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Psilocybin Treatment as an Adjunct to Cognitive Behavioral Therapy for Eating Disorders: Therapeutic Rationale &

Elena Koning1, Susan Gamberg1,2, Aaron Keshen1,2

  • 1Department of Psychiatry, Dalhousie University, Halifax, NS B3H 2E2, Canada.

Behavioral Sciences (Basel, Switzerland)
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Summary

Psilocybin treatment may enhance cognitive-behavioral therapy for eating disorders (CBT-ED) by improving patient engagement and outcomes. This approach could reduce dropout rates and improve remission in challenging eating disorder cases.

Keywords:
eating disorderspsilocybinpsychedelic treatmentpsychotherapy

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Area of Science:

  • Psychiatry and Neuroscience
  • Clinical Psychology

Background:

  • Eating disorders (EDs) present significant treatment challenges, marked by high dropout and low remission rates with standard cognitive-behavioral therapy for EDs (CBT-ED).
  • Existing treatments for EDs often fall short, necessitating novel therapeutic strategies to improve patient outcomes.

Purpose of the Study:

  • To review the theoretical evidence supporting the integration of psilocybin treatment (PT) with CBT-ED.
  • To propose a concurrent intervention protocol for PT/CBT-ED.
  • To outline clinical and research considerations for evaluating the feasibility, safety, and efficacy of this combined approach.

Main Methods:

  • This study is a narrative review consolidating theoretical evidence.
  • It proposes a framework for a concurrent psilocybin treatment and CBT-ED protocol.
  • It identifies key considerations for future clinical trials.

Main Results:

  • Psilocybin treatment (PT) exhibits potential neurobiological, psychological, and experiential effects (e.g., antidepressant, neuroplasticity, emotional openness).
  • These effects are hypothesized to enhance psychotherapeutic engagement, reduce dropout rates, and improve clinical outcomes in CBT-ED.
  • This review provides the foundational theoretical evidence for combining PT with CBT-ED.

Conclusions:

  • Integrating psilocybin treatment with CBT-ED offers a promising avenue to improve treatment outcomes for eating disorders.
  • Further empirical research is crucial to validate the feasibility, safety, and efficacy of this combined therapeutic model.
  • This innovative approach has the potential to significantly advance the treatment of EDs and the broader application of psychedelics in psychotherapy.