That's one reason that the method of action for plenty of approved treatments for mental health can be "???" - human clinical trials mostly check that it's not going to {kill you, make it worse} and works better than placebo, not "what's going on inside this live human brain", until we get better live monitoring non-invasive tooling for this sort of thing in humans.
They do simulations and petri dish testing as well, what would a better method look like?
To your point, when the first dissociative hit the market, phencyclidine (PCP), it was a bit of a miracle drug. No respiratory depression, actually makes the heart beat a little stronger. It wasn't until the dissociative effects became more known was it withdrawn from the market.
Isnt it wonderfull how we can fix depression now, but nobody has worked on a chemical fix against beeing overly conformist behaviour? No legal drug on the market that cures a lack of rebellion.
Mysterious.
As if what is declared disease and what is declared cure, is dependant upon how usefull it is to society- but wait, rebellion could be usefull for a scientific society too- so its dependant on how adaptable the "cure" makes you for a hierarchic society.
All those pheromones the queen emits, they make the little bees work.