MDMA-assisted therapy for couples: Screening, preparation, and practice

There’s not a lot written about MDMA-assisted couples’ work, so this article by Ben Malcolm is interesting. He writes: “MDMA-assisted couples therapy is emerging as a powerful therapeutic tool for strengthening relationships, improving communication, and fostering deeper emotional intimacy. By reducing fear-based responses, increasing emotional openness, and enhancing empathy, MDMA can help couples navigate past traumas, resolve long-standing conflicts, and rediscover emotional and physical connection. However, MDMA is not appropriate for every couple, and careful screening, structured facilitation, and post-session integration are essential for its safe and effective use.  This article explores the history and pharmacology of MDMA, indications and contraindications for couples therapy, preparation strategies, and best practices for structuring sessions.”

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