PMID- 28768346 OWN - NLM STAT- MEDLINE DCOM- 20180530 LR - 20180530 IS - 1439-3522 (Electronic) IS - 0720-4299 (Linking) VI - 85 IP - 7 DP - 2017 Jul TI - [Psychotherapy with Adjuvant use of Serotonergic Psychoactive Substances: Possibilities and Challenges]. PG - 383-392 LID - 10.1055/s-0043-103085 [doi] AB - Background Recently, scientific interest in the therapeutic potential of serotonergic and psilocybin hallucinogens (psychedelics) such as lysergic acid diethylamide (LSD) and entactogens like 3,4-methylendioxymethamphetamine (MDMA) within the framework of psychotherapy has resumed. The present article provides an overview on the current evidence on substance-assisted psychotherapy with these substances. Method A selective search was carried out in the PubMed and Cochrane Library including studies investigating the clinical use of serotonergic psychoactive substances since 2000. Results Studies were found investigating the following indications: alcohol (LSD and psilocybin) and tobacco addiction (psilocybin), anxiety and depression in patients suffering from life-threatening somatic illness (LSD and psilocybin), obsessive-compulsive disorder (OCD) (psilocybin), treatment-resistant major depression (psilocybin), and posttraumatic stress disorder (PTSD) (MDMA). Discussion Substance use disorders, PTSD and anxiety and depression in patients suffering from life-threatening somatic illness belong to the indications with the best evidence for substance-assisted psychotherapy with serotonergic psychoactive agents. To date, studies indicate efficacy and relatively good tolerability. Further studies are needed to determine whether these substances may represent suitable and effective treatment options for some treatment-resistant psychiatric disorders in the future. CI - (c) Georg Thieme Verlag KG Stuttgart . New York. FAU - Majic, Tomislav AU - Majic T AD - Psychiatrische Universitatsklinik der Charite im St. Hedwig Krankenhaus, Charite Universitatsmedizin Berlin, Charite Campus Mitte, Berlin. FAU - Jungaberle, Henrik AU - Jungaberle H AD - FINDER Institut fur Praventionsforschung, Berlin. FAU - Schmidt, Timo T AU - Schmidt TT AD - Bernstein Center for Computational Neuroscience, Berlin. FAU - Zeuch, Andrea AU - Zeuch A AD - DRK Westend, Spandauer Damm 130, Klinik fur Anasthesie, Schmerztherapie, Intensiv- und Notfallmedizin, Berlin. FAU - Hermle, Leo AU - Hermle L AD - Klinik fur Psychiatrie und Psychotherapie, Christophsbad, Goppingen. FAU - Gallinat, Jurgen AU - Gallinat J AD - Universitatsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fur Psychiatrie und Psychotherapie, Hamburg. LA - ger PT - Journal Article PT - Review TT - Psychotherapie mit adjuvanter Gabe von serotonergen psychoaktiven Substanzen - Moglichkeiten und Hindernisse. DEP - 20170802 PL - Germany TA - Fortschr Neurol Psychiatr JT - Fortschritte der Neurologie-Psychiatrie JID - 8103137 RN - 0 (Hallucinogens) RN - 0 (Serotonin Agents) RN - 2RV7212BP0 (Psilocybin) RN - 8NA5SWF92O (Lysergic Acid Diethylamide) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Combined Modality Therapy MH - Hallucinogens/*therapeutic use MH - Humans MH - Lysergic Acid Diethylamide/therapeutic use MH - Mental Disorders/*drug therapy/*therapy MH - N-Methyl-3,4-methylenedioxyamphetamine/*therapeutic use MH - Psilocybin/therapeutic use MH - Psychotherapy/*methods MH - Serotonin Agents/*therapeutic use MH - Treatment Outcome COIS- Disclosure The authors report no conflicts of interest in this work. EDAT- 2017/08/03 06:00 MHDA- 2018/05/31 06:00 CRDT- 2017/08/03 06:00 PHST- 2017/08/03 06:00 [entrez] PHST- 2017/08/03 06:00 [pubmed] PHST- 2018/05/31 06:00 [medline] AID - 10.1055/s-0043-103085 [doi] PST - ppublish SO - Fortschr Neurol Psychiatr. 2017 Jul;85(7):383-392. doi: 10.1055/s-0043-103085. Epub 2017 Aug 2.