- Joined
- Jul 21, 2002
- Messages
- 12,053
In a larger sense....virtually everything perceived is "in ones head" (semantics, I know). But as I stated in another similar thread, long lasting neuropsychiatric disorders caused by MDMA are rare, and are generally the result of sign overdose or 'more' commonly, acute hypertensive crisis due to polydrug interactions (even so, relatively rare).
While unlikely to be a product of the drug itself, that particular evening of MDMA abuse and the very common transient depression that follows it abuse, could have been the beginning of a series of negative 'circumstances' (problems with girlfriends, scholastic stress, other situational/environmental factors or unfortunate occurrences). You are possibly associating these events as a product of that evening. I have never seen it happen, nor is there much documented, but it could be possible that the drug MAY have precipitated an underlying predisposed psychiatric disorder such as minor-major depression variant (in your case N.O.S), or mood/thought disorder. This would be quite rare and is possible but improbable.
You are obviously in some sort of distress, regardless of the cause. Ruminating on one improbable catalyst such as MDMA will only worsen the matter, even in the event it is somehow the unlikely origin. The question is what are going to do from here......Are you thinking of or have attempted suicide? Do you have significant anxiety? More importantly, do you have a family history of mental health issues (diagnosed or not)?
Understand, depression that is lasting, and not a product of an event or trauma (death of a loved-one, etc) can form slowly over time for unknown reasons.
Look, if you not fantasying about hanging yourself everyday or cannot get out bed, eat or sleep.....I would not recommend pharmacological intervention (anti-d's, etc). While my specialty is not psychiatry, I've had to play the role many times, and I do not prescribe anti-d's freely. I do write many a script for drugs like mirtazapine, but generally for off-label purposes and depressive disorders in which patients are 'wasting' from failure to eat-sleep.
Again, I am not saying you are not legitimately suffering. However, it is unlikely and ultimately pointless to blame MDMA as the root cause. What I don’t know......is if your suffering is undue or the one of many melancholies that we as humans are all, at one time or another, faced with. In the meantime, eat well, sleep well and exercise very frequently and religiously. Socialize as much as possible/typical for your personality, avoid drugs (including alcohol), and avoid serious committed relationships for time being. A serious relationship can be a much more powerful drug than MDMA, and is far more likely to precipitate an underlying depressive disorder. In fact, relationship can and do precipitate much more serious and debilitating disorders......minor depression can develop into a full blown major depression, which can in turn, take on elements of psychosis, even culminating in schizophrenia-spectrum disorder. This is severity is not very common, but it does happen with relative regularity......
While unlikely to be a product of the drug itself, that particular evening of MDMA abuse and the very common transient depression that follows it abuse, could have been the beginning of a series of negative 'circumstances' (problems with girlfriends, scholastic stress, other situational/environmental factors or unfortunate occurrences). You are possibly associating these events as a product of that evening. I have never seen it happen, nor is there much documented, but it could be possible that the drug MAY have precipitated an underlying predisposed psychiatric disorder such as minor-major depression variant (in your case N.O.S), or mood/thought disorder. This would be quite rare and is possible but improbable.
You are obviously in some sort of distress, regardless of the cause. Ruminating on one improbable catalyst such as MDMA will only worsen the matter, even in the event it is somehow the unlikely origin. The question is what are going to do from here......Are you thinking of or have attempted suicide? Do you have significant anxiety? More importantly, do you have a family history of mental health issues (diagnosed or not)?
Understand, depression that is lasting, and not a product of an event or trauma (death of a loved-one, etc) can form slowly over time for unknown reasons.
Look, if you not fantasying about hanging yourself everyday or cannot get out bed, eat or sleep.....I would not recommend pharmacological intervention (anti-d's, etc). While my specialty is not psychiatry, I've had to play the role many times, and I do not prescribe anti-d's freely. I do write many a script for drugs like mirtazapine, but generally for off-label purposes and depressive disorders in which patients are 'wasting' from failure to eat-sleep.
Again, I am not saying you are not legitimately suffering. However, it is unlikely and ultimately pointless to blame MDMA as the root cause. What I don’t know......is if your suffering is undue or the one of many melancholies that we as humans are all, at one time or another, faced with. In the meantime, eat well, sleep well and exercise very frequently and religiously. Socialize as much as possible/typical for your personality, avoid drugs (including alcohol), and avoid serious committed relationships for time being. A serious relationship can be a much more powerful drug than MDMA, and is far more likely to precipitate an underlying depressive disorder. In fact, relationship can and do precipitate much more serious and debilitating disorders......minor depression can develop into a full blown major depression, which can in turn, take on elements of psychosis, even culminating in schizophrenia-spectrum disorder. This is severity is not very common, but it does happen with relative regularity......
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