Market CAGR
14–16%
Forecast through 2028
Primary Target
TRD
Treatment-resistant depression
Clinical Phase
Phase III
MDMA & Psilocybin
Cultural Shift
Mainstream
Wellness adoption
Historical Arc
Millennia of indigenous stewardship led to the first clinical wave in the 1950s before prohibition silenced research. Today, nonprofits like MAPS and academic centers at Johns Hopkins reignite the "renaissance" with FDA Breakthrough Therapies and state-level decriminalization.
Key Drivers
- Mental health crisis
- Conventional SSRI fatigue
- Destigmatization & wellness culture
- Indigenous knowledge resurfacing
Evolution of Acceptance
Pre-1950s: Indigenous Origins
Ayahuasca, Psilocybin, Iboga used ceremonially for healing and divination across continents.
1950s–60s: First Clinical Wave
Sandoz synthesizes LSD; 40k+ patients treated with promising alcoholism and neurosis data.
1970–1990: The Freeze
Controlled Substances Act halts research and weaponizes moral panic.
2000s–Present: Renaissance
Academic revival, FDA Breakthrough designations, Oregon & Colorado service models.
Taxonomy & Mechanisms
Substances & Science
Classic psychedelics (5-HT2A agonists) differ from empathogens and dissociatives. Explore the interactive catalog to see indications, mechanisms, and comparative efficacy.
Select a Substance
CategoryMechanism
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Key Indications
Efficacy & Status
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Capital Flows
Market Landscape & Investment
Drug development, care delivery, and tech platforms are absorbing billions as psychedelics transition from underground to regulated therapy. Volatility remains tied to regulatory whiplash and clinical readouts.
Projected Market Growth ($B)
Source: Aggregated industry analyst estimates (2024)
Investment Allocation
Biotech dominates due to patent potential
Big Pharma's Stance
Cautious collaboration via acquisitions & synthetic analog programs aiming to remove hallucinations.
Key Risks
Patentability of natural compounds, therapy-hour costs, and regulatory reversals.
Emerging Models
Digital integration platforms, employer-backed ketamine benefits, luxury retreats.
Scenario Lab
Future Horizons (3–10 years)
Three plausible outcomes depending on regulatory momentum, safety outcomes, and cultural adoption.
Risk vs Accessibility Landscape
Hover to explore specific therapy models
Scenario: The Middle Path (Most Likely)
A patchwork of regulations emerges. MDMA & Psilocybin win approval under strict REMS while states like Oregon run supervised adult-use models. Access remains expensive and patchy.
- $2K+ per treatment keeps clinics luxury-focused
- Underground facilitators persist for affordability
- Big Pharma acquires biotech winners post-Phase III