Bad trip

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Bad trip (or psychedelic crisis) is a disturbing experience sometimes associated with use of a psychedelic drug such as LSD, Salvinorin A, mescaline, psilocybin or DMT. The manifestations can range from feelings of vague anxiety and alienation to profoundly disturbing states of unrelieved terror, ultimate entrapment, or cosmic annihilation. Psychedelic specialists in the therapeutic community do not necessarily consider unpleasant experiences as threatening or negative, focusing instead on their potential to be highly beneficial to the user when properly resolved. They can be exacerbated by the inexperience or irresponsibility of the user or the lack of proper preparation and environment for the trip, and are reflective of unresolved psychological tensions triggered during the course of the experience.[1]

It is suggested that, at a minimum, such crises be managed by preventing the individual from harming oneself or others by whatever means necessary up to and including physical restraint, providing the patient with a safe and comfortable space, and supervising the intaker until all effects of the drug have completely worn off.

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Aspects

A multitude of reactions can occur during a psychedelic crisis. Some users may experience a general sense of fear or an anxiety attack.[2] A user may be overwhelmed with the disconnection many psychedelics cause, and fear that they are going insane or will never return to reality. This can cause the user to fall into a depressive mood. Other reactions include an amplification of nameless fears; that is, fears that are unfounded and are usually not encountered in normality.

Users may exhibit actions suggesting harm to themselves or others around them.[3] This harm could take the form of suicidal ideation, or full blown suicide attempts. Because of the magnification of emotions many psychedelics could possibly cause thoughts of death and intensely adverse reactions in some users. Users can believe that their death is imminent or that the very universe itself is collapsing.[3] Rapidly accelerated aging of other people may be experienced, perpetuating the aforementioned fears to an even greater degree.

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