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Mushroom Retreats

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.

If you are the one having it

  1. 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]
  2. Breathe out slowly. Longer out than in, ten times.
  3. Change one thing. Lie down or sit up. Eyeshades off, or on. Different music, or silence. A blanket.
  4. 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]
  5. Ask for help. Tell your sitter. Hold a hand if that was agreed.
  6. 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]

If you need help now