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Ecstasy (MDMA) is the street name for a version of the drug 3,4 methylenedioxy-methamphetamine. Ecstasy is an illegal, synthetic drug classified as a stimulant with potentially hallucinogenic properties. Molly is another name for MDMA. Both ecstasy and molly are made from MDMA, but ecstasy is used to describe a designer version in pill or tablet form (Ecstasy pills), while molly is used for the white powder form of the drug.
Although Molly is often sold as a pure form of MDMA, there is no way for users to know the real content of the drug or to determine how pure it is. Molly may be cut with other ingredients, including Cocaine, LSD, Heroin, and Amphetamine. PureMDMA is very difficult to come by.
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Ecstasy promotes a feeling of well-being, happiness, and friendliness. The drug enhances the user’s sense of sight, sound, smell, and touch. Ecstasy and molly are common at dance clubs and raves, allowing the user to take advantage of their heightened sensations.
Research and clinical viewpoints vary on how addictive Ecstasy is, or whether it is addictive at all. A number of studies have indicated that Ecstasy is addictive, though to a lesser extent than many other drugs. However, that does not mean that an Ecstasy addiction that has developed is not a serious problem.
Some sources suggest that chronic use of MDMA may result in a mild level of physical dependence, demonstrating withdrawal from MDMA is not a diagnostic criterion for a hallucinogen use disorder because most hallucinogenic drugs do not result in the development of physical dependence.
Like most drugs, ecstasy, and molly interfere with the brain’s pleasure center and natural levels of dopamine. The high from Ecstasy generally lasts between 3 and 5 hours. Depending on a number of factors including body weight, gender, the amount taken, and method of administration, Ecstacy’s effects can last up to 8 hours.
Noticing an addiction to ecstasy can be difficult because the drug lacks obvious withdrawal symptoms and is often used by young people in social settings. Regardless, continued use of ecstasy can lead to psychological and physical dependence. Even when ecstasy is not the only drug causing dependence, it can be a piece of a multi-drug patchwork of addiction.
NB: The most telling sign of ecstasy addiction is wanting to stop but being unable to.
Signs And Symptoms Of MDMA Addiction.
The American Psychiatric Association (APA) still use the terms addiction and abuse in their discussions of addictive behaviors; however, in terms of the formal diagnosis of addictive behaviors to drugs, the term substance use disorder has replaced these terms
MDMA addiction would be labeled a hallucinogen use disorder under the current diagnostic scheme. According to APA, the signs of a hallucinogen use disorder include:
A) Frequent strong urges to use MDMA in various situations, such as stressful situations, situations where the individual is happy, situations where the individual is socializing, etc
B) Developing a pattern of maladaptive use of MDMA that leads to significant distress in the individual and/or significant issues with everyday functioning.
C) Even though the person has formally stated they wish to stop or cut down on their use of MDMA, they cannot do so, the urge is too strong for them to withstand.
D) The person continues to use MDMA even though its use results in significant issues with their job, personal relationships, school, and/or other important areas.
F) Using the drug in situations where it is dangerous to do so
G) Giving up important activities as a result of MDMA use.
H) Failing to fulfill important obligations as a result of Ecstasy use.
I) The development of significant tolerance to Molly.
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The group at the greatest risk to MDMA addiction those between 16-24 years old. Treating adolescents and young adults with substance use disorders is a very delicate issue, and it is suggested that treatment providers for these individuals have special training in dealing with the issues that occur in this group.
The approach to MDMA addiction treatment generally consists of various components, outlined below.
Firstly, MDMA addicts are placed in an inpatient treatment program or similar program that can isolate them from potential bad influences and the source of the drug. This can also be quite useful to help the person overcome the early “crash” that often occurs in individuals who have chronically abused Molly.
MDMA addicts in an inpatient treatment program should have access to a physician-assisted withdrawal management program that is monitored by an addiction medicine physician or addiction psychiatrist in addition to therapists and caseworkers.
In the initial stages of treatment, it is assumed that MDMA addicts should undergo a thorough assessment to identify any co-occurring psychological issues or physical conditions. These co-occurring conditions should also be treated along with the addict’s main substance use disorder.
The main component of any rehab program is substance use disorder therapy. This can be delivered in a number of ways as long as the approach adheres to empirically validated principles of substance use disorder treatment and is also tailored to meet the specific needs of the person in recovery.
Therapy should begin right when the individual enters recovery and continue after any withdrawal management treatment. (Ecstasy Addiction & Treatment)
Support group participation, such as participation in 12-Step groups or other social support groups, can be extremely beneficial. Support groups are not formal therapy even though individuals may believe that their participation in these groups is “therapeutic.” Social support group participation is compatible with all forms of substance use disorder therapy and enhances the effects of therapy.
Participation in therapy should continue long enough for the individual to achieve the full benefits of treatment. One of the strongest indicators for positive treatment outcomes for MDMA use disorder treatment is the length of time one remains in treatment. (Ecstasy Addiction & Treatment)