How common is microdosing in California, and what do the studies actually show?
No survey has counted microdosers across California, but a 2025 national survey estimated that about 3.7% of US adults microdosed psilocybin, LSD or MDMA in the past year, and a Los Angeles study found 3% of young adults had tried it. When researchers hide whether people got the drug or a placebo, the placebo group usually improves about as much, and psilocybin remains illegal in California.

On this page
How many Californians microdose?
Nobody has measured it for the whole state. Microdosing is the term for taking "a fraction of a full dose, often on a schedule," in RAND's wording, usually of psilocybin, LSD or MDMA.1 This page covers psychedelics, not cannabis, which one UC San Diego survey also counted.2
The closest California figure comes from USC researchers who surveyed 2,396 young adults aged 18 to 22 in a Los Angeles cohort between October 2018 and November 2019. Of those, 12% had heard of microdosing and 3% (74 people) had tried it, and psilocybin was the drug they microdosed most often (70%). Because about 18% of self-described microdosers reported far larger amounts, the authors say 3% may be an overestimate.3
For hallucinogens in general, SAMHSA's state estimates for 2023 to 2024 put past-year use at 4.45% of Californians 12 and older, about 1.5 million people, against 3.36% nationally. That figure counts any hallucinogen use, not microdosing alone.4
The team behind this site also runs an online shop, and if you want the shop's own take, there's a microdosing guide from My Mushroom Dispensary. This page sticks to what researchers measured. Psilocybin is illegal under California and federal law, and ordering it online is illegal everywhere in the US.56
What do national surveys find?
These surveys asked different questions of different samples, so their numbers shouldn't be added or swapped.
| Survey | Who and when | What it found |
|---|---|---|
| RAND, report published January 2026 | 10,122 US adults, September 9 to October 1, 2025 | About 9.55 million adults (3.7%) microdosed psilocybin, LSD or MDMA in the past year; 69% of past-year psilocybin users microdosed at least once1 |
| UC San Diego, American Journal of Preventive Medicine, 2026 | 1,523 US adults, October to November 2023 | 5.3% had ever microdosed psilocybin (about 13.7 million adults); lifetime microdosing was more common where recreational cannabis was legal and psychedelic possession decriminalized2 |
| National Survey on Drug Use and Health (SAMHSA), 2025 | People 12 and older, 2025 | 3.1% (9.1 million) used any hallucinogen in the past year, up from 2.7% in 2021; the highlights report doesn't break out microdosing7 |
RAND's survey put past-year psilocybin use alone at 4.26%, about 11 million adults.1 The federal survey's 3.1% covers all hallucinogens and uses different methods, so the gap between the two isn't a trend. Definitions are loose as well: the UC San Diego team notes that "no standardized definition or validated measure for microdosing currently exists."2
How much did interest in microdosing rise?
A UC San Diego study in JAMA Health Forum tracked Google searches for "microdosing," "micro dosing," "microdose" and "micro dose." US search rates were flat through 2014, then rose 13.4-fold from 2015 to 2023, from 7.9 to 105.6 per 10 million searches. That came to 3.0 million US searches in 2023.8
By 2023, rates were highest in Oregon (202.5 per 10 million) and in Colorado and Washington (159.6 each). Local psychedelic decriminalization was associated with 22.4 more searches per 10 million, and recreational cannabis laws with 40.9 more. The paper gives no California figure, and searches measure curiosity, not use.8
What happened when researchers used placebos?
The real test is whether people do better on the drug than on an identical dummy when nobody knows which they got. "Breaking blind" means participants work out which one they took, letting expectations leak into the results (our reporter's glossary defines more terms like it).
| Study | Design | What it found |
|---|---|---|
| Szigeti et al., eLife, 2021 | 191 people blinded their own capsules for four weeks; most used LSD or LSD analogues, about a quarter psilocybin mushrooms | Both groups improved, with no significant difference; small short-term differences "can be explained by participants breaking blind"9 |
| Cavanna et al., Translational Psychiatry, 2022 | 34 people, double-blind, psilocybin mushrooms or placebo | Stronger acute effects, but "only for participants who correctly identified their experimental condition"; no evidence of better well-being, creativity or cognition, and "few small changes towards cognitive impairment"10 |
| Marschall et al., Journal of Psychopharmacology, 2022 | Preregistered, double-blind crossover over three weeks | No effect on emotion processing, anxiety or depression compared with placebo; participants broke blind in the second block11 |
| Murphy et al., Biological Psychiatry, 2023 | 80 healthy men, LSD or placebo for six weeks, mostly at home | Better mood ratings on dose days, but no lasting change on any questionnaire or cognitive task; anxiety led 4 people to leave the LSD group12 |
A systematic review and meta-analysis published in August 2026 covered 24 studies with 3,681 healthy adults, 6 of which fed its pooled analyses. Randomized trials showed "no clear evidence" of lower depression, anxiety or stress, improvements seen in some studies "were not significantly different from placebo," and adverse events were similar on drug and control. The authors call the trial evidence inconclusive and want larger trials.13
Why do app-based studies look more positive?
The best-known positive results come from people who chose to microdose and logged it in a phone app. A 2021 study compared 4,050 self-selected microdosers (85% of them using psilocybin) with 4,653 people who didn't microdose. Among people reporting mental-health concerns, microdosers had lower depression, anxiety and stress scores. The design was cross-sectional, and the authors call for "rigorous longitudinal designs."14
Read the conflict-of-interest statement too. The lead author had research funding from Quantified Citizen, the company whose app collected the data; its CEO and chief technology officer were co-authors; and co-author Paul Stamets, a minority investor in the company, is an applicant on pending patents combining psilocybin mushrooms, lion's mane and niacin.14 The August 2026 meta-analysis concluded that improvements in observational studies were "likely influenced by expectancy or lifestyle factors."13
What risks have researchers flagged?
Heart valves (theoretical). Researchers have proposed valve disease as a possible risk because psilocin and related drugs activate the serotonin 5-HT2B receptor. A 2023 review found "no animal or clinical studies appropriately designed to evaluate" that risk for psilocybin and other psychedelics, and concluded it is "a potential risk with chronic psychedelic microdosing, but further studies are necessary." No study has shown this harm in people who microdose psilocybin, and none has ruled it out.15
Lithium. In an analysis of online experience reports, 47% of 62 reports of a classic psychedelic taken with lithium involved seizures and 39% involved medical attention; none of 34 lamotrigine reports involved seizures. These are uncontrolled self-reports, but the authors say psychedelic use "may pose a significant seizure risk for patients on lithium."16
Antidepressants. In a retrospective online survey, the probability of weaker-than-expected effects was 0.47 for people taking SSRIs and 0.55 for SNRIs, against 0.29 for bupropion, and the dampening may last "as long as 3 months" after stopping. That's self-report, not a controlled trial.17 For what lab tests have found in mushroom candy sold in smoke shops, see our comparison of mushroom gummies by compound.
In an emergency, call 911. For a mental-health crisis, call or text 988; in San Diego County, the Access and Crisis Line is 888-724-7240.18 Poison Control (1-800-222-1222) is free, confidential and open 24 hours.19 Fireside Project's psychedelic peer support line, 62-FIRESIDE (623-473-7433), takes calls and texts from 11 a.m. to 11 p.m. Pacific; it isn't a suicide hotline.20 Our guide to getting help during a bad trip covers what to do next.
What does California law say about microdosing?
There's no small-amount exception. Psilocybin and psilocyn are Schedule I in California under Health and Safety Code 11054(d)(18) and (19), which reach "any material, compound, mixture, or preparation, which contains any quantity" of them.5 They're also Schedule I under federal law, 21 USC 812(c), a category Congress defined as having "no currently accepted medical use in treatment in the United States."6
Our California psilocybin penalties guide sets out the charges statute by statute. The guide to legal psilocybin options for Californians maps the routes that do exist, including the regulated programs in Oregon and Colorado, and the San Diego psychedelic clinical trials directory lists local studies.
Questions people ask
Has anyone measured microdosing in San Diego County?
Not that we found. The closest numbers are a Los Angeles study, where 3% of young adults had tried it in 2018 to 2019, and SAMHSA's estimate that 4.45% of Californians 12 and older used any hallucinogen in 2023 to 2024.
What does "breaking blind" mean in a microdosing study?
Participants correctly guess whether they got the drug or the placebo, so their expectations can shape how they rate their mood. In one psilocybin mushroom trial, stronger effects showed up only among people who guessed right.
Can a California doctor prescribe psilocybin for microdosing?
No. Psilocybin is Schedule I under federal and California law, a category defined as having no currently accepted medical use. Registered clinical trials are a separate, research-only route.
Is there proof that microdosing harms the heart?
No proof either way. A 2023 review called heart-valve disease a potential risk of long-term microdosing and found no animal or human studies designed to test it.
Sources
- U.S. Psychedelic Use and Microdosing in 2025: Insights from a Probability-Based and Nationally Representative Survey. Priest M, Kilmer B, Senator B, Setodji CM, RAND Corporation, January 21, 2026 (PMID 42368324).
- Prevalence and Reasons for Microdosing Cannabis, Psilocybin, LSD, and MDMA Among U.S. Adults. Yang KH, Leas EC et al., American Journal of Preventive Medicine 71(4), October 2026 (PMID 42092643).
- Psychedelic Microdosing among Young Adults from Southern California. Harlow AF, Hendricks PS, Leventhal AM, Barrington-Trimis JL, Journal of Psychoactive Drugs 57(2), 2025, online February 10, 2024 (PMID 38341607).
- State Data Tables and Reports from the 2023-2024 NSDUH (Table 11, Hallucinogen Use in the Past Year). Substance Abuse and Mental Health Services Administration, accessed October 21, 2026.
- California Health and Safety Code Section 11054. 2025 California Code via Justia, accessed October 21, 2026.
- 21 U.S. Code 812: Schedules of controlled substances. Legal Information Institute, Cornell Law School, accessed October 21, 2026.
- Highlights for the 2025 National Survey on Drug Use and Health. Substance Abuse and Mental Health Services Administration, July 2026.
- State Cannabis and Psychedelic Legislation and Microdosing Interest in the US. Yang KH, Satybaldiyeva N, Allen MR, Ayers JW, Leas EC, JAMA Health Forum 5(6):e241653, June 7, 2024 (PMID 38941086).
- Self-blinding citizen science to explore psychedelic microdosing. Szigeti B et al., eLife 10:e62878, March 2, 2021 (PMID 33648632).
- Microdosing with psilocybin mushrooms: a double-blind placebo-controlled study. Cavanna F et al., Translational Psychiatry 12:307, August 2, 2022 (PMID 35918311).
- Psilocybin microdosing does not affect emotion-related symptoms and processing: A preregistered field and lab-based study. Marschall J et al., Journal of Psychopharmacology 36(1), January 2022 (PMID 34915762).
- Acute Mood-Elevating Properties of Microdosed Lysergic Acid Diethylamide in Healthy Volunteers: A Home-Administered Randomized Controlled Trial. Murphy RJ et al., Biological Psychiatry 94(6), September 15, 2023 (PMID 36997080).
- Efficacy and Safety of Psychedelic Microdosing on Psychological Outcomes in Healthy Adults: A Systematic Review and Meta-analysis. Meshkat S et al., CNS Drugs 40(10), October 2026, online August 13, 2026 (PMID 42593636).
- Adults who microdose psychedelics report health related motivations and lower levels of anxiety and depression compared to non-microdosers. Rootman JM et al., Scientific Reports 11:22479, November 18, 2021 (PMID 34795334).
- The risk of chronic psychedelic and MDMA microdosing for valvular heart disease. Tagen M et al., Journal of Psychopharmacology 37(9), September 2023 (PMID 37572027).
- Classic Psychedelic Coadministration with Lithium, but Not Lamotrigine, is Associated with Seizures: An Analysis of Online Psychedelic Experience Reports. Nayak SM et al., Pharmacopsychiatry 54(5), September 2021 (PMID 34348413).
- Attenuation of psilocybin mushroom effects during and after SSRI/SNRI antidepressant use. Gukasyan N et al., Journal of Psychopharmacology 37(7), July 2023 (PMID 37291890).
- Crisis Services. County of San Diego Behavioral Health Services, accessed October 21, 2026.
- California Poison Control System. California Poison Control System, accessed October 21, 2026.
- Fireside Project Psychedelic Support Line. Fireside Project, accessed October 21, 2026.
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