{"formatVersion":"1.1","id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/can-ecstasy-cause-depression","path":"/library/can-ecstasy-cause-depression","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/can-ecstasy-cause-depression","title":"The Link Between Ecstasy Use and Depression","family":"Library detail","description":"Discover how MDMA, commonly known as ecstasy, affects mood and may increase the risk of depression with continued use.","language":"en-US","access":{"audience":"custom-shared-preview","indexable":true},"provenance":{"sourceUrl":"https://www.mentalhealth.com/library/can-ecstasy-cause-depression","wordpressId":"4544","contentCompleteness":"complete","dateScope":"original-source"},"authors":[{"@type":"Person","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/jenni-jacobsen#person","name":"Jenni Jacobsen, Ph.D.","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/jenni-jacobsen"}],"reviewer":{"@type":"Person","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/jesse-hanson#person","name":"Jesse Hanson, Ph.D.","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/jesse-hanson"},"dates":{"datePublished":"2025-01-06T10:00:00Z","dateModified":"2026-05-13T15:13:06Z","lastReviewed":"2025-01-06"},"content":{"html":"<nav class=\"breadcrumbs\" aria-label=\"Breadcrumb\"><ol><li><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/\">Home</a></li><li><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library\">Library</a></li><li><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/substance-use-disorders\">Substance Use Disorders</a></li><li><span aria-current=\"page\">The Link Between Ecstasy Use and Depression</span></li></ol></nav><div class=\"article-page article-standard\" data-library-standard><div class=\"article-main-grid\"><header class=\"article-heading\"><h1>The Link Between Ecstasy Use and Depression</h1><p class=\"article-inline-credits\"><span>Written by <a class=\"article-credit-person\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/jenni-jacobsen\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/optimized/4f4e4293be2246dfe2e00d7c.jpg\" alt=\"\" width=\"22\" height=\"22\" loading=\"lazy\" decoding=\"async\">Jenni Jacobsen, Ph.D.</a></span><span>Medically reviewed by <a class=\"article-credit-person\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/jesse-hanson\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/optimized/73305651cb93afbdebb69a9a.jpg\" alt=\"\" width=\"22\" height=\"22\" loading=\"lazy\" decoding=\"async\">Jesse Hanson, Ph.D.</a></span></p><div class=\"article-dates\"><span>Published on <time datetime=\"2025-01-06T10:00:00Z\">January 6, 2025</time></span><span aria-hidden=\"true\"> · </span><span>Updated on <time datetime=\"2026-05-13T15:13:06Z\">May 13, 2026</time></span></div></header><div class=\"article-jumpbar\"></div><div class=\"article-layout\"><div class=\"article-reading\"><article class=\"prose\" id=\"article-content\"><div class=\"article-intro\" data-source-field=\"hero\"><p>The use of ecstasy or MDMA is relatively rare, but the drug has recently become more popular, as it has undergone testing for Post-traumatic stress disorder (PTSD) treatment <a href=\"#breakthrough-trauma-treatment-safety-efficacy-mdma-assisted-psychotherapy-compared\" aria-label=\"Reference 1\" class=\"article-inline-link article-citation\"><sup>[1]</sup></a>. However, there are some concerns about post-MDMA depression <a href=\"#relationship-between-ecstasy-use-depression-study-controlling-poly-drug\" aria-label=\"Reference 2\" class=\"article-inline-link article-citation\"><sup>[2]</sup></a>, which will be discussed below.</p></div><figure class=\"article-feature\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/optimized/be4f543e0654ec8a3a09f898.webp\" alt=\"A person sits with their hands resting together in their lap.\" width=\"1200\" height=\"674\" loading=\"eager\" decoding=\"async\"></figure><section class=\"article-takeaways\" aria-labelledby=\"key-takeaways\"><h2 id=\"key-takeaways\">Key takeaways</h2><ul><li>MDMA alters mood-related brain signaling and can produce temporary feelings of pleasure or closeness.</li><li>The comedown may involve low mood, while prolonged misuse has been associated with persistent mental health problems.</li><li>Research on supervised therapeutic use does not establish that recreational MDMA is a safe treatment for depression.</li></ul></section><span id=\"what-is-mdma-mdma-also-called-ecstasy-is-a-synthetic-drug-meaning-it-s-made-in-a-lab-experts-often-refer-to-it-as-a-psychedelic-drug-because-it-can-alter-perception-in-addition-to-this-effect-ecstasy-tends-to-elicit-feelings-of-warmth-and-love-after-taking-ecstasy-a-person-is-likely-to-feel-quite-happy-because-it-increases-levels-of-brain-chemicals-like-dopamine-and-serotonin-which-play-a-role-in-mood\" class=\"section-anchor-alias\" data-section-alias=\"what-is-mdma\" aria-hidden=\"true\"></span><h2 id=\"what-is-mdma\">What is MDMA?</h2><p>\nMDMA, also called ecstasy, is a synthetic drug, meaning it’s made in a lab. Experts often refer to it as a psychedelic drug because it can alter perception. In addition to this effect, ecstasy tends to elicit feelings of warmth and love. After taking ecstasy, a person is likely to feel quite happy because it increases levels of brain chemicals like dopamine and serotonin, which play a role in mood <a href=\"#mdma-ecstasy-molly\" aria-label=\"Reference 3\" class=\"article-inline-link article-citation\"><sup>[3]</sup></a>.\n</p><p>MDMA was originally known as a “club drug” because people tended to use it in nightclubs. Recently, there has been an interest in using ecstasy to treat conditions like PTSD, so its use has expanded beyond the party scene. Nonetheless, ecstasy still remains a controlled substance, and it doesn’t currently have approved medical uses <a href=\"#mdma-ecstasy-molly\" aria-label=\"Reference 3\" class=\"article-inline-link article-citation\"><sup>[3]</sup></a>.</p><p>\nOne concern related to ecstasy centers on its role in the serotonin system. Most of the effects of MDMA, such as feelings of warmth and happiness, are a result of serotonin, as this neurotransmitter plays a role in mood. When a person uses MDMA, there is more serotonin available, which can be pleasurable over the short term. However, over the long term, repeated ecstasy use can damage the serotonin system <a href=\"#neurological-cognitive-alterations-induced-mdma-humans\" aria-label=\"Reference 4\" class=\"article-inline-link article-citation\"><sup>[4]</sup></a>.\n</p><span id=\"the-link-between-mdma-use-and-depression-as-indicated-above-chronic-mdma-use-may-damage-the-serotonin-system-increasing-the-risk-of-depression\" class=\"section-anchor-alias\" data-section-alias=\"the-link-between-mdma-use-and-depression\" aria-hidden=\"true\"></span><h2 id=\"the-link-between-mdma-use-and-depression\">The Link Between MDMA Use and Depression</h2><p>\nAs indicated above, chronic MDMA use may damage the serotonin system, increasing the risk of depression <a href=\"#neurological-cognitive-alterations-induced-mdma-humans\" aria-label=\"Reference 4\" class=\"article-inline-link article-citation\"><sup>[4]</sup></a>. There are several specific mechanisms by which ecstasy can harm the serotonin system and lead to depression after MDMA misuse.\n</p><p>First, with chronic ecstasy use, the serotonin release following ecstasy use decreases. So, if a person uses MDMA to boost mood, these effects will weaken over time. Additionally, repeated MDMA use reduces levels of serotonin in general, which can also contribute to depression <a href=\"#methylenedioxymethamphetamine-mdma-serotonergic-dopaminergic-mechanisms-related-use-misu\" aria-label=\"Reference 5\" class=\"article-inline-link article-citation\"><sup>[5]</sup></a>.</p><p>Depression after ecstasy use can also occur because of the withdrawal or “come down” effects associated with this drug. After stopping ecstasy use, people are likely to experience sadness, sleep problems, and fatigue, all of which align with depression symptoms <a href=\"#effect-ecstasy-come-down-diagnosis-ecstasy-dependence\" aria-label=\"Reference 6\" class=\"article-inline-link article-citation\"><sup>[6]</sup></a>. In fact, after using ecstasy, around 80% of people experience some degree of rebound depression due to the serotonin depletion that occurs <a href=\"#human-psychopharmacology-ecstasy-mdma-review-15-years-empirical-research\" aria-label=\"Reference 7\" class=\"article-inline-link article-citation\"><sup>[7]</sup></a>. In simpler terms, the serotonin release during ecstasy use may result in euphoria, but the “crash” afterward is likely to lead to sadness and low energy.</p><p>\nUnfortunately, <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/sertraline-uses-dosage-side-effects\" class=\"article-inline-link\">the damage to the brain’s serotonin system can be permanent</a>, especially in heavy ecstasy users. When these individuals stop using ecstasy, they are likely to be left with the loss of serotonin in the brain, which can cause lasting problems related to mood, memory, and sleep <a href=\"#human-psychopharmacology-ecstasy-mdma-review-15-years-empirical-research\" aria-label=\"Reference 7\" class=\"article-inline-link article-citation\"><sup>[7]</sup></a>.\n</p><span id=\"short-term-and-long-term-mental-health-risks-of-mdma-use-people-may-experience-temporary-bouts-of-joy-and-pleasure-while-using-ecstasy-but-these-effects-usually-aren-t-long-lasting-in-fact-over-time\" class=\"section-anchor-alias\" data-section-alias=\"short-term-and-long-term-mental-health-risks-of-mdma-use\" aria-hidden=\"true\"></span><h2 id=\"short-term-and-long-term-mental-health-risks-of-mdma-use\">Short-term and Long-term Mental Health Risks of MDMA Use</h2><p>\nPeople may experience temporary bouts of joy and pleasure while using ecstasy, but these effects usually aren’t long-lasting. In fact, over time, <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/psychosis-symptoms-medical-condition\" class=\"article-inline-link\">MDMA use can lead to mental health problems</a>. Some of these problems are seen immediately after MDMA use, whereas others develop with prolonged misuse of the drug.\n</p><h3 id=\"short-term-mental-health-effects-of-mdma-the-short-term-mental-health-impacts-associated-with-mdma-are-generally-linked-to-the-come-down-effect-of-this-drug-after-a-period-of-ecstasy-intoxication-the-body-rids-itself-of-the-drug-leading-to-the-effects-associated-with-coming-down-from-the-high-since-ecstasy-has-some-stimulant-properties-its-withdrawal-side-effects-can-be-similar-to-those-seen-with-stimulants\"><strong>Short-term Mental Health Effects of MDMA</strong></h3><p>\nThe short-term mental health impacts associated with MDMA are generally linked to the “come down effect” of this drug. After a period of ecstasy intoxication, the body rids itself of the drug, leading to the effects associated with “coming down” from the high. Since ecstasy has some stimulant properties, its withdrawal side effects can be similar to those seen with stimulants <a href=\"#effect-ecstasy-come-down-diagnosis-ecstasy-dependence\" aria-label=\"Reference 6\" class=\"article-inline-link article-citation\"><sup>[6]</sup></a>.\n</p><p>Typical come down effects after MDMA use include feeling lethargic and moody, having a difficult time sleeping, and feeling paranoid. Irritability and depression are also common <a href=\"#effect-ecstasy-come-down-diagnosis-ecstasy-dependence\" aria-label=\"Reference 6\" class=\"article-inline-link article-citation\"><sup>[6]</sup></a>. These symptoms can make it difficult to function and carry out daily responsibilities, and they can lead to deteriorating mental health.</p><p>\nThe come down effects noted above are not the only negative consequences associated with MDMA use. In one study, a majority of MDMA users stated that they experienced low mood and concentration problems between episodes of using the drug <a href=\"#acute-sub-acute-long-term-subjective-consequences-ecstasy-mdma\" aria-label=\"Reference 8\" class=\"article-inline-link article-citation\"><sup>[8]</sup></a>. This suggests that when ecstasy users are not under the influence of the drug, they are likely to experience poor mental health until the next time they can use it.\n</p><h3 id=\"long-term-mental-health-effects-of-mdma-some-of-the-negative-mental-health-effects-of-ecstasy-are-linked-to-coming-off-the-drug-after-a-period-of-short-term-use-on-the-other-hand-there-are-some-long-term-consequences-that-may-persist-particularly-with-chronic-mdma-use-depression-is-one-such-consequence-that-has-received-attention\"><strong>Long-term Mental Health Effects of MDMA</strong></h3><p>\nSome of the negative mental health effects of ecstasy are linked to coming off the drug after a period of short-term use. On the other hand, there are some long-term consequences that may persist, particularly with chronic MDMA use. Depression is one such consequence that has received attention <a href=\"#relationship-between-ecstasy-use-depression-study-controlling-poly-drug\" aria-label=\"Reference 2\" class=\"article-inline-link article-citation\"><sup>[2]</sup></a>.\n</p><p>So, can MDMA cause depression? There is some evidence that it can, especially with long-term use. In a study of MDMA users, 37% stated that depression was a side effect of long-term use <a href=\"#acute-sub-acute-long-term-subjective-consequences-ecstasy-mdma\" aria-label=\"Reference 8\" class=\"article-inline-link article-citation\"><sup>[8]</sup></a>. Another study found that current and past MDMA users scored higher on a depression scale than people who had never used drugs. However, MDMA users experienced similar levels of depression when compared to users of other illicit drugs. Study authors concluded that MDMA depression likely results from physical side effects of the drug, such as sleep problems and weight loss <a href=\"#relationship-between-ecstasy-use-depression-study-controlling-poly-drug\" aria-label=\"Reference 2\" class=\"article-inline-link article-citation\"><sup>[2]</sup></a>.</p><p>Regardless of the specific cause of MDMA-related depression, some evidence suggests that long-term MDMA users seem to experience higher levels of depression than those who never use the drug. This is not surprising, given the fact that MDMA can damage serotonin neurons and, therefore, negatively impact mood <a href=\"#relationship-between-ecstasy-use-depression-study-controlling-poly-drug\" aria-label=\"Reference 2\" class=\"article-inline-link article-citation\"><sup>[2]</sup></a>.</p><p>Depression is not the only long-term mental health effect associated with MDMA. Among long-term MDMA users, 38% report that they struggle to concentrate <a href=\"#acute-sub-acute-long-term-subjective-consequences-ecstasy-mdma\" aria-label=\"Reference 8\" class=\"article-inline-link article-citation\"><sup>[8]</sup></a>. This can make it difficult to function in settings like school and work, where attention to tasks is necessary. MDMA use also leads to deficits in an area of the brain called the hippocampus, which plays a role in memory. As such, long-term ecstasy users may have problems with learning and memory <a href=\"#human-psychopharmacology-ecstasy-mdma-review-15-years-empirical-research\" aria-label=\"Reference 7\" class=\"article-inline-link article-citation\"><sup>[7]</sup></a>.</p><p>\nFinally, people who use ecstasy over the long term may develop an addiction to the drug, although this is very rare. When an addiction develops, a person will continue to use ecstasy despite dangers and other negative consequences. Some research suggests that people who <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/co-occurring-disorders\" class=\"article-inline-link\">become dependent on ecstasy are at risk of developing anxiety disorders</a>. They are also at high risk of cognitive problems with long-term MDMA use <a href=\"#mental-disorders-current-former-heavy-ecstasy-mdma-users\" aria-label=\"Reference 9\" class=\"article-inline-link article-citation\"><sup>[9]</sup></a>.\n</p><span id=\"how-to-prevent-mdma-related-depression-the-most-effective-way-to-prevent-mdma-induced-depression-is-to-avoid-using-this-drug-there-are-no-legally-accepted-medical-uses-for-mdma-if-used-to-self-medicate-depression-ecstasy-may-make-depression-symptoms-worse-over-the-long-term\" class=\"section-anchor-alias\" data-section-alias=\"how-to-prevent-mdma-related-depression\" aria-hidden=\"true\"></span><h2 id=\"how-to-prevent-mdma-related-depression\">How to Prevent MDMA-Related Depression</h2><p>\nThe most effective way to prevent MDMA-induced depression is to avoid using this drug. There are no legally-accepted medical uses for MDMA. If used to self-medicate depression, ecstasy may make depression symptoms worse over the long term <a href=\"#relationship-between-ecstasy-use-depression-study-controlling-poly-drug\" aria-label=\"Reference 2\" class=\"article-inline-link article-citation\"><sup>[2]</sup></a><a href=\"#acute-sub-acute-long-term-subjective-consequences-ecstasy-mdma\" aria-label=\"Reference 8\" class=\"article-inline-link article-citation\"><sup>[8]</sup></a><a href=\"#mental-disorders-current-former-heavy-ecstasy-mdma-users\" aria-label=\"Reference 9\" class=\"article-inline-link article-citation\"><sup>[9]</sup></a>. So, ecstasy should not be used at home to treat depression or other mental health problems.\n</p><p>Studies assessing the use of MDMA for treating mental health disorders are highly controlled and involve supervision from medical professionals <a href=\"#breakthrough-trauma-treatment-safety-efficacy-mdma-assisted-psychotherapy-compared\" aria-label=\"Reference 1\" class=\"article-inline-link article-citation\"><sup>[1]</sup></a>. The best course of action is to always reach out to a professional, such as a physician, psychologist, or clinical social worker, rather than attempting to self-medicate mental health symptoms.</p><p>\nThat being said, current and former MDMA users may be experiencing depression symptoms and seeking relief. If you’re using or have used MDMA, the strategies below can be beneficial for coping with post-MDMA depression:\n</p><ul>\n    <li><strong>Seek addiction treatment</strong>: If you’re experiencing depression as a result of MDMA use, but you’re unable to stop using the drug, you may be struggling with addiction. In this case, it can be beneficial to seek addiction treatment. Individual and group therapy can help you develop coping skills and learn to manage stressors without turning to MDMA use.</li>\n    <li><strong>Participate in professional depression treatment:</strong> You may experience chronic depression with long-term MDMA use, but treatment is available. Reach out to a mental health professional who can provide counseling to help you cope with symptoms of depression. A doctor can also prescribe anti-depressant medications, which can be helpful, even for cases of MDMA depression <a href=\"#chronic-fluoxetine-treatment-partly-attenuates-long-term-anxiety-depressive\" aria-label=\"Reference 10\" class=\"article-inline-link article-citation\"><sup>[10]</sup></a>.</li>\n    <li><strong>Practice healthy lifestyle habits:</strong> The “come down” period after ecstasy use can cause depression symptoms and lethargy <a href=\"#effect-ecstasy-come-down-diagnosis-ecstasy-dependence\" aria-label=\"Reference 6\" class=\"article-inline-link article-citation\"><sup>[6]</sup></a>. It’s important to be kind to yourself during this time and prioritize self-care. Establish a regular sleep schedule with a calming bedtime routine to ensure you get plenty of rest. You may not be feeling particularly motivated if you’re experiencing depression, but taking time to get some exercise and prepare nutritious foods can boost your mood. It’s also healthy and beneficial to talk to supportive people about how you’re feeling <a href=\"#depression\" aria-label=\"Reference 11\" class=\"article-inline-link article-citation\"><sup>[11]</sup></a>.</li>\n</ul><p>\nIf you’re experiencing depression after MDMA, you’re not alone. Professional treatment is available, and there’s no shame in reaching out for help. Contact a local mental health agency to obtain information about treatment or community resources, or talk to a trusted friend or family member if you need support in seeking assistance.</p></article><div class=\"article-endmatter\"><section class=\"article-sources\" id=\"references\" data-source-references=\"\" data-reference-list=\"\" data-reference-style=\"author-date-numbered\"><h2 id=\"references-2\">References</h2><ol>\n    <li id=\"breakthrough-trauma-treatment-safety-efficacy-mdma-assisted-psychotherapy-compared\" data-reference-number=\"1\">Feduccia, A. 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Available at: <a href=\"https://onlinelibrary.wiley.com/doi/10.1002/hup.529?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-can-ecstasy-cause-depression&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Wiley</a></li>\n    <li id=\"mental-disorders-current-former-heavy-ecstasy-mdma-users\" data-reference-number=\"9\">Thomasius, R., Petersen, K. U., Zapletalova, P., Wartberg, L., Zeichner, D., &amp; Schmoldt, A. (2005). Mental disorders in current and former heavy ecstasy (MDMA) users. <em>Addiction</em>, <em>100</em>, 1310-1319. Available at: <a href=\"https://onlinelibrary.wiley.com/doi/10.1111/j.1360-0443.2005.01180.x?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-can-ecstasy-cause-depression&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Wiley</a></li>\n    <li id=\"chronic-fluoxetine-treatment-partly-attenuates-long-term-anxiety-depressive\" data-reference-number=\"10\">Thompson, M., Li, K., Clemens, K., et al. (2004). Chronic fluoxetine treatment partly attenuates the long-term anxiety and depressive symptoms induced by MDMA ('ecstasy') in rats. <em>Neuropsychopharmacology</em>, <em>29</em>, 694–704. Available at: <a href=\"https://www.nature.com/articles/1300347?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-can-ecstasy-cause-depression&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Nature</a></li>\n    <li id=\"depression\" data-reference-number=\"11\">National Institute of Mental Health. (2024). Depression. Available at: <a href=\"https://www.nimh.nih.gov/health/topics/depression?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-can-ecstasy-cause-depression&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">National Institute of Mental Health</a></li>\n</ol></section><section class=\"article-medical article-panel\"><h2 id=\"medical-content\">Medical Content</h2><p><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/clinical-affairs\">The Clinical Affairs Team</a> at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/publishing/editorial-policy\">Editorial Policy</a>.</p></section><section class=\"article-about article-panel\"><h2 id=\"about-mentalhealth-com\">About MentalHealth.com</h2><p>MentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life.</p><div class=\"article-contributors\"><section class=\"article-bio\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/optimized/4f4e4293be2246dfe2e00d7c.jpg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\" decoding=\"async\"><div><p class=\"article-bio-role\">Author</p><h3 id=\"jenni-jacobsen-ph-d\"><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/jenni-jacobsen\">Jenni Jacobsen, Ph.D.</a></h3><p class=\"article-bio-credentials\">Ph.D., LSW, MSW</p><p>Jenni Jacobsen, Ph.D. is a licensed social worker, behavioral health consultant and medical reviewer. She holds a Ph.D. in clinical psychology.</p><dl><div><dt>Published</dt><dd><time datetime=\"2025-01-06T10:00:00Z\">January 6, 2025</time></dd></div><div><dt>Updated</dt><dd><time datetime=\"2026-05-13T15:13:06Z\">May 13, 2026</time></dd></div></dl></div></section><section class=\"article-bio\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/optimized/73305651cb93afbdebb69a9a.jpg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\" decoding=\"async\"><div><p class=\"article-bio-role\">Medical Reviewer</p><h3 id=\"jesse-hanson-ph-d\"><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/jesse-hanson\">Jesse Hanson, Ph.D.</a></h3><p class=\"article-bio-credentials\">Clinical Affairs Director</p><p>Jesse Hanson, Ph.D., is a somatic psychologist with more than 20 years of experience in clinical psychology and neuropsychology.</p><dl><div><dt>Reviewed</dt><dd><time datetime=\"2025-01-06\">January 6, 2025</time></dd></div></dl></div></section></div></section><section class=\"article-expert article-expert-mobile\" aria-label=\"Subject matter expert\" data-expert-kind=\"related\"><p class=\"article-bio-role\">Subject matter expert</p><div class=\"article-expert-identity\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/optimized/5ffe249a46895c9a14f6074b.jpg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\" decoding=\"async\"><h2><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/simone-hoermann\">Simone Hoermann <span class=\"expert-credentials\">Ph.D.</span></a></h2></div><p class=\"article-expert-focus\">Personality disorders, anxiety, and depression</p><a class=\"profile-experience-link experience-button\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/simone-hoermann\">View experience</a></section><section class=\"article-topic-community article-topic-community-mobile\" aria-label=\"Related communities\"><img class=\"topic-community-banner\" src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/optimized/91211a50ddeaa7fa8b3e0af9.webp\" alt=\"\" width=\"48\" height=\"48\" loading=\"lazy\" decoding=\"async\"><p class=\"topic-community-label\">Related communities</p><h2>Depression</h2><p>A place for understanding depression and sharing perspectives on its impact on daily life.</p><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/community/depression\">Explore community</a></section></div></div><aside class=\"article-sidebar\" tabindex=\"0\" data-bounded-rail=\"\" aria-label=\"Article navigation and related information\"><details class=\"article-contents\" open data-section-preview=\"3\" data-expanded=\"false\" data-scrolled-past=\"false\"><summary><strong>Table of contents</strong><span aria-hidden=\"true\"></span><small data-current-section=\"\">Choose a section</small></summary><nav aria-label=\"Article contents\"><ol id=\"article-section-list\"><li><a href=\"#what-is-mdma\" title=\"What is MDMA?\" aria-label=\"What is MDMA?\">What is MDMA?</a></li><li><a href=\"#the-link-between-mdma-use-and-depression\" title=\"The Link Between MDMA Use and Depression\" aria-label=\"The Link Between MDMA Use and Depression\">The Link Between MDMA Use and Depression</a></li><li><a href=\"#short-term-and-long-term-mental-health-risks-of-mdma-use\" title=\"Short-term and Long-term Mental Health Risks of MDMA Use\" aria-label=\"Short-term and Long-term Mental Health Risks of MDMA Use\">Short-term and Long-term Mental Health Risks of MDMA Use</a></li><li><a href=\"#how-to-prevent-mdma-related-depression\" title=\"How to Prevent MDMA-Related Depression\" aria-label=\"How to Prevent MDMA-Related Depression\">How to Prevent MDMA-Related Depression</a></li></ol><button type=\"button\" class=\"article-sections-toggle\" data-sections-toggle aria-controls=\"article-section-list\" aria-expanded=\"false\">View more</button></nav></details><section class=\"article-expert\" aria-label=\"Subject matter expert\" data-expert-kind=\"related\"><p class=\"article-bio-role\">Subject matter expert</p><div class=\"article-expert-identity\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/optimized/5ffe249a46895c9a14f6074b.jpg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\" decoding=\"async\"><h2><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/simone-hoermann\">Simone Hoermann <span class=\"expert-credentials\">Ph.D.</span></a></h2></div><p class=\"article-expert-focus\">Personality disorders, anxiety, and depression</p><a class=\"profile-experience-link experience-button\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/simone-hoermann\">View experience</a></section><section class=\"article-topic-community\" aria-label=\"Related communities\"><img class=\"topic-community-banner\" src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/optimized/91211a50ddeaa7fa8b3e0af9.webp\" alt=\"\" width=\"48\" height=\"48\" loading=\"lazy\" decoding=\"async\"><p class=\"topic-community-label\">Related communities</p><h2>Depression</h2><p>A place for understanding depression and sharing perspectives on its impact on daily life.</p><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/community/depression\">Explore community</a></section></aside></div></div></div>","text":"HomeLibrarySubstance Use DisordersThe Link Between Ecstasy Use and DepressionThe Link Between Ecstasy Use and DepressionWritten by Jenni Jacobsen, Ph.D.Medically reviewed by Jesse Hanson, Ph.D.Published on January 6, 2025 · Updated on May 13, 2026The use of ecstasy or MDMA is relatively rare, but the drug has recently become more popular, as it has undergone testing for Post-traumatic stress disorder (PTSD) treatment [1]. However, there are some concerns about post-MDMA depression [2], which will be discussed below.Key takeawaysMDMA alters mood-related brain signaling and can produce temporary feelings of pleasure or closeness.The comedown may involve low mood, while prolonged misuse has been associated with persistent mental health problems.Research on supervised therapeutic use does not establish that recreational MDMA is a safe treatment for depression.What is MDMA? MDMA, also called ecstasy, is a synthetic drug, meaning it’s made in a lab. Experts often refer to it as a psychedelic drug because it can alter perception. In addition to this effect, ecstasy tends to elicit feelings of warmth and love. After taking ecstasy, a person is likely to feel quite happy because it increases levels of brain chemicals like dopamine and serotonin, which play a role in mood [3]. MDMA was originally known as a “club drug” because people tended to use it in nightclubs. Recently, there has been an interest in using ecstasy to treat conditions like PTSD, so its use has expanded beyond the party scene. Nonetheless, ecstasy still remains a controlled substance, and it doesn’t currently have approved medical uses [3]. One concern related to ecstasy centers on its role in the serotonin system. Most of the effects of MDMA, such as feelings of warmth and happiness, are a result of serotonin, as this neurotransmitter plays a role in mood. When a person uses MDMA, there is more serotonin available, which can be pleasurable over the short term. However, over the long term, repeated ecstasy use can damage the serotonin system [4]. The Link Between MDMA Use and Depression As indicated above, chronic MDMA use may damage the serotonin system, increasing the risk of depression [4]. There are several specific mechanisms by which ecstasy can harm the serotonin system and lead to depression after MDMA misuse. First, with chronic ecstasy use, the serotonin release following ecstasy use decreases. So, if a person uses MDMA to boost mood, these effects will weaken over time. Additionally, repeated MDMA use reduces levels of serotonin in general, which can also contribute to depression [5].Depression after ecstasy use can also occur because of the withdrawal or “come down” effects associated with this drug. After stopping ecstasy use, people are likely to experience sadness, sleep problems, and fatigue, all of which align with depression symptoms [6]. In fact, after using ecstasy, around 80% of people experience some degree of rebound depression due to the serotonin depletion that occurs [7]. In simpler terms, the serotonin release during ecstasy use may result in euphoria, but the “crash” afterward is likely to lead to sadness and low energy. Unfortunately, the damage to the brain’s serotonin system can be permanent, especially in heavy ecstasy users. When these individuals stop using ecstasy, they are likely to be left with the loss of serotonin in the brain, which can cause lasting problems related to mood, memory, and sleep [7]. Short-term and Long-term Mental Health Risks of MDMA Use People may experience temporary bouts of joy and pleasure while using ecstasy, but these effects usually aren’t long-lasting. In fact, over time, MDMA use can lead to mental health problems. Some of these problems are seen immediately after MDMA use, whereas others develop with prolonged misuse of the drug. Short-term Mental Health Effects of MDMA The short-term mental health impacts associated with MDMA are generally linked to the “come down effect” of this drug. After a period of ecstasy intoxication, the body rids itself of the drug, leading to the effects associated with “coming down” from the high. Since ecstasy has some stimulant properties, its withdrawal side effects can be similar to those seen with stimulants [6]. Typical come down effects after MDMA use include feeling lethargic and moody, having a difficult time sleeping, and feeling paranoid. Irritability and depression are also common [6]. These symptoms can make it difficult to function and carry out daily responsibilities, and they can lead to deteriorating mental health. The come down effects noted above are not the only negative consequences associated with MDMA use. In one study, a majority of MDMA users stated that they experienced low mood and concentration problems between episodes of using the drug [8]. This suggests that when ecstasy users are not under the influence of the drug, they are likely to experience poor mental health until the next time they can use it. Long-term Mental Health Effects of MDMA Some of the negative mental health effects of ecstasy are linked to coming off the drug after a period of short-term use. On the other hand, there are some long-term consequences that may persist, particularly with chronic MDMA use. Depression is one such consequence that has received attention [2]. So, can MDMA cause depression? There is some evidence that it can, especially with long-term use. In a study of MDMA users, 37% stated that depression was a side effect of long-term use [8]. Another study found that current and past MDMA users scored higher on a depression scale than people who had never used drugs. However, MDMA users experienced similar levels of depression when compared to users of other illicit drugs. Study authors concluded that MDMA depression likely results from physical side effects of the drug, such as sleep problems and weight loss [2].Regardless of the specific cause of MDMA-related depression, some evidence suggests that long-term MDMA users seem to experience higher levels of depression than those who never use the drug. This is not surprising, given the fact that MDMA can damage serotonin neurons and, therefore, negatively impact mood [2].Depression is not the only long-term mental health effect associated with MDMA. Among long-term MDMA users, 38% report that they struggle to concentrate [8]. This can make it difficult to function in settings like school and work, where attention to tasks is necessary. MDMA use also leads to deficits in an area of the brain called the hippocampus, which plays a role in memory. As such, long-term ecstasy users may have problems with learning and memory [7]. Finally, people who use ecstasy over the long term may develop an addiction to the drug, although this is very rare. When an addiction develops, a person will continue to use ecstasy despite dangers and other negative consequences. Some research suggests that people who become dependent on ecstasy are at risk of developing anxiety disorders. They are also at high risk of cognitive problems with long-term MDMA use [9]. How to Prevent MDMA-Related Depression The most effective way to prevent MDMA-induced depression is to avoid using this drug. There are no legally-accepted medical uses for MDMA. If used to self-medicate depression, ecstasy may make depression symptoms worse over the long term [2][8][9]. So, ecstasy should not be used at home to treat depression or other mental health problems. Studies assessing the use of MDMA for treating mental health disorders are highly controlled and involve supervision from medical professionals [1]. The best course of action is to always reach out to a professional, such as a physician, psychologist, or clinical social worker, rather than attempting to self-medicate mental health symptoms. That being said, current and former MDMA users may be experiencing depression symptoms and seeking relief. If you’re using or have used MDMA, the strategies below can be beneficial for coping with post-MDMA depression: Seek addiction treatment: If you’re experiencing depression as a result of MDMA use, but you’re unable to stop using the drug, you may be struggling with addiction. In this case, it can be beneficial to seek addiction treatment. Individual and group therapy can help you develop coping skills and learn to manage stressors without turning to MDMA use. Participate in professional depression treatment: You may experience chronic depression with long-term MDMA use, but treatment is available. Reach out to a mental health professional who can provide counseling to help you cope with symptoms of depression. A doctor can also prescribe anti-depressant medications, which can be helpful, even for cases of MDMA depression [10]. Practice healthy lifestyle habits: The “come down” period after ecstasy use can cause depression symptoms and lethargy [6]. It’s important to be kind to yourself during this time and prioritize self-care. Establish a regular sleep schedule with a calming bedtime routine to ensure you get plenty of rest. You may not be feeling particularly motivated if you’re experiencing depression, but taking time to get some exercise and prepare nutritious foods can boost your mood. It’s also healthy and beneficial to talk to supportive people about how you’re feeling [11]. If you’re experiencing depression after MDMA, you’re not alone. Professional treatment is available, and there’s no shame in reaching out for help. Contact a local mental health agency to obtain information about treatment or community resources, or talk to a trusted friend or family member if you need support in seeking assistance.References Feduccia, A. A., Jerome, L., Yazar-Klosinski, B., Emerson, A., Mitheofer, M. C., & Doblin, R. (2019). Breakthrough for trauma treatment: Safety and efficacy of MDMA-assisted psychotherapy compared to paroxetine and sertraline. Frontiers in Psychiatry, 12(10), 650. Available at: Frontiers Roiser, J. P., & Sahakian, B. J. (2004). Relationship between ecstasy use and depression: A study controlling for poly-drug use. Psychopharmacology, 173(3-4), 411–417. Available at: Springer National Institute on Drug Abuse. (2024). MDMA (ecstasy/molly). Available at: National Institute on Drug Abuse Montgomery, C., & Roberts, C. A. (2022). Neurological and cognitive alterations induced by MDMA in humans. Experimental Neurology, 347, 113888. Available at: ScienceDirect Schenk, S., & Highgate, Q. (2021). Methylenedioxymethamphetamine (MDMA): Serotonergic and dopaminergic mechanisms related to its use and misuse. Journal of Neurochemistry, 157, 1714–1724. Available at: Wiley McKetin, R., Copeland, J., Norberg, M. M., Bruno, R., Hides, L., & Khawar, L. (2014). The effect of the ecstasy 'come-down' on the diagnosis of ecstasy dependence. Drug and Alcohol Dependence, 139, 26-32. Available at: ScienceDirect Parrott, A. C. (2001). Human psychopharmacology of Ecstasy (MDMA): A review of 15 years of empirical research. Human Psychopharmacology: Clinical & Experimental, 16(8), 557-577. Available at: Wiley Verheyden, S. L., Henry, J. A., & Curran, H. V. (2003). Acute, sub-acute and long-term subjective consequences of 'ecstasy' (MDMA) consumption in 430 regular users. Human Psychopharmacology: Clinical & Experimental, 18(7), 507-517. Available at: Wiley Thomasius, R., Petersen, K. U., Zapletalova, P., Wartberg, L., Zeichner, D., & Schmoldt, A. (2005). Mental disorders in current and former heavy ecstasy (MDMA) users. Addiction, 100, 1310-1319. Available at: Wiley Thompson, M., Li, K., Clemens, K., et al. (2004). Chronic fluoxetine treatment partly attenuates the long-term anxiety and depressive symptoms induced by MDMA ('ecstasy') in rats. Neuropsychopharmacology, 29, 694–704. Available at: Nature National Institute of Mental Health. (2024). Depression. Available at: National Institute of Mental Health Medical ContentThe Clinical Affairs Team at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the Editorial Policy.About MentalHealth.comMentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life.AuthorJenni Jacobsen, Ph.D.Ph.D., LSW, MSWJenni Jacobsen, Ph.D. is a licensed social worker, behavioral health consultant and medical reviewer. She holds a Ph.D. in clinical psychology.PublishedJanuary 6, 2025UpdatedMay 13, 2026Medical ReviewerJesse Hanson, Ph.D.Clinical Affairs DirectorJesse Hanson, Ph.D., is a somatic psychologist with more than 20 years of experience in clinical psychology and neuropsychology.ReviewedJanuary 6, 2025Subject matter expertSimone Hoermann Ph.D.Personality disorders, anxiety, and depressionView experienceRelated communitiesDepressionA place for understanding depression and sharing perspectives on its impact on daily life.Explore communityTable of contentsChoose a sectionWhat is MDMA?The Link Between MDMA Use and DepressionShort-term and Long-term Mental Health Risks of MDMA UseHow to Prevent MDMA-Related DepressionView moreSubject matter expertSimone Hoermann Ph.D.Personality disorders, anxiety, and depressionView experienceRelated communitiesDepressionA place for understanding depression and sharing perspectives on its impact on daily life.Explore community","wordCount":2051},"schema":{"@context":"https://schema.org","@graph":[{"@type":"Organization","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/#organization","name":"MentalHealth.com","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/"},{"@type":"WebSite","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/#website","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/","name":"MentalHealth.com","inLanguage":"en-US","publisher":{"@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/#organization"}},{"@type":"BreadcrumbList","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/can-ecstasy-cause-depression#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://mentalhealth-v2.workspace-454808.chatgpt.site/"},{"@type":"ListItem","position":2,"name":"Library","item":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library"},{"@type":"ListItem","position":3,"name":"Substance Use Disorders","item":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/substance-use-disorders"},{"@type":"ListItem","position":4,"name":"The Link Between Ecstasy Use and Depression","item":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/can-ecstasy-cause-depression"}]},{"@type":"ImageObject","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/can-ecstasy-cause-depression#primaryimage","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/optimized/be4f543e0654ec8a3a09f898.webp","contentUrl":"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/optimized/be4f543e0654ec8a3a09f898.webp","width":1200,"height":674,"encodingFormat":"image/webp","caption":"A person sits with their hands resting together in their lap."},{"@type":"Person","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/jenni-jacobsen#person","name":"Jenni Jacobsen, Ph.D.","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/jenni-jacobsen","jobTitle":"Ph.D., LSW, MSW","image":"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/optimized/4f4e4293be2246dfe2e00d7c.jpg"},{"@type":"Person","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/jesse-hanson#person","name":"Jesse Hanson, Ph.D.","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/jesse-hanson","jobTitle":"Clinical Affairs Director","image":"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/optimized/73305651cb93afbdebb69a9a.jpg","sameAs":["https://www.linkedin.com/in/jesse-hanson-phd-7215216/"]},{"@type":"Article","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/can-ecstasy-cause-depression#article","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/can-ecstasy-cause-depression","headline":"The Link Between Ecstasy Use and Depression","description":"Discover how MDMA, commonly known as ecstasy, affects mood and may increase the risk of depression with continued use.","wordCount":1505,"mainEntityOfPage":{"@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/can-ecstasy-cause-depression#webpage"},"publisher":{"@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/#organization"},"articleSection":"Library","citation":[{"@type":"CreativeWork","name":"Feduccia, A. 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MDMA?"},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/can-ecstasy-cause-depression#the-link-between-mdma-use-and-depression","label":"The Link Between MDMA Use and Depression"},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/can-ecstasy-cause-depression#short-term-and-long-term-mental-health-risks-of-mdma-use","label":"Short-term and Long-term Mental Health Risks of MDMA Use"},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/can-ecstasy-cause-depression#how-to-prevent-mdma-related-depression","label":"How to Prevent MDMA-Related Depression"},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/simone-hoermann","label":"Simone Hoermann Ph.D."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/simone-hoermann","label":"View experience"},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/community/depression","label":"Explore community"}],"seo":{"title":"The Link Between Ecstasy Use and Depression | MentalHealth.com","description":"Discover how MDMA, commonly known as ecstasy, affects mood and may increase the risk of depression with continued use.","canonical":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/can-ecstasy-cause-depression","robots":"index,follow","socialImage":{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/optimized/ec9b0cb47c0207d45e88634d.png","width":1200,"height":630,"alt":"MentalHealth.com — Library","type":"image/png","sitemapGroup":"library"}},"breadcrumbs":[{"name":"Home","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/"},{"name":"Library","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library"},{"name":"Substance Use Disorders","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/substance-use-disorders"},{"name":"The Link Between Ecstasy Use and Depression","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/can-ecstasy-cause-depression"}],"subjectMatterExpert":{"name":"Simone Hoermann, Ph.D.","url":"/people/simone-hoermann","profileId":"6419","topic":"mood","focus":"Personality disorders, anxiety, and depression","selectionBasis":"Documented expertise in the existing published profile","reviewAttribution":false},"keyTakeaways":["MDMA alters mood-related brain signaling and can produce temporary feelings of pleasure or closeness.","The comedown may involve low mood, while prolonged misuse has been associated with persistent mental health problems.","Research on supervised therapeutic use does not establish that recreational MDMA is a safe treatment for depression."],"introduction":{"html":"The use of ecstasy or MDMA is relatively rare, but the drug has recently become more popular, as it has undergone testing for PTSD treatment <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/can-ecstasy-cause-depression#breakthrough-trauma-treatment-safety-efficacy-mdma-assisted-psychotherapy-compared\"><sup>[1]</sup></a>. However, there are some concerns about post-MDMA depression <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/can-ecstasy-cause-depression#relationship-between-ecstasy-use-depression-study-controlling-poly-drug\"><sup>[2]</sup></a>, which will be discussed below.","text":"The use of ecstasy or MDMA is relatively rare, but the drug has recently become more popular, as it has undergone testing for PTSD treatment [1]. However, there are some concerns about post-MDMA depression [2], which will be discussed below.","sourceField":"hero"},"navigation":[{"label":"What is MDMA?","href":"#what-is-mdma","heading":"What is MDMA?"},{"label":"The Link Between MDMA Use and Depression","href":"#the-link-between-mdma-use-and-depression","heading":"The Link Between MDMA Use and Depression"},{"label":"Short-term and Long-term Mental Health Risks of MDMA Use","href":"#short-term-and-long-term-mental-health-risks-of-mdma-use","heading":"Short-term and Long-term Mental Health Risks of MDMA Use"},{"label":"How to Prevent MDMA-Related Depression","href":"#how-to-prevent-mdma-related-depression","heading":"How to Prevent MDMA-Related Depression"}],"relatedCommunity":{"community":"/community/depression","basis":"topic match"},"referencePresentation":"Numbered author–date bibliography with linked source documents; n.d. denotes unavailable publication date.","collections":[]}
