A single dose of MDMA (1.7 mg/kg) in 16 healthy, MDMA-naïve volunteers produced widespread decreases in slow and medium frequency brain activity and increases in fast frequency activity in the anterior temporal and posterior orbital cortex, as measured by scalp EEG and low resolution brain electromagnetic tomography (LORETA). These changes were accompanied by heightened mood, emotional arousal, and increased extraversion. The EEG pattern suggests that serotonin, noradrenaline, and, to a lesser degree, dopamine contribute to MDMA's effects on brain activity and possibly mood and behavior, indicating modulation of limbic orbitofrontal and anterotemporal structures involved in emotional processes.
People who regularly use Ecstasy show altered brain activity patterns, including increased theta, alpha, and beta power across the scalp, particularly with eyes open, as measured by EEG and brain tomography. They also report higher levels of state depressiveness, emotional excitability, and a trend toward increased state anxiety compared to non-users. These differences could stem from regular Ecstasy or other illicit drug use, or may have existed before drug use began.