In 1988 we got Prozac®…a game-changing depression treatment.
In 2008 the FDA approved TMS therapy… the first FDA-cleared in-office neuromodulation depression treatment.
In 2019, the next advancement, Spravato® was approved by the FDA, in conjunction with an oral antidepressant, for the treatment of adults with treatment-resistant depression.
Currently, among the whirlwind of groundbreaking advancements, psychedelics are emerging as a promising avenue for therapeutic intervention. MDMA-assisted therapy is gaining traction for its ability to change the way we address conditions like PTSD.
With a Prescription Drug User Fee Act (PDUFA) target action date of August 11, 2024, MDMA is stealing the spotlight. Here are a few things everyone should know about MDMA-assisted therapy:
A Promising New PTSD Treatment?
If approved, MDMA- Assisted therapy has the potential to revolutionize the treatment of post-traumatic stress disorder (PTSD). MDMA, known in its risky street version as ‘ecstasy’ or ‘Molly’, has long been associated with recreational use and party culture. However, its therapeutic potential has been recognized for decades.
Now, in 2024, the psychiatric field witnessed a monumental advancement as the FDA accepted a new drug application for midomafetamine capsules, a form of MDMA developed by Lykos Therapeutics, for the treatment of PTSD.
This milestone represents the culmination of years of research and advocacy, highlighting MDMA’s potential to catalyze healing when combined with psychological interventions. The FDA’s decision to grant priority review underscores the urgency of addressing the unmet needs of individuals grappling with PTSD, a condition notoriously challenging to treat using conventional methods.
The History of Psychedelics In Mental Health Care
Psychedelics in mental health care trace back to the mid-20th century when substances like LSD were explored for their therapeutic effects. However, widespread recreational use and cultural stigma led to their criminalization and subsequent halt to research. It’s only in recent years that a resurgence of interest in psychedelics has reignited scientific inquiry, revealing their untapped therapeutic potential.
Promising clinical trials have demonstrated the efficacy of MDMA-assisted therapy in facilitating profound healing experiences for individuals with PTSD. Unlike recreational use, therapeutic sessions are conducted in a controlled setting under the guidance of trained therapists and medical professionals. The substance acts as a catalyst, enhancing the therapeutic process by promoting introspection, emotional openness, and empathy.
Innovative Treatments Have Healing Powers
The parallels between MDMA and ketamine, another treatment that comes with some renaissance in mental health community, are striking. For many in the medical community, both substances have transcended their reputations as street drugs to become legitimate tools for helping people get well. Ketamine, initially used as an anesthetic, has shown remarkable efficacy in rapidly alleviating symptoms of depression and suicidal ideation.
At Montana Psychiatry & Brain Health Center, we’ve witnessed the firsthand transformation people experience with ketamine and esketamine (Spravato), and we’re grateful to offer these to our clients. When it comes to psychedelics, it’s important to embrace innovation cautiously and responsibly. While the potential benefits are undeniable, so too are the risks associated with misuse and abuse. Rigorous research, robust regulation, stringent manufacturing, and comprehensive training for healthcare professionals are essential to ensure safe and effective integration into clinical practice.
As we stand on the precipice of a new era in mental healthcare, it’s crucial to approach this paradigm shift with humility, curiosity, and compassion.
Psychedelics offer a glimpse into the profound interconnectedness of mind, body, and spirit, challenging traditional notions of illness and wellness. By embracing innovation with judgment and respect, we have the opportunity to extend a lifeline to those who have been suffering from PTSD without relief from traditional medications.
We Can Help You Explore Innovative Treatment Options
At Montana Psychiatry & Brain Health Center, we are dedicated to providing the best in diagnosis and treatment to put you on the path to healing and enriched living.
As mental health professionals, it is our duty to remain at the forefront of this evolution, guided by the principles of evidence-based practice, ethical practices, and unwavering commitment to the well-being of our patients. For now, we’ll tread boldly yet cautiously into the world of psychedelics, mindful of the transformative power they possess and the responsibility that accompanies their use. Together, we can harness the potential of psychedelics to usher in a brighter, more compassionate future for mental healthcare.
Spravato is a registered trademark of Janssen Pharmaceuticals, Inc. 2024.
TMS
by Deb (age 64)
Category: generalThe hoops I jumped through in order to be evaluated were straightforward and efficient. I met with PA Kaitlin for about an hour to discuss my history and previous medications. Then Dr. Amato joined us to further discuss my history, the TMS treatment, and answer any questions. Myrna gathered all of the information and submitted it to my health insurance company to request coverage for TMS. Fortunately, insurance approved the treatment and I was able to begin the next week. I’m sure most people have anxiety about starting a treatment like TMS. No matter how many times it’s described to you, there are many unknowns. How will I feel during treatment? Is it painful? What if this doesn’t work? What if it works for a while but then stops? In all honesty, I was very uncomfortable during the first couple of weeks of treatment. The alternating two seconds of tapping sensation caused some pain during treatment, and at the end of the first week I thought about quitting. But I had sworn to myself that TMS was a last resort and I HAD TO complete the treatment and give it a chance to work. My technician, Heather, told me that some people don’t feel the tapping at all, they only hear it. Guess I wasn’t one of those people! But as the days went by, it became easier to tolerate the treatments. During this time I also saw Lauren weekly for CBT (cognitive behavioral therapy). This is highly recommended for people undergoing TMS treatment, and it was a positive complement to my total of 100 minutes each week “under the helmet”. The weekend between weeks three and four, I started to notice subtle improvements in my mood, increased belief in my self-worth, and enthusiasm for simple things like going for walks, meeting friends for lunch, and taking on volunteer work in the community. I hesitated at first to believe that TMS was helping me. I was afraid that I was convincing myself it was working because I so desperately wanted it to! But now that I am past the treatment I can say with cert
TMS
by Barbie (age 68)
Category: generalI feel so blessed to participate in the TMS protocol at MT Psychiatry. After struggling so many years with depression and not getting significant results from medication, particularly of late, I noticed positive results in the first two weeks of treatment. TMS can literally give you back the beauty & joy in living as well as the courage to make positive life changes and improvements in your daily living situation. I heartily encourage anyone to put yourself into the hands of the amazing TMS team who so gently and graciously make this journey with you out of the black hole that is depression. It is my honor and privilege to give the TMS treatment the highest recommendation.
TMS
by Shayne (age 66)
Category: generalI am grateful for the support and caring I have received from Dr. Amato (and Heidi, Heather and Myrna) in my quest for mental health and a fuller more productive life. While the TMS results have been subtle, I feel more positive about my future and I would recommend this team absolutely. Thank you!
TMS
by Carrie (age 65)
Category: generalNot realizing how fuzzy my head was, I thought I was only going through severe anxiety and depression. Through the insight of Pat, I was able to go through TMS treatments which brought down the anxiety and depression immensely and has cleared up the fuzzy, far off substantially. All the personnel treated me with kindness and I’m sure their attitudes helped in my recovery.
TMS
by Bridget (age 47)
Category: generalThe first outcome of TMS I noted happened early in my treatment, at about the beginning of week two. I felt as though my “brain fog” had been chipped away. I wish I could report that I feel my mental health issues are in “remission”, but I can’t do so yet. My hope is that I will see improvement in the weeks to come, now that my TMS cycle has ended. I can say that my brain feels – in some way – different; I can’t explain exactly how. I continue to struggle at this point in time but sill have hope for more improvement.
Powered by Crystal Clear Digital Marketing Reviews


