To better understand the therapeutic potential of the psychedelic drug psilocybin, we need a fuller understanding of its short-term and long-term effects on the human brain. In this study, Siegel et al. reveal individual-specific psilocybin-induced acute and persistent brain network changes in neurotypical young adults.

The authors used longitudinal precision functional mapping — involving ~18 sessions of fMRI per individual — to capture individual-specific functional brain networks. Through this approach, acute (during) and persistent (between or after) intervention-induced changes to individual-specific network organization could be detected in young adult participants who received either high-dose psilocybin or dose-matched methylphenidate (a non-psychedelic stimulant chosen as an active control for psilocybin-induced cardiovascular and arousal effects) and who then, 1–2 weeks later, received the compound not administered first.