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Updated September 30, Reviewed by Devon Frye. Partly, the news has been good. Really good, in fact. MDMA-assisted psychotherapy MAP for trauma has been studied by a top-notch group of researchers at several leading universities, and the results have been impressive. The bottom line: MAP is generating a lot of excitement because it has shown great promise as an effective and acceptable treatment of both adult-onset PTSD and complex PTSD stemming from prolonged childhood trauma. The bad news? The U. Although there were certainly flaws in the design and conduct of the two major trials that were conducted to demonstrate the safety and efficacy of the treatment see a discussion of these here , the disappointing decision seems to me to have been based on some conceptually flawed and frankly hypocritical grounds. There seems to be serious concern about the confounding role of psychotherapy in the use of MDMA. Some experts are concluding that the only way to address this concern is by giving MDMA alone, hoping it will show a similarly large effect on trauma. And because MDMA boosts self-compassion, it allows people to shift their experience of shame and self-rejection to one of self-compassion, forgiveness , and self-acceptance. Using IFS language again, it allows for the nurturing and reintegration of exiled parts who carry pain, shame, and despair. To have to demonstrate some magical property of MDMA on trauma in the absence of psychotherapy is to fundamentally misunderstand the way MDMA works in the healing of trauma. It facilitates trauma recovery by allowing, in a safe and supporting therapeutic context, the same sort of exposure as other trauma treatments, but without the intense fear that exposure-based treatments often entail, and that may account for their high drop-out rates. In the language of the exciting field of memory reconsolidation , MAP greatly facilitates the modification of deeply rooted trauma-based memories and learnings about oneself and the world—memories and learnings that seem to underlie the persistence of complex trauma symptoms. These include a lack of adequate safety and addictiveness data; however, the FDA approved the highly addictive benzodiazepines for anxiety and the comparably addictive sedative-hypnotics for insomnia ; it also approved the devastatingly addictive Oxycontin and other opioids for pain management. Meanwhile, the safety profile for MAP is actually impressive, with few significant side effects and a much stronger safety profile than numerous other FDA-approved psychiatric medications. For example, many anti- psychotic meds can produce horrible involuntary movements and tics that persist even after the meds are discontinued. Others cause extreme weight gain and significantly increase the risk of diabetes and even death. There was also concern that participants in the MAP research were not truly blind to their condition i. However, the simple reality is that some medications make true blinding impossible. Moreover, there is compelling evidence that much of the benefit from anti-depressant medications for mild to moderate depression is in fact a placebo effect , rather than having anything to do with the actual chemistry of the medication. This is not to trivialize concerns about placebo effects, but to question why MDMA is being held to a different standard than other medications, especially given its efficacy data and the dearth of effective and acceptable trauma treatments. Against this backdrop, the rejection of MAP—an effective and innovative approach to trauma treatment—is both deeply disappointing and quite puzzling. President Nixon decades ago. Kenneth E. Miller, Ph. A diagnosis often brings relief, but it can also come with as many questions as answers. Miller Ph. The Refugee Experience. Why did the FDA reject it? MDMA-assisted psychotherapy has a much lower dropout rate than other trauma-focused therapies. There's a great need for effective and tolerable trauma treatments. MDMA-assisted therapy holds great promise. Trauma Essential Reads. Supporting the Mental Health of Paramedics. About the Author. More from Kenneth E. More from Psychology Today. Back Psychology Today. Back Find a Therapist. Back Get Help. Mental Health. Passive Aggression Personality Shyness. Personal Growth. Low Sexual Desire Relationships Sex. Family Life. Child Development Parenting. View Help Index. Do I Need Help? Talk to Someone. Back Magazine. September Back Today. Essential Reads. Trending Topics in Singapore. See All.

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The Central Narcotics Bureau arrested a year-old Singaporean man on 20 October who was wanted in connection with several cases of drug trafficking and other drug-related offences committed between and The man was also wanted by the Police to assist in investigations into two cases of voluntarily causing grievous hurt and cheating by impersonation. The man was first arrested and charged in court on 3 April with three counts of drug trafficking and one count of drug consumption. He was then released on bail by the Court. He failed to attend court on 12 June and an arrest warrant was issued against him. Drug traffickers thinking to evade our law by hiding overseas will find that there is no safe haven. We thank our Malaysian counterparts for the cooperation to bring the suspect back to Singapore to face the law. The man was brought to Court to face the original drug charges. CNB is also pursuing investigations into the other cases of drug trafficking. Man Wanted for Drug Trafficking in Singapore Arrested in Malaysia; Returns to Singapore to Face Charges 21 Oct The Central Narcotics Bureau arrested a year-old Singaporean man on 20 October who was wanted in connection with several cases of drug trafficking and other drug-related offences committed between and Go to News Archive.

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