Health Affairs October 3, 2023
Varun Saraswathula, Molly Candon

Mental illnesses are associated with significant morbidity and mortality. Although more Americans are engaging in mental health care, many people living with a mental illness do not receive treatment. Those in treatment often do not find complete relief: More than 13 percent of US adults use antidepressants, but double-blind, placebo-controlled trials indicate that they improve symptoms in an extra 20 out of 100 people (in addition to the 20 to 40 that respond to a placebo) and can carry unpleasant side effects. Psychotherapy, while helpful for some, is difficult to access.

Enter psychedelics, including 3,4-Methylenedioxymethamphetamine (MDMA) and psilocybin, which have been demonstrated as a viable alternative for treating conditions across the mental health spectrum. Phase 3 clinical trials have found...

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