Guiding Through Challenging Psychedelic Experiences and “Bad Trips”
Michael Koslowski, Peter Gasser
Psychedelic Harm Reduction 2026 DOI: 10.1007/7854_2024_515 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Case series Case report Peer reviewed |
|---|---|
| Sample size | 3 |
| Population | Individuals experiencing challenging psychedelic episodes |
| Topics | Psychedelic-assisted therapy |
| Keywords | Bad trips Challenging experiences Emergency room Rescue medication Supportive care |
| Citations | 6 |
| Key findings | A stepwise approach involving supportive care and rescue medication can manage challenging psychedelic experiences and prevent harm. |
Abstract
Psychedelic substances have gained recognition for their therapeutic potential, but they also present challenges, with individuals occasionally experiencing distressing episodes referred to as challenging experiences or, in the recreational setting, “bad trips”. Trial therapists and physicians, but also healthcare professionals in emergency rooms, need a comprehensive strategy to effectively manage these cases. Three case reports are presented to underline the problem and propose strategies for handling these situations. Finally, this article outlines a stepwise approach, encompassing helpful interventions, supportive care, and rescue medication, to ensure the well-being of individuals undergoing challenging psychedelic experiences and prevent further complications and long-term harm.