TY - JOUR PY - 2023// TI - MDMA-based psychotherapy in treatment-resistant post-traumatic stress disorder (PTSD): a brief narrative overview of current evidence JO - Diseases (Basel, Switzerland) A1 - Riaz, Kainat A1 - Suneel, Sejal A1 - Hamza Bin Abdul Malik, Mohammad A1 - Kashif, Tooba A1 - Ullah, Irfan A1 - Waris, Abdul A1 - Di Nicola, Marco A1 - Mazza, Marianna A1 - Sani, Gabriele A1 - Martinotti, Giovanni A1 - De Berardis, Domenico SP - e159 EP - e159 VL - 11 IS - 4 N2 - Post-traumatic stress disorder (PTSD) is a debilitating mental health disorder that causes significant dysfunction in individuals. Currently, there are many approved pharmacotherapy and psychotherapy treatment options for PTSD, but unfortunately, half of the patients do not respond to traditional therapies. In this article, we review clinical trials and research on 3,4-methylenedioxymethamphetamine (MDMA)-assisted psychotherapy in PTSD patients, its pharmacokinetics, and current treatment guidelines for PTSD. Our findings are based on the results of the efficacy of MDMA-assisted psychotherapy from six phase II randomized controlled trials. MDMA-assisted psychotherapy for PTSD has received the "breakthrough therapy" designation from the FDA. MDMA can reduce PTSD symptoms even in treatment-resistant cases by increasing certain neurohormones, i.e., dopamine, serotonin, norepinephrine, and oxytocin. It also modulates activities in the brain regions involved in fear and anxiety. Future research is needed to show whether the advantages outweigh the disadvantages and whether its use can be integrated into available treatment options for PTSD.
Language: en
LA - en SN - 2079-9721 UR - http://dx.doi.org/10.3390/diseases11040159 ID - ref1 ER -