Drug Science

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Drug Science is the UK's leading independent scientific body on drugs - guiding evidence-based drug policy and drug research. Please donate to support our work. www.drugscience.org.uk

Since 2024, we've been working with UCL to change our understanding of psychotherapy in MDMA-assisted therapy. In the latest update, we propose a new approach: to qualitatively assess MDMA using therapists as the subjects. Read the full paper: journals.plos.org/pl...

Protocol for a qualitative mechanistic study of MDMA with a sample of psychoanalytic psychotherapists: A phenomenological investigation | PLOS One

Introduction Methylenedioxymethamphetamine (MDMA)-assisted psychotherapy (MDMA-AP) is a potentially transformative intervention for post-traumatic stress disorder (PTSD). Despite encouraging Phase III trial results, the psychological mechanisms underpinning MDMA’s therapeutic effects remain insufficiently understood. Existing research on MDMA has emphasised neurobiological processes but has not adequately incorporated subjective, relational, and experiential processes that are likely to be central to optimising psychedelic-assisted treatments. In the absence of an established clinical psychological theory of MDMA-AP, qualitative approaches can support theory development to refine and optimise MDMA-AP, and identify cross-diagnostic change processes that may broaden its therapeutic scope. Materials and methods Approximately 25 experienced psychodynamically trained psychotherapists will receive two doses of MDMA (80–120 mg, oral), separated by ≥1 week, under controlled research conditions in an open-label, qualitative mechanistic study. Clinician-participants will complete baseline interviews examining beliefs and attitudes toward MDMA-AP, brief phenomenological interviews during MDMA sessions, in-depth phenomenological and theory-oriented follow-up interviews examining experience and understandings of MDMA-associated change processes, and daily reflective journals between dosing sessions. Additional standardised measures will assess reflective functioning and related constructs. Qualitative data will be analysed using phenomenological and thematic approaches, and grounded theory-inspired techniques will be used to develop a theoretically coherent model of MDMA’s psychological mechanisms of action grounded in the full dataset. Discussion In this study of MDMA’s potential mechanisms-of-action, we treat psychotherapists as expert observers of their own psychological processes. By examining first-hand experience in participants selected for their well-developed capacity for self-reflection, meta-awareness, and advanced theoretical and clinical frameworks for understanding mental phenomena, psychopathology, and psychological treatment, we anticipate generating novel insights into MDMA’s therapeutic mechanisms-of-action. The primary study output will be a theoretically grounded model of MDMA’s psychological mechanisms of action, intended to inform novel treatment models amenable to future experimental evaluation. The study also offers a transferable framework for qualitative mechanistic investigations of psychedelic compounds, supporting the development of integrative and evidence-based models of psychedelic therapy.

journals.plos.org

Humans have been using alcohol for millennia. Is it time to update the recipe? This week on the podcast, David Orren joins Prof Jo Neill to discuss alcohol in society, the story of Gaba Labs and the challenges of taking on the alcohol industry. Out now on all platforms 🎧

Want to practise PAT in New Zealand? This June, TheraPsil are launching their New Zealand-focused online training program , combining general training in psilocybin with NZ- and Māori-specific information and guidance. ⏬️Learn more and enrol now ⏬️ drugscience.org.uk/p...

Psychedelic Training in New Zealand

Delivered across two weekends, TheraPsil's Fundamentals of Psilocybin-Assisted Therapy is a New Zealand-focused training for clinicians and professionals.

drugscience.org.uk

We're incredibly proud to announce Returning To Wholeness: a four-day psilocybin retreat for people living with or beyond cancer. 🗓️ 24–27 August 2026 📍De Hoorneboeg, Netherlands. 🌼 Free of charge to those who need Learn more and apply at: drugscience.org.uk/r...

Returning to Wholeness Retreat

Clinically informed and expertly facilitated, Returning to Wholeness is a free psilocybin retreat for people affected by cancer. Applications open for August 2026, Netherlands.

drugscience.org.uk

Healthcare professional interested in working with psychedelics? PsyEdu's excellent part-time Professional Certificate in Psychedelic Practice programme is running again in 26/27. Sign up for the online open evening on 13th May to learn more 🔗⬇️ eventbrite.co.uk/e/p...

PsyEdu Open Evening. May 26 Tickets, Wednesday, May 13  •  6 PM - 7:30 PM UTC | Eventbrite

Eventbrite - PsyEdu presents PsyEdu Open Evening. May 26 - Wednesday, May 13, 2026 - Find event and ticket information.

eventbrite.co.uk

Happy 4/20! The last year has seen some big developments in the cannabis space, and we've been keeping track. Here are our favourite papers and blog posts we've published since this time in 2025...