PMID- 27394687 OWN - NLM STAT- MEDLINE DCOM- 20180308 LR - 20180830 IS - 1872-7972 (Electronic) IS - 0304-3940 (Linking) VI - 649 DP - 2017 May 10 TI - MDMA and PTSD treatment: "PTSD: From novel pathophysiology to innovative therapeutics". PG - 176-180 LID - S0304-3940(16)30490-6 [pii] LID - 10.1016/j.neulet.2016.07.004 [doi] AB - 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. CI - Crown Copyright (c) 2016. Published by Elsevier B.V. All rights reserved. FAU - Sessa, Ben AU - Sessa B AD - Consultant Addictions Psychiatrist, Imperial College London, United Kingdom. Electronic address: b.sessa@imperial.ac.uk. LA - eng PT - Journal Article PT - Review DEP - 20160706 PL - Ireland TA - Neurosci Lett JT - Neuroscience letters JID - 7600130 RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Animals MH - Clinical Trials as Topic MH - Humans MH - Memory/drug effects MH - N-Methyl-3,4-methylenedioxyamphetamine/adverse effects/*therapeutic use MH - Stress Disorders, Post-Traumatic/*drug therapy/physiopathology/psychology OTO - NOTNLM OT - MDMA OT - PTSD EDAT- 2016/07/11 06:00 MHDA- 2018/03/09 06:00 CRDT- 2016/07/11 06:00 PHST- 2016/06/01 00:00 [received] PHST- 2016/07/02 00:00 [revised] PHST- 2016/07/05 00:00 [accepted] PHST- 2016/07/11 06:00 [pubmed] PHST- 2018/03/09 06:00 [medline] PHST- 2016/07/11 06:00 [entrez] AID - S0304-3940(16)30490-6 [pii] AID - 10.1016/j.neulet.2016.07.004 [doi] PST - ppublish SO - Neurosci Lett. 2017 May 10;649:176-180. doi: 10.1016/j.neulet.2016.07.004. Epub 2016 Jul 6.