PMID- 34121583 OWN - NLM STAT- MEDLINE DCOM- 20211020 LR - 20211020 IS - 1369-1627 (Electronic) IS - 0954-0261 (Linking) VI - 33 IP - 3 DP - 2021 May TI - Psilocybin and MDMA for the treatment of trauma-related psychopathology. PG - 229-249 LID - 10.1080/09540261.2021.1919062 [doi] AB - This review examines the role of trauma in psychiatric morbidity and analogous psychoneurobiological changes. Trauma is a necessary criterion for Post-Traumatic Stress Disorder (PTSD), however, trauma history is highly correlated with a variety of psychiatric conditions. Some evidence suggests that Major Depressive Disorder (MDD) is the most common psychiatric condition that arises following trauma. Approximately 50% of PTSD cases present with co-morbid MDD. Overlapping symptomatology and neurobiology between these conditions underlie the debate over whether these phenomena result from problematic nosology or whether comorbid MDD + PTSD is a distinct phenotype of trauma-related psychopathology. Regardless, similar treatment approaches have been employed historically, with varying success. The drug-assisted psychotherapy treatment model, which combines pharmacological and psychotherapeutic approaches, is currently being trialled as a novel treatment approach in psychiatry. Both psilocybin- and 3,4-Methylenedioxymethamphetamine (MDMA)-assisted psychotherapy have received Food and Drug Administration 'breakthrough therapy' designation for the treatment of resistant MDD and PTSD, respectively. This paper reviews the therapeutic rationale of both psilocybin and MDMA for treating both trauma-related MDD and PTSD. FAU - Bird, Catherine I V AU - Bird CIV AUID- ORCID: 0000-0002-8656-6931 AD - The Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. FAU - Modlin, Nadav L AU - Modlin NL AD - The Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. FAU - Rucker, James J H AU - Rucker JJH AD - The Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. AD - South London and Maudsley NHS Foundation Trust, London, UK. LA - eng GR - CS-2017-17-007/DH_/Department of Health/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20210614 PL - England TA - Int Rev Psychiatry JT - International review of psychiatry (Abingdon, England) JID - 8918131 RN - 2RV7212BP0 (Psilocybin) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Depressive Disorder, Major/complications/drug therapy MH - Humans MH - N-Methyl-3,4-methylenedioxyamphetamine/*therapeutic use MH - Psilocybin/*therapeutic use MH - Stress Disorders, Post-Traumatic/complications/*drug therapy/*psychology MH - Treatment Outcome OTO - NOTNLM OT - MDMA OT - Psilocybin OT - depression OT - drug-assisted psychotherapy OT - posttraumatic stress disorder OT - psychiatry OT - trauma EDAT- 2021/06/15 06:00 MHDA- 2021/10/21 06:00 CRDT- 2021/06/14 09:16 PHST- 2021/06/15 06:00 [pubmed] PHST- 2021/10/21 06:00 [medline] PHST- 2021/06/14 09:16 [entrez] AID - 10.1080/09540261.2021.1919062 [doi] PST - ppublish SO - Int Rev Psychiatry. 2021 May;33(3):229-249. doi: 10.1080/09540261.2021.1919062. Epub 2021 Jun 14.