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Hi! You are correct. The first usages of MDMA (the defining ingredient in ecstasy) were in therapy. If you have severe depression (or severe anything really), I would not recommend experimenting without an experienced guide. Think of it like like scuba diving or sky diving: first you learn how with those who already know.
Some say mdma without a guide is still good but you never know . Rick doblin once got a call from a friend who was treating a woman who had depression with mdma and what happened was that she remembered her rape and her being almost murdered ,this memory was complelty blocked by her brain and mdma brought them back . More mdma did not work so Rick doblin decided lsd was better equipped to treat her which worked . The…
I think a huge part of having a guide the first few times is just so you experience it all being OK, so that if on a solo jaunt it's starting to not be OK you've got some understanding that it'll pass as, physiologically, so does the substance.