Psychological effects

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Psychological effects are defined as any cognitive effect that is either established within the psychological literature or arises as a result of the complex interplay between other more simplistic components such as cognitive enhancements and suppressions.

This page lists and describes the various psychological effects which can occur under the influence of certain psychoactive compounds.

Catharsis

Main article: Catharsis

Catharsis (from the Greek katharsis) is precisely defined as a cleansing, with no substantial consensus in regards to its exact meaning.[1] Generally, this effect is a form of emotional insight.[2][3][4][5][6] The process typically starts off being difficult to fully face and is sometimes accompanied by physically intense sensations which typically lead into pronounced emotion enhancement, deep introspection, and an analysis of one's character and past events. During this experience many people describe reliving traumatic events, witnessing painful memories, having enhanced mental imagery, reliving of past experiences, painful feelings in general, and a release of previously repressed emotions.[4][6] This process of integrating manifestations of conflicts and traumas into long-term stable memories is often described as feeling very natural.

This effect can be helpful in aiding an individual overcome conditions such as addiction,[4][7] post-traumatic stress disorder (PTSD), and other personal afflictions relating to suffered past traumas.[8] After this experience is over, most users report feelings of increased life satisfaction, rejuvenation, and spirituality enhancement which may last days, weeks, or even years after the event is over.[6][9]

Catharsis is most commonly induced in therapeutic settings under the influence of moderate dosages of psychedelic compounds, such as LSD, psilocybin, and mescaline.[8][10][11][12][13][14] However, it can also occur to a lesser extent under the influence of entactogens, dissociatives,[8][12][13] and meditation.

Analysis

The culturally dominant definition of catharsis, releasing the pressure of negative emotions, was popularized by both Josef Breuer and Sigmund Freud as the hydraulic model in psychoanalysis[15][16] and Jakob Bernays's purgation theory in philology.[1][17][18] There is a large amount of discussion of these theories' unsuitability towards the emotion of anger, showing that acting aggressively produces more aggression.[15][16][19][20] Aggression studies' applicability towards catharsis can be called into question though, specifically regarding the nature of security required to experience this effect.[21] It is also notable that Freud himself abandoned this model in practice, favouring the psychoanalytical technique of free association.[22]

Delusions

Main article: Delusions

A delusion is a false belief based on incorrect inference about external reality that is firmly held despite what almost everyone else believes and despite what constitutes incontrovertible and obvious proof or evidence to the contrary. The belief is not ordinarily accepted by other members of the person's culture or subculture (i.e., it is not an article of religious faith). When a false belief involves a value judgement, it is regarded as a delusion only when the judgement is so extreme as to defy credibility. Delusional conviction can sometimes be inferred from an overvalued idea (in which case the individual has an unreasonable belief or idea but does not hold it as firmly as is the case with a delusion).[23][24][25]

This article focuses primarily on the types of delusion that are commonly induced by hallucinogens or other psychoactive substances, as opposed to the various categories that are listed within the DSM as occurring within people who suffer from psychiatric disorders such as schizophrenia. Although there are common themes between these two causes of delusion, the underlying circumstances are distinct enough that they are seemingly very different in their themes, behaviour, and frequency of occurrence.

Within the context of psychoactive substance usage, delusions can usually be broken out of when overwhelming evidence is provided to the contrary or when the person has sobered up enough to logically analyse the situation. It is exceedingly rare for hallucinogen induced delusions to persist into sobriety.

It is also worth noting that delusions can often spread between individuals in group settings.[26] For example, if one person makes a verbal statement regarding a delusional belief they are currently holding while in the presence of other similarly intoxicated people, these other people may also begin to hold the same delusion. This can result in shared hallucinations and a general reinforcement of the level of conviction in which they are each holding the delusional belief.

Delusions are most commonly induced under the influence of heavy dosages of hallucinogenic compounds, such as psychedelics, deliriants, and dissociatives. However, they can also occur to a lesser extent under the influence of cannabinoids, stimulant psychosis, and sleep deprivation. They are most likely to occur during states of memory suppression and share common themes and elements with clinical schizophrenia.

Types

All delusions can be categorized by whether or not they are bizarre and whether or not they are mood-congruent. These various different types are described and documented below:

  • Bizarre delusion: A delusion that is characteristically absurd and completely implausible. An example of a bizarre delusion could be the belief that aliens have removed the delusional person's brain.[27]
  • Non-bizarre delusion: A delusion that, though false, is at least theoretically plausible. An example of this could be the belief that the delusional person is currently under police surveillance.[27]
  • Mood-congruent delusion: A delusion with content consistent with either a depressive or manic state. For example, a depressed person may believe that a news anchor on television highly disapproves of them as a person or that the world is ending. However, a manic person might believe that they are a powerful deity, that they have special talents, a special higher purpose, or are a famous person.[27]
  • Mood-neutral delusion: A delusion that does not relate to the sufferer's emotional state. For example, a belief that an extra limb is growing out of the back of one's head would likely be neutral to a persons depression or mania.[27]

Themes

In addition to these categories, delusions can be classified by their thematic content. Although delusions can have any theme, certain underlying themes are commonly found amongst different people. Some of the more common delusional themes which are induced by psychoactive substances are described and documented below:

Delusion of reference

Delusions of reference (also referred to as ideas of reference) are perhaps the most common type of delusion. This delusion typically entails the falsely held belief that an insignificant remark, event, coincidence, or object in the person's environment is either a reaction to the individual or has significant personal meaning relating directly back to their life.[28][29][30]

In psychiatry, delusions of reference form part of the diagnostic criteria for illnesses such as schizophrenia, delusional disorder, bipolar disorder, and schizotypal personality disorder.[citation needed] To a lesser extent, they can also be a symptom of paranoid personality disorder.[citation needed] They can also be caused by intoxication, especially with hallucinogens or during stimulant psychosis.

A list of common examples of this type of delusion are described and documented below:

  • Believing that everyone on a passing bus is talking about them.
  • Believing that people on television or radio are talking about or talking directly to them.
  • Believing that headlines or stories in newspapers are written especially for them.
  • Believing that events (even world events) have been deliberately contrived for them, or have special personal significance for them.
  • Believing that the lyrics of a song are specifically about them.
  • Believing that the normal function of cell phones, computers, and other electronic devices are sending secret and significant messages that only they can understand or believe.
  • Believing that objects or events are being set up deliberately to convey a special or particular meaning to themselves.
  • Believing that the slightest careless movement on the part of another person has a significant and deliberate meaning.
  • Believing that posts on social network websites or Internet blogs have hidden meanings pertaining to them.
Delusion of sobriety

A delusion of sobriety typically entails the falsely held belief that one is perfectly sober despite obvious evidence to the contrary such as severe cognitive impairment, significant motor control loss, and an inability to fully communicate with others.

Delusions of sobriety are the most common type of delusion experienced under the influence of GABAergic compounds such as alcohol and benzodiazepines.

Delusion of transcendence

Delusions of transcendence typically entail a falsely held belief that the person has "transcended into a higher plane of existence" or has discovered the secret to "transcending" and will be able to implement it just as soon as they sober up. Once this occurs, however, the supposed secret is found to be nonsensical, incorrect, or forgotten.

They are commonly experienced under the influence of heavy dosages of psychedelic compounds, particularly during states of high level geometry, memory suppression, and internal hallucinations.

Delusion of enlightenment

Delusions of enlightenment typically entail the sudden realization the person has suddenly become "enlightened" and has figured out or been shown the supposed answer or meaning to life, the universe and everything. This delusion may be accompanied with euphoria from the belief that one has learned the fundamental truth about life. During the experience, this answer is felt to be incredibly simplistic and self-evident but is usually immediately forgotten or realized to be nonsensical once the person has sufficiently sobered up.

Delusions of enlightenment are one of the most common type of delusion under the influence of short acting ego death inducing hallucinogenic compounds such as DMT, nitrous oxide, and salvia.

Delusion of death

Delusions of death are the falsely held belief that the person is about to die, is currently dying, no longer exists, or has already died. This delusion seems to be a result of anxiety caused by misinterpreting the experience of the person losing their sense of self during states of high level ego death. This type of delusion is usually very distressing for the person experiencing it.

Delusions of death are commonly experienced under the influence of heavy dosages psychedelic and dissociative compounds.

Delusion of guilt

Delusions of guilt are caused by unfounded and intense feelings of remorse or guilt that lead the person to conclude that one must have committed some sort of deeply unethical act. The supposed unethical act can range from something relatively mild such as the belief that the person has cheated on their partner or it can be something much more serious such as the belief that they have murdered their friends and family.

Delusions of guilt are commonly experienced under the influence of heavy dosages psychedelic and dissociative compounds.

Delusion of reality

Delusions of reality are the unfounded belief that something fictional such as the plot of a TV show, film, video game, or book is an actual real life event. This delusion may manifest as the perception that the fictional events are genuinely occurring in one's immediate vicinity, or simply that the media being portrayed is real. For example, one may have the sensation that fictional media is occurring around them, or may believe they are watching events occurring in real life, but elsewhere. This delusion seems to be a result of high level immersion enhancement combining with memory suppression to create a state of mind in which somebody is highly engrossed in media while no longer having a functional long term memory that can recall the difference between reality and fiction.

Delusions of reality are commonly experienced under the influence of heavy dosages of dissociative and occasionally psychedelic compounds.

Delusion of unreality

Delusions of unreality are the unfounded belief that the person is currently inside of a video game, dream, or movie and therefore their current actions will not have any real life consequences. Depending on the person, this delusion can sometimes result in committing crimes or violent acts. It seems to be a result of intense derealization combined with disinhibition and memory suppression to create an altered state of mind in which somebody mistakes reality for a fictional hallucination.

Delusions of unreality are commonly experienced under the influence of heavy dosages of hallucinogens and occasionally during stimulant psychosis.

Delusion of grandeur

Delusions of grandeur are the unfounded belief that oneself or another person is or has become god-like, immortal, a visionary genius, or celebrity.[31][32][33][34]

The delusion of having become godlike is often seemingly a result of high level ego inflation and mania. The experience of thinking that another person or the people around them have become godlike is commonly the result of those people being more sober than the delusional person. This causes the delusional person to misinterpret that the other person/people are somehow more capable than a normal human being, when in fact it is just the delusional person who has become comparatively less capable due to cognitive suppressions such as memory suppression.

Delusions of grander attributed to oneself more commonly occur during stimulant psychosis. However, delusions of grandiosity which are attributed to other people are most commonly experienced under the influence of heavy dosages of psychedelic.

Delusional Parasitosis

Delusional parasitosis, also known as Ekbom's syndrome,[35][36] is a form of psychosis in which victims acquire a strong delusional belief that they are infested with parasites, whereas in reality no such parasites are present.[37]

Sufferers may injure themselves in attempts to rid themselves of the "parasites." Some are able to induce the condition in others through suggestion, in which case the term folie à deux may be applicable.[36][38] Nearly any marking upon the skin, or small object or particle found on the person or his clothing can be interpreted as evidence for the parasitic infestation, and sufferers commonly compulsively gather such "evidence" and then present it to medical professionals when seeking help.[39]

In the context of psychoactive substances, it is particularly common during stimulant psychosis after prolonged chronic usage of cocaine.[40]

Depersonalization

Main article: Depersonalization

Depersonalization or depersonalisation (sometimes abbreviated as DP) is medically recognized as the experience of feeling detached from, and as if one is an outside observer of, one's mental processes, body, or actions.[23][1][6] During this state, the affected person may feel like they are "on autopilot" and that the world is lacking in significance.[6][16] Individuals who experience depersonalization feel detached from aspects of the self, including feelings (e.g., "I know I have feelings but I don't feel them"),[4] thoughts (e.g., "My thoughts don't feel like my own")[8], and sensations (e.g., touch, hunger, thirst, libido).[1][15][12] This can be distressing to the user, who may become disoriented by the loss of a sense that their self is the origin of their thoughts and actions.

It is perfectly normal for people to slip into this state temporarily,[41] often without even realizing it. For example, many people often note that they enter a detached state of autopilot during stressful situations or when performing monotonous routine tasks such as driving.

It is worth noting that this state of mind is also commonly associated with and occurs alongside derealization. While depersonalization is the subjective experience of unreality in one's sense of self, derealization is the perception of unreality in the outside world.[1][16][15][12]

Depersonalization is often accompanied by other coinciding effects such as anxiety,[1][4] depression,[4] time distortion,[8] and derealization.[15][13] It is most commonly induced under the influence of moderate dosages of dissociative compounds, such as ketamine,[41] PCP,[42][43] and DXM. However, it can also occur under the influence of cannabis,[41][13][44] psychedelics,[41] and to a lesser extent during the withdrawal symptoms of depressants[45][46] and SSRI's[41].

Derealization

Main article: Derealization
An artistic replication of what it feels like to experience watching the world through a screen.

Derealization or derealisation (sometimes abbreviated as DR) is medically recognized as the experience of feeling detached from, and as if one is an outside observer of, one's surroundings.[23] This effect is characterized by the individual feeling as if they are in a fog, dream, bubble, or something watched through a screen,[47] like a film or video game.[15] These feelings instill the person with a sensation of alienation and distance from those around them.

Derealization can be distressing to the user, who may become disoriented by the loss of the innate sense that their external environment is genuinely real. The loss of the sense that the external world is real can make it feel inherently artificial and lifeless.[15]

This state of mind is commonly associated with and often coincides with depersonalization. While derealization is a perception of the unreality of the outside world, depersonalization is a subjective experience of unreality in one's sense of self.

Derealization is often accompanied by various perceptual distortions such as acuity suppression, acuity enhancement, and perspective distortions.[15] Other coinciding effects include auditory distortions and depersonalization.[47][15] This effect is most commonly induced under the influence of moderate dosages of dissociative compounds, such as ketamine, PCP, and DXM. However, it can also occur to a lesser extent during the withdrawal symptoms of stimulants and depressants.

Depression

Main article: Depression

Depression can be described as a state of low mood and aversion to activity, which can affect a person's general sense of well-being in a negative manner.[48][49][50] Depressed people often feel sad, anxious, empty, hopeless, worried, helpless, worthless, guilty, irritable, hurt, or restless. They may have problems concentrating, remembering details, feeling emotions, connecting with other people or making decisions. The negative effects of depression may cause the person to contemplate or attempt to commit suicide.

Within the context of psychoactive substance usage, depression is often accompanied by other coinciding effects such as anxiety and irritability and can be considered as the polar opposite of cognitive euphoria. It is most commonly induced when a stimulant or depressant is used repeatedly for prolonged periods of time, during the withdrawal symptoms of almost any substance, or during the comedown/crash of a stimulant. However, it is worth noting that substance-induced depression is often much shorter lasting than clinical depression, subsiding once the effects or withdrawal symptoms of a drug have ended.

When not caused by drug use, in the context of formal psychology, these feelings can be classified as clinical depression or major depressive disorder by the DSM's diagnostic criteria when five (or more) specific symptoms from the list below have been present during the same 2-week period and the feelings represent a change from previous functioning; at least one of the symptoms must also be either (1) depressed mood or (2) loss of interest or pleasure.[51]

  1. Depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad, empty, hopeless) or observation made by others (e.g., appears tearful). (Note: In children and adolescents, can be irritable mood.)
  2. Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation.)
  3. Significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day.
  4. Insomnia or hypersomnia nearly every day.
  5. Psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down).
  6. Fatigue or loss of energy nearly every day.
  7. Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick).
  8. Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others).
  9. Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.

For a diagnosis of clinical depression to be accurate, the symptoms must cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. They cannot be attributable to the physiological effects of a substance or another medical condition. The occurrence of the major depressive episode must also not be better explained by another disorder on the schizophrenic or psychotic spectrum.

If you suspect that you are experiencing symptoms of depression, it is highly recommended that you seek out therapy, medical attention, or a support group.

Déjà vu

Main article: Déjà vu

Déjà Vu or Deja Vu can be described as the sudden sensation that a current event or situation has already been experienced at some point in the past when, in actuality, it hasn't.[52][53][54][55] This term is a common phrase from the French language which translates literally into “already seen”. It is a well-documented phenomenon that can commonly occur throughout both sober living and under the influence of hallucinogens.

Within the context of psychoactive substance usage, many compounds are commonly capable of inducing spontaneous and often prolonged states of mild to intense sensations of déjà vu. This can provide one with an overwhelming sense that they have “been here before”. The sensation is also often accompanied by a feeling of familiarity with the current location or setting, the current physical actions being performed, the situation as a whole, or the effects of the substance itself.

This effect is often triggered despite the fact that during the experience of it, the person can be rationally aware that the circumstances of the “previous” experience (when, where, and how the earlier experience occurred) are uncertain or believed to be impossible.

Déjà vu is often accompanied by other coinciding effects such as short term memory suppression and thought loops. It is most commonly induced under the influence of moderate dosages of hallucinogenic compounds, such as psychedelics, dissociatives, and cannabinoids.

Ego replacement

Main article: Ego inflation

Ego replacement can be described as the sudden perception that one's sense of self and personality has been replaced with that of another person's, a fictional character's, an animal's, or an inanimate object's perspective. This can manifest in a number of ways which include but are not limited to feeling is one has literally become another human, animal, or alien consciousness. During this state, the person will be unlikely to realize that their personality has been temporarily swapped with anothers and will usually not remember their previous life.

Ego replacement is often accompanied by other coinciding effects such as delusions, psychosis, and memory suppression. It is most commonly induced under the influence of moderate dosages of heavy dosages of hallucinogenic compounds, such as psychedelics, dissociatives, and deliriants.

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.[56][57]

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.[58][59] 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.[60]

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 enhancement. 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.

Panic attacks

Main article: Panic attacks

A panic attack is a discrete period of sudden onset of intense fear or terror. During these attacks there are symptoms such as shortness of breath or smothering sensations; palpitations, pounding heart, or accelerated heart rate; chest pain or discomfort; choking; and fear of going crazy or losing control. Panic attacks may be unexpected, in which the onset of the attack is not associated with an obvious trigger and instead occurs "out of the blue," or expected, in which the panic attack is associated with an obvious trigger, either internal or external.[23]

Panic attacks are usually triggered in moments of severe anxiety, such as that caused by a bad trip. They are so subjectively overwhelming both physically and mentally that the user may believe they are dying, or that some great calamity is imminent, and are commonly mistaken for heart attacks. The subjective sensations can overwhelm rational thought even when the user recognizes that they are having a panic attack, especially in those who have not experienced them before.

Panic attacks are often accompanied by uncomfortable physical symptoms that may further aggravate a person’s anxiety as they may be mistaken for a serious health problem. The strongest mental effect of panic attacks is a crushing sense of impending doom,[23] accompanied by despair, panic, and dread. These usually begin abruptly and may reach their peak within 10 to 20 minutes, but may also continue for hours in extreme cases before subsiding on their own. Although this experience is incredibly stressful it is important to note that it is not physically dangerous or harmful.

The various cognitive and physical symptoms of a panic attack are described and listed below:

  • Hyperventilation - Hyperventilation occurs when one breathes deeper and more rapidly than usual. When hyperventilating, one may feel as though they are struggling to get enough air. As this causes a decrease of carbon dioxide in the blood, it may result in light headedness, a rapid heartbeat, chest pain, or a tingling sensation in a person's limbs.[61]
  • Abnormal heart rate and palpitations - Due to the release of stress hormones, one may experience heart symptoms including missed beats, palpitations, chest pain, and an accelerated heart rate.
  • Tactile suppression - This can be described as a loss of sensation as well as numbness and tingling sensations throughout the body. It may feel as if one's skin or body parts are numb to the touch, and this can occur in a small area or become all-encompassing throughout multiple body parts or the entire body. Numbness most frequently occurs within the hands, legs, arms, feet, and face. This effect is often accompanied by a pins and needle sensation and it generally increases alongside of hyperventilation.
  • Shortness of breath
  • Sweating
  • Trembling or shaking
  • Feelings of choking
  • Chest pain or discomfort
  • Bodily pressures
  • Nausea or abdominal distress
  • Feeling dizzy, unsteady, lightheaded, or faint
  • Derealization
  • Depersonalization
  • Fear of losing control or going insane
  • Feelings of impending doom
  • Chills or hot flashes
  • Delusions

Paranoia

Main article: Paranoia

Paranoia is the suspiciousness or the belief that one is being harassed, persecuted, or unfairly treated.[62] These feelings can range from subtle and ignorable to intense and overwhelming enough to trigger panic attacks and feelings of impending doom. Paranoia also frequently leads to excessively secretive and overcautious behavior which stems from the perceived ideation of one or more scenarios, some of which commonly include: fear of surveillance, imprisonment, conspiracies, plots against an individual, betrayal, and being caught. This effect can be the result of real evidence, but is often based on assumption and false pretense.

Paranoia is often accompanied by other coinciding effects such as anxiety and delusions. It is most commonly induced under the influence of moderate dosages of hallucinogenic compounds, such as cannabinoids,[63] psychedelics, dissociatives, and deliriants. However, it can also occur during the withdrawal symptoms of GABAergic depressants and during stimulant comedowns.

Personality regression

Personality regression is a mental state in which one suddenly adopts an identical or similar personality, thought structure, mannerisms and behaviours to that of their past self from a younger age.[64][65][66] During this state, the person will often believe that they are literally a child again and begin outwardly exhibiting behaviours which are consistent to this belief. These behaviours can include talking in a childlike manner, engaging in childish activities, and temporarily requiring another person to act as a caregiver or guardian. There are also anecdotal reports of people speaking in languages which they have not used for many years under the influence of this effect.[67]

Personality regression is often accompanied by other coinciding effects such as anxiety, memory suppression, and ego death. It is a relatively rare effect that is most commonly induced under the influence of moderate dosages of hallucinogenic compounds, such as psychedelics, most notably Ayahuasca, LSD and Ibogaine in particular as well as certain dissociatives. However, it can also occur for people during times of stress,[64] as a response to childhood trauma,[68] as a symptom of borderline personality disorder,[69] or as a regularly reoccuring facet of certain peoples lives that is not necessarily associated with any psychological problems.

Psychosis

Main article: Psychosis

Psychosis is defined as an abnormal condition of the mind and a general psychiatric term for a mental state in which one experiences a "loss of contact with reality."[70][71] The features of psychoticism are characterized by delusions, hallucinations, and formal thought disorders exhibiting a wide range of culturally incongruent, odd, eccentric, or unusual behaviors and cognitions, including both process (e.g., perception, dissociation) and content (e.g., beliefs).[72] Depending on its severity, this may also be accompanied by difficulty with social interaction and a general impairment in carrying out daily life activities.

Within the context of clinical psychology, psychosis is a very broad term that can mean anything from relatively mild delusions to the complex and catatonic expressions of schizophrenia and bipolar type 1 disorder.[73][74][75] Generally speaking, however, psychosis involves noticeable deficits in cognitive functioning and diverse types of hallucinations or delusional beliefs, particularly those that are in regard to the relation between self and others such as delusions of grandiosity, paranoia, or conspiracy. The most common of these signs and symptoms of psychosis are listed as separate subcomponents below:

Psychosis is most commonly induced under the influence of moderate dosages of hallucinogenic compounds, such as deliriants,[76][77] psychedelics,[78] dissociatives,[79][80] and cannabinoids[81][82]. However, it can also occur under the influence of stimulants,[83][84] particularly during the comedown or as a result of prolonged binges. It may also manifest from abrupt discontinuation of long term or heavy usage of certain drugs such as benzodiazepines[85] or alcohol[86]; this is known as delirium tremens (DTs). Aside from substance abuse it may also occur as a result of sleep deprivation,[87] emotional trauma, urinary tract infections, and various other medical conditions.[citation needed]

Rejuvenation

Main article: Rejuvenation

Rejuvenation can be described as feelings of mild to extreme cognitive refreshment which are felt during the afterglow of certain compounds. The symptoms of rejuvenation often include a sustained sense of heightened mental clarity, increased emotional stability, increased calmness, mindfulness, increased motivation, personal bias suppression, increased focus and decreased depression. At its highest level, feelings of rejuvenation can become so intense that they manifest as the profound and overwhelming sensation of being "reborn" anew. This mindstate can potentially last anywhere from several hours to several months after the substance has worn off.

Rejuvination is most commonly induced under the influence of moderate dosages of hallucinogenic compounds, such as psychedelics and dissociatives. However, it can also occur to a lesser extent under the influence of entactogens, cannnabinoids, and meditation.

Suicidal ideation

Main article: Suicidal ideation

Suicidal ideation can be described as the experience of compulsive suicidal thoughts and a general desire to end one's own life. These thoughts patterns and desires range in intensity from fleeting thoughts to an intense fixation. This effect can also create a predisposition to other self-destructive behaviors such as self-harm or drug abuse and, if left unresolved, can eventually lead to attempts of suicide.

Suicidal ideation is often accompanied by other coinciding effects such as depression and motivation enhancement in a manner which maintains the person's negative view on life but also increases their will to take immediate action. It is most commonly induced under the influence of moderate dosages of various antidepressants of the selective serotonin reuptake inhibitor class. However, outside of psychoactive substance usage, it can also occur as a manifestation of a number of things including mental illness, traumatic life events, and interpersonal problems.

If you suspect that you are experiencing symptoms of suicidal ideation, it is highly recommended that you seek out therapy, medical attention, or a support group.

See also

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 Solbakk, J. H. (2006). Catharsis and moral therapy II: An Aristotelian account. Medicine, Health Care and Philosophy, 9(2), 141-153. https://doi.org/10.1007/s11019-005-8319-1 Cite error: Invalid <ref> tag; name ":1" defined multiple times with different content
  2. Roseman, L., Nutt, D. J., & Carhart-Harris, R. L. (2018). Quality of acute psychedelic experience predicts therapeutic efficacy of psilocybin for treatment-resistant depression. Frontiers in pharmacology, 8, 974. https://dx.doi.org/10.3389%2Ffphar.2017.00974
  3. Tesser, A., Leone, C., & Clary, E. G. (1978). Affect control: Process constraints versus catharsis. Cognitive Therapy and Research, 2(3), 265-274. https://doi.org/10.1007/BF01185788
  4. 4.0 4.1 4.2 4.3 4.4 4.5 Winkelman, M. (2001). Psychointegrators: Multidisciplinary perspectives on the therapeutic effects of hallucinogens. Complementary Health Practice Review, 6(3), 219-237. https://doi.org/10.1177/153321010100600304 Cite error: Invalid <ref> tag; name ":3" defined multiple times with different content
  5. Kaelen, M., Barrett, F. S., Roseman, L., Lorenz, R., Family, N., Bolstridge, M., ... & Carhart-Harris, R. L. (2015). LSD enhances the emotional response to music. Psychopharmacology, 232(19), 3607-3614. https://doi.org/10.1007/s00213-015-4014-y
  6. 6.0 6.1 6.2 6.3 6.4 Gasser, P., Kirchner, K., & Passie, T. (2015). LSD-assisted psychotherapy for anxiety associated with a life-threatening disease: a qualitative study of acute and sustained subjective effects. Journal of Psychopharmacology, 29(1), 57-68. https://doi.org/10.1177/0269881114555249 Cite error: Invalid <ref> tag; name ":4" defined multiple times with different content
  7. Bogenschutz, M. P., & Johnson, M. W. (2016). Classic hallucinogens in the treatment of addictions. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 64, 250-258. https://doi.org/10.1016/j.pnpbp.2015.03.002
  8. 8.0 8.1 8.2 8.3 8.4 Garcia-Romeu, A., Kersgaard, B., & Addy, P. H. (2016). Clinical applications of hallucinogens: A review. Experimental and clinical psychopharmacology, 24(4), 229. https://dx.doi.org/10.1037%2Fpha0000084 Cite error: Invalid <ref> tag; name ":5" defined multiple times with different content
  9. Carbonaro, T. M., Bradstreet, M. P., Barrett, F. S., MacLean, K. A., Jesse, R., Johnson, M. W., & Griffiths, R. R. (2016). Survey study of challenging experiences after ingesting psilocybin mushrooms: Acute and enduring positive and negative consequences. Journal of Psychopharmacology, 30(12), 1268-1278. https://dx.doi.org/10.1177%2F0269881116662634
  10. Winkelman, M. (1991). Therapeutic effects of hallucinogens. Anthropology of Consciousness, 2(3‐4), 15-19. https://doi.org/10.1525/ac.1991.2.3-4.15
  11. Hartogsohn, I. (2018). The Meaning-Enhancing Properties of Psychedelics and Their Mediator Role in Psychedelic Therapy, Spirituality, and Creativity. Frontiers in neuroscience, 12, 129. https://dx.doi.org/10.3389%2Ffnins.2018.00129
  12. 12.0 12.1 12.2 12.3 Wolfson, P. E. (2014). Psychedelic experiential pharmacology: pioneering clinical explorations with Salvador Roquet (How i came to all of this: ketamine, admixtures and adjuvants, Don Juan and Carlos Castaneda too): an interview with Richard Yensen. International Journal of Transpersonal Studies, 33(2), 11. http://dx.doi.org/10.24972/ijts.2014.33.2.160 Cite error: Invalid <ref> tag; name ":6" defined multiple times with different content
  13. 13.0 13.1 13.2 13.3 Kolp, E., Friedman, H. L., Krupitsky, E., Jansen, K., Sylvester, M., Young, M. S., & Kolp, A. (2014). Ketamine Psychedelic Psychotherapy: Focus on its Pharmacology, Phenomenology, and Clinical Applications. International Journal of Transpersonal Studies, 33(2), 8. http://ketamineinstitute.org/wp-content/uploads/files/Phenomenology-of-Ketamine.pdf Cite error: Invalid <ref> tag; name ":7" defined multiple times with different content
  14. Gasser, P., Holstein, D., Michel, Y., Doblin, R., Yazar-Klosinski, B., Passie, T., & Brenneisen, R. (2014). Safety and efficacy of lysergic acid diethylamide-assisted psychotherapy for anxiety associated with life-threatening diseases. The Journal of nervous and mental disease, 202(7), 513. https://doi.org/10.1097/NMD.0000000000000113
  15. 15.0 15.1 15.2 15.3 15.4 15.5 15.6 15.7 15.8 Bushman, B. J. (2002). Does venting anger feed or extinguish the flame? Catharsis, rumination, distraction, anger, and aggressive responding. Personality and social psychology bulletin, 28(6), 724-731.http://dx.doi.org/10.1177/0146167202289002 Cite error: Invalid <ref> tag; name ":0" defined multiple times with different content Cite error: Invalid <ref> tag; name ":0" defined multiple times with different content
  16. 16.0 16.1 16.2 16.3 Bohart, A. C. (1980). Toward a cognitive theory of catharsis. Psychotherapy: Theory, Research & Practice, 17(2), 192. https://doi.org/10.1037/h0085911 Cite error: Invalid <ref> tag; name ":2" defined multiple times with different content
  17. Golden, L. (1973). The purgation theory of catharsis. The Journal of Aesthetics and Art Criticism, 31(4), 473-479. https://doi.org/10.2307/429320
  18. Porter, J. I. (2015). Jacob Bernays and the Catharsis of Modernity. Tragedy and the Idea of Modernity, 15-41. https://doi.org/10.1093/acprof:oso/9780198727798.003.0002
  19. Bushman, B. J., Baumeister, R. F., & Stack, A. D. (1999). Catharsis, aggression, and persuasive influence: Self-fulfilling or self-defeating prophecies?. Journal of personality and social psychology, 76(3), 367. https://doi.org/10.1037/0022-3514.76.3.367
  20. Bushman, B. J., Baumeister, R. F., & Phillips, C. M. (2001). Do people aggress to improve their mood? Catharsis beliefs, affect regulation opportunity, and aggressive responding. Journal of personality and social psychology, 81(1), 17. https://doi.org/10.1037/0022-3514.81.1.17
  21. Geen, R. G., & Quanty, M. B. (1977). The Catharsis of Aggression: An Evaluation of a Hypothesis. In Advances in experimental social psychology (Vol. 10, pp. 1-37). Academic Press. https://doi.org/10.1016/S0065-2601(08)60353-6
  22. Nichols, M. P., & Efran, J. S. (1985). Catharsis in psychotherapy: A new perspective. Psychotherapy: Theory, Research, Practice, Training, 22(1), 46. https://doi.org/10.1037/h0088525
  23. 23.0 23.1 23.2 23.3 23.4 American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.), 819-20. Arlington, VA: American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9780890425596.GlossaryofTechnicalTerms Cite error: Invalid <ref> tag; name "DSM5Glossary" defined multiple times with different content Cite error: Invalid <ref> tag; name "DSM5Glossary" defined multiple times with different content Cite error: Invalid <ref> tag; name "DSM5Glossary" defined multiple times with different content
  24. Sedler, Mark J. "Understanding delusions." Psychiatric Clinics 18.2 (1995): 251-262. https://dx.doi.org/10.4103%2F0972-6748.57851
  25. Garety, Philippa A., and Daniel Freeman. "Cognitive approaches to delusions: a critical review of theories and evidence." British journal of clinical psychology 38.2 (1999): 113-154. https://doi.org/10.1348/014466599162700
  26. Arnone, D., Patel, A., & Tan, G. M. Y. (2006). The nosological significance of Folie à Deux: a review of the literature. Annals of general psychiatry, 5(1), 11. https://dx.doi.org/10.1186%2F1744-859X-5-11
  27. 27.0 27.1 27.2 27.3 "minddisorders.com | http://www.minddisorders.com/Br-Del/Delusions.html
  28. Startup, Mike, Sandra Bucci, and Robyn Langdon. "Delusions of reference: a new theoretical model." Cognitive neuropsychiatry 14.2 (2009): 110-126. https://doi.org/10.1080/13546800902864229
  29. Ideas of reference (PsychCentral) | https://psychcentral.com/encyclopedia/ideas-of-reference/
  30. Menon, M., Schmitz, T. W., Anderson, A. K., Graff, A., Korostil, M., Mamo, D., ... & Kapur, S. (2011). Exploring the neural correlates of delusions of reference. Biological psychiatry, 70(12), 1127-1133. https://doi.org/10.1016/j.biopsych.2011.05.037
  31. Delusions of grandeur (PsycheCentral) | https://psychcentral.com/encyclopedia/delusion-of-grandeur/
  32. Smith, N., Freeman, D., & Kuipers, E. (2005). Grandiose delusions: an experimental investigation of the delusion as defense. The Journal of nervous and mental disease, 193(7), 480-487. https://doi.org/10.1097/01.nmd.0000168235.60469.cc
  33. Knowles, Rebecca, Simon McCarthy-Jones, and Georgina Rowse. "Grandiose delusions: a review and theoretical integration of cognitive and affective perspectives." Clinical Psychology Review 31.4 (2011): 684-696. https://doi.org/10.1016/j.cpr.2011.02.009
  34. Garety, P. A., Gittins, M., Jolley, S., Bebbington, P., Dunn, G., Kuipers, E., ... & Freeman, D. (2012). Differences in cognitive and emotional processes between persecutory and grandiose delusions. Schizophrenia bulletin, 39(3), 629-639. https://doi.org/10.1093/schbul/sbs059
  35. Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 1-4160-2999-0.
  36. 36.0 36.1 Hinkle, N. C. (2011). Ekbom syndrome: A delusional condition of “bugs in the skin”. Current psychiatry reports, 13(3), 178-186. https://dx.doi.org/10.1007/s11920-011-0188-0
  37. Webb, J.P., Jr. (1993). "Case histories of individuals with delusions of parasitosis in southern California and a proposed protocol for initiating effective medical assistance". Bulletin of the Society of Vector Ecologists 18 (1): 16–24.
  38. Koblenzer, C.S. (1993). "The clinical presentation, diagnosis and treatment of delusions of parasitosis--a dermatologic perspective".Bulletin of the Society of Vector Ecologists 18 (1): 6–10.
  39. Webb, J.P., Jr. (1993). "Case histories of individuals with delusions of parasitosis in southern California and a proposed protocol for initiating effective medical assistance". Bulletin of the Society of Vector Ecologists 18 (1): 16–24.
  40. Elliott, A., Mahmood, T., & Smalligan, R. D. (2012). Cocaine Bugs: A Case Report of Cocaine‐Induced Delusions of Parasitosis. The American journal on addictions, 21(2), 180-181. https://doi.org/10.1111/j.1521-0391.2011.00208.x
  41. 41.0 41.1 41.2 41.3 41.4 Stein, D. J., & Simeon, D. (2009). Cognitive-affective neuroscience of depersonalization. CNS spectrums, 14(9), 467-471. https://doi.org/10.1017/S109285290002352X
  42. Erard, R., Luisada, P. V., & Peele, R. (1980). The PCP psychosis: prolonged intoxication or drug-precipitated functional illness?. Journal of psychedelic drugs, 12(3-4), 235-251. https://doi.org/10.1080/02791072.1980.10471432
  43. Pradhan, S. N. (1984). Phencyclidine (PCP): some human studies. Neuroscience & Biobehavioral Reviews, 8(4), 493-501. https://doi.org/10.1016/0149-7634(84)90006-X
  44. Mathew, R. J., Wilson, W. H., Chiu, N. Y., Turkington, T. G., DeGrado, T. R., & Coleman, R. E. (1999). Regional cerebral blood flow and depersonalization after tetrahydrocannabinol adrninistration. Acta Psychiatrica Scandinavica, 100(1), 67-75. https://doi.org/10.1111/j.1600-0447.1999.tb10916.x
  45. Roy-Byrne, P. P., & Hommer, D. (1988). Benzodiazepine withdrawal: overview and implications for the treatment of anxiety. The American journal of medicine, 84(6), 1041-1052. https://doi.org/10.1016/0002-9343(88)90309-9
  46. Duncan, J. (1988). Neuropsychiatric aspects of sedative drug withdrawal. Human Psychopharmacology: Clinical and Experimental, 3(3), 171-180. https://doi.org/10.1002/hup.470030304
  47. 47.0 47.1 Espiard, M. L., Lecardeur, L., Abadie, P., Halbecq, I., & Dollfus, S. (2005). Hallucinogen persisting perception disorder after psilocybin consumption: a case study. European Psychiatry, 20(5), 458-460. https://doi.org/10.1016/j.eurpsy.2005.04.008
  48. Depression (psycheCentral) | https://psychcentral.com/disorders/depression/
  49. Depression (major depressive disorder) | https://www.mayoclinic.org/diseases-conditions/depression/symptoms-causes/syc-20356007
  50. Depression (National Institute of Mental health) | https://www.nimh.nih.gov/health/topics/depression/index.shtml
  51. Major Depressive Disorder (DSM Diagnostic Criteria) | https://images.pearsonclinical.com/images/assets/basc-3/basc3resources/DSM5_DiagnosticCriteria_MajorDepressiveDisorder.pdf
  52. Brown, A. S. (2003). A review of the deja vu experience. Psychological bulletin, 129(3), 394. https://doi.org/10.1037/0033-2909.129.3.394
  53. O’Connor, A. R., & Moulin, C. J. (2010). Recognition without identification, erroneous familiarity, and déjà vu. Current Psychiatry Reports, 12(3), 165-173. https://doi.org/10.1007/s11920-010-0119-5
  54. Deja Vu definition (AlleyDog) | https://www.alleydog.com/glossary/definition.php?term=Deja+Vu
  55. Deja Vu definition (Psychology Dictionary) | https://psychologydictionary.org/deja-vu/
  56. 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, 17. https://doi.org/10.3389/fnhum.2011.00017
  57. Pagnini, F., & Philips, D. (2015). Being mindful about mindfulness. The Lancet Psychiatry, 2(4), 288-289. https://doi.org/10.1016/s2215-0366%2815%2900041-3
  58. Mindfulness Training as a Clinical Intervention: A Conceptual and Empirical Review | http://www.wisebrain.org/papers/MindfulnessPsyTx.pdf
  59. Creswell, J. D. (2017). Mindfulness interventions. Annual review of psychology, 68, 491-516. https://doi.org/10.1146/annurev-psych-042716-051139
  60. Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., ... & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical psychology: Science and practice, 11(3), 230-241. https://doi.org/10.1093/clipsy.bph077
  61. Hyperventilation | http://www.webmd.com/a-to-z-guides/hyperventilation-topic-overview
  62. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.), 826. Arlington, VA: American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9780890425596.GlossaryofTechnicalTerms
  63. Freeman, D., Dunn, G., Murray, R. M., Evans, N., Lister, R., Antley, A., ... & Di Simplicio, M. (2014). How cannabis causes paranoia: using the intravenous administration of∆ 9-tetrahydrocannabinol (THC) to identify key cognitive mechanisms leading to paranoia. Schizophrenia bulletin, 41(2), 391-399. https://doi.org/10.1093/schbul/sbu098
  64. 64.0 64.1 Lokko, H. N., & Stern, T. A. (2015). Regression: diagnosis, evaluation, and management. The primary care companion for CNS disorders, 17(3). https://dx.doi.org/10.4088%2FPCC.14f01761
  65. Regression definition | https://psychcentral.com/encyclopedia/regression/
  66. Regression definition (AlleyDog) | https://www.alleydog.com/glossary/definition.php?term=Regression
  67. Fromm, E. (1970). Age regression with unexpected reappearance of a repressed c3ildhood language. International Journal of Clinical and Experimental Hypnosis, 18(2), 79-88. https://doi.org/10.1080/00207147008415906
  68. https://childhoodtraumarecovery.com/2018/03/09/arrested-psychological-development-and-age-regression/
  69. Viner, J. (1983). An understanding and approach to regression in the borderline patient. Comprehensive psychiatry, 24(1), 49-56. https://doi.org/10.1016/0010-440X(83)90049-4
  70. What is Psychosis? (National Institute of Mental health) | https://www.nimh.nih.gov/health/topics/schizophrenia/raise/what-is-psychosis.shtml
  71. Kapur, S. (2003). Psychosis as a state of aberrant salience: a framework linking biology, phenomenology, and pharmacology in schizophrenia. American journal of Psychiatry, 160(1), 13-23. https://doi.org/10.1176/appi.ajp.160.1.13
  72. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.), 827-8. Arlington, VA: American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9780890425596.GlossaryofTechnicalTerms
  73. American Psychiatric Association, 1994 The Diagnostic and Statistical Manual Revision IV (DSM-IV)
  74. Gelder, Michael G.; Mayou, Richard; Geddes, John (2005). Psychiatry. New York: Oxford University Press. p. 12. ISBN 978-0-19-852863-0.
  75. "Throughout History, Defining Schizophrenia Has Remained a Challenge (Timeline)". Scientific American Mind | https://www.scientificamerican.com/article/throughout-history-defining-schizophrenia-has-remained-challenge/
  76. Jones, J., Dougherty, J., & Cannon, L. (1986). Diphenhydramine-induced toxic psychosis. The American journal of emergency medicine, 4(4), 369-371. https://doi.org/10.1016/0735-6757(86)90312-8
  77. Hall, R. C., Popkin, M. K., & McHenry, L. E. (1977). Angel’s Trumpet psychosis: a central nervous system anticholinergic syndrome. Am J Psychiatry, 134(3), 312-314. https://doi.org/10.1176/ajp.134.3.312
  78. Strassman, R. J. (1984). Adverse reactions to psychedelic drugs. A review of the literature. J Nerv Ment Dis, 172(10), 577-595. https://www.ncbi.nlm.nih.gov/pubmed/6384428
  79. Luisada, P. V. (1978). The phencyclidine psychosis: phenomenology and treatment. NIDA Res Monogr, 21(21), 241-253.
  80. Lahti, A. C., Holcomb, H. H., Medoff, D. R., & Tamminga, C. A. (1995). Ketamine activates psychosis and alters limbic blood flow in schizophrenia. Neuroreport, 6(6), 869-872. https://europepmc.org/abstract/med/7612873
  81. Hall, W., & Degenhardt, L. (2000). Cannabis use and psychosis: a review of clinical and epidemiological evidence. Australian & New Zealand Journal of Psychiatry, 34(1), 26-34. https://doi.org/10.1046%2Fj.1440-1614.2000.00685.x
  82. Hurst, D., Loeffler, G., & McLay, R. (2011). Psychosis associated with synthetic cannabinoid agonists: a case series. American Journal of Psychiatry, 168(10), 1119-1119. https://doi.org/10.1176/appi.ajp.2011.11010176
  83. Glasner-Edwards, S., & Mooney, L. J. (2014). Methamphetamine psychosis: epidemiology and management. CNS drugs, 28(12), 1115-1126. https://dx.doi.org/10.1007%2Fs40263-014-0209-8
  84. Bramness, J. G., Gundersen, Ø. H., Guterstam, J., Rognli, E. B., Konstenius, M., Løberg, E. M., ... & Franck, J. (2012). Amphetamine-induced psychosis-a separate diagnostic entity or primary psychosis triggered in the vulnerable?. BMC psychiatry, 12(1), 221. https://dx.doi.org/10.1186%2F1471-244X-12-221
  85. Preskorn, S. H., & Denner, L. J. (1977). Benzodiazepines and withdrawal psychosis: report of three cases. Jama, 237(1), 36-38. https://www.doi.org/10.1001/jama.1977.03270280038018
  86. Kathmann, N., Soyka, M., Bickel, R., & Engel, R. R. (1996). ERP changes in alcoholics with and without alcohol psychosis. Biological psychiatry, 39(10), 873-881. https://doi.org/10.1007/978-1-4684-2937-4_6
  87. Coren, S. (1998). Sleep deprivation, psychosis and mental efficiency. Psychiatric Times, 15(3), 1-3. http://www.psychiatrictimes.com/sleep-disorders/sleep-deprivation-psychosis-and-mental-efficiency