how to handle anxiety psychedelic trip

How to handle anxiety during a psychedelic experience?

AKA how do I stop a bad trip?

This question comes up again and again, so I thought I’d pool together some techniques for you curious seekers.

It can vary for different people, but here are a few methods, many of which can be combined:

You’re Human

I think the first thing to say before getting into specific techniques is that the feeling of anxiety can happen to any of us.

If you feel anxiety during your trip, it doesn’t mean that something is wrong with you or your experience. It’s actually pretty common.

It’s not every day that your whole world is dissolving around you and you feel like you’re dying. A bit of anxiety can be expected. It doesn’t mean you will remain anxious or fearful, or that the experience won’t morph into something else. Psychedelic experiences can be very dynamic and your experience can entirely change in a matter of seconds.

Remember, like all feelings, anxiety can and will pass...

Remember It Will End

Both the feeling of anxiety and the trip itself are temporary.

Just remembering that can be very reassuring and help take the heat out of the most acute anxiety.

Say ‘Bring It On!’

Anxiety is a high-arousal state. Before trying to calm yourself down to a low arousal state, it can be easier to initially shift sideways to another high arousal state: excitement. Rather than nervously thinking ‘oh shit, what’s going to happen?’, try instead to come at it with a sense of wonder and excitement, and think ‘oh baby, what’s going to happen? Bring it on!’.

Relish the adventure you’re on. Don’t resist it, embrace it.

open bring it on adventure psychedelic journeys

You can practice this outside of your journeys. Every time you feel some nervousness about leaning into an edge, train yourself to smile and say ‘bring it on!’. This cultivates the bold explorer’s mindset. It’s also pretty fun.

Once you’ve remembered you’re on an adventure, that you signed up for a non-ordinary experience and now you’re having it and going to embrace it, it might actually serve you to center and calm down a little.

Breathe

Take long, slow, deep breaths. 

This has a physiological response that calms the nervous system down.

Breathe in deep, down into your belly. Use diaphragmatic breathing, filling your belly before your chest. If you’re lying down, your stomach should rise.

As you breathe, you can rest your attention on your breath. Aware when you breath in, aware when you breathe out.

Breathwork

Some people like specific types of breathwork. This can mean breathing in a specific rhythm.

For example:

  • 4-4-6-2
    Breathe in for a count of 4, hold for 4, exhale 6, hold for 2.
  • 5-2-7
    Breathing in 5, hold 2, breathe out 7.

Breathwork is a whole other beast and can also be used to intensify experiences, but I’ll leave that for another day. Basically, try and find something which works for you.

Try a simple 30-second one from Calm here.

One thing to bear in mind when doing controlled breathing is that you want to avoid building any tension that may come about from controlling with your breath. This will be counterproductive. If it is difficult to do your chosen pattern of breath, I’d recommend just trying to slow your breath down generally, rather than strictly following any type of pattern.

Relax Your Body

It can also help to systematically relax all the muscles in your body. Relax the muscles in your face, then your neck, then your shoulders, and so on. I find it helpful to relax one body part per cycle of in-and-out breath. 

  • Breathing in – relaxing the muscles in my face
  • Breathing out – relaxing the muscles in my face
  • Breathing in – relaxing my shoulders, allowing them to sink down
  • Breathing out – relaxing my shoulders

and so on.

Change Your Posture

Some people find specific postures to be helpful. These can help connect to a place of safety, strength or power.

For example:

  • A ‘bring it on’ open posture, such as lying down, legs open, and hands behind the head
  • One hand over the heart (can be combined with mentally connecting to one’s heart centre)
  • Prayer hands infront of the chest, or forehead

Pray

You can also actually pray, or just ask for help from whatever you pray to.

“The function of prayer is not to influence God, but rather to change the nature of the one who prays.”
– Soren Kierkegaard

pray handle anxiety psilocybin

Hum, Make Sound, Sing, Use Your Voice

This is one that was brought up by one of the members on the last round of The Conscious Psychedelic Explorer course. Whilst experiencing some uncomfortable feelings on a group retreat on an experience with psilocybin mushrooms, they were taken to a private space where they felt less inhibited to make noise and tried humming. “The difference was night and day”.

sing hum voice vagus nerve psychedelics anxiety nervous

This creates vibrations that stimulate the vagus nerve and signifies safety to the nervous system. This triggers a state of well-being and relaxation.

This can also be combined with long breaths. One I’ve used to soothe myself during the jitters of an MDMA come up is to take a nice deep breath in through the nose, and then a long slow mouth-closed exhale combined with a low hum. I can feel the vibration inside, which is somehow comforting and warming. I’ve found this to work very quickly.

Take a few seconds and try it for yourself now and see what you experience. You might just equip yourself with a new tool to take on your next journey.

Recite a Mantra

Some people also find it helpful to recite a mantra.

For example:

  • “I am loved, I am safe”
  • “I am not my fears, I am not my thoughts”

Choose one that feels right to you.

Final Thoughts

Anxiety is typically at the core of a ‘bad trip’. It can be tied in with our resistance – the big no-no of navigation.

Besides the oft-quoted but very true and pith instruction of ‘surrender’, these are some practical techniques you can use. You can combine them, and try them for different types of sensations (i.e. come-up anxiety, trip peak anxiety, dreaded realization anxiety AKA uncomfortable truth, and yes day-to-day anxiety).

Long term I always come back to recommending developing some type of meditation and mindfulness practice. It will help you to notice anxiety and employ these techniques more quickly and effectively.

Best of luck out there.

psilo psolo journey manual psoiree

Movement.
Stillness.

Stillness.
Movement.

These are the four modules that make up the high-dose journey arc and outline, as proposed in the Psilo Psolo Journey Manual, from Psoirée founder Ray Christian.

psilo psolo journey manual psoiree

I recently connected with Ray over our shared love of high-dose solo sessions, and being the idea nerd that I am, today I wanted to give a quick outline and share this framework. Let’s take a look…

Four Modules

Ray outlines four modules for a high-dose trip. They go like this:

Module 1: Pre-trip
Movement

Module 2: Liftoff
Stillness

Module 3: Cruising Altitude
Stillness

Module 4: Landing:
Movement

The idea is that physicality has a powerful impact on the journey. So it’s good to toggle between both movement and stillness. Although movement and stillness both repeat, each one is different. Here’s a closer look at each of the modules (M):

M1: Pre-trip

Movement

Duration: 20–30 mins
Description: After consuming but before it has taken effect
Directions: Utilize MOVEMENT to get endorphins flowing. Your mind and body state as you enter the “Stargate” portal will dictate the tone of the journey.

M2: Liftoff

Stillness

Duration: 1.5–2 hours
Description: The most intense module
Directions: Engage complete physical STILLNESS: this is key for going deep. Your body should be still for long stretches of the journey so your mind can travel.

M3: Cruising Altitude

Stillness

Duration: 30–60 minutes
Description: A stable equilibrium within the journey. You won’t feel “normal,”
but you’re finding balance
Directions: Aim for continued STILLNESS.

M4: Landing

Movement

Duration: 60–120 minutes
Description: Journey & “reality” merge
Directions: Gentle MOVEMENT. Dance or play an instrument, but take it slow. You’re like a newborn gazelle on the African plains.

Music And Modules

Ray also shares music suggestions for each of the modules. Here’s a peak…

music and mo

Final Thoughts

If you know me, you know I love frameworks, systems, and methods. And when I see them applied to psychedelic work, it’s an easy fun geek-out moment.

I am happy to see stillness as the centerpiece of this framework. I consider inner work journeys to be like condensed meditation sessions, so an element of stillness is key. It means really being with the experience, being with ourselves. My own MO for these sessions is probably closer to stillness, stilness, stillness, stillness.

However, I like the movement at the start, getting the instant benefits of movement or exercise to induce the ideal set. I have tried this before, and a 20-minute low-grade run before an MDMA session, or a creative session with weed, have worked tremendously for me. Though much movement toward the end of the journey is rare for me, I know for sure that others benefit from it.

I also like the “1-2 punch” cadence suggested for music in module 2. It reminds me a lot of the “pendulum” effect employed by Mendel Kaelen in his psilocybin playlists, where he moves between intense songs (to get the emotional catharsis flowing), and more mellow songs (to give the journeyer a little respite from the intense emotional work).

I remain method agnostic when it comes to working with psychedelics and continue to champion a personalized approach, everyone finding what works for them. I think this four-module framework can work well for many, many people, and the ideas are certainly worthy of experimenting with.

You can check out the full Psilo Psolo Journey Manual here and Ray’s community at Psoirée, a hub for solo high-dose explorers.

mindfulness practice technique psychedelic practitioner

Everyone serious long term psychedelic practitioner should have something of a mindfulness practice.

But beyond basic mindfulness, what types of meditation are most useful for the inner explorer?

This post will look at three that are especially helpful for navigating inner journeys.

  • Conscious Relaxation
  • RAIN
  • Letting Go

Conscious Relaxation 

Relaxation is easing tension and softening ourselves consciously. Learning how to relax yourself is probably the first mindfulness technique I would recommend for anyone wishing to embark on a course of psychedelic exploration.

Anxiety is particularly common during the early onset phase whilst the effects are increasing and one is still on their way up. It can also come when things get hot and heavy in the peak of an experience. Anxiety can be not only disorienting, but also uncomfortable. It can also just waste valuable session time which would be better spent exploring. 

Learning to recognise anxiety will grow with a standard mindfulness practice. I will not cover that here, as it should be a basic foundation for any explorer. Once recognised, it can be relaxed. This can be done in a couple of ways. 

Slow Breathing

The first is taking long, slow and deep breaths. By controlling our breathing we can trigger a physiological response which relaxes us.

It can be helpful to place one hand on your stomach and one on your heart to feel the rise and fall of the breath. The extra physical sensation and connection to your breath can help to maintain an awareness of it. It can help to keep us breathing long and deep,  and ensure that we are breathing from the belly.

“We regain our balance through the proper application of attention and awareness. This is the slowing down, which we can facilitate physically through relaxed, deep breathing which helps release any tension in our bodies. Once we’ve slowed ourselves down and replanted our psychic feet, it is easier to move our consciousness through the resistance or block.”
– Rick Strassman

Relax the Muscles

The second is to consciously relax all the muscles in our body. If you’ve done any yoga, you might know this as savasana or corpse pose, done at the end of a class.

Feel into your body and see if you can identify any sources of physical tension or tightness. As you breathe, relax them.

The jaw, shoulders, and the stomach are areas where tension is commonly stored in and naturally tighten up when we are feeling uneasy. I find it very helpful to do a mental checklist of these three areas over three breaths: relaxing the muscles in my jaw with one in and out breath; relaxing the shoulders with the next, allowing them to fall and sink to the ground; and with the next breath, relaxing the muscles in the stomach.

You can also do a full body relaxation, letting your whole body loosen. You can systematically go through your entire body, scanning each and every part. This is like a vipassana body scan, but as you place your attention on each section, you consciously relax each part. You can do this systematically by relaxing one part per cycle of breath, before moving to the next part.

For example, on one in and out breath, relax all the muscles in your face; on the next cycle of breath, relaxing all the muscles in your neck; the next breath, relaxing your shoulders; and so on until you reach your feet. You can do this as many times as is useful to you.

Tip: A good way to train in this systematic relaxation of your body is with a guided relaxation for sleep. If you’re looking to establish a mindfulness practice but never seem to be able to find time, try using this guided meditation scan every night as you go to sleep. A few years ago I did this over a period of months, listening to it every night in bed as I drifted off. It helped to train that muscle of guiding relaxation, which I’ve now internalized to some degree, and find it much easier to do.

RAIN

Recognise, Allow, Investigate, Nurture.

This is a mindfulness tool which I find is more useful on low to medium doses or towards the end of higher dose experiences. This is because, although RAIN is designed to be simple, trying to do something with multiple words and steps to remember can be too much on high doses. Something more straightforward like ‘breathe’ is more appropriate in those challenging moments.

That said, I think it is a technique that should be in every psychonaut’s toolbox. You can read more about the RAIN technique in an article here.

Let Go

One of the ultimate tenets of psychedelic exploration.

Learning to let go is one of the most important skills to learn for psychedelic journeying. As with many psychedelic navigation tools, but perhaps more so than any others, it is also key to life.  On a journey of psychedelic exploration the ability to let go will be put to the test and it’s a great chance to practice.

Letting go means just totally dropping yourself into your experience without trying to direct it or control it in any way. The only type of direction you are giving to your awareness is to actually let go of any direction or attempt to place your attention anywhere. In this way, trying to let go can seem almost contradictory. It makes more sense when you think of letting go as an allowing, rather than a willing. Totally letting go is allowing your awareness to go wherever it wants to go. 

You can also imagine letting go physically, as if holding on to the edge of a cliff or a plane flying through the sky, and then just letting go, falling through the air.

One way to practice this is to lie down and feel the weight of your body against the ground. Then feel your body as you imagine you’re melting, as if you’re dissolving into the earth. Then just let yourself dissolve into the floor beneath you. If you’re feeling your sense of self dissolving, then let it happen. If you get the sense that you are dying or disappearing, let it happen. As Bill Richard has said in his Flight Instructions, rebirth can only come after a death, so allowing yourself to die is the only way to be reborn. 

Letting go also combines with relaxing, in that it is letting go of any tension and resistance to present moment experience.

As Tim Leary was quoted in Tomorrow Never Knows, The Beatles’ song about LSD: 

“Turn off your mind, relax, and float downstream” 

.

flight sky instructions psilocybin bill richards

What should you do when under the influence of psilocybin to make the most of the session? What should you do if you encounter fear? What is the best way to navigate a psychedelic journey?

These are all questions you might ask if you are preparing to embark on a psychedelic journey and hoping for an insight or nugget to help you on your path forward in life.

Research setting for a psilocybin study

Bill Richards, one of the founders of the psychedelic research team at Johns Hopkins – one of the leading research institutes in the world of psychedelic research and responsible for those studies boasting the remarkable results that you’ve probably heard – is one of the most experienced figures in the psychedelic field today. Richards, who has overseen hundreds of experiences and had his own too, has put together a set of flight instructions that are read to all study participants who take psilocybin at Johns Hopkins.

These instructions are one of the best resources I’ve found when it comes to high dose psychedelic navigation. They offer advice on what to do at certain encounters or points on your journey. They are the basis for an adapted form of flight instructions I put together for New Moon retreat participants.

You can read more of the study instructions at trippingly here, and find Richards’ music playlist for tripping here.

Flight Instructions by Bill Richards

Please relax.  You will never be left alone during your experience.  You need not worry about physical safety, [the name of the other sitter] and I will be here to help you and maintain your safety.

You may experience a deep and transcendental experience.  You may have feelings of the loss of one’s self, experience a sensation of rebirth or even death.  You may experience a feeling that you have ceased to exist as an individual and are connected with the world or the universe.  If you experience the sensation of dying, melting, dissolving, exploding, going crazy etc. — go ahead.  Experience the experience.  Remember that the death/transcendence of your ego or your everyday self is always followed by Rebirth/Return to the normative world of space & time.  Safest way to return to normal is to entrust self unconditionally to the emerging experiences.  

Instruction for Study Guides

Avoid attempting to guide the participant down any journey. However, we encourage you to help the participant enter a deeper experience by encouraging the participant with phrases such as:

“If you see a door, what will you do”?  (Encourage the participant to “walk through it”)

“Trust the trajectory, follow your path”

“Let Go, Be Open, Trust”

“If you see a window, what will you do?”  (Encourage the participant to “look through it” or “open it”)

“If you feel like you’re dying, melting, dissolving, exploding, going crazy etc.—go ahead, embrace it.”

“Climb staircases, open doors, explore paths, fly over landscapes”

If the participant is feeling fear, encourage the participant to confront the fear:

“Look the monster in the eye and move towards it… Dig in your heels; ask, ‘What are you doing in my mind?’ Or, ‘What can I learn from you?’ Look for the darkest corner in the basement, and shine your light there.”

“The same force that takes you deep within will, of its own impetus, return you safely to the everyday world.”

If the participant is mild physical pain encourage the participant to investigate the pain using the phrases below (if confronted with intense or acute pain, immediately notify the medical staff):

“Look into the pain you are experiencing, visualize it and see it as clearly as you can.  Where is the source of the pain?  Can you embrace the pain or make the pain leave you?”

“Can you visualize the pain?  Can you see it clearly for what it is?  Is this pain serving you or should the pain leave?”

If the participant encounters nausea or vommits remind the participant:

“Part of your being is discomfort, which shall pass.”

“Feel the nausea leaving you, and you will soon return to comfort”

“Nausea is temporary and it will pass, embrace it and then send it on its way.”

If the participant becomes sick, use the waste bin and towel provided in the room and alert the medical staff.  Follow the training you received regarding nausea until the medical staff arrives.

 

Would you like to improve your ability to successfully harness the benefits of psychedelics?
Join The Conscious Psychedelic Explorer, our flagship course!

the conscious psychedelic explorer online course details

The Conscious Psychedelic Explorer is a 6 week deep dive course designed to empower you to find a personalised approach to using psychedelics for transformation and growth.

Find out more and sign up!