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Post: Here’s why we’re not yet using MDMA in therapy on US soil

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Here's why we're not yet using MDMA in therapy on US soil
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MDMA has great potential for treating conditions like post-traumatic stress disorder, but first it has to clear regulatory hurdles Dominic Milton Trott / CC 2.0 Generic

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Apparently, we were this close to seeing Ecstasy being incorporated into therapy in the US in 2024. Now, we have to wait either a little or a lot – depending on how the chips fall. Let’s have a closer look at where we’re currently at. Wait, we were going to get Ecstasy for therapy?

Yup. Well, to be clear, you wouldn’t get the party drug version of Ecstasy, aka Molly, MDMA aka 3,4‑methylenedioxy‑methamphetamine, for just any reason . You’d get a similar concoction of the compound formulated for assisted therapy to treat post-traumatic stress disorder (PTSD).

A licensed therapist would guide you through sessions that combined talk therapy with use of the empathogen , to help you deal with your condition in a safe environment.

Activists have been advocating for MDMA in therapy for roughly two decades now, but getting it approved has been a struggle. It was classified as a Schedule 1 drug in the US (read: illegal) in the 1980s . That has kept it out of reach for any sort of clinical or recreational use since it made a splash in the 70s as a party drug. How does MDMA help treat PTSD?

PTSD is an awful condition to go through. It’s responsible for intense fear and crippling panic attacks brought on by traumatic memories. It’s worryingly common among military veterans: 7 out of every 100 Veterans will have PTSD .

MDMA stimulates the release of a mood-regulating neurotransmitter called serotonin. That then releases oxytocin, which is responsible for feelings of closeness. That’s part of what makes it a great drug for ravers.

"MDMA can allow you to process deep-seated trauma by enabling the transformation of fear memories in a part of the brain called the amygdala in a manner that doesn’t make you withdraw or detach out of shame or fear, but instead helps you to accept and heal," explains Jennifer Mitchell, PhD , professor of neurology and of psychiatry and […]

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