Psychedelic tripsitting

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Psychedelic tripsitting is the act of looking after an individual or group of people who are under the influence of psychedelics. A tripsitter is able to assist with any problems that may arise during the trip. The tripsitter may be sober, on a smaller dose of the same psychedelic, or on a different substance entirely. It is atypical and irresponsible for a tripsitter to be on a larger dose than whom they are guiding.

Acting as a designated tripsitter requires planning. Communicating interpersonal relationship boundaries and being aware of psychedelic subjective effects beforehand may aid participants' emotional stability. Tripsitting is considered a broad term and the level of involvement the tripsitter will have with participants can vary. This can range from: the tripsitter being in a different room and becoming more involved in the trip only if requested, to the tripsitter actively guiding the experience (in a therapeutic/shamanic way) throughout the entirety of the experience.

A tripsitter may employ techniques to direct the psychedelic experience in a manner that improves the functionality or perceived functionality of the user. This page lists and describes the various psychedelic tripsitting techniques.


Psychedelic psychological first aid

Psychedelic psychological first aid is defined as any behavioral technique which provides an acute and immediate assistance for behavior in psychedelic cognition. These techniques encompass both dissuading dysfunctional behavior and encouraging functional behavior.

This page lists and describes the various psychedelic psychological first aid techniques.

Mindfulness

Main article: Mindfulness

Mindfulness can be described as a psychological concept which is well established within the scientific literature and commonly discussed in association with meditation.[1][2]

It is often broken down into two separate subcomponents which comprise this effect: The first of these components involves the self-regulation of attention so that its focus is completely directed towards immediate experience, thereby quietening one's internal narrative and allowing for increased recognition of external and mental events within the present moment.[3][4] The second of these components involves adopting a particular orientation toward one’s experiences in the present moment that is characterized by a lack of judgement, curiosity, openness, and acceptance.[5]

Within meditation, this state of mind is deliberately practised and maintained via the conscious and manual redirection of one's awareness towards a singular point of focus for extended periods of time. However, within the context of psychoactive substance usage, this state is often spontaneously induced without any conscious effort or the need of any prior knowledge regarding meditative techniques.

Mindfulness is often accompanied by other coinciding effects such as anxiety suppression and focus intensification. It is most commonly induced under the influence of moderate dosages of hallucinogenic compounds, such as psychedelics, dissociatives, and cannabinoids. However, it can also occur on entactogens, certain nootropics such as l-theanine, and during simultaneous doses of benzodiazepines and stimulants.

RAPID model

Main article: RAPID model

The Johns Hopkins RAPID PFA Model is a psychological first aid (PFA) model aimed at providing psychological support to a person in acute psychological distress.

In the context of psychoactive drugs, it can be used by trip sitters to stabilize drug users experiencing anxiety, panic, or a bad trip.

RAPID is an acronym that denotes the model's five phases: Rapport and reflective listening, Assessment, Prioritization, Intervention, and Disposition.

R—Establishing Rapport and Reflective Listening


A—Assessment. Listening to the Story


P—Psychological Triage. Prioritization


I—Intervention Tactics to Stabilize and Mitigate Acute Distress


D—Disposition and Facilitating Access to Continued Care

References

Everly, G. S., Lating, J. M. (2017). The Johns Hopkins Guide to Psychological First Aid. United States: Johns Hopkins University Press.


Psychedelic therapies

Psychedelic therapies are defined as any system of behavioral principles which provide long-term assistance for functional behavior from relatively few psychedelic cognition episodes. These therapies encompass both dissuading dysfunctional behavior and encouraging functional behavior.

This page lists and describes the various psychedelic therapies.

Art therapy

Main article: Art therapy

Art therapy

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT)

Dialectical Behavioral Therapy (DBT)

Dialectical Behavioral Therapy (DBT)

Psycholytic therapy

Main article: Psycholytic therapy

Psycholytic therapy

Psychedelic neuroaesthetics

Psychedelic neuroaesthetics

Psychedelic antidotes

Psychedelic antidotes are defined as any chemical compound directly associated with the reduction of psychedelic subjective effects. Due to a generalized intensification for all subjective effects through psychedelic suggestibility intensifications, a wide variety of substances may be used.

This page lists commonly available psychedelic antidotes.

Anticonvulsants/antiepileptics

Antipsychotics

Anxiolytics

Hydroxyzine

Main article: Hydroxyzine

Serotonin syndrome treatment

See also

References

  1. Slagter, H. A., Davidson, R. J., Lutz, A. (2011). "Mental Training as a Tool in the Neuroscientific Study of Brain and Cognitive Plasticity". Frontiers in Human Neuroscience. 5. doi:10.3389/fnhum.2011.00017. ISSN 1662-5161. 
  2. Pagnini, F., Philips, D. (April 2015). "Being mindful about mindfulness". The Lancet Psychiatry. 2 (4): 288–289. doi:10.1016/S2215-0366(15)00041-3. ISSN 2215-0366. 
  3. Baer, R. A. (2003). "Mindfulness training as a clinical intervention: A conceptual and empirical review". Clinical Psychology: Science and Practice. 10 (2): 125–143. doi:10.1093/clipsy.bpg015. ISSN 1468-2850. 
  4. Creswell, J. D. (3 January 2017). "Mindfulness Interventions". Annual Review of Psychology. 68 (1): 491–516. doi:10.1146/annurev-psych-042716-051139. ISSN 0066-4308. 
  5. Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., Devins, G. (2004). "Mindfulness: A proposed operational definition". Clinical Psychology: Science and Practice. 11 (3): 230–241. doi:10.1093/clipsy.bph077. ISSN 1468-2850.