Does Psychedelic Therapy Have a Transdiagnostic Action and Prophylactic Potential?
Open accessAbstract
Addressing global mental health is a major 21st-century challenge. Current treatments have recognized limitations; in this context, new ones that are prophylactic and effective across diagnostic boundaries would represent a major advance. The view that there exists a core of transdiagnostic overlap between psychiatric disorders has re-emerged in recent years, and evidence that psychedelic therapy holds promise for a range of psychiatric disorders supports the position that it may be transdiagnostically effective. Here, we propose that psychedelic therapy's core, transdiagnostically relevant action lies in its ability to increase neuronal and mental plasticity, thus enhancing the potential for change, which we consider to be a key to its therapeutic benefits. Moreover, we suggest that enhanced plasticity via psychedelics, combined with a psychotherapeutic approach, can aid healthy adaptability and resilience, which are protective factors for long-term well-being. We present candidate neurological and psychological markers of this plasticity and link them with a predictive processing model of the action of psychedelics. We propose that a model of psychedelic-induced plasticity combined with an adequate therapeutic context has prophylactic and transdiagnostic potential, implying that it could have a broad, positive impact on public health.
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Integrating mindfulness skills and psychedelic insights holds promise for sustained psychological flexibility.
“Integrating mindfulness skills and psychedelic insights holds promise for sustained psychological flexibility by facilitating a balanced response to internal and external stimuli, and adaptive responses to life's challenges [93].”
From Mindfulness meditation and psychedelics: potential synergies and commonalities (2023) · cites this paper as [93]
The Psychological Flexibility section (page unavailable) says that promoting psychological flexibility may support long-term wellness and may integrate well with psychedelic therapy. The Mindfulness section (page unavailable) links mindfulness to psychological flexibility and adaptive responses to stress. The paper does not specifically say that combining mindfulness skills with psychedelic insights sustains flexibility by balancing responses to internal and external stimuli. (LLM, conf=0.82)
Experimental — accuracy not yet measuredPreventive and remediation interventions foster neuroplasticity-related adaptations in brain regions involved in emotional regulation and cognitive flexibility.
“All these preventive and remediation interventions, to varying degrees, foster neuroplasticity-related adaptations in brain regions involved in emotional regulation and cognitive flexibility [186-188].”
From Impact of Media-Induced Uncertainty on Mental Health: Narrative-Based Perspective. (2025) · cites this paper as [188]
The Neuroplasticity section (page unavailable) says that several treatments and interventions appear to promote neuroplasticity, including antidepressants, psychedelics, transcranial magnetic stimulation, and mindfulness meditation. It does not establish that all the preventive and remediation interventions in the citing sentence do so, or specifically locate their adaptations in regions involved in both emotional regulation and cognitive flexibility. (LLM, conf=0.84)
Experimental — accuracy not yet measuredPAT has potential transdiagnostic treatment capability.
“Similar effects were seen for changes in measures of MA craving, depression, anxiety, stress and mental wellbeing, supporting the potential transdiagnostic treatment capability of PAT [60].”
From Psilocybin‐assisted psychotherapy for methamphetamine use disorder: A pilot open‐label safety and feasibility study. (2025) · cites this paper as [60]
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Psychological and physiological effects of extended DMT
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The potential of ketamine for posttraumatic stress disorder: a review of clinical evidence
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Psychedelics in the treatment of eating disorders: Rationale and potential mechanisms
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“Integrating mindfulness skills and psychedelic insights holds promise for sustained psychological flexibility by facilitating a balanced response to internal and external stimuli, and adaptive responses to life's challenges [93].”
BackgroundN,N‐dimethyltryptamine and Amazonian ayahuasca plant medicine
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Animal Behavior in Psychedelic Research
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Self-citationPsychological effects of psychedelics in adolescents
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“All these preventive and remediation interventions, to varying degrees, foster neuroplasticity-related adaptations in brain regions involved in emotional regulation and cognitive flexibility [186-188].”
Self-citationPsychedelika-assistierte Psychotherapie
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“There is an emerging hypothesis that psychedelic-assisted psychotherapy holds transdiagnostic treatment potential, possibly due to its ability to increase neuronal and mental plasticity (36).”
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Extended Difficulties Following the Use of Psychedelic Drugs: A Mixed Methods StudyPreprint
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Global Adversities, the Media, and Mental Health
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Self-citationWhat fMRI studies say about the nature of the psychedelic effect: a scoping review
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Self-citationOntologically Challenging Psychedelic Experiences: Considerations for Managing Associated Distress
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Psychedelic-assisted Therapy as a Promising Treatment for Irritable Bowel Syndrome
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Case Report: Amplified psychoanalysis? Psychoanalysis, OCD and MDMA in a clinical case study
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Self-citationExploring the Role of Psychedelic Experiences on Wellbeing and Symptoms of Disordered Eating
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A Needs Assessment of Older Hispanics in Omaha, Nebraska
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A history and future of psychedelics: The case of the Canadian military
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Need for a broader discussion on psychedelic therapy
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Psychedelics for the Treatment of Substance Use Disorders: A Narrative Review of the Literature
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PSYCHEDELICS IN PSYCHIATRY - OVERVIEW OF PSILOCYBIN RESEARCH
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Ayahuasca, DMT, and Mental Health: A Current Review of Scientific Studies
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Self-citationThe Evolution of Psychedelics and Psychedelic-Assisted Therapy
Brar, G., Lally, K., Kelly, J. R., & O'Connell, H. P. (2026) · Springer eBooks · doi:10.1007/978-3-032-27009-2_16
Use Case: Die Schweizer „Beschränkte Medizinische Anwendung“
Aicher, H. (2026) · Elsevier eBooks · doi:10.1016/b978-3-437-21293-2.00019-8
Psychedelic, Entheogenic, and Transpersonal Experiences
Winkelman, M. (2026) · Wiley eBooks · doi:10.1002/9781394215683.ch24
Ketamine‐Assisted Psychotherapy as an Approach to Psychedelic Healing
Wolfson, P. (2026) · Wiley eBooks · doi:10.1002/9781394215683.ch31
Beyond Connection: Paradoxes of Psychedelic Resonance in Late Modernity
Petrement, M. S. (2026) · Future Humanities · doi:10.1002/fhu2.70031
Psilocybin-induced changes in electroencephalography link acute and long-term effects
Nikolič, M., Froese, T., Mediano, P. A. M., Koudelka, V., Horáček, J., Tylš, F., & Páleníček, T. (2026) · Journal of Psychopharmacology · doi:10.1177/02698811261473445
Self-citationTeixeira, P. J., Cherniak, A. D., & Forstmann, M. (2026) · Scientific Reports · doi:10.1038/s41598-026-71275-x
Breaking psychedelic boundaries in public health: emerging ideas with ancient roots
Bartlett, K., Gezon, L. L., Ward, W. D., & Sears, F. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1923284
- Authors
- Kočárová, R., Horáček, J., & Carhart-Harris, R.
- Affiliations
- Charles University (CZ)
- Imperial College London (GB)
- Corresponding author
- Kočárová, Rita
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2021-07-19
- Volume
- 12
- Pages
- 661233-661233
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC8327748
- OpenAlex
- W3185477803
- Cited by
- 96
- References
- 265
- Citations by year
- 2026: 15 · 2025: 21 · 2024: 17 · 2023: 23 · 2022: 15 · 2021: 4
- FWCI
- 10.06
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Spiral (Imperial College London) (submittedVersion, other-oa)
- Funders
- Technologická Agentura České Republiky
- Filozofická Fakulta, Univerzita Karlova v Praze
- Agentura Pro Zdravotnický Výzkum České Republiky
- Grantová Agentura České Republiky
- Ministerstvo Å kolstvÃ, Mládeže a TÄ›lovýchovy
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- psychedelic therapy, transdiagnostic mechanisms, prophylaxis, neuroplasticity, resilience, mental illness, global mental health, psychological markers
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