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Psilocybin vs SSRI for mood

Short answer: For mood, more users report improvement with Psilocybin — 90% of 110 reports, versus 50% of 34 for SSRI.

Psilocybin has 189 meta-analyses and 138 randomized trials on PubMed; the other has not been graded.

Based on 319 reports about Psilocybin and 85 about SSRI. Not medical advice.

Psilocybin
Substance
SSRI
Medication
Users say it helped75%helped140 reports · high confidence14%helped54 reports · medium confidence
Verdict
Mostly positive
Mostly negative
ResearchAResearch: StrongNot graded
Meta-analyses / RCTs189 / 138—
Mainly used for
Mood
% reporting improvement
90% (110)50% (34)
Anxiety
% reporting improvement
87% (45)73% (11)
Focus
% reporting improvement
93% (29)50% (2)
Libido
% reporting improvement
80% (5)0% (14)
Energy
% reporting improvement
100% (13)25% (4)
Common side effectsmania, hppd, psychosis risk, paranoiaanhedonia, brain fog, erectile dysfunction, emotional blunting
Typical dose reported0.2-0.5 g / occasionalNot listed
Psilocybin
Latest review conclusion

A review of open-label trials showed robust decreases in depressive symptoms following psilocybin administration. These findings provide preliminary evidence for antidepressant efficacy with psilocybin-assisted psychotherapy, however, further studies are needed to evaluate safety and efficacy and to optimize treatment protocols.

Psychiatry Res, 2023 ↗
What a user said
“Mushrooms make me a better husband and a better human all around. Sometimes I don’t feel the urge to have sex while I’m on a dose, but I feel much more connected afterward. Low dose is definitely an aphrodisiac in my experience.”
Full Psilocybin profile →
SSRI
What a user said
“then i came to SSRI , it helped a little bit then.”
Full SSRI profile →

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Percentages come from first-hand user reports and are not clinical outcomes. Talk to a doctor before starting, stopping or combining anything. How we rate