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US could soon approve MDMA therapy

nature.com

361–370 of 406 posts

Re: US could soon approve MDMA therapy

#361
post #27

climbing it is hard so there are shortcuts. mountain remains mountain regardless

Not shortcuts. Anyone who's taken any psychedelic will tell you that. They're maps of the mountain passes, to use your analogy. (Or maybe maps to the maps)

Ketamine therapy recipient. Accurate.

Re: US could soon approve MDMA therapy

#362

Earlier quoted context omitted.

I think you misunderstood something in the comment I replied to, which stated: > Not only that, but if people can improve their condition with three treatments to the point that they no longer need their daily dose of anti-depressant or ADHD medication (or alcohol / opiates / etc. for the self-medicating cohort) then overall drug consumption will drop steeply. The key thing here is the claim being made that three dos…

How would you know if you didn't at least try? The claim that the only way that ADHD symptoms can be managed successfully is with daily use of a fairly powerful stimulant-class drug seems equally implausible.

Stimulants aren't the only ADHD medication, but all the others are also daily use.

Re: US could soon approve MDMA therapy

#363

Earlier quoted context omitted.

People seem to think they can just take a load of mushies and it can solve all lives problems. The great art requires a lot of hard heart work and suffering.

Well, its like people who describe Ketamine therapy. The process itself can be deeply traumatizing, even if the after-effects make up for it. I've heard it described as deep hallucinations, often touching on dark places in your psyche, while you can't get up or do much or get away from it. On the plus side, it can make you face some difficult internal issues, but on the downside, not everyone actually responds well t…

I did two sessions of psychedelic IM Ketamine four months ago. The place I went requires a therapist sitter during the experience, followed by an hour of integration therapy, and a few days after the final session a follow up integration.

I cannot imagine doing this substance without someone else there. There were multiple times I simply needed a hand to hold as I was… descending, and my second trip was a “bad” one. The therapist was absolutely critical for helping me frame what happened in a positive light.

Re: US could soon approve MDMA therapy

#364
post #282

Contrary data point to encourage caution with MDMA: MDMA can reset your dopamine baseline much lower. That is, after you come down, you may feel depressed, and it may be hard to climb out of that depression for a while. Use caution please.

I think you mean serotonin. MDMA causes greater release of serotonin and norepinephrine than of dopamine, and dopamine resets to baseline much faster than serotonin. > MDMA-exposed primates showed reduced numbers of serotonergic neurons 7 years later, indicating that some of MDMA’s effect on the brain can be long lasting. > Low serotonin is associated with poor memory and depressed mood, thus these findings are consi…

I meant dopamine, but I'm happy to throw seratonin in there, too, since it seems so related to depression.

Fwiw, MDMA affects 3 neurotransmitters: serotonin, dopamine, and norepinephrine.

Having a low dopamine baseline can also be really bad tho! Hard to get motivated...

Re: US could soon approve MDMA therapy

#367

Earlier quoted context omitted.

> What your post comes across as, to me anyway, is that you want drugs to be a bad thing. I am curious how you could interpret that.

> I wish more people spoke about their negative experiences with psychedelics. that > It's a sobering and necessary counterpoint... and that.

I don't think drugs are good or bad. The intent behind why and how people use them is what counts. However, if people want these things to see progress in acceptance and safe use, hearing anecdata from all demographics is important, including those with negative experiences.

One thing that people didn't want to talk about with the cannabis legalization boom was how common paranoid schizophrenia is. My step-father has marijuana-induced paranoid schizophrenia, I have a few other friends also diagnosed with the same thing. For all the good that it has done for x demographics, it has damaged y demographics irreparably. A future of powerful and debilitating prescription drugs to treat their schizophrenia is what they have to look forward to now, they are objectively worse off for it and classified as legally disabled.

Re: US could soon approve MDMA therapy

#368

Earlier quoted context omitted.

As studies continue, it seems that a key component is a safe and therapeutic environment and a trained guide who can help the person navigate what they experience. People most often get in trouble when they bring a recreational drug mindset, or are predisposed to certain conditions, or have not worked with a therapist to have foundational tools to manage the experience. The risks are absolutely real and should not be…

Interestingly, my recent bad experience was in what I expected to be the safest and most therapeutic environment available to me. What I discovered instead was an irrational culture with an immature fascination for shamanism. My individual experiences, informed by my research, were more beneficial (and cheaper as well). Knowing the topic and a trip-sitter you know might prove a better choice than trusting self-procla…

I have heard a lot of similar tales regarding the shamanism and rejection of science and reasoning, making all kinds of outrageous claims about what it can "cure", which just isn't physically possible.

Re: US could soon approve MDMA therapy

#369

Almost 350 comments, none of which mention how dangerous MDMA is, especially to the kidneys, the heart, and the serotonergic neurons of the brain?

Well, I have no idea personally about MDMA, but many, many drugs are very dangerous to those organs and neurons. For example, any anti-fungal is pretty toxic to you too. Or Chemo. Acetaminophen (Tylenol) is not easy on your liver.

Everything in medicine has a risk factor that must be weighed against the benefits.

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