these drugs for stroke recovery? Doesn't your doctor read the literature AND create protocols from that research? NO? SO TOTALLY INCOMPETENT THEN?

    DMT (8 posts to November 2020)

    ecstasy (19 posts to November 2012)

    LSD (5 posts to September 2018)

    CerAxon (5 posts to January 2012)

    citicoline (15 posts to October 2011)

    magic mushrooms (10 posts to October 2014) 

    psilocybin (14 posts to May 2014)

  • Psychedelics (25 posts to August 2018)

  • My 13 reasons for marijuana use post-stroke.  

    Don't follow me, I'm not medically trained, and I don't have a Dr. in front of my name. 

    The latest here:

     Psilocybin-Induced Neuroplasticity and Sustained Antidepressant Effects.

    Author: Anna Komarczewska, ORCID: https://orcid.org/0009-0006-7378-2607 E-mail: lek.komarczewska@wp.pl Rydygier Provincial Integrated Hospital in Toruń, Toruń, Kujawsko-Pomorskie, Poland 
     Filip Matusiak, ORCID: https://orcid.org/0009-0002-0538-6443 E-mail: f.matusiak98@gmail.com Jan Biziel University Hospital No. 2 in Bydgoszcz, Bydgoszcz, Kujawsko-Pomorskie, PL  

    Klaudia Brzoza, ORCID: https://orcid.org/0009-0006-0950-4514 E-mail: klaudiabrzoza99@gmail.com Jan Biziel University Hospital No. 2 in Bydgoszcz, Bydgoszcz, Kujawsko-Pomorskie, PL 

     Michał Kociński, ORCID: https://orcid.org/0009-0007-7651-7929 E-mail: michal.kocinski1999@gmail.com Jan Biziel University Hospital No. 2 in Bydgoszcz, Bydgoszcz, Kujawsko-Pomorskie, PL 

     Patryk Iglewski, ORCID:https://orcid.org/0009-0004-6611-2168ttps://o E-mail: patryk.iglewski01@gmail.com Rydygier Provincial Integrated Hospital in Toruń, Toruń, Kujawsko-Pomorskie, Poland 

     Michał Pietrasz, ORCID: https://orcid.org/0009-0000-8148-7487 E-mail: michal.pietrasz252@gmail.com Rydygier Provincial Integrated Hospital in Toruń, Toruń, Kujawsko-Pomorskie, Poland 

     Corresponding Author: Anna Komarczewska lek.komarczewska@wp.pl

    Abstract 


     Psilocybin-assisted interventions have shown rapid reductions in depressive symptoms in controlled clinical settings, raising questions about biological mechanisms supporting durability beyond the acute drug effect. [5,7] Mechanistic accounts increasingly focus on neuroplasticity as a candidate pathway linking transient serotonergic receptor activation to longer-lasting psychological and clinical change. [2,6] To synthesize evidence from the 2 publications regarding (1) antidepressant clinical outcomes after psilocybin-assisted interventions and (2) neuroplasticity-related biological findings that plausibly support sustained improvement. [2,3] Narrative review using only (clinical trials/secondary analyses and mechanistic animal/neuroimaging work). Evidence was summarized qualitatively; no meta analysis was performed. [2,16] Randomized and open-label clinical studies report rapid symptom reduction and follow-up persistence in major depression and cancer-related depression/anxiety, including six-month outcomes in treatment-resistant depression (TRD) protocols with psychological support. [4,5,7,19] Preclinical work provides convergent evidence of plasticity-relevant change after psilocybin, including structural synaptic remodeling in frontal cortex and hippocampal plasticity-related outcomes in extinction learning paradigms. [3,8] Human neuroimaging work reports changes consistent with altered large-scale brain dynamics after psilocybin and TRD-related mechanistic findings on fMRI. [6,20] Across the uploaded dataset, psilocybin-assisted therapy is associated with rapid antidepressant effects and durability signals in selected samples, while convergent animal and human mechanistic findings support neuroplasticity as a biologically plausible contributor to sustained clinical improvement. [2,3]

    Saturday, December 6, 2025

    Effects of Serotonergic Psychedelics on Synaptic Function and Neuroplasticity

     Your competent? doctor already has EXACT PROTOCOLS for these already, right! Oh no, nothing exists because your doctor and hospital ARE COMPLETELY FUCKING INCOMPETENT!

    In my opinion I expect my doctor, therapists and hospital to be completely up-to-date on all research that gets survivors recovered! That is competence defined properly!

    • DMT (8 posts to November 2020)

    • LSD (5 posts to September 2018)

    • magic mushrooms (10 posts to October 2014) 

    Effects of Serotonergic Psychedelics on Synaptic Function and Neuroplasticity

    Abstract INTRODUCTION: Serotonergic psychedelics such as LSD, psilocin, and DMT have shown significant potential for the treatment of neuropsychiatric disorders including depression, addiction, and anxiety accompanying life-threatening illnesses. Although the effects of these substances on neuronal activity and neuroplasticity have been demonstrated, a deeper understanding of their mechanisms of action is essential for the development of new treatments. 
    OBJECTIVES: The main objective of this study was to determine the effects of the serotonergic psychedelics LSD, psilocin, and DMT on neurotransmitter release and their influence on the activity of neuronal networks. The study also addressed possible mechanisms involved in this modulation. METHODS: To monitor the effects of psychedelics on key presynaptic mechanisms, we used genetically encoded sensors that allow for the monitoring of synaptic vesicle fusion, synaptopHluorin, glutamate release, iGluSnFR, and presynaptic calcium levels, synGCaMP6, expressed in primary rat cortical cultures. A pharmacological approach using agonists and antagonists of these receptors was used to study the effects of individual types of 5-HT receptors. Immunofluorescence staining and western blotting were used to assess the levels and phosphorylation states of several key regulators of presynaptic functions and neuroplasticity. To assess the acute effects...

    Citace dokumentu

    Friday, October 10, 2025

    Mushrooms for the brain: A review of the neuroprotective effects of mushroom bioactive compounds

     Well, hasn't your competent? doctor already prescribed various types of psychedelics to get you recovered? 

    What about all these drugs for stroke recovery? Doesn't your doctor read the literature AND create protocols from that research? NO? SO TOTALLY INCOMPETENT THEN?

    DMT (8 posts to November 2020)

    ecstasy (19 posts to November 2012)

    LSD (5 posts to September 2018)

    CerAxon (5 posts to January 2012)

    citicoline (15 posts to October 2011)

    magic mushrooms (10 posts to October 2014) 

    psilocybin (14 posts to May 2014)

  • Psychedelics (25 posts to August 2018)

  • My 13 reasons for marijuana use post-stroke.  

    Don't follow me, I'm not medically trained, and I don't have a Dr. in front of my name. 

    The latest here:

    Mushrooms for the brain: A review of the neuroprotective effects of mushroom bioactive compounds

    Abstract

    Neurodegenerative and neuropsychiatric diseases pose significant challenges to individuals’ well-being and healthcare systems. These conditions share common mechanisms like oxidative stress, protein aggregation, inflammation, impaired neurotransmission, mitochondrial dysfunction, and excitotoxicity. Current treatments offer limited efficacy and often come with adverse effects. Mushrooms, recognized as a valuable cultural and nutritional resource, hold therapeutic potential. As a future superfood, they contribute to overall health and well-being. Various mushroom groups have been studied for their bioactive compounds, including polysaccharides, protein complexes, peptides, terpenoids, and phenolic compounds, demonstrating efficacy in different neurodegenerative conditions. Notably, edible mushrooms have shown promise in mitigating beta-amyloid-induced neurotoxicity. This review explores the utilization of mushroom biomolecules in treating neurodegenerative diseases, offering novel research insights with preclinical and clinical trials in both rat model and humans paving the way for the development and utilization of mushroom bioactive compounds as neuroprotective agents.

     This is a preview of subscription content, log in via an institution  to check access.

    Thursday, September 18, 2025

    Psychedelics Show Promise for Healing Concussions and Brain Injuries

     

    Well, hasn't your competent? doctor already prescribed various types of psychedelics to get you recovered? 

    What about all these drugs for stroke recovery? Doesn't your doctor read the literature AND create protocols from that research? NO? SO TOTALLY INCOMPETENT THEN?

    DMT (8 posts to November 2020)

    ecstasy (19 posts to November 2012)

    LSD (5 posts to September 2018)

    CerAxon (5 posts to January 2012)

    citicoline (15 posts to October 2011)

    magic mushrooms (10 posts to October 2014) 

    psilocybin (14 posts to May 2014)

  • Psychedelics (25 posts to August 2018)

  • My 13 reasons for marijuana use post-stroke.  

    Don't follow me, I'm not medically trained, and I don't have a Dr. in front of my name. 

    The latest here:

    PsycPsychedelics Show Promise for Healing Concussions and Brain Injurieshedelics Show Promise for Healing Concussions and Brain Injuries

    Summary: Traumatic brain injuries, including concussions, affect nearly 69 million people worldwide each year, yet treatments remain scarce. A new review highlights the potential of psychedelics such as psilocybin and 5-MeO-DMT to reduce harmful inflammation and enhance neuroplasticity after brain injury.

    These compounds may help the brain rebuild connections and lower the risk of psychiatric conditions like depression and PTSD. While more research is needed, psychedelics could open the door to innovative therapies for patients with brain trauma.

    Key Facts:

    • Global Impact: 69 million people experience traumatic brain injuries each year.
    • Psychedelic Potential: Psilocybin and 5-MeO-DMT may reduce inflammation and boost neuroplasticity.
    • Psychiatric Benefits: These compounds could also help prevent depression, anxiety, and PTSD after injury.

    Source: University of Victoria

    Concussion and other traumatic brain injuries impact an estimated 69 million people every year, as a result of sport collisions, falls, road accidents and interpersonal violence. There are few treatments, and no approved and effective pharmacotherapies.

    New research from the Christie Lab at the University of Victoria (UVic) reveals the promise of two psychedelic compounds—psilocybin and 5-methoxy-N,N-dimethyltryptamine (5-MeO-DMT)—for healing these injuries, by enhancing neuroplasticity and reducing inflammation within the brain.

    Psilocybin is a naturally occurring compound found in certain mushrooms. 5-MeO-DMT is found in toad venom and select plant species. Over the past decade, clinical research has shown the safety and effectiveness of psilocybin, and the promise of 5-MeO-DMT, for treating depression, anxiety, end-of-life distress, substance-use disorders, and obsessive-compulsive disorder.

    The team at UVic (Zoe Plummer, Josh Allen, Justin Brand and Brian Christie) reviewed the growing evidence that these compounds also offer potential for treating brain injuries.

    Their review, published in Progress in Neuro-Psychopharmacology and Biological Psychiatry, in collaboration with Leah Mayo from the University of Calgary, and Sandy Shultz from Vancouver Island University, drew from preclinical and clinical studies.

    “When someone receives a blow to the head, this sets off a cascade of events in the brain,” says Allen, one of the authors of the review and a UVic postdoctoral fellow in neuroscience.

    “One of these is inflammation, which can initially help brain tissue to repair.”

    However, when this inflammation is prolonged, it can lead to long term problems such as learning and memory deficits, depression and anxiety disorders, and post-traumatic stress disorder.

    “These conditions share features such as impaired neuroplasticity that keep patients trapped in rigid loops of thought and behavior,” says Allen.

    This can occur even with mild traumatic brain injuries—what we call concussion. And many people who play sports or serve in the military experience concussions repeatedly.

    “Our review concluded that classical psychedelics have the potential to reduce inflammation in an injured brain, while also increasing neuroplasticity and helping the brain to reorganize, creating new neural pathways to compensate for lost or damaged connections,” says Christie, director of the UVic’s Concussion Lab. 

    “By reopening windows of plasticity and inducing mind-expanding experiences, psychedelics also help prevent the development of depression, anxiety, and other psychiatric disorders associated with brain injury, and offer pathways to recovery.”

    More research is needed to understand how psychedelics work on traumatic brain injury, and how age, sex, and other health conditions impact their safety and effectiveness. With further research, these compounds offer great promise to both patients and over-stretched health-care systems.

    Funding: This research was supported by funding from the Canadian Institutes of Health Research (CIHR) and aligns with the United Nations Sustainable Development Goal (SDG) No. 3 (good health and well-being). 

    About this neuropharmacology and concussion research news

    Author: Heather Walmsley
    Source: University of Victoria
    Contact: Heather Walmsley – University of Victoria
    Image: The image is credited to Neuroscience News

    Original Research: Open access.
    “Examining the potential of psilocybin and 5-MeO-DMT as therapeutics for traumatic brain injury” by Brian Christie et al. Progress in Neuro-Psychopharmacology and Biological Psychiatry



    Saturday, July 19, 2025

    More Than Serotonin: How Psychedelics Engage the Whole Brain

     

    Well, hasn't your competent? doctor already prescribed various types of psychedelics to get you recovered? 

    What about all these drugs for stroke recovery? Doesn't your doctor read the literature?

    DMT (8 posts to November 2020)

    ecstasy (19 posts to November 2012)

    LSD (5 posts to September 2018)

    CerAxon (5 posts to January 2012)

    citicoline (15 posts to October 2011)

    magic mushrooms (10 posts to October 2014) 

    psilocybin (14 posts to May 2014)

  • Psychedelics (25 posts to August 2018)

  • My 13 reasons for marijuana use post-stroke.  

    Don't follow me, I'm not medically trained, and I don't have a Dr. in front of my name. 

    The latest here:

    More Than Serotonin: How Psychedelics Engage the Whole Brain Than Serotonin: How Psychedelics Engage the Whole Brain

    Summary: Classical psychedelics like LSD, psilocybin, and mescaline are known for activating the 5-HT2A serotonin receptor, but a new study reveals their effects go far beyond. Researchers profiled 41 psychedelics against over 300 human receptors and found potent activity at serotonin, dopamine, and adrenergic sites.

    The study also showed that psychedelics activate multiple intracellular pathways, which may help separate their therapeutic and hallucinogenic effects. These findings highlight the complexity of psychedelic pharmacology and open doors to more targeted therapies.

    Key Facts:

    • Psychedelics activate nearly every serotonin, dopamine, and adrenergic receptor.
    • LSD, psilocybin, and mescaline stimulate multiple 5-HT2A receptor signaling pathways.
    • Broader receptor activity may underlie both therapeutic and hallucinogenic effects.

    Source: Neuroscience News

    In recent years, classical psychedelics such as LSD, psilocybin, and mescaline have made a remarkable comeback—not just in popular culture, but in serious scientific research.

    Once relegated to the fringes of pharmacology due to their association with counterculture movements, these compounds are now being rigorously studied for their therapeutic potential in treating mental health disorders such as depression, anxiety, post-traumatic stress disorder (PTSD), and substance use disorders.

    Despite their promising clinical effects, the molecular mechanisms underlying their action in the brain have remained incompletely understood.

    A new study has taken a major step toward decoding these mechanisms, offering the most comprehensive look yet at how psychedelics interact with the human brain at the receptor level. Researchers investigated the pharmacological profiles of 41 classical psychedelics—spanning tryptamines, phenethylamines, and lysergamides—against a wide panel of human receptors.

    Their findings reveal a fascinating and complex picture: these compounds are far from “single-target” drugs and instead interact with dozens of neural receptors and pathways that may each contribute to their profound effects on perception, mood, and cognition.

    Beyond the 5-HT2A Receptor

    For decades, it’s been known that psychedelics exert their hallmark effects by activating a particular serotonin receptor, known as the 5-HT2A receptor (5-HT2AR). This receptor, distributed widely across the cortex, is thought to underlie the perceptual and cognitive distortions characteristic of a psychedelic trip. Indeed, blocking 5-HT2AR prevents many of these effects, confirming its central role.

    However, the current research highlights that the story does not end there. The team profiled these psychedelics against an unprecedented 318 human G-protein-coupled receptors (GPCRs)—a vast family of receptors involved in transmitting signals from neurotransmitters and hormones.

    In addition, LSD was further tested against over 450 human kinases, enzymes that regulate various cellular processes.

    The results were striking: psychedelics exhibited potent and efficacious activity not only at nearly every serotonin receptor subtype, but also at a wide array of dopamine and adrenergic receptors.

    This suggests that the subjective experience of psychedelics—and their potential therapeutic benefits—may emerge from the interplay of multiple receptor systems. For example, activity at dopamine receptors could help explain the mood-elevating and motivational effects sometimes reported, while adrenergic receptors may influence arousal and attention.

    Mapping Psychedelic Signaling Pathways

    One of the more intriguing findings from the study was that psychedelics don’t merely turn receptors “on” or “off,” but rather engage them in unique ways.

    Using advanced techniques to measure how these drugs activated different intracellular signaling pathways, the researchers showed that psychedelics stimulate multiple transducers downstream of 5-HT2AR. These include pathways mediated by G proteins as well as β-arrestins—proteins that regulate receptor desensitization and signaling diversity.

    What’s more, the degree to which a psychedelic activated these different pathways correlated with its potency and behavioral effects in animal models.

    This points to the possibility that the therapeutic and hallucinogenic properties of psychedelics might be separable by targeting specific downstream pathways—an exciting prospect for developing “non-hallucinogenic” psychedelics that retain their antidepressant or anxiolytic effects without altering perception.

    Why So Many Targets?

    The fact that psychedelics act on so many different receptors raises an important question: why? One possibility is that this broad activity contributes to their unique therapeutic potential.

    Mental health conditions such as depression and PTSD involve dysregulation of multiple neurotransmitter systems—serotonin, dopamine, norepinephrine—so a drug that can modulate all of them simultaneously may be more effective than one that targets only a single system.

    Another intriguing idea is that the intricate receptor interactions contribute to the subjective experience of “ego dissolution” and enhanced emotional processing reported by many psychedelic users.

    These experiences are thought to facilitate psychological healing by allowing individuals to confront traumatic memories or entrenched thought patterns from a new perspective.

    Toward Precision Psychedelic Medicine

    The findings from this research also underscore the need for a more nuanced understanding of how individual psychedelics differ. Although LSD, psilocybin, and mescaline all activate 5-HT2AR, their broader receptor profiles vary considerably, which may explain their differing durations, intensities, and therapeutic applications.

    LSD, for example, is notably longer-lasting and more potent than psilocybin, which may stem from its strong binding to certain dopaminergic and adrenergic receptors in addition to 5-HT2AR.

    By mapping these pharmacological fingerprints, researchers can begin to tailor specific compounds to specific conditions—or even engineer novel psychedelics that maximize therapeutic benefits while minimizing side effects.

    This aligns with growing efforts to develop next-generation psychedelics that are more targeted, better tolerated, and easier to administer in clinical settings.

    The Road Ahead

    This landmark study provides a compelling reminder of just how complex the brain’s signaling networks are, and how much we still have to learn about how psychedelics interact with them. It also reinforces the idea that these compounds are not merely tools for altering consciousness, but also powerful probes for exploring the fundamental biology of the mind.

    As clinical trials of psychedelics for depression, PTSD, and addiction continue to expand, understanding their molecular mechanisms will be key to unlocking their full potential.

    By charting the diverse pathways through which they act, researchers are laying the foundation for a new era of precision psychedelic medicine—one that promises to transform how we treat some of the most challenging mental health conditions of our time.

    For now, one thing is clear: psychedelics are more than just serotonin agonists. They are intricate molecular keys, unlocking a symphony of neural receptors and pathways that together orchestrate the profound changes in mood, thought, and perception we are only beginning to comprehend.

    About this psychopharmacology and neuroscience research news

    Author: Neuroscience News Communications
    Source: Neuroscience News
    Contact: Neuroscience News Communications – Neuroscience News
    Image: The image is credited to Neuroscience News

    Original Research: Closed access.
    “The polypharmacology of psychedelics reveals multiple targets for potential therapeutics” by Manish K. Jain et al. Neuron

    Wednesday, March 12, 2025

    Effects of psychedelics on neurogenesis and broader neuroplasticity: a systematic review

     

    But this research says no neuroplasticity occurs. Ask your competent? doctor to clarify.

     ROBUST METHODS FOR QUANTIFYING NEURONAL
    MORPHOLOGY AND MOLECULAR SIGNALING REVEAL THAT
    PSYCHEDELICS DO NOT INDUCE NEUROPLASTICITY

      March 2024

    Well, hasn't your doctor already prescribed various types of psychedelics to get you recovered? 

    What about all these drugs for stroke recovery? Doesn't your doctor read the literature?

    The latest here:

    Effects of psychedelics on neurogenesis and broader neuroplasticity: a systematic review

    In the mammalian brain, new neurons continue to be generated throughout life in a process known as adult neurogenesis. The role of adult-generated neurons has been broadly studied across laboratories, and mounting evidence suggests a strong link to the HPA axis and concomitant dysregulations in patients diagnosed with mood disorders. Psychedelic compounds, such as phenethylamines, tryptamines, cannabinoids, and a variety of ever-growing chemical categories, have emerged as therapeutic options for neuropsychiatric disorders, while numerous reports link their effects to increased adult neurogenesis. In this systematic review, we examine studies assessing neurogenesis or other neurogenesis-associated brain plasticity after psychedelic interventions and aim to provide a comprehensive picture of how this vast category of compounds regulates the generation of new neurons. We conducted a literature search on PubMed and Science Direct databases, considering all articles published until January 31, 2023, and selected articles containing both the words “neurogenesis” and “psychedelics”. We analyzed experimental studies using either in vivo or in vitro models, employing classical or atypical psychedelics at all ontogenetic windows, as well as human studies referring to neurogenesis-associated plasticity. Our findings were divided into five main categories of psychedelics: CB1 agonists, NMDA antagonists, harmala alkaloids, tryptamines, and entactogens. We described the outcomes of neurogenesis assessments and investigated related results on the effects of psychedelics on brain plasticity and behavior within our sample. In summary, this review presents an extensive study into how different psychedelics may affect the birth of new neurons and other brain-related processes. Such knowledge may be valuable for future research on novel therapeutic strategies for neuropsychiatric disorders.

    Less

    Introduction

    According to the Global Burden of Diseases study, used by the World Health Organization (WHO) for strategic planning, 264 million people, or about 4.5% of the world population, suffer from Major Depressive disorder (MDD). It is recognized as one of the most debilitating illnesses on a global scale, substantially significantly affecting daily activities, quality of life, cognitive abilities, and work productivity (James et al. 2018). MDD is characterized by persistent anhedonia, which can be continuous or episodic, and has a profound impact on self-esteem, as well as social, family, and professional life (Lépine and Briley 2011). Mood and anxiety disorders are the most prevalent mental illnesses and the third most prevalent cause of disability, contributing to the global burden of disease (WHO 2012). The majority of pharmacological interventions aiming to treat mood disorders such as MDD are benzodiazepines or selective serotonin reuptake inhibitors (SSRIs). However, these classes of drugs do not elicit positive outcomes for about 50 to 60% of patients, leading to a condition characterized as treatment-resistant depression (TRD) (Nestler et al. 2002). SSRIs, the most modern class of antidepressants, are taken daily, with an onset of the desired effects close to one month after the beginning of treatment. However, these medications can trigger adverse effects that appear early on and last for the duration of the therapy. These drugs also have a high risk of being misused, as individuals undergoing treatment tend to become physically dependent or addicted, even with the accompanying lethargy induced by them (Wong and Licinio 2001).

    The pathophysiology of depression is not yet fully understood; however, empirical data from classical antidepressants have led to the widely accepted monoamine hypothesis, which predicts that this disorder arises from a deficiency or imbalance of monoamine neurotransmitters. It is worth noting that several studies support this theory. For instance, standard antidepressants primarily operate on the monoamine neurochemical route, aiming to re-establish dopamine (DA), noradrenaline (NA), and serotonin (5-HT) levels to homeostatic concentrations. The serotonin pathway is particularly important for the monoamine hypothesis, as it is the main target of many commonly used antidepressants. There are seven main classes of serotonin receptors (5-HT1 to 5-HT7), each with multiple subtypes. These receptors are involved in a wide range of physiological functions, including mood regulation, cognition, neuroplasticity, and responses to stress and anxiety (Hannon and Hoyer 2008; Savitz et al. 2009). Importantly, Psychedelics are believed to primarily activate the 5-HT2A serotonin receptors, which are G protein-coupled receptors abundant in the cerebral cortex and are responsible for the characteristic hallucinogenic effects (Geyer et al. 2009; Nichols 2016). Activation of these receptors by substances like LSD and psilocybin leads to altered sensory perception and cognition (Carhart-Harris and Nutt 2017). The 5-HT2C receptors also contribute to the effects of psychedelics by influencing mood and anxiety regulation, although to a lesser extent (Halberstadt et al. 2011). Additionally, psychedelics may act as partial agonists at 5-HT1A receptors, affecting anxiolytic and antidepressant responses, but these play a minor role compared to 5-HT2A receptors (Nichols 2016).

    Moreover, monoamine antagonists like reserpine, typically used for arterial hypertension, can induce depressive symptoms when taken over extended periods (Baumeister et al. 2003; Freis 1954; De Freitas et al. 2016); Third, treatments for MDD and anxiety disorders usually require chronic, daily dosages for at least a month to produce meaningful effects (Kempermann 2002). The latter observation has also led to a reinterpretation of the long-standing monoamine hypothesis of depression to what is now termed the neurogenic hypothesis of depression. This revised theory suggests that depression correlates with a decrease in the formation of new neurons in the adult brain, a process that seems to be revived by prolonged antidepressant treatment (Jacobs et al. 2000).

    Adult neurogenesis is the process by which new neurons are generated within specific brain niches throughout the life of an organism. Neurogenesis seems to be ubiquitous to all species with a central nervous system (CNS) (Barker et al. 2011), and for many of them, the process is confined to specific regions (Barnea and Pravosudov 2011; Drew et al. 2013). In rodents, it is restricted to two zones: the olfactory bulb (OB), driven by the neural stem cells (NSCs) located in the subventricular zone (SVZ), and the dentate gyrus sub-region of the hippocampus, driven by the radial glial-like cells (RGL) (Laplagne et al. 2006). The foundations of the neurogenic theory of depression are supported by empirical data from clinical and preclinical studies aimed at understanding how the neurogenesis process is reverted to homeostatic levels when SSRI chronic treatment is applied (Miller and Hen 2015). However promising, alternative pathways to the proposed hypothesis are under discussion (Data-Franco et al. 2017; N. X. Li et al. 2022; Raphael Mechoulam and Parker 2013; Sanches et al. 2021; Yuan et al. 2015) and new biochemical routes to treat depression are emerging, including the induction of neurogenesis independent of direct 5-HT modulation (Idell et al. 2017; Reiche et al. 2018). Among the chemical candidates for novel antidepressants, encouraging results have been found with the use of psychedelics (Aleksandrova and Phillips 2021; DeVos and Miller 2013; Muttoni et al. 2019).

    Psychedelics are shown to induce a range of effects on brain plasticity by changing neuronal functionality at the molecular level and producing electrophysiological changes that stimulate neurotrophic signaling, including of Brain-Derived Neurotrophic Factor (BDNF), a key promoter of synaptic plasticity and neuronal survival (Browne and Lucki 2013; Castrén et al. 2007; Magaraggia et al. 2021; Muscat et al. 2021). Ultimately, neurotrophic factors induce neurite growth (Numakawa et al. 2010; Saengsawang and Rasenick 2016; Thompson et al. 2012), synaptic remodeling (Liu et al. 2013; Zhou and Song 2001), neurogenesis (García-Cabrerizo and García-Fuster 2016; Lima da Cruz et al. 2018; Liu et al. 2017), and oxidative stress reduction (Frecska et al. 2013, 2016; Szabo 2015). Thus, it is believed that psychedelics can create a window of opportunity for therapists to introduce cognitive-behavioral treatment strategies and produce long-lasting effects, which are independent of the classical pharmacological approaches to treat the hypothesized neurotransmitter imbalance (Keeler et al. 2021; Nichols 2016; Worrell and Gould 2021). Such a holistic and personalized approach can better integrate patients into the treatment process, reducing the current disconnection between popular beliefs on mental illnesses and scientific-guided psychiatric interventions (Healy 2004; Lacasse and Leo 2005).

    Despite the encouraging perspectives on the applications of psychedelics, their safe employment requires a deeper understanding of their mechanisms, as the currently available compounds generally target multiple neurotransmitter systems and may lead to undesired effects (Belouin and Henningfield 2018; Brunton et al. 2011; Geyer et al. 2009). Moreover, the effects on brain physiology are shown to depend on ontogeny (Liu et al. 2006; Riga et al. 2016; Skaper and Di Marzo 2012), gender (Lee et al. 2014; Realini et al. 2011; Rubino et al. 2008), dose (Fortunato et al. 2009; Maeda et al. 2007; Marinova et al. 2017) and chemical interactions (Canales and Ferrer-Donato 2014; Zuo et al. 2018). For this reason, we sought to cover the effects of such compounds on the plasticity process associated with neurogenesis in the dentate gyrus (DG), rather than in the SVZ-OB system (Christie and Cameron 2006; Kempermann 2012). To categorize these compounds, we adapted a classification done elsewhere (Calvey and Howells 2018). Finally, we discuss findings encompassing any effect on the molecular, cellular, physiological and behavioural levels reported for in vivo or in vitro models related to neurogenesis.