In the first, people stay separate during the session, but share experiences before and afterwards. They listen to music on earphones and communicate only with the group's guides. In the second, users communicate during the session in a ritual fashion. These sessions are usually residential and some are held at night. Typically, the group will assemble on a Friday evening, when they share their intentions for the trip.
All participants have to agree to keep all the proceedings confidential.
Sometimes MDMA will be combined with either LSD, psychedelic mushrooms, Ketamine or 2CB by some or all of the participants. Most therapists say it is necessary for participants to have previous experience of taking the relevant drug on their own. A typical session lasts 40 minutes, starting with inner exploration accompanied by music, andproceeding to people giving monologues or singing into a conch shell. Rituals worked best on low doses.