When the full effects of MDMA manifest, barring an uncommon negative reaction, users are likely to find that suddenly everything is right with the world. The primary effects sought by those using MDMA recreationally are the emotional openness, euphoria, stimulation, reduction of critical and cynical thoughts, and decrease of inhibitions that can accompany its use. MDMA is used by some individuals in a therapeutic setting to attempt to work through difficult interpersonal issues. Although MDMA can cause nystagmus (eye wiggles), most individuals experience few prominent open or closed eye visuals. A small percentage of users report significant visual distortions.