Hello everyone! I am a social worker in San Francisco, and I work with a lot of teenagers who are into the "rave scene" and all of the drugs that go along with that scene. Some of my teens are on psychotropic meds for depression, yet they continue to use ecstasy (MDMA) on a regular basis. I know that MDMA can be a dangerous drug, and that chronic use can lead to depression. However, I do not know how MDMA interacts with anti-depressants. I know it can't be good. I was wondering if you all could provide me with some information about how MDMA interacts with common anti-depressants like Paxil, Effexor, Prozac, etc. Some of these kids can be SO hard headed! Luckily, none of them have died yet. Should I tell them that if they feel the MUST take MDMA, then they should stop taking their meds? Please help. Thanks in advance.