Before the FDA (the US drug regulator) approves any psilocybin treatment for depression, it will likely require companies to show that patients stay better over time — not just that they felt better right after a session. This is a significant hurdle because most psilocybin studies so far have only tracked patients for a few weeks or months. Companies will need longer, harder studies to clear this bar.
Rapid remission with uncertain durability is the central weakness in every psilocybin readout. Acute effect alone is insufficient for approval; the division's stated stance requires relapse/maintenance framing. This is falsifiable via any FDA advisory-committee briefing document or complete-response/approval letter that either does or does not cite durability as a condition.