MDMA, Capabilities, and Limitations

Geral T. Blanchard • Dec 30, 2021

There is a great deal of confusion about what MDMA (an empathogen) and psilocybin, LSD, and DMT (psychedelics) can do to heal a person.

All of them can have near immediate effects and all can have lingering effects. But what is realistic to expect, especially from the more subtle MDMA?

MDMA is thought of as a relational trauma medicine. It can often reset a person to a pre-trauma state and enhance socialization. It is notoriously effective when there has been an interpersonal trauma. And betrayal – via deception, lying, trickery, and/or gaslighting -- is at the core of these traumas. Domestic violence, sexual abuse, religious abuse, family disloyalties, and suicide are common examples.


During (and after) treatment, this medicine will swell your heart so that you can feel emotions more strongly than before and not be as constricted. In the case of the tragic loss of a loved one, MDMA will not erase previous warm and loving feelings, in fact, you just might appreciate the gift of your loved one even more. Yay! Ouch! So anticipate there may be unusually strong moments of sobbing, appreciating, laughing, and discouragement. This grief process -- over what you had or what you may never have experienced earlier in your life -- may heighten your awareness of how love was absent for far too long. After a heartbreaking loss you may be broken open, for a time, to more powerful emotions, not just by the grief but by MDMA’s chemical stimulation as well.


By its very definition an empathogen opens you up emotionally -- warmly and lovingly. The keys to issue resolution are to a) give the medicine time as neurogenesis is slower acting than a blast of DMT or LSD, and b) allow the full release of your grief-praise response which may leave you feeling “all over the place” until integration has occurred. And if you allow the full expression of natural pent up feelings, gratitude and hope can eventually fill the void. In the meantime, your task is to mindfully target enough people and animals to be recipients of your increased sociability and love. Exercise the love muscles. And continue your therapy with a sharper mind at your disposal.


MDMA is far different from antidepressants and antianxiety medications that stifle emotions. Keeping them inside leads to a vacuous cynicism and meager social existence. Many people prefer prescription drugs because they buffer them from a complete life -- from loving mightily and losing compellingly. Sometimes people simply prefer not to feel. But if one is to grow, they must be unafraid to love. And if a person doesn’t release what is inside of them, there will be no development, just a flatlined “life” with no real life to it.

Persons can remain stuck in old emotional baggage that doesn’t get released and transformed into something bigger and better. MDMA does not smother emotions, it brings them out into the open so awareness and healing can occur.

Do not fear what is inside you, unless you decide to hold it in forever. Big emotions means you feel, you understand yourself more fully, you can empathize, you love, and you are fully alive. And some days that will sucks, other days it will be glorious. But usually all emotions, like passing rain clouds, will pass.


Abraham Maslow, who studied self-actualization and peak experiences of the kind some mood altering drugs set in motion, wrote about passionate love. His words: “I wonder if we humans could love – love passionately – if we knew we [or our partners] would never die.” Rollo May, another legend in the field of psychology added, “This is another asset of recognizing our mortality: We learn to love each other. We are able to love passionately because we die.” Sometimes people love like there is no tomorrow because, sooner or later, there will be no tomorrow.


Irreverently, I am reminded of an old Schlitz beer commercial where a group of men were gathered around a campfire out West enjoying each other’s company as the sun was setting. The iconic line that accompanied their socializing was: “You only go around once in life, so you better grab for all the gusto you can.” In other words, feel big and love big while alive; know the experience, viscerally.


Give thanks for those precious moments with your intimates and shed tears from time to time when memorializing their spirit. Cry and praise. But never let their spirit die. As Ojibway Blackwolf Jones reminds us [paraphrased], “Wear their spirit like a loose fitting coat, not getting too attached to what is impermanent.” Cling only to that which now can find a permanent home in you, a loving spirit. Recognize that love is the ultimate medicine, akin to MDMA, but in time release form.


The ultimate goal of MDMA may be to bring relational emotions to the surface. With a clearer mind, and a balanced and growing brain, we can much more effectively do the necessary psychotherapy work that follows the medicinal treatment.


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“Hope is not the conviction that something will turn out well, but the certainty that something will make sense, regardless of how it turns out.”

- Vaclav Havel


“The medicine doesn’t give you a fish. It doesn’t even teach you how to fish. It shows you that there are fish and points out where the fish are. The rest is up to you.”

- Dan Engle in A Dose of Hope: A Story of MDMA-Assisted Psychotherapy

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Additional Reading:

The Gaslight Effect by Robin Stern


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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