July 19, 2010 1:15 PM

Ecstasy Helps Treat PTSD Patients, Trial Finds

By
David Morgan
(CBS)  People suffering from the agony of post-traumatic stress disorder (PTSD) may one day find relief with Ecstasy.

A small clinical trial found that 80 percent of participants treated with a combination of methylenedioxymethamphetamine (MDMA) and psychotherapy no longer showed signs of PTSD, with no serious side effects.

Three people who also said the disorder prevented them from going to work were able to return to their jobs after the treatment.

The study is the first completed clinical trial evaluating MDMA as a therapeutic adjunct since it was criminalized in 1985 owing to recreational use of the drug, known by its street name Ecstasy.

Twenty patients who had suffered with chronic PTSD for an average of more than 19 years and who had not obtained relief from both psychotherapy and psychopharmacology were randomly assigned to two eight-hour psychotherapy sessions, with 12 subjects receiving the drug and eight receiving a placebo.

Both groups also received psychotherapy before and after the drugs were administered. Follow-ups were conducted four days and two months after each day-long session.

At all recorded times after baseline, a decrease in Clinician-Administered PTSD Scale scores was significantly greater for the group that received MDMA than for the placebo group.

The rate of clinical response, according to diagnostic criteria for PTSD as stipulated in the DSM-IV-TR, was 83 percent in the active treatment group, versus 25 percent in the placebo group.

Investigators did detect raised blood pressure and other symptoms in the MDMA group. But there were no drug-related serious adverse events, adverse neurocognitive effects, or clinically significant blood pressure or temperature increases.

A long-term follow-up evaluating the same subjects is underway.

The authors did state that most participants accurately guessed whether they were receiving MDMA or the placebo, which has no psychoactive effect. The trials also did not look at gender or ethnic factors in their sample selection.

The study's authors also admit that the two all-day therapy sessions and overnight stays at the clinic are not usual features of outpatient psychotherapy. But they believe that MDMA-assisted psychotherapy can be administered to PTSD patients without evidence of harm, who have been resistant to other treatments.

The study, published today in the Journal of Psychopharmacology, was sponsored by the Multidisciplinary Association for Psychedelic Studies (MAPS) which, through its MDMA Psychotherapy Research Fund, hopes to develop MDMA into an FDA-approved prescription medication for therapeutic use in conjunction with PTSD.

The trials were led by MAPS' President Rick Doblin, Ph.D., South Carolina-based psychiatrist Dr. Michael Mithoefer, and colleagues with the Medical University of South Carolina in Charleston.

Copyright 2010 CBS. All rights reserved.
  • David Morgan

    David Morgan is a senior editor at CBSNews.com and cbssundaymorning.com.

Add a Comment See all 30 Comments
by Rajah88 July 24, 2010 9:55 AM EDT
It should come as no surprise that Ecstasy is useful. Everything is useful; even snake venom.

LSD is currently used in Canada to treat alcoholism. During treatment, patients develop an awareness of what alcohol does to one*s body and mind, while they loose interest in alcohol.

Many of experienced the same positive effects in the 60s and 70. I know of no one who continued to drink very much, after taking LSD. Even marijuana seems to diminish use of alcohol.

An older friend of mine, who was quite a heavy drinker, lost all interest in alcohol, after she smoked marijuana.
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by gruven13777 July 19, 2010 10:38 PM EDT
If you have never suffered from PTSD...you should really keep your piehole closed.
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by thoughts1 July 19, 2010 9:14 PM EDT
PTSD is a serious problem facing vets and their families, and if this can help, wonderful. I hope people are not too closed minded to be willing to support a therapy to help our vets if science can proove it to be helpful. Let the research continue, our vets deserve all the help they can get.
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by AlamoDoc July 19, 2010 8:46 PM EDT
I'll bet they had no trouble finding enough volunteers for this study!
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by wheresmycountry July 19, 2010 5:17 PM EDT
Um. Yeah. Regarding the use of a placebo in the trial: Wouldn't people realize that they weren't taking Ecstasy? It's not like Prozac where the effects are subtle and take days to show up. Ecstasy makes you feel all friendly and weird, and placebos don't.
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by bobnjersey July 20, 2010 4:24 AM EDT
[Um. Yeah. Regarding the use of a placebo in the trial: Wouldn't people realize that they weren't taking Ecstasy? ... Ecstasy makes you feel all friendly and weird, and placebos don't. ]

well ... the placebo will do exactly the same thing as the real drug when it behaves like a placebo. in fact ... they've now found that drugs like prozac ... and others that have been around for a while ... actually exhibit a much higher placebo effect 20 years later ... than what was measured when the drug was first studied (for it's initial approval).

the understanding of placebo effect is still in it's infancy.
by kamsack50 July 19, 2010 5:14 PM EDT
Certainly there's been lots of evidence of the medical benefits of marijuana. And it's been getting the consideration it deserves.
Why not this drug as well? I think some day the psychedelics will finally get the respect they deserve.
Reply to this comment
by Rajah88 July 24, 2010 9:11 AM EDT
LSD is currently used in Canada to treat alcoholism. During treatment, patients develop an awareness of what alcohol does to one*s body and mind, while they loose interest in alcohol.

Many of experienced the same positive effects in the 60s and 70. I know of no one who continued to drink very much, after taking LSD. Even marijuana seems to diminish use of alcohol.

An older friend, who was quite a long-term heavy drinker, lost all interest in alcohol, after she smoked marijuana.
by karek40 July 19, 2010 3:34 PM EDT
Sorcerer's is what they are, dispensers of drugs. They make their living off the sickness of their fellow man.
Reply to this comment
by larrryshrine July 19, 2010 3:57 PM EDT
Ever had PTSD? Know what it's like?
by AttentionDeficit July 19, 2010 6:10 PM EDT
Lots of people make their living of the sickness of their fellow man.
by larrryshrine July 19, 2010 2:58 PM EDT
by kenhamlett July 19, 2010 1:21 PM EDT
This is the natural next step in psychiatry. They have long been nothing more than licensed drug peddlers more intent on enslaving the person with drugs and grabbing their cash than they care about actually curing a person.
The psychotherapy is a meaningless exercise better viewed as a walletectomy so you are no better off with this "therapy" than you are visiting the drug dealer down on the corner.

Nothing changes except for when it gets worse.

------------
You clearly have never experienced PTSD. I have. I also know quite a bit about psychiatry and therapy. You clearly don't. You have no right to disparage a whole profession. I know what has helped me, and what hasn't. You don't. Don't pretend you know what you are talking about. Try walking in my shoes just a little bit. Ask questions. Learn about the disorder.
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by chief77777 July 19, 2010 1:50 PM EDT
This should be tyhe LAST thing they need. Many are hooked already from the stresses of battle. Never seen a shrink help anyone! Place of worship and AA does good. Mental Health community is politically correct but a waste of time except for the insane that needs a particular drug known to help.
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by AttentionDeficit July 19, 2010 1:57 PM EDT
"Mental Health community is politically correct but a waste of time except for the insane that needs a particular drug known to help."

Like a place of worship?
by larrryshrine July 19, 2010 2:48 PM EDT
Don't think you've ever experienced PTSD. I have. You don't know what you are talking about.
by kenhamlett July 19, 2010 1:21 PM EDT
This is the natural next step in psychiatry. They have long been nothing more than licensed drug peddlers more intent on enslaving the person with drugs and grabbing their cash than they care about actually curing a person.
The psychotherapy is a meaningless exercise better viewed as a walletectomy so you are no better off with this "therapy" than you are visiting the drug dealer down on the corner.

Nothing changes except for when it gets worse.
Reply to this comment
by larrryshrine July 19, 2010 2:51 PM EDT
I'll say what I did to the poster above. You clearly have never experienced PTSD. I have. I also know quite a bit about psychiatry and therapy. You clearly don't. You have no right to disparage a whole profession. I know what has helped me, and what hasn't. You don't. Don't pretend you know what you are talking about. Try walking in my shoes just a little bit. Ask questions. Learn about the disorder.
by bobnjersey July 20, 2010 4:14 AM EDT
[The psychotherapy is a meaningless exercise better viewed as a walletectomy so you are no better off with this "therapy" than you are visiting the drug dealer down on the corner.]

your view can be best characterized by the old phrase 'throwing the baby out with the bathwater'. nothing has the same effect for everyone ... but to say that these things don't help anyone is presumptuous.
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