Pilot investigation of psychedelic-assisted psychotherapy for treatment of post-traumatic stress disorder (PTSD) in people diagnosed with co-occurring borderline personality disorder – a controlled before-and-after study

This interventional trial (n=20) will investigate the efficacy and safety of psychedelic-assisted psychotherapy for the treatment of PTSD in individuals diagnosed with co-occurring borderline personality disorder (BPD), using MDMA (2-5x; 80+40mg).

The study, conducted by Spectrum Personality Disorder Service for Victoria, aims to assess the feasibility and acceptability of integrating MDMA-assisted psychotherapy within a public mental health service. Participants will undergo six weeks of preparatory psychotherapy sessions, followed by two to five MDMA sessions over six months.

The control group will receive the same psychotherapy without MDMA. Primary outcomes include safety, feasibility, and cost, with secondary outcomes evaluating mood, dissociation, PTSD symptoms, and overall BPD pathology. The study, approved by the Eastern Health Human Research Ethics Committee, is scheduled to begin participant enrolment in July 2024.

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