Depression is one of the most studied conditions in modern psilocybin research. Scientists focus especially on major depressive disorder and treatment-resistant depression, which refers to depression that has not responded to standard therapies. Research in this area is conducted through regulated clinical trials that combine psilocybin administration with psychological support and structured follow-up.
One of the most frequently cited studies was published in JAMA Psychiatry in 2020. This randomized clinical trial examined psilocybin-assisted therapy in adults with major depressive disorder and reported significant reductions in depression scores four weeks after treatment. The authors emphasized that the intervention included preparation, supervised sessions, and integration therapy, not psilocybin alone (Davis et al., JAMA Psychiatry, 2020).
Earlier research from Johns Hopkins University also explored psilocybin-assisted therapy for depression and anxiety. A study published in the Journal of Psychopharmacology in 2016 examined patients with life-threatening cancer diagnoses and found sustained reductions in depressive symptoms following supervised psilocybin sessions. Researchers noted that outcomes were closely tied to the controlled therapeutic environment (Griffiths et al., Journal of Psychopharmacology, 2016).
Treatment-resistant depression has been a major focus of more recent trials. In 2022, The New England Journal of Medicine published a double-blind randomized study comparing psilocybin to escitalopram, a commonly prescribed antidepressant. The trial reported similar improvements on primary outcome measures, while researchers stressed that conclusions were limited by sample size and study design (Carhart-Harris et al., NEJM, 2022).

Additional large-scale research is being conducted by COMPASS Pathways, a pharmaceutical company developing a synthetic psilocybin formulation known as COMP360. The company received FDA Breakthrough Therapy designation in 2018 for its program targeting treatment-resistant depression. Phase 2 trial results were published in The New England Journal of Medicine, showing dose-dependent effects under controlled conditions (COMPASS Pathways Phase 2b Study).
Researchers consistently caution that these studies do not prove psilocybin is a standalone cure for depression. The National Institute of Mental Health explains that depression is a complex condition influenced by biological, psychological, and social factors, and that investigational therapies must be evaluated across diverse populations and longer timeframes (National Institute of Mental Health).
High Science® presents depression research to clarify what has been studied, what results have been observed, and where limitations remain. While findings have drawn global attention, scientists stress that psilocybin remains investigational and that further trials are required before any conclusions about widespread medical use can be made.
SOURCES
Davis et al., JAMA Psychiatry (2020) – Psilocybin-assisted therapy for major depressive disorder
Griffiths et al., Journal of Psychopharmacology (2016) – Cancer-related depression and anxiety
Carhart-Harris et al., New England Journal of Medicine (2022) – Psilocybin vs escitalopram
COMPASS Pathways – Treatment-resistant depression trials
National Institute of Mental Health – Depression overview
All information presented is for educational purposes only and focuses on plant science research and emerging studies. This content does not replace professional medical advice. Always consult licensed healthcare providers or trained professionals in plant-based science and natural health disciplines. All information provided is thought to be put to date with modern research and you should still do your own research and consult with professionals.