I cant stop looking for my symptoms: The psychology of persistent visuals
This causes the intense and vivid sensory experiences that are characteristic of a hallucinogenic trip. The brain becomes hyperactive, creating and misinterpreting sensory signals, which leads to hallucinations. Many people develop treatment plans to manage the symptoms and live well-balanced lives.

Type I HPPD
There have also been other energetic phenomena reported with psychedelic use that western sciences does not recognize or have a good grasp upon (e.g. kundalini awakening). Hallucinogen persisting perception disorder (HPPD) is the recurrence of perceptive disturbances that firstly develop during hallucinogenic drug intoxication. The prevalence is low and it is more often diagnosed in those with a history of previous psychological issues or substance misuse, but it can arise in anyone, even after a single exposure to triggering drugs. There appears to be a correlation with previous mental health diagnoses. More than half of the survey’s respondents reported that they had previously struggled with anxiety, panic attacks, depression, post-traumatic stress disorder and other conditions.
- For example, they may use audiobooks or text-to-speech software if reading is difficult.
- Abraham suggested that all three can arise from a broader mechanism of disinhibition in sensory perception, affect and sense-of-self occasioned by psychedelic experience.
- People who have Type 1 experience short, occasional pseudo flashbacks.
Treatment
The fantastical visions, which he’s come to expect and in some ways even enjoy, were a lingering effect of past drug use. Hallucinogens are among the oldest known classes of medications used for their ability to change perception and mood. They can be found Oxford House in plants and fungi or can be synthetically manufactured. These drugs affect the body, producing sympathomimetic effects such as hypertension, mydriasis, and hypertension, and can frequently cause nausea and vomiting. Some of the most crucial side effects affect the mind, producing perceptual distortions. Individuals experience time- and space-related perceptual distortions.
- Amelioration following long-term administration of SSRIs was attributed to the down-regulation of 5-HT2 receptors, providing more evidence to corroborate the serotonergic mechanisms underlying this condition.
- Undoubtedly, these feelings are likely related to the stress of dealing with constant visual changes or worries about mental health.
- Still, it tends to occur among individuals with a history of hallucinogen use.
HPPD

In terms of treatment, options that meet a gold standard of evidence for individuals with HPPD are limited. Currently, no FDA-approved treatments are available for HPPD, and the most effective approaches are still not well understood. However, some case reports suggest that psychotherapy, particularly cognitive-behavioral therapy combined with anxiety reduction, may be HPPD symptom beneficial for some individuals with HPPD.
- While specific HPPD groups may be difficult to find, broader mental health or substance use forums may be helpful.
- It is curious that some consistent VSS symptoms may occur for around 3.7% of the general public; more transient and contingent symptoms are probably much higher.
- One theory of why psychedelics cause visual hallucinations is that they stop information incoming into the visual cortex from being filtered out.
- As a Harvard-trained psychiatrist with decades of experience, Dr. Steven Locke is at the forefront of addressing HPPD and helping individuals manage and treat this condition.
- HPPD symptoms, however, persist long after the normal active life of the drug and can be either episodic or mostly continuous.
These disturbances can range from mild to severe and may last for weeks, months, or even years. Common symptoms include visual snow, trailing images, afterimages, and geometric hallucinations. Hallucinogen persisting perception disorder (HPPD) is a complex condition that can profoundly impact daily life. Early diagnosis and treatment are essential for managing symptoms and enhancing quality of life.

First line medications may include pre-synaptic α2 agonists such as clonidine or lofexidine. These medications act as sympatholytic and can also increase GABA neurotransmission, both which could provide calming effects to key parts of the brain involved in responses to psychedelics (amygdala, cortex). Other first line medications include benzodiazepines such as clonazepam or alprazolam. While evidence is not comprehensive, there is more data supporting benefit of clonazepam in cases of HPPD than other medications. The habit forming and addictive nature of benzodiazepines are obvious disadvantages and may need carefully considered in persons with histories of using multiple substances or having substance use disorders. The table below shows the symptoms listed in DSM-5 as well as other reported symptoms, some of which are also common, and others which are rarer.