One of the biggest problems with testing psychedelics in clinical trials is that people can usually tell whether they took the real drug or a dummy pill — which can skew results. Drugs like seltorexant and esketamine (already-approved treatments) don't cause obvious hallucinations, so trial participants are less likely to guess which group they're in. The prediction is that by November 30, 2026, an established drug will post clean, significant results while no psychedelic trial manages the same.
Orexin and NMDA mechanisms are better characterized with more tractable blinding; classic psychedelic trials continue to face functional-unblinding critiques. Restricting to a documentable blinding/quality comparison keeps it falsifiable.
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