We are at very similar points… my last time taking mdma was November 2017. My lifetime usage was fairly tame - 18 uses over about 6 years. Nothing that should really cause any serious permanent issues.
My symptoms are almost entirely cognitive (brain fog, difficulty focusing, memory impairments) or sexual (0 libido, PE, reduced pleasure from orgasm) - I’ve never had issues with floaters, visuals, panic attacks, etc.
I just completed a 5 session course of ketamine assisted psychotherapy with my psychiatrist. First 2 sessions I took ketamine lozenges (200mg then 400mg), then 3 sessions of intramuscular injections (130mg, 175mg, 200mg).
I haven’t noticed any significant cognitive improvement but my anxiety is way down and my mental state is definitely better. It’s helping me stick with a variety of additional lifestyle improvements (sleep, socializing, exercise) that I’m hopeful could result in overall improvement.
I’m happy to answer any questions.
How bad was your anxiety prior? And how was the experience while taking ketamine?