20/08/2026
Anorexia nervosa has one of the highest mortality rates of any psychiatric condition - and there is still no approved drug treatment for it. π
A new pilot study from Imperial's Centre for Psychedelic Research, published in The British Journal of Psychiatry, is one of the largest to date in this population.
21 women with long-standing anorexia - average illness duration close to 11 years, all under specialist eating disorder care, none in remission despite previous treatment.
Three dosing sessions over six weeks: 1 mg, then 25 mg, then 25 mg of synthetic psilocybin. Each preceded by preparation and followed by integration, with around 50 hours of therapeutic contact - alongside usual treatment, not instead of it.
π¬ 95.2% retention, in a condition where drop-out typically runs 20β70%.
π¬ Eating disorder symptoms improved significantly and held at six months (d = 0.98), with the biggest shifts in dietary restraint and eating concerns.
π¬ Motivation to change improved and was sustained to 12 months (d = 0.65) - participants moving toward naming the seriousness of their illness. In a condition this egosyntonic, that matters.
π¬ Psilocybin was well tolerated - side effects mostly mild to moderate.
The caveats: no control group, single-arm, unblinded to dose order, and wide variation in who maintained improvement. Outcomes can't be attributed to psilocybin alone - only to the whole protocol.
A female-only trial, in a condition that overwhelmingly affects women. Feasibility, not proof - but exactly the groundwork the larger controlled trials are built on.
Douglass HM, Spriggs MJ, Godfrey K, Danby JL, de Magalhaes FJC, Macdonald L, Alderton KL, Archer S, Ahmad K, Martell J, Frias JT, Sawicka G, Read T, Blemings A, Lafrance A, Nicholls D, Erritzoe D, Park RJ, Nutt DJ, Carhart-Harris RL. Psilocybin therapy for adult females with anorexia nervosa: pilot study. Br J Psychiatry. 2026 Jul 8:1-9. doi: 10.1192/bjp.2026.10687.