PMID- 37404966 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230718 IS - 1541-4094 (Print) IS - 1541-4108 (Electronic) IS - 1541-4094 (Linking) VI - 21 IP - 3 DP - 2023 Jul TI - A Review of MDMA-Assisted Therapy for Posttraumatic Stress Disorder. PG - 247-256 LID - 10.1176/appi.focus.20220088 [doi] AB - Posttraumatic stress disorder (PTSD) is a common chronic and disabling psychiatric disorder that may develop after exposure to a traumatic life event. There are existing evidence-based psychotherapies and pharmacotherapies for PTSD; however, these treatments have significant limitations. 3,4-methylenedioxymethamphetamine (MDMA) was granted "breakthrough therapy" status by the U.S. Food and Drug Administration (FDA) in 2017 for the treatment of PTSD in conjunction with psychotherapy after preliminary Phase II results. This treatment is currently being investigated in Phase III trials with anticipated FDA approval of MDMA-assisted psychotherapy for PTSD in late 2023. This article reviews the evidence base for MDMA-assisted psychotherapy for PTSD, pharmacology and the proposed causal mechanisms of MDMA, risks and limitations of the current evidence, and challenges and future directions for the field. CI - Copyright (c) 2023 by the American Psychiatric Association. FAU - Lewis, Benjamin R AU - Lewis BR AD - Department of Psychiatry, University of Utah, Salt Lake City. FAU - Byrne, Kevin AU - Byrne K AD - Department of Psychiatry, University of Utah, Salt Lake City. LA - eng PT - Journal Article PT - Review DEP - 20230628 PL - United States TA - Focus (Am Psychiatr Publ) JT - Focus (American Psychiatric Publishing) JID - 101156081 PMC - PMC10316220 OTO - NOTNLM OT - Posttraumatic Stress Disorder OT - Psychotherapy OT - Trauma and stress-related disorder COIS- The authors report no financial relationships with commercial interests. EDAT- 2023/07/05 13:05 MHDA- 2023/07/05 13:06 PMCR- 2024/07/01 CRDT- 2023/07/05 10:45 PHST- 2024/07/01 00:00 [pmc-release] PHST- 2023/07/05 13:06 [medline] PHST- 2023/07/05 13:05 [pubmed] PHST- 2023/07/05 10:45 [entrez] AID - FOC_20220088 [pii] AID - 10.1176/appi.focus.20220088 [doi] PST - ppublish SO - Focus (Am Psychiatr Publ). 2023 Jul;21(3):247-256. doi: 10.1176/appi.focus.20220088. Epub 2023 Jun 28.