The second MDMA-assisted therapy session will be conducted in a manner identical to that described for the first MDMA-assisted therapy session. The second MDMA session will be scheduled to occur approximately three to four weeks after the first session. The participant and therapists will review the participant's goals at the outset of the session, and the participant will be encouraged to follow his or her inner experience throughout the session. As previously described, the therapists will guide and support the participant throughout this process.

Participant: "I felt so good after the first session and my whole outlook had changed. I guess for the most part it still has."

Therapist: "The last time you said you wanted to more specifically address talking about the trauma. Do you still feel that way?"

Participant: "Oh yeah. I think that's what's got me so nervous." Therapist: "So as far as the way we approach bringing up the trauma ... Do you have any thoughts about how you want that to happen?"

Participant: "All I can really tell you is that I'm not the `beat around the bush' type of person.

Therapist: (Laughs)

Participant: "Bluntness is usually the best thing. I can't think of a really good way to approach it. I mean, um, I don't know, whatever you think." Therapist: "I hear you about beating around the bush. I like that about you. I think it's good to strike a balance between giving the experience a chance to come up the way it is naturally going to come up for you, if it does, and us gently guiding you in that direction in accordance with your intention, if we need to. So probably, like the last time, we'll wait for a while and if you haven't checked in with us after an hour, we'll check in with you."

Participant: "Sure"

The second MDMA session has the potential to facilitate a deeper emotional experience. This is due in part to the existence of an already established therapeutic alliance, familiarity with the structure and nature of the MDMA session, familiarity with the effects of MDMA, and an increased openness to further exploration. The psychic material that revealed itself during the first MDMA session and the therapeutic work occurring in the follow-up non-drug sessions may afford the participant an increased sense of safety and security with the process. Feeling a stronger sense of trust and familiarity with the medicine, the participant is likely to move even further beyond his/her defenses during the second session. The participant and therapists integrate the progress and experience from the previous sessions to set intentions for the second MDMA session.