PMID- 29720767 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231112 IS - 0022-0116 (Print) IS - 1573-3564 (Electronic) IS - 0022-0116 (Linking) VI - 48 IP - 2 DP - 2018 TI - Current Perspective on MDMA-Assisted Psychotherapy for Posttraumatic Stress Disorder. PG - 99-108 LID - 10.1007/s10879-017-9379-2 [doi] AB - The present paper discusses the current literature with regard to substance-assisted psychotherapy with Methylenedioxymethamphetamine (MDMA) for posttraumatic stress disorder (PTSD). The aim of the paper is to give a comprehensive overview of the development from MDMA's early application in psychotherapy to its present and future role in the treatment of PTSD. It is further attempted to increase the attention for MDMA's therapeutic potential by providing a thorough depiction of the scientific evidence regarding its theorized mechanism of action and potential harms of its application in the clinical setting (e.g., misattribution of therapeutic gains to medication instead of psychological changes). Empirical support for the use of MDMA-assisted psychotherapy, including the randomized, double-blind, placebo-controlled trails that have been conducted since 2008, is discussed. Thus far, an overall remission rate of 66.2% and low rates of adverse effects have been found in the six phase two trials conducted in clinical settings with 105 blinded subjects with chronic PTSD. The results seem to support MDMA's safe and effective use as an adjunct to psychotherapy. Even though preliminary studies may look promising, more studies of its application in a psychotherapeutic context are needed in order to establish MDMA as a potential adjunct to therapy. FAU - Thal, Sascha B AU - Thal SB AD - Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Grote Kruisstraat 2/1, 9712 TS Groningen, The Netherlands. ISNI: 0000 0004 0407 1981. GRID: grid.4830.f FAU - Lommen, Miriam J J AU - Lommen MJJ AD - Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Grote Kruisstraat 2/1, 9712 TS Groningen, The Netherlands. ISNI: 0000 0004 0407 1981. GRID: grid.4830.f LA - eng PT - Journal Article DEP - 20180106 PL - United States TA - J Contemp Psychother JT - Journal of contemporary psychotherapy JID - 0171675 EIN - J Contemp Psychother. 2018;48(2):109. PMID: 31329660 PMC - PMC5917000 OTO - NOTNLM OT - MDMA OT - MDMA-assisted therapy OT - Overview OT - PTSD OT - Substance-assisted therapy COIS- Compliance with Ethical StandardsSascha Thal reports being an intern at FINDER in Berlin-a non-profit organization dedicated to conducting research about harm-reduction and drug prevention, but declares there are no financial or other gains involved and the overview has been written independently of the internship. Miriam Lommen declares that she has no conflict of interest.This article does not contain any studies with human participants or animals performed by any of the authors. EDAT- 2018/05/04 06:00 MHDA- 2018/05/04 06:01 PMCR- 2018/01/06 CRDT- 2018/05/04 06:00 PHST- 2018/05/04 06:00 [entrez] PHST- 2018/05/04 06:00 [pubmed] PHST- 2018/05/04 06:01 [medline] PHST- 2018/01/06 00:00 [pmc-release] AID - 9379 [pii] AID - 10.1007/s10879-017-9379-2 [doi] PST - ppublish SO - J Contemp Psychother. 2018;48(2):99-108. doi: 10.1007/s10879-017-9379-2. Epub 2018 Jan 6.