MDMA, commonly known as ecstasy or molly, is a stimulant and hallucinogen popular in party settings, raves and music festivals. While it’s often seen as a “fun” or “harmless” party drug, MDMA poses serious risks, particularly for teens. Knowing the signs of MDMA use can help parents identify potential issues early on.

Physical Signs

MDMA use can cause several noticeable physical symptoms, even hours after it’s been taken. Here are some red flags to watch for:

• Increased Body Temperature and Sweating: MDMA can make users feel unusually warm or sweaty, which can quickly lead to dehydration. Teens may feel hot to the touch or complain of overheating.
• Jaw Clenching and Teeth Grinding: One common effect of MDMA is intense jaw clenching and teeth grinding, known as “gurning.” If your teen has a sore jaw or you notice them clenching their teeth, it could be a sign of MDMA use.
• Dilated Pupils and Muscle Tension: According to the National Institute on Drug Abuse (NIDA), MDMA often causes pupils to enlarge, along with muscle tension or cramps. Teens may look unusually alert or complain of muscle aches.

Behavioral Changes

Teens using MDMA often experience shifts in behavior, especially during and after a “high.” Some of the common changes include:

• Hyperactivity and Increased Sociability: MDMA can make users feel unusually energetic, talkative, and social. If your teen suddenly seems excessively chatty or friendly, especially at a party or gathering, this may be worth noting.
• Risky Behavior: MDMA can lower inhibitions, leading to risky choices, such as unprotected sex, substance mixing, or trying other drugs. The Substance Abuse and Mental Health Services Administration (SAMHSA) notes that MDMA users are more likely to make impulsive decisions they might not otherwise consider.
• Fatigue After Use: Once the effects wear off, users often feel exhausted or “burned out.” If your teen is unusually tired or seems drained following social events, it could be a sign of recent MDMA use.

Emotional Symptoms

The emotional effects of MDMA can linger well after the physical effects have worn off, sometimes lasting days. Teens often experience intense mood swings, including:

• Anxiety and Irritability: After the drug’s effects wear off, teens may feel edgy or anxious. Small things might easily frustrate or annoy them, especially in the hours or days following a social event.
• Depression and Emotional “Crash”: Because MDMA floods the brain with serotonin (the “feel-good” chemical), users may experience a “crash” once serotonin levels drop. According to the Centers for Disease Control and Prevention (CDC), this can leave teens feeling down, sometimes for several days, and may lead to ongoing issues with anxiety or depression if MDMA is used regularly.

Statistics:
A CDC report shows that about 1.7% of U.S. high school students reported trying MDMA at least once. While this percentage may seem small, awareness of these signs is essential for parents.

What Parents Can Do

If you notice any of these signs in your teen, consider having an open and nonjudgmental conversation. Let them know you’re there to support them and help them make safer choices. Seeking support from a counselor or healthcare provider can also be beneficial for teens who may be struggling with substance use or emotional challenges.

References

1. National Institute on Drug Abuse. (2020). "MDMA (Ecstasy/Molly) and Its Effects on Teens."
2. Substance Abuse and Mental Health Services Administration. (2021). "Signs of MDMA Use in Adolescents."
3. Centers for Disease Control and Prevention. (2020). "Youth Risk Behavior Survey: Substance Use Trends."