My personal experience is that it is impossible to tell whether I got more socially apprehensive or just more sensitive to it - now that I have experienced times under the effects of this drug where I was very pro social and fearless. The older I get I feel like I was super insecure and socially awkward my whole life but I didn’t know anything else so it felt normal. Now I feel depressed sometimes and have social anxiety, but sometimes I don’t.

I experienced a similar thing by going to therapy. I don’t necessarily get better overall, but more confident in handling the dark times.

Damage wise it’s really hard to say.

I personally feel I used to have quite a good memory, able to remember things I was told without being interested. Now I feel my memory is sharp with those items I find important to remember, but details of random conversations I don’t automatically store anymore. When revisiting those conversations later I find myself noticing I forgot things. I also search for words a bit more often. But it’s hard to recognise the pattern and even harder to trace it to MDMA.

But it is all in line with the impact on memory tasks from academic studies on MDMA users.

Not familiar with the symptoms you noted personally or academically.

My hunch is that damage will be partially temporary and partially permanent. But really it’s just a hunch.