Top ten tips palliative care clinicians should know about psychedelic-assisted therapy in the context of serious illness

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ROSA, William E. | SAGER, Zachary | MILLER, Megan | BERNSTEIN, Ilan | DOERNER RINALDI, Alden | ADDICOTT, Katie | LJUSLIN, Michael | ADRIAN, Chris | BACK, Anthony L. | BEACHY, Jamie | BOSSIS, Anthony P. | BREITBART, William S. | COSIMANO, Mary P. | FISCHER, Stacy M. | GUSS, Jeffrey | KNIGHTON, Emma | PHELPS, Janis | RICHARDS, Brian D. | RICHARDS, William A. | TULSKY, James A. | WILLIAMS, Monnica T. | BEAUSSANT, Yvan

Psychedelic-assisted therapy (PAT) is a burgeoning treatment with growing interest across a variety of settings and disciplines. Empirical evidence supports PAT as a novel therapeutic approach that provides safe and effective treatment for people suffering from a variety of diagnoses, including treatment-resistant depression, substance use disorder, and post-traumatic stress disorder. Within the palliative care (PC) field, one-time PAT dosing may lead to sustained reductions in anxiety, depression, and demoralization-symptoms that diminish the quality of life in both seriously ill patients and those at end of life. Despite a well-noted psychedelic renaissance in scholarship and a renewed public interest in the utilization of these medicines, serious illness-specific content to guide PAT applications in hospice and PC clinical settings has been limited. This article offers 10 evidence-informed tips for PC clinicians synthesized through consultation with interdisciplinary and international leading experts in the field with aims to: (1) familiarize PC clinicians and teams with PAT; (2) identify the unique challenges pertaining to this intervention given the current legalities and logistical barriers; (3) discuss therapeutic competencies and considerations for current and future PAT use in PC; and (4) highlight critical approaches to optimize the safety and potential benefits of PAT among patients with serious illness and their caregivers.

http://dx.doi.org/10.1089/jpm.2022.0036

Voir la revue «JOURNAL OF PALLIATIVE MEDICINE, 25»

Autres numéros de la revue «JOURNAL OF PALLIATIVE MEDICINE»

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