Understanding the Risks and Benefits of MDMA in Therapy
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MDMA-assisted psychotherapy has gained significant attention for its effectiveness in treating PTSD, especially when traditional therapies have failed. Currently in stage 3 clinical trials and recognized as a Breakthrough Therapy by the FDA, this approach, alongside other psychedelics like psilocybin, is anticipated to transform mental health treatment. A prominent psychiatrist likened the impact of psychedelics in therapy to the revolutionary effect of the telescope on astronomy.
Having personally experienced the benefits, I can attest to its potential to alleviate anxiety. However, it’s essential to rely on numerous university-led studies that validate these findings globally rather than just anecdotal evidence.
Despite its promise, MDMA therapy is not expected to become widely accessible for several years, leaving many individuals with PTSD seeking immediate relief. With street drugs readily available, information about the therapy's effectiveness is reaching those in need, but access to proper treatment is still limited. This gap may push individuals to self-medicate, as I did, despite the risks involved.
Ethically, universities conducting research cannot instruct individuals on using illegal substances for self-treatment. Moreover, the dangers of MDMA, which is the active ingredient in ecstasy, are exacerbated by the stigma surrounding drug use and the inconsistency of street drugs compared to those used in clinical settings.
Is MDMA Safe?
MDMA was once utilized in therapy before its prohibition in 1977, and it is considered one of the safer substances. However, there are inherent dangers when using street drugs, especially when one cannot confirm the substance's purity.
To minimize risks, opt for MDMA crystals (commonly known as Molly or Mandy) rather than pills, which may be adulterated with other substances like Ketamine. Using a testing kit can help ascertain the presence of MDMA and identify any harmful additives.
A critical warning: MDMA can be fatal in overdose situations, and it may take over an hour to feel its effects. This delay can lead users to mistakenly take additional doses, thinking the drug isn't working. The combination of cumulative doses can lead to dangerously high levels in the system, especially since recreational doses often exceed therapeutic recommendations.
Furthermore, while under the influence of MDMA, individuals may feel at ease, which can mask any medical emergencies. Thus, while a responsible therapeutic dose of pure MDMA is generally safe, risks arise from taking excessive amounts or impure substances.
Understanding Dosage
A typical recreational dose of MDMA in ecstasy pills can reach up to 280 mg, often resulting in unpleasant aftereffects. In contrast, a therapeutic dose is around 100 mg, and the session can be extended by taking a smaller dose a couple of hours later. If further extension is needed, an additional half dose may be taken after another two hours.
It is crucial to pre-measure any additional doses if you are alone, and store any MDMA or other substances out of reach. Having a trusted sitter can help manage this process safely.
Post-Use Considerations
MDMA is not a cure-all; simply consuming a dose will not resolve underlying issues. Engaging with the drug's effects requires active participation in your healing process. MDMA enables users to confront their challenges within a supportive mental framework, allowing for emotional processing that might otherwise be overwhelming.
To truly benefit, individuals must be prepared to engage deeply with their thoughts and feelings during the experience. As Charley Wininger, an author, eloquently expressed, “MDMA helped pry me loose from this grip of shame. It would feel like a loving flush of sunshine after a bitter snow.”
Methods to Engage
There are various approaches to utilizing MDMA for therapeutic purposes, ranging from simple self-reflection with calming music to structured meditation techniques. The integration of Internal Family Systems (IFS) therapy can be particularly effective, and practicing it without MDMA beforehand can help familiarize oneself with the process.
On your first experience with MDMA, allow some time—30 minutes to an hour—to simply enjoy the effects. Engage with music and visuals, avoiding distractions from devices.
Following the session, it’s advisable to wait at least two weeks before considering another MDMA experience to allow for psychological and chemical recovery.
Session Expectations
Each MDMA session is unique, and outcomes vary among individuals. Safety is paramount; ensure ample water is accessible, and dress comfortably as your body temperature may rise. It's also essential to have a trustworthy person nearby, whether they join you or remain contactable.
Prepare for emotional processing by having items like pillows for comfort and a mirror for self-reflection at hand. An open mindset is crucial, as unexpected feelings and experiences may arise.
Ultimately, the decision to use MDMA in therapy is personal. While it can be safe when approached responsibly, legal considerations and potential risks must be weighed carefully. If you choose to proceed, prioritize sourcing pure substances, testing them, and having a supportive environment.
MDMA presents a remarkable opportunity for healing, but it should be approached with caution and respect. For further exploration of these methods, consider reading "Listening to Ecstasy" by Charley Wininger.