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Psilocybin (Psilocybin (from psilocybin mushrooms))

Category: Psychedelics. Status: Schedule I (FDA Breakthrough Therapy for depression).

The main psychedelic compound in "magic mushrooms," studied for depression, anxiety, addiction and end-of-life distress. In supervised sessions it can produce a profound shift in perspective that many people find long-lasting.

How it works

Converted in the body to psilocin, which activates serotonin 5-HT2A receptors in the brain. This temporarily loosens rigid thinking patterns and increases connectivity between brain networks.

Key facts

  • Molecular weight: 284.25 g/mol
  • Half-life: ~2-3 hours (psilocin)
  • Bioavailability: Oral
  • Storage: Research/clinical settings only.

Dosing overview

  • Typical dose: 10-30 mg in clinical trials
  • Frequency: One to a few supervised sessions
  • Duration: Acute effects last 4-6 hours
  • Route: Oral, in a supervised therapeutic setting

Protocol notes

  • In trials, a person swallows a measured dose, then lies down with eyeshades and music while a trained guide stays nearby.
  • The session lasts several hours and is bookended by preparation and "integration" talks to make sense of the experience.
  • Some people microdose (tiny sub-perceptual amounts every few days), though evidence for microdosing is weak.
  • Traditionally, dried mushrooms are eaten or brewed as tea, where dose is much harder to judge.

Reported benefits

  • Studied for treatment-resistant depression
  • Eases anxiety in life-threatening illness
  • Explored for alcohol and tobacco addiction
  • Often produces durable improvements after few doses

Possible side effects

  • Anxiety or fear during the experience
  • Nausea
  • Raised heart rate and blood pressure
  • Temporary confusion
  • Risk of distressing experiences without proper support

Research

  • Psilocybin for treatment-resistant depression (2022): A single 25 mg dose with psychological support significantly reduced depression scores compared with lower doses.
  • Psilocybin-assisted therapy for cancer-related distress (2016): Produced rapid and sustained reductions in anxiety and depression in patients with life-threatening cancer.

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Research and educational reference only. Not medical advice.