“…It has been proposed that excessive levels of serotonin, or serotonin agonists and partial agonists activating 5-HT2A receptors, in cortical neurons is a common mechanism shared by (at least some cases of) developmental, acquired and drug-induced synaesthesia (Brogaard, 2013). In particular, excessive levels of serotonin may trigger synaesthesia through a selective enhancement of cortical excitability in visual cortex (Brogaard, 2013), which is a feature of developmental synaesthesia (Terhune, Murray, Near, Stagg, Cowey & Cohen Kadosh, 2015) and observed in trained synaesthesia (Rothen, Schwartzman, Bor, & Seth, 2018), although not in at least one case of acquired synaesthesia (Lungu, Stewart, Luke, & Terhune, 2020). A recent double-blind, placebo-controlled trial of LSD confirmed that LSD produces perceptual effects resembling synaesthesia, although the induced associations did not display consistency (Terhune et al, 2016).…”