Effect of Psilocybin on the Positive Valence System in Treatment-resistant Depression (PSILODAC)

This interventional trial (n=12) will investigate the effect of a single 25 mg dose of psilocybin on the positive valence system in patients with treatment-resistant depression (TRD).

The study, conducted by the Centre Hospitalier Universitaire de Nîmes, aims to explore whether psilocybin reduces anhedonia and increases motivation by enhancing reward anticipation.

Functional MRI scans will measure brain activity before and after psilocybin administration, focusing on key neural circuits involved in effort evaluation and reward processing. The trial will assess correlations between brain activity changes and depression severity, behavioural activation, and anhedonia scores. Findings will contribute to understanding psilocybin’s antidepressant mechanisms and its feasibility for use in a French clinical population.

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