Pilot Results for Psilocybin-Assisted Psychotherapy for Cocaine Use Disorder—A Critical Appraisal - Scorecard - MDSpire

Pilot Results for Psilocybin-Assisted Psychotherapy for Cocaine Use Disorder—A Critical Appraisal

  • By

  • Erin E. Bonar

  • May 7, 2026

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Clinical Scorecard: Evaluation of Initial Findings from Psilocybin-Enhanced Psychotherapy for Cocaine Use Disorder

At a Glance

CategoryDetail
Condition
Key Mechanisms
Target Population
Care SettingClinical settings with trained therapists, though lacking standardized workforce training; specify the implications of this gap.

Key Highlights

  • Pilot study showed potential for psilocybin-assisted therapy to improve cocaine-related outcomes over 180 days, but secondary outcomes were not reported.

Guideline-Based Recommendations

Diagnosis

    Management

      Monitoring & Follow-up

      • Regular toxicology screenings and clinical visits for patients undergoing CM, ideally bi-weekly for the first three months.

      Risks

        Patient & Prescribing Data

        Adults with Cocaine Use Disorder, excluding those on antidepressants or with current psychiatric disorders.

        Psilocybin-assisted therapy involves multiple sessions and requires significant therapist training and resources.

        Clinical Best Practices

        • Implement fidelity monitoring in psychotherapy to ensure standardized treatment delivery.
        • Utilize contingency management as a practical and effective treatment option.
        • Engage diverse populations in treatment trials to enhance generalizability of results.
        • Address training needs for therapists involved in psilocybin-assisted therapy.

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        Original Source(s)

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