Ethics of Psychedelic Medicine
Definitions/Description
- People use the term "psychedelics" in different ways. There are narrow and broad definitions of the term:
- Narrow definition, or “classic” psychedelics are serotonin 2A receptor agonists or partial agonists.
- They produce altered states of consciousness, characterized by dramatic changes in perception, mood, and thought during their acute subjective effects. They can involve persisting effects lasting days, weeks, or months.
- Includes psilocybin, lysergic acid diethylamide (LSD), DMT, and mescaline
- Note that this set somewhat varies in terms of their receptor mechanisms, time course of effects, and risk/benefit profiles.
- Broad definition of “psychedelic” includes a wider set of psychoactive compounds with similar somewhat phenomenological and psychoactive properties in that they also produce an intensely altered state of consciousness acutely, with possible persisting effects.
- Narrow definition, or “classic” psychedelics are serotonin 2A receptor agonists or partial agonists.
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Last updated: September 30, 2025
Citation
Cheung, Katherine, and David B. Yaden, PhD . "Ethics of Psychedelic Medicine." Johns Hopkins Psychiatry Guide, The Johns Hopkins University, 2025. Johns Hopkins Guides, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787492/all/Ethics_of_Psychedelic_Medicine.
Cheung K, D. Ethics of Psychedelic Medicine. Johns Hopkins Psychiatry Guide. The Johns Hopkins University; 2025. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787492/all/Ethics_of_Psychedelic_Medicine. Accessed October 8, 2025.
Cheung, K., & , D. (2025). Ethics of Psychedelic Medicine. In Johns Hopkins Psychiatry Guide. The Johns Hopkins University. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787492/all/Ethics_of_Psychedelic_Medicine
Cheung K, D. Ethics of Psychedelic Medicine [Internet]. In: Johns Hopkins Psychiatry Guide. The Johns Hopkins University; 2025. [cited 2025 October 08]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787492/all/Ethics_of_Psychedelic_Medicine.
* Article titles in AMA citation format should be in sentence-case
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AU - ,David B. Yaden, PhD,
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