Not raving but drowning - could MDMA help therapy?

Love, hate and Ecstasy.


“Studies show that when you first fall in love, serotonin levels plummet and the brain's reward centres are flooded with dopamine. This gives a high similar to an addictive drug, creating powerful links in our minds between pleasure and the object of our affection, and meaning we crave the hit of our beloved again and again.”

It’s been a while since I last fell in love. However, reading that passage from a New Scientist feature did remind me of how some people can feel after taking MDMA. Perhaps the best word to describe it is infatuation. Like a lovesick teenager, they grab every chance they get to talk about it. Like Romeo mooning over Rosaline, they wonder almost obsessively when they might get back together with it again. No one else can see as clearly as they can just how wonderful it is.

Given that the comedown from MDMA is so fast, and any obvious physiological symptoms are gone within a few days, the feeling can last a surprisingly long time – a few weeks. Then they begin to get that sheepish sense that they had perhaps been behaving a little foolishly, that their friends had tolerated their obsession but were glad they’d finally stopped blathering on about it whenever the subject – or any obliquely related subject – came up.

At least most people don’t immortalise the infatuation by releasing an album. It wouldn’t be surprising if Madonna had had an encounter with MDMA sometime recently. Called your new album MDNA? Made a crass, thinly-veiled, teenagerish, wide-eyed (ha!) reference to the drug on stage at an electronic music festival? It’s suggestive, isn’t it? Remember Tom Cruise’s embarrassing infatuation dance for Katie Holmes on Oprah’s couch? There are similarities, it would seem.

Next week we’ll be able to hear about the experiences of people who have recently taken a Home Office-grade dose of E. The experimental subjects in Channel 4’s Drugs Live: The Ecstasy Trial will almost certainly tell us they had a wonderful, blissful experience. But that’s not quite a detached analysis: in all probability they will still be a little bit in love with the drug.

And there’s the rub. Almost everything we hear about Ecstasy is anecdotal and subjective. Your experience of Ecstasy, if you’ve taken it, will no doubt be different to the way other people describe theirs, because there are subtle differences between your brain chemistry and everyone else’s, and you took the drug in a different environmental and emotional context.

Channel 4’s show is important because it will highlight the fact that we need to get away from anecdotes about Ecstasy, whether positive or negative. There are plenty of lovers; there are also those whose experience has caused them to harbour hatred towards MDMA. Neither side’s experience provides a good basis for deciding how to move forward.

The objective fact is, we have reason to believe that therapy involving MDMA use can help people get over life-destroying trauma. The study highlighted on Drugs Live involves imaging the brain in an fMRI scanner: early evidence from these scans suggests that the brain on E finds memories of negative experiences much easier to explore. But we don’t have nearly enough data to say for sure, and as things stand, further evidence is very difficult to gather.

Researching with MDMA requires handing over thousands of pounds to the Home Office for a license, a year-long wait for said license, finding the funds for a high security storage facility and a willingness to be subjected to random police inspections. Unsurprisingly, very few researchers are willing to jump through those hoops. And who can blame them when no doctor stands a chance of getting a license to use MDMA in therapy anyway?

People who would benefit from this therapy are not raving, but drowning. It wouldn’t hurt anyone to throw them a lifeline.

Almost everything we hear about Ecstasy is anecdotal and subjective. Photograph: Getty Images

Michael Brooks holds a PhD in quantum physics. He writes a weekly science column for the New Statesman, and his most recent book is At the Edge of Uncertainty: 11 Discoveries Taking Science by Surprise.

Show Hide image

Why have men become so lonely – and how does it affect their health?

New findings show the consequences of having a lonely heart.

Go out and get some friends. No, seriously. Hop on the Tube and act faux-interested in the crap-looking book your fellow commuter is reading, even if it's on their Kindle. Chances are it's better than the one in your bag, and they're probably a decent human being and just as lonely, like you and me.

A new slate of facts and figures are showing just how widespread loneliness, is while simultaneously being amazingly terrible for your health.

Research led by Steven Cole from the medicine department at University of California, Los Angeles is showing the cellular mechanisms behind the long known pitfalls of loneliness. Perceived social isolation (PSI) – the scientific term for loneliness –increases the exposure to chronic diseases and even mortality for individuals across the world.

The authors examined the effects of loneliness on leukocytes, also known as white blood cells, which are produced from stem cells in the bone marrow and are critical to the immune system and defending the body against bacteria and viruses. The results showed loneliness increases signalling in the sympathetic nervous system, which is responsible for controlling our fight-or-flight responses, and also affects the production of white blood cells.

Recently, the Movember Foundation, which focuses on men's health and wellbeing, carried out a survey with the help of YouGov investigating friendship and loneliness amongst men. The results are alarming, with only 11 per cent of single men across the spectrum in their early 20s to late-middle age saying they had a friend to turn to in a time of crisis, the number rising to 15 per cent for married men.

Friendship has shown not only to be important to a person's overall wellbeing, but can even add to a person's earnings. A previous study involving 10,000 US citizens over 35 years showed people earned 2 per cent more for each friend they had.

The Movember Foundation survey comes soon after the Office for National Statistics (ONS) showed that men in Britain make up 58 per cent of the 2.47m people living alone between the ages of 45 and 64. The reasons behind this figure include marrying later in life and failed marriages, which usually result in children living with the mother. Women still make up the majority of the 7.7m single-occupant households across all ages in the country, at approximately 54 per cent.

Chronic loneliness seems to have slowly become a persistent problem for the country despite our hyper-connected world. It's an issue that has made even Jeremy Hunt say sensible things, such as "the busy, atomised lives we increasingly lead mean that too often we have become so distant from blood relatives" about this hidden crisis. He's previously called for British families to adopt the approach of many Asian families of having grandparents live under the same roof as children and grandchildren, and view care homes as a last, not first, option.

The number of single-person households has continued to increase over the years. While studies such as this add to the list of reasons why being alone is terrible for you, researchers are stumped as to how we can tackle this major social issue. Here's my suggestion: turn off whatever screen you're reading this from and strike up a conversation with someone who looks approachable. They could end up becoming your new best friend.