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Possession of psilocybin-containing mushrooms has been outlawed in most countries, and psilocybin has been classified as a Schedule I controlled substance under the 1971 United Nations Convention on Psychotropic Substances. "Shrooms" or "magic mushrooms" can produce euphoric feelings and possibly relieve mental health conditions. However, there are some risks to be aware of, and only a few U.S. cities where use is legal. For the peer-reviewed study, published in the New England Journal of Medicine, researchers randomly assigned adults with treatment-resistant depression a single dose of psilocybin. Patients with treatment-resistant depression had previously tried several different medications to treat their depression, but none of them worked, Dr. Steve Levine told CBS News. Levine is senior vice president of patient access and medical affairs at mental health care company Compass Pathways, where he works closely with the lead author of the study, Dr. Guy Goodwin.

This means that the safety, efficacy and quality of products containing psilocybin have not been assessed by Health Canada, and they have not undergone the rigorous scientific review process required to be authorized for sale in Canada or elsewhere. There is ongoing research looking at the potential of psilocybin to treat various mental health disorders such as anxiety, depression, obsessive-compulsive disorder and problematic substance use. While some initial clinical trials have shown promising results, the evidence is currently limited. Clinical trials are the most appropriate and effective way to advance research with unapproved drugs such as psilocybin while protecting the health and safety of patients.

Professor Allan Young, head of academic psychiatry at the Institute of Psychiatry, Psychology and Neuroscience at King's College London, agrees there is little formal research and says the anecdotal benefits have not been proved. If symptoms such as vomiting, diarrhea, and abdominal pain begin 5 hours or more after ingestion, mushrooms that can cause potentially life-threatening or severe toxicity (eg, A phalloides or Cortinarius spp) should be considered (see Presentation). Some people who ingest magic mushrooms report overwhelming feelings of joy or the presence of family. Others have said they feel deeply sad or that they are having an out-of-body experience. Polling conducted by the Drug Foundation in 2022 showed that 68% of New Zealanders supported replacing the country’s 1975 Misuse of Drugs Act with a health-based approach. Already, states like Colorado and Oregon have legalized therapeutic psilocybin use.

Here’s what the current research says about psilocybin treatment for some potential indications. Despite being about 100 times less potent than LSD, it’s capable of altering perception of space and time, causing visual distortions, euphoria, and mystical experiences. Psilocybin Infused Honey, the active ingredient found in "magic" mushrooms, or "shrooms," is a powerful psychedelic. People can experience euphoria, relaxation and creative thinking as well as an altered perception of time, dizziness, lightheadedness and confusion. The most key thing during a trip is to overcome your fear, surrender to the experience, and welcome whatever comes up as an opportunity to grow, learn, and heal. Some guides describe this as "staying behind the medicine"; in other words, don't try to control the experience and let the shrooms take you where they may.

Liquid psilocybin is also available, which is the naturally occurring psychedelic drug found in liberty caps. Requests through the Special Access Program must provide sufficient evidence to support the use of the drug for the patient's condition. Magic mushrooms may cause heightened emotions and senses and people may feel happy and creative. They may laugh or giggle a lot and experience a sense of mental and emotional clarity. A person taking psilocybin may have what’s called a mystical experience, where they enter a dreamlike, euphoric state, perhaps having visions or reliving memories.