Without a more detailed history of your MDMA and other drug use, it is hard to give you an answer.
In my experience, only heavy poly-drug users suffer that long from MDMA.
I am talking about people that did lots of LSD and other psychedelics for years.
Lots of weed, too.
Maybe even ridiculous binges on MDMA.
Other than the few unfortunate souls who went WAY too far, the majority of MDMA users with dp/dr see a resolution to their symptoms within a year to 18 months. 24 months is considered the upper limit for MOST users.
Bben has been braving the effects for about 4 years now, if I'm correct.
He says he has made SOME progress, mostly in the last year.
But he was also a poly-drug user...not just MDMA and weed.
I have been contacted by a young man that had a near fatal reaction to MDMA 11 years ago.
He had severe hyperthermia from it and only survived because of an ice-bath at the hospital.
Now, more than a decade later, he still runs fevers constantly...to the point of having to carry ice packs everywhere!
And any drug use of ANY kind makes it worse, and gives him paradoxical reactions - effects that normal people NEVER report. Even heavy opiates provide him with NO euphoria. At all.
But these guys are the exception to the rule.
If you weren't a real heavy poly-drug user or had a life-threatening reaction to MDMA, then it is surprising to hear that you are still suffering from Dp/Dr at two years post.
Are you sure you understand the definition?
Anxiety/depression would be more believable.
Depersonalization and derealization are pretty heavy-hitting issues, pretty disabling.
The sense of not existing your own body, not being in control of your own physical movements - being a distant observer inside your own head! Not existing in the physical world, or feeling detached from the world you do see.
This often occurs along with HPPD, a condition that mimics that visual hallucinations normally experienced while on the drug. MDMA users that get HPPD describe the world as being distant and dream-like, as if behind a sheet of glass or on a movie-screen. Not quite real.
I had a pretty terrible comedown and I have posted all over BL about.
During the first two months it was pretty unreal. Definite Dp/Dr with HPPD.
By month four, my HPPD cleared up by 90%.
By month five, my Dp/Dr has resolved into simple anxiety/depression.
But only the first two months of Dp/Dr were really intense. After that, it was easily tolerated!
If you are indeed still experiencing it, which I doubt, you should consider medical help.
I am not a big fan of doctors, as they cannot treat the re-wiring process.
But after two years, much re-wiring has already occurred.
Some people suffer from Dp/Dr as part of ongoing mental illness.
It could be sign of other psychological issues.
Again, I would be very surprised if you were still feeling like you weren't in the REAL world or in control of your own BODY.
Fear of the world and feeling anxiety are very different things from Dp/Dr.
I always recommend exercise, because it releases BDNF in the brain, a protein that causes STEM CELLs to be released into three key areas.
Other than this there are a number of medications that can be given to you, all of which would need to be carefully considered. Anti-psychotics have a high risk for developing movement disorders down the line...and they do NOT treat depression...only mania.
Anti-depressants might work really well for you, but some patients end up on them for life.
I'm surprised you aren't already on an SSRI or SNRI!
Are you?
If so, that is important to indicate in a thread like this.
Some anti-depressants can cause Dp/Dr.
Another option is ECT.
Electro Convulsive Therapy causes the brain to release WAVES of nerve growth factors that allow neurons to survive conditions that might otherwise be toxic. ECT is relatively safe and has brought people out of true psychotic states, including catatonia...as well as severe depression.
Repeat treatments are often needed, and short-term memory loss is a risk...but normally reverses itself within days.
Other risks, such as injury or death, have been minimized to the point of non-existence.
For some people, especially those with the most severe conditions, ECT can be a goddamn miracle.
I hope this helped.
40 pills (especially todays pills) over a six month period shouldn't be enough IMO to throw your brain off that much unless you're predisposed to things like depression. If you said you'd eaten 30-40 PER month for 6 months, I'd be more concerned...but everyone's different.
