If things feel overwhelming — what to do
This is the section most guides get wrong. They give long lists of clinical advice that nobody remembers in the middle of a difficult moment. So let’s start with the only thing that really matters:
You are fine. Nothing is going to happen to you. You are under the influence of a natural substance, and the effects will pass. That is all that is happening.
A difficult experience — what people call a “bad trip” — is almost always caused by resistance. The mind panics, tries to claw back to normal, and the struggle itself amplifies the discomfort. The single most effective thing you can do is stop fighting it. You cannot think your way back to sobriety. What you can do is let the experience move through you.
From my own early experience: the worst part wasn’t the effects themselves — it was the anxious effort to get things back to normal, to make decisions, to be in control. Once you stop trying to be in control, things almost always become more manageable.
Practical steps if someone is struggling
1. Change the environment — Move to a different room, go outside (if safe), change the music or turn it off. A small change of environment can shift the experience significantly.
2. Grounding techniques — Focus on physical sensations. Hold something cold or textured. Put your feet flat on the floor. Breathe slowly and deliberately. Name five things you can see.
3. Vitamin C — High-dose Vitamin C (ascorbic acid) is widely reported in the psychedelic community to reduce the intensity of a psilocybin experience. The scientific evidence is limited, but many experienced users swear by it. Having orange juice or Vitamin C tablets available is a sensible precaution.
4. Reassurance — If someone is struggling, the most helpful thing you can do is stay calm, speak slowly and softly, and remind them that they are safe, the effects are temporary, and that you are with them. Do not panic yourself.
5. The trip sitter — Ideally, any truffle experience — particularly a first experience or a stronger dose — should include at least one sober, trusted person whose role is simply to be present and calm. They don’t need to do anything dramatic. Just having someone grounded in normal reality nearby makes an enormous difference.
When to actually seek help
In the vast majority of cases, a difficult experience resolves on its own with time, calm and reassurance. However, seek medical help if:
- Someone is in physical danger and cannot be kept safe
- Symptoms persist for an unusual length of time (well beyond 8 hours)
- There is a prior history of psychosis or severe psychiatric illness