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Today’s lead story is about how often Americans are consuming psilocybin mushrooms — and today, it seems like more of us are doing so than than ever. You can read our story immediately below!

Keep scrolling and you’ll find our favorite pieces about Compass Pathways, the privilege of drinking ayahuasca, the profound artistry of Pablo Amaringo, and so much more.

Happy Indigenous Peoples Day 🫶
Mary Carreón
Editor-in-Chief

Nearly 14 Million Americans Used Psychedelics Last Year

Psilocybin is now the country’s most popular Psychedelic according to a new national survey.

More Americans are taking psychedelics, and the most consumed substance, according to data, is psilocybin mushrooms.

An estimated 7.8 million adults used psilocybin in 2025, according to new data from Denver Health’s Rocky Mountain Poison and Drug Safety. That makes psilocybin the most commonly consumed psychedelic in the U.S.

The figures come from the 2025 National Survey Investigating Hallucinogenic Trends, which Denver Health released in September. The survey estimates that 5.3% of American adults 18 or older, roughly 13.9 million people, used at least one of the 13 substances it tracks. Half of psilocybin users say their mental health improved, yet an even larger share of recent users reported side effects.

Psilocybin use reached 2.9% of adults, up from 2.1% in 2024. MDMA followed with an estimated 4.2 million users, trailed by prescription ketamine, or esketamine, at 3.3 million, and LSD at 2.6 million.

Among psilocybin users, 49.9% said their mental health improved afterward. Side effects, however, were even more common. Among people who had used a psychedelic in the previous three months, 72.6% of psilocybin users reported at least one side effect, as did 77.2% of MDMA users, 82.1% of LSD users, and 68.8% of those taking prescription ketamine or esketamine.

Use ran highest among younger adults and men. Geography mattered, too. The Pacific census division, home to California, led the nation at 6.9%, while the East South Central division sat at the bottom with 3.3%.

“Nearly 14 million adults reported using at least one of the substances included in our survey in 2025, with psilocybin being the most commonly reported,” says Kate Reynolds, director of research at Rocky Mountain Poison & Drug Safety. “At the same time, a substantial number of people reported benefits and side effects, highlighting the range of experiences people may experience with psychedelic use.”

The Denver Health numbers arrive amid a broader rise in psychedelic consumption in recent years. The University of Michigan’s long-running Monitoring the Future panel study found that hallucinogen use climbed steeply over the five years leading up to 2023, reaching 9% of adults ages 19 to 30 and 4% of adults ages 35 to 50. The federal National Survey on Drug Use and Health showed similar results, finding that hallucinogen use among Americans aged 12 and older rose between 2021 and 2024.

Much of that use, according to the data, comes in small doses. A 2025 RAND Corporation survey of more than 10,000 people estimated that about 10 million American adults microdosed psilocybin, LSD, or MDMA at least once in the past year. RAND also tallied roughly 225 million psilocybin use days among American adults, and about half of them involved microdosing. The same survey put annual psilocybin users at about 11 million. That count runs higher than Denver Health’s estimate of 7.8 million, a reminder that largely illicit use is hard to quantify.

Motives vary as well. Earlier data from the same Denver Health survey, reported by The Colorado Sun, found that 68.2% of psilocybin users nationwide cited fun, enjoyment, or celebration as their most common reason, while 26.8% used it specifically to treat a physical or mental health ailment. About 29% combined psilocybin with alcohol, and nearly 38% paired it with cannabis.

The rise has also registered at poison control centers. University of Virginia researchers found that psilocybin-related calls involving teens between the ages of 13 and 19 more than tripled, from 152 to 464, between 2018 and 2022. Calls involving adults between the ages of 20 and 25 more than doubled during that time.

Attitudes are evolving, however. RAND found that 23% of respondents support legal psilocybin use, a level that mirrors attitudes toward cannabis in the mid-1990s, just before states began allowing medical use. In terms of how psilocybin should be obtained, the study showed that 49% favored supervised use in a medical facility. In Colorado, the state had approved 34 licensed healing centers as of February, where professional facilitators can administer psilocybin to adults 21 and older.

Rocky Mountain Poison & Drug Safety researchers urge health care providers to ask patients about psilocybin, LSD, MDMA, and ketamine by name. Lumping them all under the umbrella of “psychedelics,” they argue, can obscure meaningful differences in how each is used and what it does.

The researchers also offer a sober caveat. Improvements reported by participants reflect their own experiences and do not establish psychedelics as effective treatments for mental health conditions. That evidence is being gathered in clinical trials.

“These findings reinforce the need for continued research into the real-world use of psychedelics,” Reynolds says. “As access and public interest grow, communities need evidence that can help distinguish potential therapeutic applications from unintended health effects and identify opportunities to reduce harm.”

& More Must-Reads

  • Ayahuasca’s reputation lives in the purge and the visions, yet the ceremony, the shaman, and the slow work of integration may matter most of all. Read more here.

  • After John Coltrane died, Alice Coltrane passed through a two-year spiritual crucible and came out the other side with Journey in Satchidananda, the album still soundtracking ceremonies today. Read more here.

  • Pablo Amaringo first drank ayahuasca at 10, became a shaman, and then spent his later years painting only what he’d seen in ceremony, launching a global art tradition along the way. Read more here.

  • Compass Pathways wants its psilocybin depression drug to move into the clinics Johnson & Johnson’s ketamine spray built, and it’s betting the chairs are already warm. Read more here.

  • Scientists found that near-death experiences and psychedelic trips share the same mystical fingerprints, from warped time to a sense of leaving the earthly world. Read more here.

DoubleBlind Digs

  • INDIGENOUS PEOPLE’S DAY: Heading to New York for Horizons? Close out the weekend on Oct. 17 at Urban Indigenous Collective’s third annual Indigenous Peoples’ Day after-party in Brooklyn, where every ticket supports Indigenous-led wellness and care. Get tickets here.

  • URBAN INDIGENOUS COLLECTIVE: Founded in 2019, Urban Indigenous Collective is a grassroots, Indigenous-led nonprofit that brings culturally grounded mental health care, research, and advocacy to Native people in the greater New York area. An Indigenous Peoples’ Day donation helps keep those services alive the other 364 days of the year. Donate here.

  • NYC PSYCHEDELICS: Horizons returns to the New York Academy of Medicine Oct. 15 to 17 with one stage, zero FOMO, and three days devoted to asking who psychedelic medicine is actually for. Learn here.

  • MUSHROOM JAZZ: Mark Farina celebrates 35 years of Mushroom Jazz with a Halloween takeover at ZeyZey Miami alongside Nutritious and Chuck Love, kicking off with a 6 p.m. Mushroom Meet-Up for growers and true believers, so dig out your best fungus costume. Get tickets here.

Around the Web

  • Venus and Mercury station retrograde in Scorpio this month, dredging up ex lovers and flings, old desires, and money drama we thought we’d left behind. DoubleBlind editor-in-chief Mary Carreon writes about the cannabis strain that’ll help your sign survive a a retrograde-heavy Spooky Szn. Read it here.

  • Researchers ran 45 hours of psilocybin therapy music through machine learning to see if the playlists actually track the trip’s onset, peak, and comedown, and the answer was mostly no. Read more here.

  • Prop 64 was sold partly as repair for the drug war, yet some of the tax you pay on legal weed is now funding police cameras and license plate readers outside the very dispensaries you shop at. See the latest reporting by journalist Jackie Bryant here.

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