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Human Microdosing Research: What Controlled Studies Show

What placebo-controlled studies, self-blinding studies and surveys of microdosing psychedelics found in people, and why controlled trials and surveys point in different directions.

Content last updated . This page has not been medically reviewed.

How to read this page

Studies of microdosing come in very different designs, and the design changes what the result can tell you. This page separates controlled studies, where some people get an inactive placebo and nobody knows who got what, from surveys and open studies, where people choose to take part and everyone knows what they are taking. Evidence labels used here: mixed, insufficient evidence and no good evidence of benefit. No amounts or schedules are given on this page.

Controlled studies

  • Single low LSD doses in a lab. Twenty healthy young adults received placebo or one of three very low LSD amounts in random order. The drug produced dose-related subjective effects, but other mood measures, cognition and physiological measures were unaffected. [1]
  • Repeated low LSD doses in a lab. In a double-blind study of repeated doses in healthy adults, LSD did not improve mood or affect performance on psychomotor or most emotional tasks. The authors concluded that changes in mood or cognition were negligible. [2]
  • Psilocybin mushrooms, double-blind. A study of 34 people who were starting to microdose with psilocybin mushrooms found no evidence of enhanced well-being, creativity or cognitive function. The effects people felt were stronger only for those who correctly guessed which condition they were in. [3]
  • Preregistered psilocybin study. Psilocybin microdosing did not affect emotion processing or symptoms of anxiety and depression compared with placebo. [4]
  • Psilocybin truffles, two trials. In two randomized, double-blind, placebo-controlled trials in semi-naturalistic settings, microdosing did not significantly affect behavioral or subjective measures compared with placebo, and participants stayed effectively blinded. [5]
  • Creativity, three trials pooled. In 171 people pooled across three double-blind trials, the only difference was on one measure of original thinking, and only when relative dose was taken into account. Other divergent and convergent thinking scores showed no effect. [6]

A "self-blinding" study

Researchers asked people who were already microdosing to add a placebo to their own routine using online instructions, without clinical supervision. The study was completed by 191 participants. [7] The microdose group improved over four weeks, but the placebo group also improved, and no significant differences between groups were observed. [7] The small differences that did appear can be explained by participants breaking blind, meaning they guessed which capsule they had taken. [7] See Placebo and Expectancy in Microdosing.

Surveys and open studies

  • Large online comparison. A mobile-app survey compared self-selected microdosers (4,050 people) with non-microdosers (4,653 people). Microdosers were more likely to report a history of mental health concerns. [8]
  • Planned microdosers followed over time. A prospective study in which 81 people completed the main four-week endpoint saw improved well-being, but positive expectations at the start predicted the improvement, suggesting a placebo response. [9]
  • Open-label LSD study in depression. Nineteen adults with depression, most already taking an antidepressant, took part in an open-label trial (no placebo). The authors noted the study was limited by its open-label design and small sample size. [10]

What the reviews conclude

  • A 2026 meta-analysis covering 24 studies and 3,681 participants found no consistent immediate benefits for depressive, anxiety or stress symptoms in healthy adults. Randomized trials were inconclusive, and observational studies showed improvements that were likely influenced by expectancy or lifestyle factors. [11]
  • A critical review of 57 human studies found that observational studies generally report more benefits, while experimental trials tend to yield more null findings. It called the evidence inconclusive and said it warrants caution. [12]
  • A 2026 review of psilocybin mushroom and truffle microdosing rated the certainty of evidence as low and said a causal effect cannot be inferred. [13]

Where the evidence stands

Surveys cannot show cause and effect, and controlled trials so far have been small and short. For help reading any single study, see How to Read a Psychedelic Clinical Trial.

Frequently asked questions

Do placebo-controlled studies show that microdosing works?

Mostly not for mood or thinking in healthy adults. Several blinded studies found little or no difference from placebo. [3][5][4] One pooled creativity analysis found a narrow difference on one measure. [6]

Why do surveys show benefits when trials mostly do not?

Surveys involve people who chose to take part, know what they are taking and often expect it to help. Observational studies generally report more benefits than experimental ones. [12] Positive expectations at the start predicted better outcomes in one prospective study. [9]

Has microdosing been tested in people with depression?

Only in small or early work. An open-label study of 19 adults had no placebo group. [10] A placebo-controlled trial in major depression was registered as a protocol, and a protocol is not a result. [14]

Does a 'low dose' mean 'no effect'?

No. Studies report subjective effects at low amounts, and in some cases small changes toward cognitive impairment. [3][1]

Is it safe?

Short trials reported few problems, but long-term safety has not been studied well. See the long-term safety page. [11]

References

  1. Bershad AK, et al. Biological Psychiatry 2019. Acute Subjective and Behavioral Effects of Microdoses of Lysergic Acid Diethylamide in Healthy Human Volunteers Read 2026-10-22.
  2. Addiction Biology 2022. Repeated low doses of LSD in healthy adults: A placebo-controlled, dose-response study Read 2026-10-22.
  3. Cavanna F, et al. Translational Psychiatry 2022. Microdosing with psilocybin mushrooms: a double-blind placebo-controlled study Read 2026-10-22.
  4. Marschall J, et al. Journal of Psychopharmacology 2022. Psilocybin microdosing does not affect emotion-related symptoms and processing: A preregistered field and lab-based study Read 2026-10-22.
  5. Neuropharmacology 2026. Cognitive and subjective effects of psilocybin microdosing: Results from two double-blind placebo-controlled longitudinal trials Read 2026-10-22.
  6. Neuropharmacology 2026. Microdosing psilocybin and its effect on creativity: Lessons learned from three double-blind placebo controlled longitudinal trials Read 2026-10-22.
  7. Szigeti B, et al. eLife 2021. Self-blinding citizen science to explore psychedelic microdosing Read 2026-10-22.
  8. Rootman JM, et al. Scientific Reports 2021. Adults who microdose psychedelics report health related motivations and lower levels of anxiety and depression compared to non-microdosers Read 2026-10-22.
  9. Kaertner L, et al. Scientific Reports 2021. Positive expectations predict improved mental-health outcomes linked to psychedelic microdosing Read 2026-10-22.
  10. Daldegan-Bueno D, et al. Neuropharmacology 2026. LSD microdosing in major depressive disorder: results from an open-label trial Read 2026-10-22.
  11. Meshkat S, et al. CNS Drugs 2026. Efficacy and Safety of Psychedelic Microdosing on Psychological Outcomes in Healthy Adults: A Systematic Review and Meta-analysis Read 2026-10-22.
  12. Totomanova I, et al. Current Opinion in Psychology 2025. Between enhancement and risk: A critical review of psychedelic microdosing Read 2026-10-22.
  13. Page, et al. Frontiers in Psychiatry 2026. The subtle science: a systematic review of psilocybin magic mushroom and truffle microdosing Read 2026-10-22.
  14. Beidas Z, et al. BJPsych Open 2026. Microdosing psilocybin for major depressive disorder: study protocol for a phase II double-blind placebo-controlled randomised partial crossover trial Read 2026-10-22.
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.