Bad trip: what to do
Steps for the person in a hard experience and the person with them, and the signs that mean call for medical help.
If there is a medical emergency, call now
Chest pain, a seizure, difficulty breathing, fainting, or a risk of harm to anyone: call your local emergency number (911 in the US, 112 in the EU) and say exactly what was taken, how much and when.
- 988 Suicide & Crisis Lifeline (US): call or text 988, any hour. 988lifeline.org
- Fireside Project (US): a psychedelic peer support line, call or text 62-FIRESIDE (623-473-7433). [Fireside Project: psychedelic peer support line, Fireside Project, read 28 October 2026]
- A medical emergency anywhere: call your local emergency number (911 in the US, 112 in the EU).
If you are the one having it
- Tell yourself the plain facts. You took mushrooms. This is the drug. It will wear off: effects peak within one to two hours and then subside. [The abuse potential of medical psilocybin according to the 8 factors of the Controlled Substances Act, Neuropharmacology, 2018, read 28 October 2026]
- Breathe out slowly. Longer out than in, ten times.
- Change one thing. Lie down or sit up. Eyeshades off, or on. Different music, or silence. A blanket.
- Stop fighting it. Research guidelines encourage volunteers who see a frightening figure, such as a monster, to approach it and ask why it has appeared, rather than flee. [Human hallucinogen research: guidelines for safety, Journal of Psychopharmacology, 2008, read 28 October 2026]
- Ask for help. Tell your sitter. Hold a hand if that was agreed.
- Do not take anything else. No more mushrooms, alcohol or cannabis. DRUGSinfo says alcohol raises the chance of a bad trip and cannabis can make it stronger or less controllable. [Paddo's: combinatiegebruik, DRUGSinfo, Trimbos-instituut, read 28 October 2026]
If you are with someone having one
- Stay. Get to eye level. Speak slowly and use their name.
- “You took mushrooms. You are safe. I am here. This will pass.”
- Go through, not down: accompany them through it rather than trying to stop it. [Zendo Project guide: the four principles of psychedelic support, Zendo Project, read 28 October 2026]
- Move them somewhere quieter and darker if the room is busy. Keep them away from stairs, roads, water and windows.
- Offer water. Do not give food or medicine unless a professional tells you to.
For emotional support from people trained in psychedelic experiences, the Fireside Project's line in the US takes calls and texts on 62-FIRESIDE (623-473-7433), 11 a.m. to 11 p.m. Pacific. [Fireside Project: psychedelic peer support line, Fireside Project, read 28 October 2026]
Why bad trips happen
Dose, mindset and setting all play a part. Set and setting shape the response to a psychedelic. [Constructing drug effects: a history of set and setting, Drug Science, Policy and Law, 2017, read 28 October 2026] In a survey of difficult mushroom experiences, risk was higher at higher doses and when physical comfort and social support were missing. [Survey study of challenging experiences after ingesting psilocybin mushrooms: acute and enduring positive and negative consequences, Journal of Psychopharmacology, 2016, read 28 October 2026] DRUGSinfo adds that alcohol raises the chance of a bad trip. [Paddo's: combinatiegebruik, DRUGSinfo, Trimbos-instituut, read 28 October 2026] Potency also varies: cultivated mushrooms have been shown to vary in psilocybin content by a factor of four, [The abuse potential of medical psilocybin according to the 8 factors of the Controlled Substances Act, Neuropharmacology, 2018, read 28 October 2026] so the same weight can be much stronger than last time; see the dose calculator.
The days after
Rest, eat, sleep and talk to someone you trust. Write down what happened; the integration journal has prompts. If anxiety, low mood, sleeplessness or unusual perceptions continue, see a doctor and say what you took. An integration therapist can help make sense of a hard experience.
Questions
How long does a bad trip on mushrooms last?
No longer than the drug. Effects generally peak within one to two hours of swallowing psilocybin and subside over the next few hours; Erowid gives a total duration of two to six hours for mushrooms. [The abuse potential of medical psilocybin according to the 8 factors of the Controlled Substances Act, Neuropharmacology, 2018, read 28 October 2026] [Psilocybin mushroom dosage (archived copy), Erowid, via Internet Archive, 2026, read 28 October 2026]
Can a bad trip cause lasting harm?
It can. In a survey of 1,993 people describing their most difficult mushroom experience, 7.6% of those whose experience was more than a year earlier sought treatment for lasting psychological symptoms. If symptoms persist, talk to a doctor. [Survey study of challenging experiences after ingesting psilocybin mushrooms: acute and enduring positive and negative consequences, Journal of Psychopharmacology, 2016, read 28 October 2026]
Should I go to the hospital for a bad trip?
Go, or call emergency services, for chest pain, a seizure, difficulty breathing, fainting, or any risk of harm to yourself or others. Fear alone is usually better met with a calm person and a quiet room, but if you are unsure, call.
Is a bad trip a sign something went wrong?
Not necessarily. Psychedelic peer support teaches that difficult is not the same as bad, and many people later count a hard experience among their most meaningful. [Zendo Project guide: the four principles of psychedelic support, Zendo Project, read 28 October 2026] [Survey study of challenging experiences after ingesting psilocybin mushrooms: acute and enduring positive and negative consequences, Journal of Psychopharmacology, 2016, read 28 October 2026]
When a retreat or licensed centre is the better choice
If you take any medication on the interaction checker, have a personal or family history of psychosis or bipolar disorder, have a heart condition, or have nobody sober and steady to sit with you, a setting with screening and trained staff is the safer choice. In trials, participants were screened first and supported by trained monitors throughout. [Human hallucinogen research: guidelines for safety, Journal of Psychopharmacology, 2008, read 28 October 2026]
- All retreats and licensed centres, with prices and the law in each place
- Find your retreat: seven questions and a shortlist
- Licensed sessions in Oregon or Colorado, or retreats in the Netherlands and Jamaica
If you need help now
- 988 Suicide & Crisis Lifeline (US): call or text 988, any hour. 988lifeline.org
- Fireside Project (US): a psychedelic peer support line, call or text 62-FIRESIDE (623-473-7433). [Fireside Project: psychedelic peer support line, Fireside Project, read 28 October 2026]
- A medical emergency anywhere: call your local emergency number (911 in the US, 112 in the EU).