Using Drugs to Treat Drug Dependence: Exploring the Use of MDMA-Assisted Psychotherapy for Individuals with PTSD and Concurrent Substance Use

Brenda Tichler

doi:doi:10.11648/j.pbs.20211006.17

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Using Drugs to Treat Drug Dependence: Exploring the Use of MDMA-Assisted Psychotherapy for Individuals with PTSD and Concurrent Substance Use

Brenda Tichler

Published in Psychology and Behavioral Sciences (Volume 10, Issue 6)

Received: 27 October 2021 Accepted: 26 November 2021 Published: 2 December 2021

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Abstract

The importance of treating concurrent Post-Traumatic Stress Disorder (PTSD) and substance use with psychedelics is a controversial topic, hampered in part by a lack of empirical evidence and rigidity of substance scheduling. Traditional treatments for concurrent PTSD and substance use concerns are compartmentalized, with clinicians focusing on one condition over the other. In addition, traditional medication treatments are costly, requires significant time to take effect, and often come with debilitating side effects, resulting in decreased treatment retention and outcomes. Here, the aim of this manuscript is to explore the intricate mechanisms keeping concurrent PTSD and substance use in place and how traditional treatment methods are ineffective in treating the root cause of these conditions. The link between PTSD and substance use as a coping strategy is explored through the Self-Medication Hypothesis in combination with the prevalence of Adverse Childhood Events. The use of 3, 4 Methylenedioxymethamphetamine (MDMA)-assisted therapy is explored as a new and promising integrated treatment focusing on the safety, internal process, trust, and therapeutic rapport of the client and clinician. MDMA-assisted therapy consists of only a couple doses of a psychoactive substance administered in a controlled environment and under strict supervision. MDMA-assisted psychotherapy is more cost-effective than traditional treatments with virtually no adverse effects when compared to psychotropic medications. MDMA-assisted psychotherapy is shorter in length and more effective than traditional therapy with positive outcomes achieved within weeks, and lasting multiple years. Suggestions for future research include involving individuals who use substances and greater diversity and number in study samples. In addition, this manuscript contains recommendations for clinical practice for therapist training, an integrative treatment approach, and affordable access to MDMA-assisted treatment for PTSD and concurrent disorders. Finally, recommendations are made for the rescheduling of MDMA to allow for more significant research and clinical practice opportunities.

Published in	Psychology and Behavioral Sciences (Volume 10, Issue 6)
DOI	10.11648/j.pbs.20211006.17
Page(s)	231-240
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Trauma, Substance Use, Adverse Childhood Experiences, MDMA-Assisted Psychotherapy, Psychedelic-Assisted Therapy, Concurrent Disorders

References

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APA Style

Brenda Tichler. (2021). Using Drugs to Treat Drug Dependence: Exploring the Use of MDMA-Assisted Psychotherapy for Individuals with PTSD and Concurrent Substance Use. Psychology and Behavioral Sciences, 10(6), 231-240. https://doi.org/10.11648/j.pbs.20211006.17

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ACS Style

Brenda Tichler. Using Drugs to Treat Drug Dependence: Exploring the Use of MDMA-Assisted Psychotherapy for Individuals with PTSD and Concurrent Substance Use. Psychol. Behav. Sci. 2021, 10(6), 231-240. doi: 10.11648/j.pbs.20211006.17

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AMA Style

Brenda Tichler. Using Drugs to Treat Drug Dependence: Exploring the Use of MDMA-Assisted Psychotherapy for Individuals with PTSD and Concurrent Substance Use. Psychol Behav Sci. 2021;10(6):231-240. doi: 10.11648/j.pbs.20211006.17

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@article{10.11648/j.pbs.20211006.17,
  author = {Brenda Tichler},
  title = {Using Drugs to Treat Drug Dependence: Exploring the Use of MDMA-Assisted Psychotherapy for Individuals with PTSD and Concurrent Substance Use},
  journal = {Psychology and Behavioral Sciences},
  volume = {10},
  number = {6},
  pages = {231-240},
  doi = {10.11648/j.pbs.20211006.17},
  url = {https://doi.org/10.11648/j.pbs.20211006.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.pbs.20211006.17},
  abstract = {The importance of treating concurrent Post-Traumatic Stress Disorder (PTSD) and substance use with psychedelics is a controversial topic, hampered in part by a lack of empirical evidence and rigidity of substance scheduling. Traditional treatments for concurrent PTSD and substance use concerns are compartmentalized, with clinicians focusing on one condition over the other. In addition, traditional medication treatments are costly, requires significant time to take effect, and often come with debilitating side effects, resulting in decreased treatment retention and outcomes. Here, the aim of this manuscript is to explore the intricate mechanisms keeping concurrent PTSD and substance use in place and how traditional treatment methods are ineffective in treating the root cause of these conditions. The link between PTSD and substance use as a coping strategy is explored through the Self-Medication Hypothesis in combination with the prevalence of Adverse Childhood Events. The use of 3, 4 Methylenedioxymethamphetamine (MDMA)-assisted therapy is explored as a new and promising integrated treatment focusing on the safety, internal process, trust, and therapeutic rapport of the client and clinician. MDMA-assisted therapy consists of only a couple doses of a psychoactive substance administered in a controlled environment and under strict supervision. MDMA-assisted psychotherapy is more cost-effective than traditional treatments with virtually no adverse effects when compared to psychotropic medications. MDMA-assisted psychotherapy is shorter in length and more effective than traditional therapy with positive outcomes achieved within weeks, and lasting multiple years. Suggestions for future research include involving individuals who use substances and greater diversity and number in study samples. In addition, this manuscript contains recommendations for clinical practice for therapist training, an integrative treatment approach, and affordable access to MDMA-assisted treatment for PTSD and concurrent disorders. Finally, recommendations are made for the rescheduling of MDMA to allow for more significant research and clinical practice opportunities.},
 year = {2021}
}

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TY  - JOUR
T1  - Using Drugs to Treat Drug Dependence: Exploring the Use of MDMA-Assisted Psychotherapy for Individuals with PTSD and Concurrent Substance Use
AU  - Brenda Tichler
Y1  - 2021/12/02
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N1  - https://doi.org/10.11648/j.pbs.20211006.17
DO  - 10.11648/j.pbs.20211006.17
T2  - Psychology and Behavioral Sciences
JF  - Psychology and Behavioral Sciences
JO  - Psychology and Behavioral Sciences
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PB  - Science Publishing Group
SN  - 2328-7845
UR  - https://doi.org/10.11648/j.pbs.20211006.17
AB  - The importance of treating concurrent Post-Traumatic Stress Disorder (PTSD) and substance use with psychedelics is a controversial topic, hampered in part by a lack of empirical evidence and rigidity of substance scheduling. Traditional treatments for concurrent PTSD and substance use concerns are compartmentalized, with clinicians focusing on one condition over the other. In addition, traditional medication treatments are costly, requires significant time to take effect, and often come with debilitating side effects, resulting in decreased treatment retention and outcomes. Here, the aim of this manuscript is to explore the intricate mechanisms keeping concurrent PTSD and substance use in place and how traditional treatment methods are ineffective in treating the root cause of these conditions. The link between PTSD and substance use as a coping strategy is explored through the Self-Medication Hypothesis in combination with the prevalence of Adverse Childhood Events. The use of 3, 4 Methylenedioxymethamphetamine (MDMA)-assisted therapy is explored as a new and promising integrated treatment focusing on the safety, internal process, trust, and therapeutic rapport of the client and clinician. MDMA-assisted therapy consists of only a couple doses of a psychoactive substance administered in a controlled environment and under strict supervision. MDMA-assisted psychotherapy is more cost-effective than traditional treatments with virtually no adverse effects when compared to psychotropic medications. MDMA-assisted psychotherapy is shorter in length and more effective than traditional therapy with positive outcomes achieved within weeks, and lasting multiple years. Suggestions for future research include involving individuals who use substances and greater diversity and number in study samples. In addition, this manuscript contains recommendations for clinical practice for therapist training, an integrative treatment approach, and affordable access to MDMA-assisted treatment for PTSD and concurrent disorders. Finally, recommendations are made for the rescheduling of MDMA to allow for more significant research and clinical practice opportunities.
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Author Information

Brenda Tichler

Counselling and Applied Psychology, Faculty of Health Disciplines, Athabasca University, Athabasca, Canada

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Brenda Tichler. (2021). Using Drugs to Treat Drug Dependence: Exploring the Use of MDMA-Assisted Psychotherapy for Individuals with PTSD and Concurrent Substance Use. Psychology and Behavioral Sciences, 10(6), 231-240. https://doi.org/10.11648/j.pbs.20211006.17

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ACS Style

Brenda Tichler. Using Drugs to Treat Drug Dependence: Exploring the Use of MDMA-Assisted Psychotherapy for Individuals with PTSD and Concurrent Substance Use. Psychol. Behav. Sci. 2021, 10(6), 231-240. doi: 10.11648/j.pbs.20211006.17

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AMA Style

Brenda Tichler. Using Drugs to Treat Drug Dependence: Exploring the Use of MDMA-Assisted Psychotherapy for Individuals with PTSD and Concurrent Substance Use. Psychol Behav Sci. 2021;10(6):231-240. doi: 10.11648/j.pbs.20211006.17

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@article{10.11648/j.pbs.20211006.17,
  author = {Brenda Tichler},
  title = {Using Drugs to Treat Drug Dependence: Exploring the Use of MDMA-Assisted Psychotherapy for Individuals with PTSD and Concurrent Substance Use},
  journal = {Psychology and Behavioral Sciences},
  volume = {10},
  number = {6},
  pages = {231-240},
  doi = {10.11648/j.pbs.20211006.17},
  url = {https://doi.org/10.11648/j.pbs.20211006.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.pbs.20211006.17},
  abstract = {The importance of treating concurrent Post-Traumatic Stress Disorder (PTSD) and substance use with psychedelics is a controversial topic, hampered in part by a lack of empirical evidence and rigidity of substance scheduling. Traditional treatments for concurrent PTSD and substance use concerns are compartmentalized, with clinicians focusing on one condition over the other. In addition, traditional medication treatments are costly, requires significant time to take effect, and often come with debilitating side effects, resulting in decreased treatment retention and outcomes. Here, the aim of this manuscript is to explore the intricate mechanisms keeping concurrent PTSD and substance use in place and how traditional treatment methods are ineffective in treating the root cause of these conditions. The link between PTSD and substance use as a coping strategy is explored through the Self-Medication Hypothesis in combination with the prevalence of Adverse Childhood Events. The use of 3, 4 Methylenedioxymethamphetamine (MDMA)-assisted therapy is explored as a new and promising integrated treatment focusing on the safety, internal process, trust, and therapeutic rapport of the client and clinician. MDMA-assisted therapy consists of only a couple doses of a psychoactive substance administered in a controlled environment and under strict supervision. MDMA-assisted psychotherapy is more cost-effective than traditional treatments with virtually no adverse effects when compared to psychotropic medications. MDMA-assisted psychotherapy is shorter in length and more effective than traditional therapy with positive outcomes achieved within weeks, and lasting multiple years. Suggestions for future research include involving individuals who use substances and greater diversity and number in study samples. In addition, this manuscript contains recommendations for clinical practice for therapist training, an integrative treatment approach, and affordable access to MDMA-assisted treatment for PTSD and concurrent disorders. Finally, recommendations are made for the rescheduling of MDMA to allow for more significant research and clinical practice opportunities.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Using Drugs to Treat Drug Dependence: Exploring the Use of MDMA-Assisted Psychotherapy for Individuals with PTSD and Concurrent Substance Use
AU  - Brenda Tichler
Y1  - 2021/12/02
PY  - 2021
N1  - https://doi.org/10.11648/j.pbs.20211006.17
DO  - 10.11648/j.pbs.20211006.17
T2  - Psychology and Behavioral Sciences
JF  - Psychology and Behavioral Sciences
JO  - Psychology and Behavioral Sciences
SP  - 231
EP  - 240
PB  - Science Publishing Group
SN  - 2328-7845
UR  - https://doi.org/10.11648/j.pbs.20211006.17
AB  - The importance of treating concurrent Post-Traumatic Stress Disorder (PTSD) and substance use with psychedelics is a controversial topic, hampered in part by a lack of empirical evidence and rigidity of substance scheduling. Traditional treatments for concurrent PTSD and substance use concerns are compartmentalized, with clinicians focusing on one condition over the other. In addition, traditional medication treatments are costly, requires significant time to take effect, and often come with debilitating side effects, resulting in decreased treatment retention and outcomes. Here, the aim of this manuscript is to explore the intricate mechanisms keeping concurrent PTSD and substance use in place and how traditional treatment methods are ineffective in treating the root cause of these conditions. The link between PTSD and substance use as a coping strategy is explored through the Self-Medication Hypothesis in combination with the prevalence of Adverse Childhood Events. The use of 3, 4 Methylenedioxymethamphetamine (MDMA)-assisted therapy is explored as a new and promising integrated treatment focusing on the safety, internal process, trust, and therapeutic rapport of the client and clinician. MDMA-assisted therapy consists of only a couple doses of a psychoactive substance administered in a controlled environment and under strict supervision. MDMA-assisted psychotherapy is more cost-effective than traditional treatments with virtually no adverse effects when compared to psychotropic medications. MDMA-assisted psychotherapy is shorter in length and more effective than traditional therapy with positive outcomes achieved within weeks, and lasting multiple years. Suggestions for future research include involving individuals who use substances and greater diversity and number in study samples. In addition, this manuscript contains recommendations for clinical practice for therapist training, an integrative treatment approach, and affordable access to MDMA-assisted treatment for PTSD and concurrent disorders. Finally, recommendations are made for the rescheduling of MDMA to allow for more significant research and clinical practice opportunities.
VL  - 10
IS  - 6
ER  -

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