[cnp]

When a patient sits with a therapist under the influence of MDMA, which typically consists of two doses (100-120mg initially, then 70mg a few hours later) spread over an 6-8 hour period. The patient is largely experiencing their own internal process, but at times the therapist is there to help guide and comfort. Before and after the session there is conventional psychotherapeutic follow-up.

[wutbrodo]

Huh, I wonder to what extent this is dependent on the therapist understanding that you're on MDMA. I.e., would it be possible for a patient to take some MDMA (assuming you have experience with it) and then go to a therapist?

I've accidentally done as much myself with close friends instead of therapists: I started partying with Molly during a period in my life where I was already starting to recognize and work through some issues from my entire childhood: the wee hours of the morning after having an amazing night dancing is a pretty ideal setting to open up mental blocks and be honest with yourself and others. (It also made me almost instantly closer to those people, whom I consider some of the most important people in my life at this point).

[mjevans]

Some people climb mountains without professional guides.

Beginners usually need a trainer and a guide to at least get started and to not end up in a life risking situation.

In medical science those professionals are often called doctors and nurses.

[et2o]

Agree MDMA has incredible potential for therapy. However I think your therapist should be comfortable/trained with it - just showing up isn’t ideal.

[anythingnonidin]

The dosages used in the FDA Phase 3 research are 80mg or 120mg initial dose followed by either 40mg or 60mg 1.5-2 hrs later, respectively.

[eradicatethots]

Are they doing 6months and 1year follow ups? Short term relief is not that interesting to me

[yesbabyyes]

Is it possible to do this, today, anywhere in the world (without getting into a study, which seems hard, especially in another country)? I am looking for help for somebody close to me.

[samstave]

It would be interesting to determine the efficacy of actual MDMA (commonly available in the 90s) vs what is referred to as 'Molly' today...

The issue is that they may or may not be actual MDMA - and the unscrupulous label general amphetamines as either molly or MDMA and people unfamiliar dont know it....

The clinical studies should, presumably, be also, setting a standard for the purity, dosage, quality etc around the tested substance...

So to go "off grid" as it were, to test this has risks..

That being said - the efficacy of any therapy session, even when the introspection and emotional response is deliberately induced, could still result in benefits.

The problem with any drugs, beit alcohol, weed, whatever - is that environment (situational and historically) play a large part in the response.

The mental state can be associative to a great degree, and as such - if one has had a tool such as MDMA in the past - but in a really poor environment, the response could be poor.

Read up on it - but never trust anything off the street to be what they claim...

[empath75]

Just anecdotally, I worked out a lot of deep seated personal issues with people at rave after parties. Really you just need anyone you trust to listen to you.

[bdamm]

Only if you know a willing therapist.

[rorykoehler]

I know someone who recovered from an extremely traumatic experience through accidental self medication whilst out partying.

[farnsworth]

Why two doses? Having no experience with this, 6-8 hours sounds like a long therapy session.

[ada1981]

it simply extends the time You are able to "work".

It's such an enjoyable and useful process that most everyone chooses to take the booster dose.

It also is a nice safety check, if the person happens to freak out or really doesn't want to continue, they can pass and come back down. But as I Said, in practice no one passes.

It's also not boring or tedious as most therapies can be, it's a lovely place you want to explore.

[empath75]

At those doses, the first few hours would be fairly mild with just a feeling of closeness, openness and comfort. The second dose would push you closer to the ‘oh my god love is everywhere why didn’t I see this before’ feeling.

[bauerd]

Are you sure about the doses? Doesn't sound overly therapeutic to me tbh

[ceejayoz]

Based on what? They're going for a different result than just getting high - the doses aren't likely to match what one might take in a club.

[civilian]

For people who are curious, here is a dosage chart: https://erowid.org/chemicals/mdma/mdma_dose.shtml

It's a pretty normal dose.

[cnp]

Sometimes the second dose is lower, but this is the typical ballpark which is supported by research.