April 26, 2026

Top News
HS-10380 Phase 3 Data: Novel Antipsychotic Challenges Aripiprazole in Acute Schizophrenia
Digital Health
PETRUSHKA Tool Improves Antidepressant Continuation, With Andrea Cipriani, MD, PhD - HCPLive

The PETRUSHKA tool enhances antidepressant continuation rates, offering a digital intervention to improve medication adherence in depression treatment.

Diagnosis & Treatment
Why Feeling Good is Harder than Not Feeling Bad

The article discusses Positive Affect Treatment (PAT) as a therapeutic approach to rebuild the brain's reward system for reducing depression, anxiety, and suicide risk.

Drug Development
Depression treatment is shifting, and this mushroom-derived compound is driving one of psychiatry's biggest new tests

The article introduces a mushroom-derived compound as an emerging treatment option for depression, signaling a shift in therapeutic approaches beyond traditional SSRIs and SNRIs.

Drug Development
Repeated doses of psilocybin show promise for treating obsessive-compulsive disorder - PsyPost

Clinical trial data indicates that repeated dosing of psilocybin demonstrates therapeutic potential for reducing symptoms in patients with obsessive-compulsive disorder.

Diagnosis & Treatment
New guidelines highlight behavioral therapy for insomnia

New guidelines indicate that while combining medications with CBT-I may benefit some patients, CBT-I alone is often the preferred treatment for chronic insomnia.

Clinical Pearls

Bite-sized clinical takeaways from today's literature (sources from Sep 09 – Apr 26)

  • FDA priority review vouchers for Compass, Usona, and Transcend signal accelerated regulatory pathways for psilocybin and methylone in treatment-resistant depression and PTSD.
  • Definium Therapeutics' LSD derivative DT120 is advancing through Phase 3 trials for MDD, GAD, and PTSD with data anticipated in 2026-2027.
  • Only 40.2% of pregnant women with opioid use disorder receive medication for OUD, highlighting a critical gap in evidence-based prescribing that clinicians must address.
  • Combining time-limited exercise with the olanzapine/samidorphan fixed-dose combination yields sustained weight attenuation in patients with schizophrenia.
  • First responders with PTSD are now participating in clinical trials investigating psilocybin efficacy, offering a potential new treatment avenue for this high-risk group.
  • A randomized trial is evaluating intranasal dexmedetomidine as a novel treatment option for acute anxiety states in adults.
  • The FDA is preparing specific guidance to address prior methodological gaps in psychedelic trial design while accelerating IND clearances for depression and alcohol use disorder.
  • Fluorine-modified antisense oligonucleotides show promise in reducing C9ORF72 repeat RNA toxicity, offering a potential therapeutic strategy for frontotemporal dementia and ALS.

Diagnosis & Treatment 3

Characterising the clinical associations of hallucinogen persisting perception disorder: a retrospective cohort study

This retrospective cohort study identifies strong associations between Hallucinogen Persisting Perception Disorder (HPPD) and pre-existing anxiety, functional somatic syndromes, and psychiatric comorbidities, highlighting the need for comprehensive clinical assessment in patients presenting with visual disturbances.

Tolerance to Stimulant Medications in the Treatment of Children With ADHD - Psychiatric Times

This article addresses the clinical phenomenon of tolerance to stimulant medications in children with ADHD, offering insights relevant to prescribing strategies for managing long-term efficacy.

Psychopharmacology guide on prescribing psychotropic medications - American Medical Association

The American Medical Association provides a comprehensive clinical guide for the safe and effective prescribing of psychotropic medications.

Drug Development 3

Direct targeting of C9ORF72 repeat RNA with fluorinated antisense oligonucleotides

Fluorine-modified antisense oligonucleotides effectively target C9ORF72 repeat RNA to reduce toxicity in frontotemporal dementia and ALS, offering a potential therapeutic strategy for these neurodegenerative conditions.

The FDA Fast-Tracks Its Review of Psilocybin and Methylone, 2 Promising Psychedelics - Reason Magazine

The FDA has granted fast-track status to psilocybin and methylone, signaling regulatory progress for these psychedelics in psychiatric treatment development.

Karen Yeo, PhD, on the clinical utility of PBPK modeling in obstetric antidepressant dosing - Contemporary OB/GYN

PBPK modeling offers a critical tool for optimizing antidepressant dosing in pregnancy to account for physiological changes, though its direct clinical utility remains an emerging area of practice.

Mechanism of Action 5

A frontotemporal dementia–like phenotype in schizophrenia: links to striatal dopamine and iron accumulation

This study identifies a frontotemporal dementia-like phenotype in schizophrenia linked to striatal dopamine and iron accumulation, offering mechanistic insights for targeting neurodegenerative pathways in psychosis.

Loss of connexin 36 elicits abnormalities in thalamocortical network activity relevant to neuropsychiatric disorders

This study identifies connexin 36 as a critical regulator of thalamocortical synchrony and proposes it as a novel therapeutic target for modulating network dysfunction in schizophrenia.

Network pharmacology and molecular simulation reveal the entourage effect mechanisms of psilocybin-producing mushrooms on the brain - Nature

This study elucidates the molecular mechanisms behind the entourage effect of psilocybin-producing mushrooms, offering critical insights into their pharmacodynamics as a potential psychiatric treatment.

Elevated glutamine but not glutamate is associated with clozapine eligibility in an early psychosis sample - Frontiers

Elevated glutamine levels, distinct from glutamate, are identified as a potential biomarker for clozapine eligibility in early psychosis patients.

734. TMS-Induced Antidepressant Response is Linked to Engagement of the Right Frontal Pole

This study identifies engagement of the right frontal pole as a key neural correlate predicting antidepressant response to Transcranial Magnetic Stimulation (TMS).

Substance Use 1

Less than half of pregnant women with opioid use disorder receive meds

A nationwide study reveals that only 40.2% of pregnant women with opioid use disorder receive medication for OUD, highlighting significant gaps in evidence-based prescribing despite MOUD being the gold standard.

Policy & Regulation 5

The FDA is accelerating development and review timelines for psychedelic therapies targeting depression, PTSD, and alcohol use disorder through priority vouchers and IND clearances while preparing specific guidance to address prior methodological gaps in trial design.

Compass, Usona and Transcend score FDA national priority vouchers amid Trump administration’s psychedelic push - Fierce Biotech

Three companies received FDA priority review vouchers for their psychedelic drug candidates, signaling a potential shift in regulatory support under the current administration.

STAT+: FDA to speed up review of three psychedelics as mental health treatments

The FDA has granted priority review vouchers to three companies for psychedelic treatments targeting treatment-resistant depression and PTSD, signaling accelerated regulatory pathways for these emerging psychotropics.

FDA unveils three psychedelic-focused commissioner vouchers

The FDA has awarded three fast-track vouchers to unspecified psychedelic companies, signaling regulatory support for drug development in this therapeutic area.

Breaking: FDA Awards Priority Review Vouchers to Otsuka, Compass, and Usona - Psychedelic Alpha

The FDA has awarded Priority Review Vouchers to Otsuka, Compass, and Usona for their psychedelic drug candidates, a regulatory milestone that accelerates the review timeline for these potential psychiatric treatments.

Clinical Pearl 5

InvestigateTV+: First responders with PTSD are turning to Arizona’s psilocybin trial - KFDA | NewsChannel 10

First responders with PTSD are participating in a psilocybin clinical trial in Arizona, representing a potential new treatment avenue for this high-risk occupational group.

InvestigateTV+: First responders with PTSD are turning to Arizona’s psilocybin trial - KBTX News 3

First responders with PTSD are participating in a clinical trial of psilocybin in Arizona, representing a potential new treatment avenue for this high-risk population.

First responders with PTSD are turning to Arizona’s psilocybin trial - investigatetv.com

First responders with PTSD are participating in a clinical trial investigating the efficacy of psilocybin for treating post-traumatic stress disorder.

Intranasal Dexmedetomidine for Acute Anxiety State in Adults: A Randomized Trial

A randomized trial is evaluating intranasal dexmedetomidine as a potential treatment for acute anxiety states in adults.

736. Large-Scale, Real-World Clinical Outcomes in Intravenous (IV) Racemic Ketamine Infusions for Major Depressive Disorder and Bipolar Disorder

Real-world data from a large-scale study evaluates the clinical outcomes of intravenous racemic ketamine infusions for major depressive disorder and bipolar disorder.

Podcast Summary 1

This podcast discusses the emerging off-label use of GLP-1 agonists in psychiatry for managing antipsychotic-induced weight gain, cognitive impairment, and mood disorders, highlighting their potential to treat conditions like anhedonia and alcohol use disorder.

Neuroscience 1

741. Anterior Insula Subregional Disruptions Within the Threat Network in PTSD

This fMRI study identifies specific disruptions in the functional connectivity of anterior insula subregions within the threat network in PTSD, highlighting distinct hemispheric patterns that may inform future neuromodulation targets.