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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.

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

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”.

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.

RAIN is a meditation technique for dealing with difficult emotions. As such, it’s an especially useful tool for psychedelic journeying.

Difficult emotions often offer the greatest opportunity for learning or insight during a psychedelic journey and having this technique in your toolbox is especially handy.

RAIN allows you to go towards those difficult emotions with the ultimate mindset for psychedelic exploration: that of an explorer.

“The cave you fear to enter holds the treasure that you seek“
Joseph Campbell

You will also find on Bill Richards’ flight instructions used on psilocybin studies that participants are advised to go towards difficult emotions and to investigate them. This is exactly what RAIN does in a systematic and easy-to-follow way.

So let’s have a look at RAIN, which if you hadn’t figured out yet, is an acronym.

Recognize

what is happening

This is the roots of understanding

Allow

life to be just as it is

This is the grounds of love

Investigate

with gentle attention

This deepens understanding

Nurture

with friendliness

This awakens love

After the RAIN, (what was previously the N before being recently updated) is non-identification. This is realizing freedom from a narrow sense of identity. For example, identifying ourselves with thoughts or feelings. The process of RAIN helps to bring spaciousness around these things and an expanded awareness of the scenes which we often mistake for ourselves.

So let’s go through it more deeply by way of example.

Let’s say for example you are on a psychedelic journey and you feel fear.

R

Starting with R you recognize that you feel fear. You can do this by mentally naming that emotion “fear, fear“.

A

Once recognized move onto the A. Allow it to be, give it permission to be there. You can mentally say “yes OK“. Doing this may mean that the feeling gets stronger, and this is OK. For example, anxiety may develop into a fullness of fear. This is OK. Allow the fear to express itself fully.

When allowing, you may have a sense that it feels too much for you to take. If you’re naming it “fear, fear”, and it’s too strong, then surrender yourself to it. Say: “alright, take me, kill me, I’ll die of this feeling of fear.”

Another example of where complications may come in at the Allow stage. If your first emotion was for example sadness, and you find difficulty allowing it due to the feeling that it is too much. Then go back to R and again Recognize what you are feeling. Fear that it will be too much. So this would be fear. Feelings can morph when going through this process, so stay fluid. Whatever is on top, start there.

I

After the R&A we begin to deepen attention by investigating with kindness.

Approach that feeling of fear as a curious and friendly explorer. This feeling is there for a reason and has something to show you. So go towards it and try to see what it is that this fear is made of.

N

Nurture is the approach to the investigation. Use a sense of friendliness and gentleness to investigate the felt sense of what’s going on.

Treat this feeling as a friend that is asking for your attention that needs your love. Sit down with the fear and take time to get to know it.

What’s the quality of the sensations?

How do I know I’m feeling fear?

Explore your beliefs around the feeling.
Ask:
What am I believing right now which is causing me to feel fear?
What am I thinking about?

When investigating any core belief, it is key for you to come into your body whilst doing this. Find out where this feeling lives in your body. Some practice in body scan or vipassana meditation will come in useful in this step.

Non-Identification

Completing RAIN brings a quality of openness and presence. Anxiety can shift to a space of presence where you are no longer identified with that fear and you can rest in a kind awareness.

Practice RAIN with a guided meditation

Learning and practicing RAIN is something I would recommend to any aspiring psychedelic practitioner. It is something I learned from meditation teacher Tara Brach and you can find one of her guided RAIN meditations here. As with learning any type of meditation it can be useful to begin by doing a few guided meditations and then once you are familiar with the practice you do it alone.

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Techniques To Handle Anxiety During Psychedelic Trips

You’re Human

Remember It Will End

Say ‘Bring It On!’