You want to hear from people with experience with MDMA, or Ayahuasca to glimpse all the possibilities. Sadly, these people's experience is meaningless to the scientific ruling class..
If you mean that the pharma industry is slow to catch on to the (potential) benefits of these compounds, I wholeheartedly agree.
However, there actually is quite a bit of research into them.
I've added a list to the supporting scientific papers of what I'm saying in this post and have added LSD to this list because, to be frank, I find it a fascinating and scary as hell.
I have been reading heavily into these compounds for personal reasons. Apologies for the over-sharing perhaps, but it's been an important topic to me for a while now.
Disclaimer: I am by no means a pharmacologist or chemist, just an interested individual.
Compound types
One important distinction to start with: MDMA is pharmacologically quite different from LSD and ayahuasca, therefore I wouldn't lump their effects together simply as "psychedelics."
MDMA mainly changes how you feel about yourself and other people. It increases feelings of empathy, emotional openness, trust and connection, while also producing stimulation and euphoria.
LSD mainly changes how you perceive reality and how your mind processes information. It can dramatically alter perception, thoughts, sense of time and sense of self.
Ayahuasca contains DMT, which produces psychedelic effects, plus other compounds that allow DMT to become active when swallowed. It can produce intense changes in perception, emotions, thoughts and sense of self.
Pharmacologically:
MDMA is primarily an entactogen/empathogen with strong serotonergic, noradrenergic and dopaminergic effects.
LSD is a classic serotonergic psychedelic.
Ayahuasca combines DMT with β-carboline MAO-A inhibitors.
Current Scientific Position
MDMA appears to be a genuinely promising therapeutic tool, particularly for PTSD, when used in a controlled therapeutic setting.
But that doesn't mean recreational MDMA is equivalent to the clinical treatment. Dose, purity, frequency, and the effect of a controlled environment (and medical supervision) are factors that lead to radically different results.
LSD very reliably produces profound changes in consciousness, but its medical benefits are still being established. There is evidence that a single psychedelic experience can produce psychological changes lasting weeks or months. But exactly why this happens, and how reliably it translates into improved mental health, is still being investigated.
Ayahuasca has genuine (and fast) antidepressant potential (with persons who did not respond to conventional antidepressants), but the evidence base is still small. So there is early evidence, particularly for depression, but nowhere near as established as the MDMA-for-PTSD evidence.
Papers
This is an interesting list of papers to read if you want to learn about what the scientific community has to say about MDMA and Ayahuasca.
No. 10 is the one to read if you just want to read one paper.
| # | Compound | Paper | Why read it | Link |
| 1 | MDMA | Mitchell 2023, MDMA-assisted therapy for moderate to severe PTSD | Best modern MDMA clinical evidence |
MDMA-assisted therapy for moderate to severe PTSD: a randomized, placebo-controlled phase 3 trial - Nature MedicineResults from the phase 3 placebo-controlled MAPP2 trial show that MDMA-assisted therapy reduces post-traumatic stress disorder (PTSD) symptoms and functional impairment in a diverse population with moderate to severe PTSD.
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| 2 | MDMA | Mitchell 2021, MDMA-assisted therapy for severe PTSD | Landmark Phase 3 PTSD trial |
MDMA-assisted therapy for severe PTSD: a randomized, double-blind, placebo-controlled phase 3 study - Nature MedicineResults from a phase 3, double-blind, randomized, placebo-controlled trial demonstrate that MDMA-assisted therapy is safe and effective in treating severe post-traumatic stress disorder.
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| 3 | MDMA | Halvorsen et al. 2021, Challenges with benchmarking of MDMA-assisted psychotherapy | Critical examination of methodology | |
| 4 | Ayahuasca | Palhano-Fontes 2019, Rapid antidepressant effects of ayahuasca | Landmark antidepressant RCT |
Rapid antidepressant effects of the psychedelic ayahuasca in treatment-resistant depression: a randomized placebo-controlled trial - PMCRecent open-label trials show that psychedelics, such as ayahuasca, hold promise as fast-onset antidepressants in treatment-resistant depression. To test the antidepressant effects of ayahuasca, we conducted a parallel-arm, double-blind randomized ...
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| 5 | Ayahuasca | White et al. 2024, Ayahuasca and DMT adverse events and toxicity analysis | Best safety/toxicity review |
Ayahuasca and Dimethyltryptamine Adverse Events and Toxicity Analysis: A Systematic Thematic Review - PMCThe objective of this paper is to conduct a systematic thematic review of adverse events, safety, and toxicity of traditional ayahuasca plant preparations and its main psychoactive alkaloids (dimethyltryptamine [DMT], harmine, harmaline, and ...
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| 6 | Ayahuasca | Uthaug et al. 2018, Sub-acute and long-term effects of ayahuasca | Longer-term psychological effects |
Sub-acute and long-term effects of ayahuasca on affect and cognitive thinking style and their association with ego dissolution - PMCAyahuasca is a psychotropic plant tea from South America used for religious purposes by indigenous people of the Amazon. Increasing evidence indicates that ayahuasca may have therapeutic potential in the treatment of mental health disorders and can ...
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| 7 | LSD | Carhart-Harris 2016, Neural correlates of the LSD experience revealed by multimodal neuroimaging | Landmark brain-imaging study | |
| 8 | LSD | Atasoy 2017, Connectome-harmonic decomposition of human brain activity under LSD | Brain dynamics / consciousness |
Connectome-harmonic decomposition of human brain activity reveals dynamical repertoire re-organization under LSD - Scientific ReportsRecent studies have started to elucidate the effects of lysergic acid diethylamide (LSD) on the human brain but the underlying dynamics are not yet fully understood. Here we used ’connectome-harmonic decomposition’, a novel method to investigate the dynamical changes in brain states. We found...
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| 9 | LSD | Schmid & Liechti 2018, Long-lasting subjective effects of LSD in normal subjects | Long-lasting subjective effects |
Long-lasting subjective effects of LSD in normal subjects - PMCLysergic acid diethylamide (LSD) and other serotonergic hallucinogens can induce profound alterations of consciousness and mystical-type experiences, with reportedly long-lasting effects on subjective well-being and personality. We investigated the ...
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| 10 | All | Hsu et al. 2024, Comparative oral monotherapy of psilocybin, LSD, MDMA, ayahuasca and escitalopram | Comparative evidence | |
| 11 | All | Adverse Events meta-analysis 2024, Adverse Events in Studies of Classic Psychedelics | Overall safety picture |
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