This paper presents the development, optimization, and validation of an innovative method to analyze trace concentrations of seven selected psychoactive pharmaceuticals in environmental waters. Hereby, the solid-phase extraction (SPE) potential of molecularly imprinted polymers (MIPs) in terms of extraction recovery, breakthrough, precision, and selectivity is studied for the first time. Instrumental analysis by ultra-performance liquid chromatography coupled to triple quadrupole mass spectrometry allowed a rapid (run time = 7.5 min) and sensitive (instrumental detection limit or = 3). Compared to the widely used hydrophilic-lipophilic balanced (HLB) polymers, the newly developed MIPs indicated to be more resistant toward matrix effects induced ion signal suppression particularly when dealing with relative dirty samples like STP influents. As a result of the better selectivity, the MDL obtained with the MIP-based SPE method was up to a factor of 7 lower compared to those obtained with a recently reported multi-residue HLB method. However, optimizing a HLB method in terms of selectivity, e.g., by introducing a stronger washing protocol, can significantly reduce its MDL up to values approximating those obtained with MIPs.