MDMA and PTSD treatment
Abstract
There is a range of therapies to treat Post Traumatic Stress Disorder (PTSD) but treatment resistance remains high, with many sufferers experiencing the chronic condition. Engagement in trauma-focused psychotherapy is difficult for some patients with PTSD, especially those with extreme affect dysregulation associated with recall of traumatic memories. In recent years there have been a number of neuroscientific and clinical studies examining the potential role for adjunctive drug-assisted psychotherapy using 3,4,-methylenedioxmethamphetamine (MDMA) as a treatment for PTSD. re-visiting of a novel approach to trauma-focused psychotherapy with Used just two or three times, under careful medical supervision and specialised psychotherapy support MDMA appears to facilitate the recall of traumatic memories without the user feeling overwhelmed by the negative affect that usually accompanies such memories. This therapeutic approach began in the 1980s and was subsequently shelved in the midst of public health concerns surrounding the recreational use of the drug ecstasy. When pharmaceutical grade MDMA is used in a clinical setting it does not share the same risk profiles as ecstasy. Recent phase one neurophysiological studies and phase two clinical studies are showing promise as a potential new approach to managing treatment-resistant PTSD.
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Clinical studies consistently link psychedelic experiences to increased access to emotions, memories, and perceptions typically avoided or outside conscious awareness.
“Clinical studies consistently link psychedelic experiences to increased access to emotions, memories, and perceptions typically avoided or outside conscious awareness (99, 100).”
From Psychoanalytically informed MDMA-assisted therapy for pathological narcissism: a novel theoretical approach (2025) · cites this paper as [100]
MDMA's softening of rigid self-protective mechanisms reduces interpersonal defensiveness and increases sensitivity to emotional and relational dynamics, allowing deeper engagement in the therapeutic process.
“MDMA’s softening of rigid self-protective mechanisms reduces interpersonal defensiveness, and increases sensitivity to emotional and relational dynamics, allowing for deeper engagement in the therapeutic process (88, 100, 102).”
From Psychoanalytically informed MDMA-assisted therapy for pathological narcissism: a novel theoretical approach (2025) · cites this paper as [100]
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References 62 · Cited by 97
- Authors
- Sessa, B.
- Affiliations
- Imperial College London (GB)
- Corresponding author
- Sessa, Ben
- ORCID
- Sessa, Ben
- Venue
- Neuroscience Letters
- Publisher
- Elsevier BV
- Published
- 2017-05
- Volume
- 649
- Pages
- 176-180
- ISSN
- 0304-3940 (ISSN-L)
- OpenAlex
- W2465993615
- Cited by
- 97
- References
- 62
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 9 · 2023: 13 · 2022: 15 · 2021: 8 · 2020: 11 · 2019: 9 · 2018: 9 · 2017: 10 · 2016: 1
- FWCI
- 1.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuroscience Letters (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- MDMA, MDMA-assisted psychotherapy, post-traumatic stress disorder, treatment-resistant PTSD, trauma-focused psychotherapy, affect dysregulation, adjunctive pharmacotherapy, ecstasy
- MeSH terms
- Animals, Clinical Trials as Topic, Humans, Memory, Stress Disorders, Post-Traumatic, N-Methyl-3,4-methylenedioxyamphetamine
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