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MDA-ASSISTED PSYCHOTHERAPY WITH NEUROTIC OUTPATIENTS

Richard Yensen, Francesco B. Di Leo, John Rhead, William A. Richards, Robert A. Soskin, Brahim Turek, Albert A. Kurland

The Journal of Nervous and Mental Disease October 1, 1976 DOI: 10.1097/00005053-197610000-00002 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Pre-post treatment study with follow-up Peer reviewed
Sample size 10
Population Neurotic outpatients
Interventions MDA (3 4-methylenedioxyamphetamine)
Dose 75 mg initial, up to 200 mg subsequent
Duration 2 to 6 months treatment, 6-month follow-up
Topics Anxiety Psychedelic-assisted therapy
Keywords Neuroticism Rating scale Depression economics Clinical global impression Clinical psychology Personality assessment inventory Psychotherapist Alternative medicine
Citations 51
Key points Adjunctive MDA in psychotherapy was associated with significant reductions in depression, anxiety, and obsessive-compulsive traits, with no patients worsening.

Abstract

Ten neurotic patients (five males and five females) were treated over a period of 2 to 6 months (mean, 4.1) as outpatients. The study allowed for a maximum of 75 hours of psychotherapy (mean, 51.55 hours). During the course of treatment, two to four (mean, 3.5) administrations of MDA (3,4-methylenedioxyamphetamine) were employed as adjunctive aids in an effort to enhance the psychotherapeutic process. The mean duration of the drug sessions was 8 hours (range, 6 to 14 hours). The first administration of MDA took place when, in the therapist's judgment, sufficient rapport had been established with the patient. All patients received an initial dose of 75 mg of MDA; subsequent dosage was allowed to range up to 200 mg. On these occasions, the drug appeared to be well tolerated with no serious side effects or complications observed. Psychometric assessments were obtained pre- and post-treatment, employing the Minnesota Multiphasic Personality Inventory (MMPI), Wittenborn Psychiatric Rating Scales (WPRS), and Brief Psychiatric Rating Scale (BPRS). In addition, follow-up evaluations were obtained 6 months after the termination of therapy by the use of the MMPI, WPRS, BPRS, and a Social History Questionnaire (SHQ) which had also been administered before treatment was initiated. Clinically, the impression was obtained that psychotherapy and the adjunctive use of MDA appeared to facilitate improvement in these patients. This impression was substantiated by significant reductions in scores on the psychometric assessments measuring depression, anxiety, and obsessive-compulsive traits. The meaures evaluating the sense of well-being and self-actualization also were encouraging. Although some of the patients were not as responsive as others, there were no observations to suggest that the condition of any of these patients had become worse.

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