Dr. Smith is a specialist in sexual problems. I asked Dr. Smith whether he thought that MDMA would become acceptable in therapy. He doubted it would be as freely prescribable as he would like in his lifetime, but thought that its acceptance would start with well defined hospital programs. Asked about possible problems due to inappropriate bonding, he said it had never happened in his experience. If at all, it seemed to him more likely that the therapist would fall in love with clients since they become so attractive.
Exhaustion depends on the dose and also the amount of emotional work done.
To reduce fatigue he avoids secondary doses, gives 20mg Prozac at the end of a session, and he also recommends calcium and magnesium. At the end of a session he encourages clients to eat simple food such as soup, bread and sweet tea. Asked if he thought the E experience may be false sometimes, he said it could sometimes be 'tunnel vision' but was always true. However, ways of relating on E may not be appropriate in the real world and insights have to be tested to be of any value.