[18M] Experiencing flashbacks and anxiety post-acid trip

Patient Description

An 18-year-old male is experiencing vivid flashbacks and hallucinations when closing his eyes or overthinking, approximately 2 weeks following a previous acid trip. The hallucinations are alleviated by cannabis, which helps to calm his mind and prevent overthinking. The patient reports severe anxiety and occasional panic attacks during these flashbacks, as well as occasional confusion and disorientation. He also experiences constant sleepiness and random rage stemming from the fear of the flashbacks. The patient's medical history includes PTSD and Generalized Anxiety Disorder (GAD). No other substances besides cannabis have been used, and there are no thoughts of self-harm or harm to others reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Post-Acute Withdrawal Syndrome (PAWS): This can occur after stopping the use of hallucinogenic drugs like LSD. Symptoms can include flashbacks, vivid hallucinations, anxiety, and sleep disturbances.

    • Treatment typically involves supportive care, counseling, and sometimes medications to manage symptoms.
  • Hallucinogen Persisting Perception Disorder (HPPD): This is a condition where individuals experience visual disturbances or flashbacks long after the use of hallucinogenic drugs.

    • Treatment may include medications such as antipsychotics or benzodiazepines, and cognitive-behavioral therapy (CBT).
  • Exacerbation of PTSD and GAD: The stress from a bad acid trip could potentially exacerbate underlying PTSD and GAD, leading to increased anxiety, flashbacks, and sleep disturbances.

    • Treatment often involves therapy (such as CBT or EMDR for PTSD), and medications like SSRIs or benzodiazepines for anxiety.

What you can do

  1. Seek Professional Help: It's important to consult with a healthcare provider, such as a psychiatrist or psychologist, who can provide a formal diagnosis and appropriate treatment plan.
  2. Avoid Substance Use: While cannabis may provide temporary relief, it can also potentially worsen symptoms in the long run. Discuss safer alternatives with your healthcare provider.
  3. Practice Relaxation Techniques: Techniques such as deep breathing, meditation, and mindfulness can help manage anxiety and reduce the frequency of flashbacks.
  4. Maintain a Regular Sleep Schedule: Try to go to bed and wake up at the same time every day to improve sleep quality. Avoid caffeine and electronic devices before bedtime.
  5. Stay Connected: Talk to friends or family members about what you're experiencing. Social support can be very helpful in managing symptoms.

What you should look out for

  • Worsening Symptoms: If you notice that your symptoms are getting worse, it's important to seek medical attention promptly.
  • Severe Anxiety or Panic Attacks: If you experience severe anxiety or panic attacks, consider seeking immediate help from a healthcare provider.
  • Thoughts of Self-Harm: If you ever have thoughts of harming yourself or others, seek emergency medical attention immediately.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult with a healthcare provider for a formal diagnosis and treatment plan.

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6 mo ago

People Also Ask


What is Hallucinogen Persisting Perception Disorder (HPPD) and how is it treated?

HPPD is a condition where individuals experience visual disturbances or flashbacks long after using hallucinogenic drugs. Treatment may include medications such as antipsychotics or benzodiazepines, and cognitive-behavioral therapy (CBT) to help manage symptoms.


Can cannabis use affect anxiety and flashbacks after an acid trip?

Cannabis may provide temporary relief from anxiety and flashbacks, but it can also potentially worsen symptoms in the long run. It's important to discuss safer alternatives with a healthcare provider.


What are some effective relaxation techniques for managing anxiety and flashbacks?

Effective relaxation techniques for managing anxiety and flashbacks include deep breathing exercises, meditation, and mindfulness practices. These can help calm the mind and reduce the frequency of flashbacks.


How can PTSD and Generalized Anxiety Disorder (GAD) be exacerbated by drug use?

PTSD and GAD can be exacerbated by the stress of a bad drug experience, leading to increased anxiety, flashbacks, and sleep disturbances. It's important to seek professional help to manage these conditions effectively.


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