Ecstacy Addiction Treatment
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Updated On : July 31, 2024
Ecstasy is touted as a happy drug, creating a sense of euphoria and hyperarousal in the user. For years, ecstasy has been passed around clubs, concerts, and parties to liven the atmosphere. However, the after-effects are anything but pleasurable.
Ecstasy is a synthetic drug, and its contents are often unknown, putting users at risk of developing addictions to other substances or becoming ill from ingesting unknown chemicals.[1] Whether ecstasy is addictive or not is still up for debate, but people who abuse it are at risk of dependency. Ecstasy addiction treatment can address dependency.
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In 1985, the DEA placed an emergency ban on MDMA (ecstasy), stating it had a high potential for abuse and no acceptable medical uses.[2] This led to the manufacturing of illegal ecstasy being sold on the streets.
Street ecstasy isn’t regulated, so the ingredients and the amount of ingredients contained in one pill may differ wildly from another. This lack of regulation and oversight makes it difficult to know the exact long-term and short-term effects of ecstasy use and has led to a multitude of conflicting findings.
Although there is no conclusive research stating ecstasy is addictive, studies have shown that it has an overall potential for dependency.[3]
According to the National Institute on Drug Abuse, data from human and animal studies suggest that ecstasy influences the same serotonin and dopamine systems as those seen in people with substance use disorders.[4] Self-reported findings also reveal that some ecstasy users exhibit symptoms of addiction, such as continual use despite negative consequences, increased tolerance, and cravings after abstaining from use.
This leads some to believe that ecstasy is addictive, albeit to a lesser degree than cocaine or methamphetamines.
Adulterated ecstasy first gained popularity in the late 70s as a hallucinogenic club drug that triggered euphoria and sexual sensation.[5] As the years went on and using it became more commonplace, ecstasy became part of rave culture, often seen at frat parties and electronic music festivals.
Ecstasy once again catapulted its way into the spotlight in 2017 when it became part of the wildly popular anthem “Mask Off” by Georgia rapper Future.[6] In the chorus, the rapper repeats the names of several drugs, including ‘Molly,’ a crystalline powder version of ecstasy usually containing other chemicals.[7] This song, amongst others, increased search results like “What does molly taste like?” or “How do you feel after taking molly?”
According to a study published in the Journal of Ethnicity in Substance Abuse, 82% of young African-American Molly users accredited hip-hop music as an influencing factor in trying the substance.[8] They also said they felt comfortable using the drug because popular rappers touted it as trending, fun and non-addictive.
Additionally, certain social media influencers showcase their party lifestyle, often depicting ecstasy in their photographs or captions, sparking younger individuals to experiment with it.
Though the science differs on ecstasy’s addictiveness, some people who use it over a prolonged amount of time are subject to developing substance use disorder. Substance use disorder is a mental health condition marked by the inability to control drug use.[9]
People with this condition display problematic behavioral changes such as aggressive outbursts or self-isolation and other signs of dependency, including:[10]
According to the National Institute on Mental Health, addiction is the most severe stage of a substance use disorder.[11] People who experience addiction have changes in the brain that make it difficult to function without the substance. As their brain becomes tolerant to it, they will need more of it to produce the original effect.
The warning signs of ecstasy addiction are categorized as behavioral, physical, and psychological.[12]
The behavioral warning signs of an ecstasy addiction include:
Physical warning signs are synonymous with signs of regular ecstasy use. They include:
The psychological impacts of ecstasy addiction occur when permanent changes take place in reward centers in the brain.
The signs include:
Many of the signs listed above are the same as those seen in mental health conditions such as depression, anxiety, and post-traumatic stress disorder (PTSD). To further complicate things, the Substance Abuse and Mental Health Services Administration states that more than 21 million Americans with substance use disorder have a co-occurring mental health condition.[13] This means the only way to know if one has an addiction is to seek professional help.
Engage Wellness offers multiple treatment options to match your specific needs and circumstances in overcoming ecstasy addiction. Each level provides comprehensive support while offering different intensities of care:
We combine evidence-based therapies with holistic approaches to address the complex effects of MDMA on brain chemistry, including disrupted serotonin and dopamine systems. Our comprehensive treatment program helps you heal from both the physical and psychological impacts of ecstasy use:
Withdrawal symptoms can vary from person to person.[14] Initial symptoms include fatigue as serotonin and dopamine levels adjust. Medical supervision during detox helps manage these symptoms and protect your health.
Treatment includes both inpatient-like treatment and outpatient care. Most treatment plans combine behavioral health therapy, group therapy, and medical support to address both physical and psychological aspects of substance use disorder.
Learn about the effects of ecstasy on mental health. Encourage them to seek professional help at a treatment center, as quitting without support can be challenging. Many rehab programs offer family therapy to help you understand and support their recovery.
[1] Drug Enforcement Administration. (2020). WHAT IS ECSTASY/MDMA? https://www.dea.gov/sites/default/files/2020-06/Ecstasy-MDMA-2020_0.pdf on February 13, 2025
[2] MDMA (Ecstasy) Abuse. (n.d.). https://nida.nih.gov/sites/default/files/1763-mdma-ecstasy-abuse.pdf on February 13, 2025
[3] Degenhardt, L., Bruno, R., & Topp, L. (2010). Is ecstasy a drug of dependence? Drug and Alcohol Dependence, 107(1), 1–10. https://pubmed.ncbi.nlm.nih.gov/19836170/ on February 13, 2025
[4] Wu, L.-T., Ringwalt, C. L., Weiss, R. D., & Blazer, D. G. (2009). Hallucinogen-related disorders in a national sample of adolescents: the influence of ecstasy/MDMA use. Drug and Alcohol Dependence, 104(1-2), 156–166. https://pubmed.ncbi.nlm.nih.gov/19500920/ on February 13, 2025
[5] Gahlinger, P. M. (2004). Club Drugs: MDMA, Gamma-Hydroxybutyrate (GHB), Rohypnol, and Ketamine. American Family Physician, 69(11), 2619–2627. https://www.aafp.org/pubs/afp/issues/2004/0601/p2619.html on February 13, 2025
[6] Campus, T. D. (2019, April 23). Letter to the Editor: In response to Future’s song “Mask Off” and the opioid epidemic. The Daily Campus. https://dailycampus.com/2019/04/23/2019-4-23-letter-to-the-editor/ on February 13, 2025
[7] United States Drug Enforcement Administration. (2022, October). Ecstasy Or MDMA (also Known As Molly). Dea.gov. https://www.dea.gov/factsheets/ecstasy-or-mdma-also-known-molly on February 13, 2025
[8] Rigg, K. K., & Estreet, A. T. (2018). MDMA (ecstasy/molly) use among African Americans: The perceived influence of hip-hop/rap music. Journal of Ethnicity in Substance Abuse, 18(4), 667–677. https://pubmed.ncbi.nlm.nih.gov/29432087/ on February 13, 2025
[9] National Institute of Mental Health. (2024). Substance use and co-occurring mental disorders. National Institute of Mental Health. https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health on February 13, 2025
[10] American Psychiatric Association. (2024, April). What is a substance use disorder? Psychiatry.org. https://www.psychiatry.org/patients-families/addiction-substance-use-disorders/what-is-a-substance-use-disorder on February 13, 2025
[11] National Institute of Mental Health. (2024). Substance use and co-occurring mental disorders. National Institute of Mental Health. https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health on February 13, 2025
[12] Warning signs of drug abuse. (n.d.). https://www.tn.gov/behavioral-health/substance-abuse-services/treatment—recovery/treatment—recovery/prescription-for-success/warning-signs-of-drug-abuse.html on February 13, 2025
[13] SAMHSA. (2023, July 26). Co-Occurring disorders and other health conditions. Www.samhsa.gov. https://www.samhsa.gov/medications-substance-use-disorders/medications-counseling-related-conditions/co-occurring-disorders on February 13, 2025
[14] Kalant, H. (2001). The pharmacology and toxicology of “ecstasy” (MDMA) and related drugs. CMAJ: Canadian Medical Association Journal, 165(7), 917. https://pmc.ncbi.nlm.nih.gov/articles/PMC81503/ on February 13, 2025