Research Hub · The evidence

The science, in the open.

The real studies behind psychedelic-assisted therapy — from the world's leading institutions. We summarize the findings plainly and link straight to the primary source, so you can see the evidence for yourself.

The research comes from Johns HopkinsStanford MedicineImperial CollegeNYU LangoneMAPS
MDMA · Phase 3
67%
no longer met PTSD criteria after therapy
Psilocybin · Hopkins
71%
response in major depression

What does the research on ibogaine and psychedelic treatment actually show?

Strong observational data for ibogaine and opioid dependence, one landmark open-label veteran study for PTSD and TBI, randomised trials for psilocybin in depression and MDMA in PTSD, and no completed controlled ibogaine trial yet. We cite study design and sample size every time, because the difference matters.

A short history

How medicine lost fifty years — and got them back.

Psychedelic-assisted therapy can feel new. It isn't. These compounds were a serious field of medicine long before they were made illegal — and the reasons they were banned had far more to do with politics than with science.

Before prohibition · 1950s–60s

A legitimate field of medicine

In the two decades after LSD reached researchers, psychedelics were studied openly and seriously. More than 1,000 scientific papers were published on LSD alone, and hundreds of studies explored psilocybin and LSD for alcoholism, depression, and the anxiety of terminal illness. Results were promising enough that major hospitals and universities ran their own programs.

The ban · 1970

Schedule I — and a hard stop

Amid the cultural backlash of the late 1960s, the 1970 Controlled Substances Act placed LSD, psilocybin, mescaline, and ibogaine into Schedule I — the category for drugs with "no currently accepted medical use." MDMA followed in 1985. The label was political as much as scientific, and its effect was near-total: it cut off funding, legal supply, and approvals, making these compounds almost impossible to study for more than three decades.

The cost

Research didn't slow — it stopped

A generation of scientists moved on. Promising leads went cold. And people living with treatment-resistant depression, PTSD, and addiction were left with the same narrow set of options — many of which, as later research would show, simply don't work for a large share of the people who try them.

The renaissance · 2000s–today

The science is catching back up

Since the early 2000s a new wave of rigorous, peer-reviewed research has re-opened the field — this time with modern trial design, brain imaging, and continuous safety monitoring. Today some of the most respected names in medicine are investing in it, and in 2024 psychedelic therapy reached FDA review for the first time in history. Below is that evidence, summarized plainly and linked to its source.

1,000+
scientific papers published on LSD before prohibition
1950s–1960s
1970
Controlled Substances Act places psychedelics in Schedule I
U.S. federal law
~50 yrs
of clinical research effectively halted by prohibition
1970s–2010s
~3%
of patients reach sustained remission after a year on standard antidepressants
STAR*D, largest real-world SSRI trial
67%
of severe-PTSD patients no longer met criteria after MDMA-assisted therapy
MAPS Phase 3, Nature Medicine 2021
80%
smoking-abstinence at 6 months in a Johns Hopkins psilocybin trial
Johns Hopkins, 2014

What the trials have shown

Selected published results, each from its own study and population. These are not head-to-head comparisons — different trials, measures, and patients — but together they show why researchers are paying attention.

MDMA-assisted therapy — no longer met PTSD criteria · Phase 3, 202167%
Psilocybin-assisted therapy — depression remission at follow-up · Johns Hopkins, 202154%
Psilocybin — smoking abstinence at 6 months · Johns Hopkins, 201480%
Standard SSRI care — sustained remission after 1 year · STAR*D~3%

Sources are linked in the study cards below. Early psychedelic trials are often small; findings describe research populations and do not predict any individual's result.

The studies

Real, peer-reviewed or authoritative sources across conditions, compounds, and standard care. Filter by what matters to you — every card links to its primary source.

All research PTSD & Trauma Addiction Depression Anxiety & End-of-life Veterans Standard care & SSRIs Policy
Stanford Medicine · Nature Medicine2024

Magnesium–ibogaine in veterans with TBI

A study of 30 special-operations veterans with traumatic brain injury reported large reductions in PTSD, depression and anxiety, with improved functioning and no serious cardiac events.

~88%reduction in PTSD symptoms (open-label pilot, n=30)
IbogainePTSDVeterans
Read the study →
MAPS · Nature Medicine (MAPP1)2021

MDMA-assisted therapy for severe PTSD (Phase 3)

The first confirmatory Phase 3 trial of MDMA-assisted therapy for PTSD — randomized, double-blind, placebo-controlled.

67%no longer met PTSD criteria (vs 32% placebo)
MDMAPTSD
Read the study →
MAPS · Nature Medicine (MAPP2)2023

MDMA-assisted therapy — confirmatory Phase 3

The second Phase 3 trial replicated the first in a diverse population with moderate-to-severe PTSD, reducing symptoms and functional impairment.

MDMAPTSD
Read the study →
MAPS · Lancet Psychiatry2018

MDMA for PTSD in veterans & first responders

A Phase 2 dose-response trial in veterans, firefighters, and police officers with chronic, treatment-resistant PTSD — the population these therapies were built to reach.

67%no longer met PTSD criteria at 12-month follow-up
MDMAVeteransPTSD
Read the study →
Johns Hopkins · JAMA Psychiatry2021

Psilocybin-assisted therapy for major depression

A randomized trial of 24 adults with major depressive disorder found rapid, sustained antidepressant effects after two psilocybin sessions with therapy.

71% · 54%response · remission at follow-up
PsilocybinDepression
Read the study →
COMPASS · NEJM2022

Single-dose psilocybin for treatment-resistant depression

The largest published psilocybin trial to date (233 participants). A single 25mg dose with psychological support produced a significant reduction in depression at three weeks.

233participants · Phase 2b, largest to date
PsilocybinTRD
Read the study →
Imperial College · NEJM2021

Psilocybin vs. escitalopram for depression

A head-to-head trial comparing psilocybin therapy to a standard SSRI (escitalopram) over six weeks, with psilocybin performing favorably on several secondary measures.

PsilocybinDepressionSSRI
Read the study →
NIMH · Archives of General Psychiatry2006

Rapid antidepressant effect of a single ketamine dose

A landmark NIH trial showing a single intravenous dose of ketamine produced antidepressant effects within hours in treatment-resistant depression — the finding that launched modern ketamine therapy.

<24 hrsonset of response in treatment-resistant patients
KetamineTRD
Read the study →
FDA · Esketamine (Spravato)2019

Esketamine nasal spray approved for TRD

The FDA approved esketamine — a form of ketamine — with an oral antidepressant for treatment-resistant depression, given under monitoring in certified clinics.

FDA-approvedfirst NMDA-antagonist antidepressant
KetamineTRD
Read the approval →
Psychological Medicine · RCT2019

Ayahuasca for treatment-resistant depression

A double-blind, randomized, placebo-controlled trial in 29 patients found a single dose of ayahuasca produced significant antidepressant effects versus placebo, measurable within a day and holding through one week.

RCTrapid effect vs placebo · n=29
AyahuascaDepression
Read the study →
Johns Hopkins · J. Psychopharmacology2016

Psilocybin for cancer-related anxiety & depression

A landmark trial found a single psilocybin session produced substantial, enduring decreases in depressed mood and anxiety in people with life-threatening cancer.

~80%clinically significant relief sustained at follow-up
PsilocybinAnxietyEnd-of-life
Read the study →
NYU Langone · J. Psychopharmacology2020

Psilocybin for cancer distress — 4.5-year follow-up

A long-term follow-up of NYU's cancer-anxiety trial found that a majority of participants still showed clinically meaningful reductions in anxiety and depression years after a single dosing session.

PsilocybinAnxietyEnd-of-life
Read the study →
Johns Hopkins · Am. J. Drug & Alcohol Abuse2014

Psilocybin-facilitated smoking cessation

In a pilot study pairing psilocybin sessions with cognitive-behavioral therapy, long-term smokers achieved abstinence rates far above those of standard cessation methods.

80%abstinent at 6 months (pilot)
PsilocybinAddictionNicotine
Read the study →
NYU Langone · JAMA Psychiatry2022

Psilocybin for alcohol use disorder

A randomized, double-blind trial found two psilocybin sessions with therapy significantly reduced heavy-drinking days compared with an active placebo.

RCTfewer heavy-drinking days vs placebo
PsilocybinAlcoholAddiction
Read the study →
Observational · J. Psychedelic Studies2018

Ibogaine for opioid dependence

Observational and open-label data describe reduced withdrawal and cravings following a single ibogaine treatment — the basis for ongoing formal trials.

IbogaineOpioidsAddiction
Read the study →
STAR*D · Psychiatric Services2009

What the largest SSRI trial actually found

STAR*D followed 4,041 real-world patients through up to four rounds of antidepressants. Remission on the first drug was about one in three, and after a year of continuation, sustained remission was strikingly rare — the clearest evidence of how often standard care falls short.

~3%sustained remission after 1 year
SSRIsStandard careDepression
Read the analysis →
Kirsch et al. · PLOS Medicine2008

Antidepressants vs. placebo — a meta-analysis

A widely-cited meta-analysis of FDA trial data found the benefit of SSRIs over placebo fell below the threshold for clinical significance for most patients, reaching it only in the most severe depression.

SSRIsStandard careMeta-analysis
Read the analysis →
U.S. Dept. of Veterans Affairs2024

The VA funds psychedelic-therapy research

For the first time since the 1960s, the VA announced it would fund studies of MDMA- and psilocybin-assisted therapy for veterans with PTSD and depression — a signal of how seriously the field is now taken.

PolicyVeterans
Read the announcement →
FDA · Policy2024

The FDA & MDMA: where approval stands

In 2024 the FDA declined to approve MDMA-assisted therapy and requested another trial — a setback, not a rejection of the science. Here's what it means.

PolicyMDMA
Read more →
Overview · Huberman LabOngoing

The neuroscience of psychedelics

How these compounds affect the brain's plasticity, fear circuitry and default-mode network — explained for a general audience.

Neuroscience
Explore →

Educational summaries, not medical advice. Findings describe published research and do not guarantee any individual outcome; early trials are often small or preliminary and some ibogaine data is observational. Standard-care studies are included to show why new options are being explored, not to discourage anyone from prescribed treatment — never stop a medication without your doctor. Always consult a qualified professional. Every card links to a primary or authoritative source.

From evidence to a decision

The research is promising. Your situation is specific.

An advisor can help you make sense of what the evidence means for you — and point you to safe, verified care.

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Research, trials and news

Research and clinical trials

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Safety and mechanism

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What do people ask about ibogaine research?

Has ibogaine been tested in a controlled trial?

Not yet for addiction outcomes; controlled trials are funded and registered. The Stanford veteran study was open-label.

What is the best evidence for ibogaine?

12-month observational follow-up for opioid dependence and the 2024 Nature Medicine veteran study for PTSD, depression, anxiety and TBI.

Which psychedelics have randomised evidence?

Psilocybin for depression and cancer distress; MDMA for PTSD; ketamine for depression.

How do we cite research?

With study, journal, year, design and sample size, in-frame, every time.

Sources and further reading