Related Experiment Video
Updated: May 17, 2026

MRI-guided dmPFC-rTMS as a Treatment for Treatment-resistant Major Depressive Disorder
Published on: August 11, 2015
A randomized, controlled pilot study of MDMA (± 3,4-Methylenedioxymethamphetamine)-assisted psychotherapy for
Peter Oehen1, Rafael Traber, Verena Widmer
1peter.oehen@hin.ch
Abstract:
Psychiatrists and psychotherapists in the US (1970s to 1985) and Switzerland (1988-1993) used MDMA legally as a prescription drug, to enhance the effectiveness of psychotherapy. Early reports suggest that it is useful in treating trauma-related disorders. Recently, the first completed pilot study of MDMA-assisted psychotherapy for PTSD yielded encouraging results. Designed to test the safety and efficacy of MDMA-assisted psychotherapy in patients with treatment-resistant PTSD; our randomized, double-blind, active-placebo controlled trial enrolled 12 patients for treatment with either low-dose (25 mg, plus 12.5 mg supplemental dose) or full-dose MDMA (125 mg, plus 62.5 mg supplemental dose). MDMA was administered during three experimental sessions, interspersed with weekly non-drug-based psychotherapy sessions. Outcome measures used were the Clinician-Administered PTSD Scale (CAPS) and the Posttraumatic Diagnostic Scale (PDS). Patients were assessed at baseline, three weeks after the second and third MDMA session (end of treatment), and at the 2-month and 1-year follow-ups. We found that MDMA-assisted psychotherapy can be safely administered in a clinical setting. No drug-related serious adverse events occurred. We did not see statistically significant reductions in CAPS scores (p = 0.066), although there was clinically and statistically significant self-reported (PDS) improvement (p = 0.014). CAPS scores improved further at the 1-year follow-up. In addition, three MDMA sessions were more effective than two (p = 0.016).
Insights
MDMA-assisted psychotherapy shows promise for treating PTSD, with significant self-reported improvements and no serious adverse events. Three sessions were more effective than two for trauma recovery.
Area of Science:
- Psychiatry
- Clinical Psychology
- Pharmacology
Background:
- MDMA (3,4-methylenedioxymethamphetamine) was historically used by psychiatrists and psychotherapists to enhance psychotherapy.
- Early research indicated MDMA's potential utility in treating trauma-related disorders.
- Recent studies are exploring MDMA-assisted psychotherapy for Posttraumatic Stress Disorder (PTSD).
Purpose of the Study:
- To evaluate the safety and efficacy of MDMA-assisted psychotherapy in patients with treatment-resistant PTSD.
- To compare low-dose versus full-dose MDMA administration within a psychotherapy framework.
- To assess outcomes using standardized clinical and self-report measures.
Main Methods:
- A randomized, double-blind, active-placebo controlled trial involving 12 patients with treatment-resistant PTSD.
- MDMA administration during three experimental sessions, combined with weekly non-drug psychotherapy.
- Assessment using the Clinician-Administered PTSD Scale (CAPS) and Posttraumatic Diagnostic Scale (PDS) at baseline, end of treatment, and 2-month/1-year follow-ups.
Main Results:
- MDMA-assisted psychotherapy was safely administered, with no drug-related serious adverse events.
- Statistically significant self-reported improvement (PDS scores, p = 0.014) was observed.
- While CAPS scores did not reach statistical significance (p = 0.066), they improved further at 1-year follow-up.
- Three MDMA sessions demonstrated greater effectiveness than two (p = 0.016).
Conclusions:
- MDMA-assisted psychotherapy is a safe treatment modality for PTSD in a clinical setting.
- The treatment yields significant self-reported improvements in PTSD symptoms.
- A course of three MDMA-assisted psychotherapy sessions appears more beneficial than two for PTSD treatment.
Related Concept Videos
Post-traumatic Stress Disorder
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events, are a...
Modeling in Therapy
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...
