MDMA and Your Life Review

Geral T. Blanchard • Dec 30, 2022

Jimmy Stewart played the temporarily confounded George Bailey in the Christmas movie classic It’s a Wonderful Life.

As a somewhat strange version of an after-death story unfolds, George is granted an opportunity to observe a life review, his own. It included the secret factors that drive our common existence, which is quite different than how he had long imagined this earthly existence to be, but rather as it really is. 

He was propelled by what many would label a spiritual emergency. It was only after George was given a complete panoramic summary of how his life patterns coalesced, from beginning to end, that his life journey was made sense and was righted. All the isolated acts, when considered together, offered cohesive insights, meaning, and deep appreciation to George. In the end, all the pain and suffering was not without value; the tapestry he examined came to be seen as the chronicle of a rewarding, warm, and wonderful life.


Well, something similar happens during many MDMA psychotherapy assisted treatments. From trauma and suffering, a patient may start weaving their story together beginning in childhood, one painful recollection after another. But is it really a painful retelling? As all the pieces are assembled under the calming effects of the medicine, the deeper meaning and purpose of it all becomes clear. As Ram Dass would customarily say, it is all “grist for the mill,” experiences to be milked for their valuable insights and teaching about life in general. After all, as Buddhist Noble Truth number one contends, “Life brings suffering.” So, we must figure out how to deal with it.


In a conventional therapy session you may have 45 - 50 minutes to start excavating your past. Maybe one or two painful moments will be unearthed. Emotionally, they may tear you apart. Then the therapist spends the last few minutes suturing you up, all in readiness for the next brief encounter.  There has to be a better way.



With an MDMA treatment that lasts over six hours, a person can dig deeper, go spelunking in the darkness of the underworld, and see the big picture. Most people walk away from this kind of experience with a fuller understanding of the inevitabilities and vicissitudes of life and assign new meaning to them. The takeaways are usually not about good guys and bad guys, any need to punish, sue, or incarcerate, but to compassionately make sense of the world we live in – often times not taking things so personally as we all share many of the same struggles and vulnerabilities.

Like watching a movie with a degree of mental and emotional detachment, MDMA guided self-observation can be indispensable to the healing process. 

As religions have known for centuries, somehow in this process of watching our life review impartially and nonjudgmentally, an astonishing kind of transformative magic can happen. It’s like the movie stuff kids and adults are so fond of. Once our old habits are “caught in the act,” particularly by an MDMA kind of witnessing, it seems like an internal combustion takes place, and with the passage of hours unhelpful habits, along with old emotional pains, burn themselves out, vanishing on their own. No punishment is needed. We simply observe them, perhaps stare them down, but lovingly so.


George Bailey took the “if onlys” and the “what ifs” that were previously misunderstood, and joyfully transformed them all into blessings. The very events George thought of as regrets and deprivations were, as he later came to understand, essential elements of his spiritual struggles and stepping-stones to social fulfillment.


It is similar to what the famous psychologist Erik Erikson taught us about ego integrity. I believe what he meant was that all of us are capable, upon reflecting on the experience of one’s one and only life excursion, twists and turns, pitfalls and stumbles, as something that had to be, with no alternatives required for us to find happiness.  No regrets. No self-condemnation needed.


Often MDMA patients say words offering up thankfulness for the traumas they experienced. Additionally, others have commented, “I got more out of this six hour treatment than I did from the last six months of psychotherapy.” Or as an eighteenth century German mystic said of the alchemy of the soul, “Without the pain it might take me thirty years to learn something that suffering teaches me in five minutes.”                                                                     

May the force – Clarence – be with you.

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Geral Blanchard, LPC, is a psychotherapist who is university trained in psychology and anthropology. Formerly of Wyoming and currently residing in Iowa, Geral travels the world in search of ancient secrets that can augment the art and science of healing. From Western neuroscience to Amazonian shamanism, he has developed an understanding of how to combine old and new healing strategies to optimize recovery, whether from psychological or physical maladies.


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