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. 2023 Oct 30;75(6):1350–1361. doi: 10.1007/s43440-023-00546-5

Table 1.

Comparison between schizophrenia and psychedelic effects

Abnormalities Psychedelics Schizophrenia References
Behavioral response
Psychosis Mainly visual hallucinations, geometric, complex, reality assessment present, transient psychotic episodes, lasting a few hours Visual hallucinations in the acute stage life-size images, real, detailed, anchored in space, auditory hallucinations in the chronic phase, poor reality monitoring, recurrent psychotic episodes lasting weeks or months [4, 50]
Existential/metaphysical meaning Existential/metaphysical meaning
Sensorimotor gating Mainly impaired, depending on psychedelics Impaired [6163, 7073]
Working memory Impaired Impaired [5, 75, 76, 7983]
Neurochemical background
Neuronal activity Hyperfrontality Hyperfrontality in acute episodes, hypofrontality in the chronic phase [49, 5159]
5-HT2A receptor Activation: hallucinogens Gq11 and Gi/o pathways,  non-hallucinogens Gq11 pathway polymorphism, inconsistent data related to 5-HT2A level [2022, 4547, 67, 68, 77, 78]
Glutamatergic transmission 5-HT2A–mGlu2 complex, indirect activation of NMDA, AMPA receptors Genetic predisposition, NMDA hypofunction [39, 40, 84, 85, 95]