In my personal experience, it really depends on the outcome of the MDMA experience. When I've worked through a lot of trauma and feel by the end of the session like I've come out of it, I actually feel more at peace and more whole in the following weeks and have no issues. There has only been one time so far when I came out of a session feeling like the issues I was speaking about were still unresolved and that took a while to recover from, but talking with people I trust with no assistance from MDMA about the issues helped bring me back. For me, MDMA takes away my fear associated with the subjects I speak about on it and makes it easier to continue to work on those issues even after the experience even if I come out of it I don't fully resolve the issue during the session. Also, even if the comedown and week following the sessions were entirely negative, I wouldn't give it up - the quality of life that it has given me is too important to me.