MAPS Study Initiated Exploring MDMA-Assisted Therapy for Social Anxiety in Autistic Adults

MAPSbryce

Bluelighter
Joined
May 29, 2013
Messages
26
Download the press release or view it on a webpage.

Seeking new therapies for the treatment of social anxiety in autistic adults, researchers at the Los Angeles Biomedical Research Institute (LA BioMed) announced today that they are initiating a novel study into the safety and effectiveness of MDMA-assisted therapy.

The study is the latest in an expanding program of research into the therapeutic use of MDMA by the nonprofit Multidisciplinary Association for Psychedelic Studies (MAPS). The research seeks to examine effective treatments for adults on the autism spectrum, who often face social adaptability challenges and greater anxiety, depression, and victimization than typically developing adults.

Conventional prescription medication that may help other adults is often ineffective in autistic adults. Moreover, difficulties in establishing a rapport with a therapist can interfere with conventional psychotherapy.

“We know we need new supportive treatments, and we have anecdotal evidence that autistic adults who had experimented with MDMA experienced a reduction in anxiety and an increased confidence in their abilities to interact socially,” said Charles Grob, MD, LA BioMed’s lead researcher for the study. “We also have been impressed with the results of other MAPS-sponsored MDMA-assisted psychotherapy research, which has demonstrated clinical improvement in patients with chronic posttraumatic stress disorder (PTSD). With our current study, we will administer MDMA in a carefully controlled environment to establish the safety and efficacy of MDMA-assisted therapy in a small sample of autistic adults with social anxiety.”

MDMA (3,4-methylenedioxymethamphetamine) is a synthetic compound first developed by the Merck pharmaceutical company in 1912. Therapists began to explore MDMA’s use in therapeutic settings in the 1970s, including to reduce moderate depression and anxiety among their adult patients.

Legal therapeutic use came to a halt in 1985 when MDMA was criminalized as a result of widespread recreational use. Illegally manufactured “Ecstasy” or “Molly” is usually adulterated and often contains no MDMA.

Alicia Danforth, PhD, an LA BioMed researcher for the study, has previously conducted interviews with numerous adults on the autism spectrum who have taken MDMA recreationally and reported a reduction in social anxiety. She reported that 72% of the more than 100 autistic adults she surveyed reported feeling “more comfort in social settings” as a result of using MDMA recreationally and 77% found it “easier than usual to talk with others.” In some cases, she said, these effects lasted a year or more. But she pointed out that the recreational drugs identified as MDMA, or “Ecstasy,” may not necessarily contain MDMA.

“This new study will give us a chance to determine the actual effects of differing dosages of medication that we know for certain is pure MDMA on adults on the autism spectrum,” she said. “If the results of this research warrant further investigation, data from this study will be used to design additional clinical trials.”

The randomized, double-blind and placebo-controlled pilot study will assess the safety and feasibility of MDMA-assisted therapy to treat social anxiety in 12 autistic adults who have not previously taken MDMA.
MDMA-assisted therapy combines therapeutic techniques with the administration of MDMA, which may enhance or amplify aspects of therapy. The treatment model will focus on developing a therapeutic relationship with the research volunteers within a supportive environment in which they can learn and practice social skills.

“We know from other research findings that MDMA can reduce activity in the portion of the brain that communicates the fear that can lead to social anxiety,” said Dr. Grob. “Other studies also found MDMA can increase oxytocin, a neuropeptide associated with bonding and social affiliation in humans, which could also be beneficial to adults on the autism spectrum.”

The study will also measure the level of oxytocin in the blood to help determine whether MDMA increases the secretion of oxytocin and what role, if any, this increased secretion of oxytocin may play in improving therapeutic outcomes.

The study is being conducted in collaboration with researchers at Stanford University. It has approval from the U.S. Drug Enforcement Administration and the U.S. Food and Drug Administration, in addition to LA BioMed’s Institutional Review Board, and will be funded by donations from MAPS.

To learn more or download the study protocol, visit mdma-autism.org.
 
Interesting stuff, though I must admit I'm a bit more skeptical here than I am with the MDMA-PTSD research. With the drug assisted exposure therapy there's a pretty clear MOA which I don't see here (yet anyway). Also autism spectrum disorders are so poorly understood & not uncommonly over diagnosed which will make this research even more difficult. Godspeed to Grob & Danforth though!
 
Given that MDMA is anxiolytic and empathogenic, it definitely makes sense to me. I could see this working wonders for people with Asperger's or other high-functioning autism-spectrum issues. I've had some spectrum friends in the past that said social interaction can be mildly to extremely traumatic (especially at younger ages before they've had years to learn all the nuance of social behavior), so even thinking along the PTSD line it makes sense; I can only imagine that the repeated, daily stress of interaction where someone is on edge with literally every word and physical movement places a pretty extreme psychological burden. What will be interesting to see is if the results in terms of reducing anxiety and improving empathy are the same with people on the spectrum as with those who are not. It could shed some light on whether autism represents a collection of discrete difficulties in certain pathways that mediate behavior or a more global issue that can't be solved in the same way as in more neurotypical brains. Mostly I'm just really excited to see more and more research in this vein. :)
 
Differences between neurotypicals & autism spectrum will be interesting to see. However I feel we may see results similar to stimulant therapy for AD(H)D. I mean, yeah it helps these people focus, but low doses of speed help everyone focus, regardless of diagnosis.

& my opinion is it's almost certainly a global issue. Precious few proceses, especially involving such complex things as social interaction, aren't global. Just recently there have been some studies linking a gene associated with schz spectrum disorders & some developmental disabilities with autism. & the etiology of schz & bipolar has already started to merge as our understanding of genetics has advanced. Basically what I'm getting at is that it's nearly impossible for just one thing to go wrong with regards to brains& genes.

Don't get me wrong, I'm sure MDMA or an assisted psychotherapy protocol could well provide ASD folks some temporary relief, but that is just adding another symptom management tool to a field that has an excess of those. Not to say we shouldn't look for better ones, but this seems a large risk for a proportionally small gain.
 
This is a really exciting avenue of research, but the question will be whether people 'on the spectrum' will be able to carry forward what they learn (from the experience itself and material unearthed in therapy). Otherwise, tri-monoaminergic release is one of the least sustainable neural states for frequent use.
...
As a datum, I tend to score firmly within the Aspergers range on the well-validated Baron-Cohen inventory (found here: http://archive.wired.com/wired/archive/9.12/aqtest.html). For me, entactogens are magical, in that they give me this 'secret power' where I can infer what people feel empathetically on the basis of just facial expression and body language. Normally, I don't really know how people feel unless I ask them (and them me...I'm told I have a rather opaque face). But this isn't really something I've been able to take back with me.

ebola
 
There will undoubtedly be some degree of improvement seen. However, just what degree of effort, duration, and need for continuation/reinforcement within all this that is involved as to the degree of sustainable benefit will be interesting. There are likely superior and more sustainable therapies overall, or within such an approach adjunct psychopharmacology may be of aid. It will be interesting if there is any dysregulation that is being intrinsically corrected here on any 'deep' level.

As ebola so noted within his personal experience, those within the spectrum may only retain the ability for enhanced recognition of social expressions and cues while within use of substances that markedly enhance such. Within that, agents that can do so with a high therapeutic index for continual administration may be necessary for a more sustainable and superior approach. This and such related modalities comprise an area of research that may be of greater practical benefit. Obviously both modalities could in theory be combined, as well as within this spectrum there are some pathways that have showed great benefit for improvement that are unfortunately still not commonly or at all exploited.

Obviously therapeutic agents that allow for greater openness, ease of communication, et al. will foster an improved overall therapy, which has been known for decades. Indeed it will be interesting to see just what is derived within this paradigm.
 
The problem is autistic people may be more sensitive to the neurotoxicity.

Interesting stuff though.
 
Im an enrolled subject, and so far, all is well. Already had treatment sessions. Have a follow-up appointment today, actually.

The neurotoxicity point was a good mention. Not sure if I am more susceptible to it or not. I do not "feel" so, but then, who can "feel" their synapses? Maybe some sort of physical brain scan would illuminate this.
 
Top