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- š§ Could MDMA-Assisted Couples Therapy Be The Future?
š§ Could MDMA-Assisted Couples Therapy Be The Future?
MDMA is considered an "entactogen", which means it promotes feelings of social connectedness, empathy, and closeness to others... A near-perfect match for couples who've lost their spark.


Explore the World of Plant Medicine and Psychedelics. A Weekly Digest of Exclusive Stories, Insights, and Research.

Welcome to this weekās edition of The Guide ā”ļø
Todayās newsletter takes about 5 minutes to readāso if youāve only got 60 seconds, hereās what you need to know:
MDMA-Assisted Coupleās Therapy Shows Potential Promise. Psychologist Anne C. Wagnerās SET Model is the first to offer a safety-first roadmap for MDMA-assisted couples work.
The Data Is Convincing, But Very Limited. Small pilots pairing MDMA with couples therapy report improvements in PTSD symptoms and relationship functioning, but studies are small and limited.
MDMA ā Magic. MDMA may acutely boost empathy and prosocial responding, but the big gains come from prep, skilled facilitation, and structured integration with a psychotherapist.
MDMA is Still Illegal in The US. MDMA is not FDA-approved and is still a Schedule I drug in the US, making it illegal in all 50 states.
The Webdelics Podcast. Scott Mason talks with Mikaela De La Myco about survivor-centered approaches to psilocybin and sacred earth medicines use while covering consent, vetting facilitators, community care, and honoring Indigenous protocols in trauma-informed settings.
This one is packed with a ton of great content and education⦠But hey, whatās new? š
š§ The Webdelics Team
š New here? We do this every week⦠Join Us!

š§ļø The Webdelics Podcast

šļø Navigating Psychedelic Therapy - Safety Protocols for Sexual Assault Survivors
š This week, Scott sat down with advocate and educator Mikaela De La Myco about survivorācentered approaches to psilocybin and other sacred earth medicines. Mikaela shares lived experiences and communityābased wisdom, reflecting on healing from sexual assault and the practical ways survivors can build personal agency, lean on community, and navigate risks, while honoring indigenous protocols, trust, and relationships with the natural world.
š«¶ They explore why intention, set & setting, and integration matter, along with how to assess facilitators and spot red flags, consent boundaries, and power dynamics in underground/retreat spaces, survivorācentric safety planning, and support pods before/during/after ceremony. They also discuss using lineageārespectful practices and community accountability, as well as practical first steps for survivors, practitioners, and anyone curious about traumaāinformed plant medicine.

š The āMust Readā For The Week
MDMA-Assisted Couples Therapy & The āSET Modelā
Recent research supports the notion that MDMA may help some couples open up, communicate, and reconnect, specifically when used in a structured, safetyāfirst approach with assisted psychotherapy.
Research by psychologist Anne C. Wagner has provided one of the first clinical frameworks known as the āSET Modelā, which has provided a new-age roadmap for MDMA implementation and use for couples in a psychedelic-assisted therapy setting.
Hereās the high-level overview of what the āSET Modelā looks like:
Setting/Structure/Safety ā Exploration/Experience ā Template/Trust
š Letās break it down
Setting, Structure, Safety - Setting clear boundaries (e.g., timeāouts, no escalation), shared intentions, and equal footing for both partners to open up and feel safe to share their feelings and inner emotions.
Exploration & Experience - Intentional focus on taking a nonāavoidant stance to feel, name, and witness emotions, with the therapists scaffolding regulation and meaningāmaking for both parties.
Template & Trust - This stage involves postāsession debriefs and scripts that become a durable communication playbook to move past previous barriers and engage the couple in deeper foundational connections.
š« What to Expect With MDMA-Assisted Psychotherapy
Greater emotional empathy/prosocial responses.
Easier perspectiveātaking and disclosures in session, with reduced defensiveness and openness to different perspectives.
Transient effects like jaw tension, nausea, and appetite loss can be present, which is why careful screening is essential to avoid potential side effects and health issues.
šŖ Stages of a SETāInformed Journey
Preparation - Safety planning, informed consent, logistics, intentions, and skill rehearsal (e.g., active listening, timeāouts, etc.).
The MDMA Session - Coāregulated exposure to hard topics, as therapists coach pacing and reflection for both parties.
Integration - Scheduled debriefs, continued practice of learned lessons at home, and personal reinforcement of strengths to resist drifting over time.
š¬ What Does The Research Say?
Pilot work combining MDMA with couples therapy (e.g., CBCT for PTSD) shows improvements in PTSD symptoms and relationship functioning.
In complete transparency, evidence for MDMA-assisted therapy in couples is preliminary, as most trials to date are small and exploratory, but it is slowly growing over time.
š Safety Notes & A Word of Caution
MDMA is not currently FDAāapproved for couples therapy (or any therapy, for that matter), and itās still considered illegal as a Schedule I drug.
Itās vital to screen for cardiovascular/medication risks before taking MDMA and have proper medical oversight and structured followāups afterwards.
šØ We shouldnāt have to say it, but this information is for educational purposes only. If you decide to pursue this type of therapy, itās always best to do so under the supervision of a trained and licensed medical professional in a legal jurisdiction.
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š¬ Our Whyā¦
š Knowledge is useless without application, but applying it must be intentionalā¦
MDMA-assisted psychotherapy has the potential to open the door for couples, but what you do around it (prep, set/setting, safety plans, skilled facilitation, and integration) often shapes the outcomes.
If todayās issue helped you see the bigger picture, try one of these small steps:
š Go Deeper: Get your FREE Beginnerās Guide to Psilocybin and get ready for our upcoming guide on MDMA!
š§ļø Audio Candy: Check out the Webdelics Podcast with Mikaela De La Myco, where she highlights survivor-centered approaches, consent, and community care.
š¦ Tune In: New to psychedelics and plant medicine? Check out Psychedelic Alphaās newsletter, which is full of research, emerging trends, and business updates.
š§ Drop Out: Donāt forget to take time for yourself, focus on your breath, and be grateful for the life youāve been givenā¦
At Webdelics, our promise is to give you clear, evidence-based guidance so you can make safer, more informed choices about psychedelics and plant medicines.
š© If this helped, forward it to a friend whoād appreciate itā¦
š¬ Questions, corrections, or a topic you want us to unpack next? Comment and let us know!
š§ The Guide - by Webdelics
Disclaimer: Webdelics does not support or promote any illegal activities, including the use of substances that may be mentioned in this newsletter. We encourage all readers to familiarize themselves with and adhere to the laws in their region. Please note that Webdelics does not offer mental health, medical, or clinical services and should not be used as a replacement for professional medical, psychological, or psychiatric care, diagnosis, or treatment.

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