PMID- 30890035
OWN - NLM
STAT- MEDLINE
DCOM- 20200522
LR  - 20200522
IS  - 2159-9777 (Electronic)
IS  - 0279-1072 (Linking)
VI  - 51
IP  - 2
DP  - 2019 Apr-Jun
TI  - Combining Cognitive-Behavioral Conjoint Therapy for PTSD with 
      3,4-Methylenedioxymethamphetamine (MDMA): A Case Example.
PG  - 166-173
LID - 10.1080/02791072.2019.1589028 [doi]
AB  - Treatments for posttraumatic stress disorder (PTSD) have evolved significantly in 
      the past 35 years. From what was historically viewed as a pervasive, intractable 
      condition have emerged multiple evidence-based intervention options. These 
      treatments, predominantly cognitive behavioral in orientation, provide 
      significant symptom improvement in 50-60% of recipients. The treatment of PTSD 
      with MDMA-assisted psychotherapy using a supportive, non-directive approach has 
      yielded promising results. It is unknown, however, how different therapeutic 
      modalities could impact or improve outcomes. Therefore, to capitalize on the 
      strengths of both approaches, Cognitive Behavioral Conjoint Therapy for PTSD 
      (CBCT) was combined with MDMA in a small pilot trial. The current article 
      provides a case study of one couple involved in the trial, chosen to provide a 
      demographically representative example of the study participants and a case with 
      a severe trauma history, to offer a detailed account of the methodology and 
      choices made to integrate CBCT and MDMA, as well as an account of their 
      experience through the treatment and their treatment gains. This article offers a 
      description of the combination of CBCT for PTSD and MDMA, and demonstrates that 
      it can produce reductions in PTSD symptoms and improvements in relationship 
      satisfaction.
FAU - Wagner, Anne C
AU  - Wagner AC
AD  - a Department of Psychology , Ryerson University , Toronto , Canada.
AD  - b Remedy , Toronto , Canada.
FAU - Mithoefer, Michael C
AU  - Mithoefer MC
AD  - c Private Practice , Charleston , SC , USA.
FAU - Mithoefer, Ann T
AU  - Mithoefer AT
AD  - c Private Practice , Charleston , SC , USA.
FAU - Monson, Candice M
AU  - Monson CM
AD  - a Department of Psychology , Ryerson University , Toronto , Canada.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190319
PL  - United States
TA  - J Psychoactive Drugs
JT  - Journal of psychoactive drugs
JID - 8113536
RN  - 0 (Hallucinogens)
RN  - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine)
SB  - IM
MH  - Cognitive Behavioral Therapy/*methods
MH  - Combined Modality Therapy
MH  - Couples Therapy
MH  - Female
MH  - Hallucinogens/*administration & dosage
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - N-Methyl-3,4-methylenedioxyamphetamine/*administration & dosage
MH  - Pilot Projects
MH  - Stress Disorders, Post-Traumatic/*therapy
OTO - NOTNLM
OT  - CBT
OT  - MDMA
OT  - PTSD
OT  - couples
EDAT- 2019/03/21 06:00
MHDA- 2020/05/23 06:00
CRDT- 2019/03/21 06:00
PHST- 2019/03/21 06:00 [pubmed]
PHST- 2020/05/23 06:00 [medline]
PHST- 2019/03/21 06:00 [entrez]
AID - 10.1080/02791072.2019.1589028 [doi]
PST - ppublish
SO  - J Psychoactive Drugs. 2019 Apr-Jun;51(2):166-173. doi: 
      10.1080/02791072.2019.1589028. Epub 2019 Mar 19.