MDMA-assisted therapy is a psychotherapeutic approach where trained providers support a client during a carefully planned session that includes MDMA in a controlled setting. It is being studied for trauma and PTSD. The medicine is not the therapy; it can support the process by helping some people engage more comfortably with emotions and memories.
In clinical research, protocols typically include several preparation meetings, two or three day-long MDMA sessions with continuous support, and post-session integration to reflect on insights. These standardized steps exist to maintain safety and assess results consistently.
In practice, formats can be more flexible. A common flow is a short preparation, a several-hour guided MDMA session, and a brief integration conversation, with weeks between sessions to allow recovery and integration. The number of sessions is decided collaboratively after each step.
Careful screening, a safe setting, and qualified supervision are essential, and regulations differ by region. For a concise description of one service’s approach, see Triptherapie’s page on MDMA therapy at this link. I cannot verify individual outcomes or availability in your area. I hope this helps.