NYU Langone Health
This study will serve as a pilot randomized controlled trial to assess the feasibility of Psilocybin-Assisted Psychotherapy (PAP) in Treating Irritable Bowel Syndrome (IBS). Patients with severe IBS will undergo 3 pre-psychotherapy sessions with two licensed and trained psychedelic therapists, then will be randomized to undergo a guided psychotherapy session with single 25 mg oral "high" dose of psilocybin or a single 100 mg dose of niacin (active placebo) and attend 4 post-therapy integration sessions.
Inclusion Criteria: * Severe IBS patients meeting Rome IV criteria. Severe IBS is defined by IBS-SS \>300, or one or more emergency room (ER) visit for abdominal pain in the last year. * Experiencing persistent IBS symptoms despite pharmacologic therapy * Have an identified support person * Agree to be accompanied home (or to an otherwise safe destination) by the support person, or another responsible party, following dosing * Participants of childbearing potential must agree to practice an effective means of birth control throughout the duration of the study. * Participants must agree to sen…
Psilocybin 25 mg (active treatment) administered during the psychotherapy treatment session.
The psychotherapy treatment sessions will be conducted by two therapists, who will be both present for all the sessions during three phases of treatment: Preparation, Medication Administration, and Integration.
Niacin 100 mg (placebo) administered during the psychotherapy treatment session.
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