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The Dark Side of Ayahuasca: Risks, Side Effects, and Bad Trips

  • Filip
  • Apr 27
  • 3 min read
What You Need to Know Before You Drink the Brew

Ayahuasca ceremonies have a reputation for spiritual awakenings and emotional breakthroughs. But what happens when the experience goes wrong? While many walk away feeling transformed, others face intense fear, confusion, and physical discomfort. So, what are the risks of ayahuasca, and why do bad trips happen? Let’s dive into the darker side of this powerful brew.

The Dark Side of Ayahuasca: Risks, Side Effects, and Bad Trips
The Dark Side of Ayahuasca: Risks, Side Effects, and Bad Trips

The Physical Side Effects of Ayahuasca

Ayahuasca isn’t exactly a smooth ride. Nausea, vomiting, and diarrhea are so common that they’re considered part of the “purge”—a process believed to cleanse both body and mind. But the physical effects can sometimes go beyond what’s expected:

  • Increased Heart Rate and Blood Pressure: The brew stimulates the nervous system, which can be dangerous for people with heart conditions.

  • Tremors and Sweating: Many users experience muscle tremors, chills, or excessive sweating during their trip.

  • Loss of Coordination: It’s common to feel dizzy, disoriented, or physically weak, which can be unsettling if you're not prepared.



The Psychological Risks: When the Trip Turns Dark

Ayahuasca’s effects on the mind are unpredictable. While some experience profound clarity, others face intense fear, paranoia, or disturbing hallucinations. These psychological effects happen because ayahuasca’s active ingredient, DMT (dimethyltryptamine), disrupts normal brain activity, especially in areas linked to perception and emotions.

  • Panic and Anxiety: A sudden sense of fear or dread can overwhelm users, leading to intense panic attacks.

  • Paranoia and Delusions: Some report feeling watched or trapped in their own thoughts.

  • Loss of Reality: It’s common to temporarily lose your sense of identity or feel disconnected from reality.

  • Flashbacks After the Ceremony: In rare cases, vivid flashbacks of the trip can occur days or weeks later.



Why Do Bad Trips Happen?

A bad trip often comes down to a combination of factors:

  • Mental State: Anxiety, fear, or suppressed trauma can surface during the trip.

  • Set and Setting: The environment and the people around you play a big role. A chaotic or unsafe setting can trigger paranoia.

  • Dosage: Too high a dose can overwhelm even experienced users.

  • Pre-existing Mental Health Conditions: People with schizophrenia, bipolar disorder, or severe anxiety are at higher risk of adverse effects.

The Dark Side of Ayahuasca: Risks, Side Effects, and Bad Trips
The Dark Side of Ayahuasca: Risks, Side Effects, and Bad Trips

Long-Term Psychological Effects: Can Ayahuasca Trigger Mental Health Issues?

While many find long-term benefits, some experience lingering negative effects:

  • Increased Anxiety or Depression: A difficult trip can leave lasting emotional scars.

  • Hallucinogen Persisting Perception Disorder (HPPD): A rare condition where visual disturbances continue long after the trip.

  • Psychological Dependence: Although not physically addictive, some people chase repeated ceremonies to escape emotional pain.



How to Reduce the Risks of a Bad Trip

  • Choose a Reputable Shaman: An experienced, trustworthy shaman can guide you through difficult moments.

  • Prepare Mentally and Physically: Avoid alcohol, drugs, and processed foods before the ceremony. Reflect on your intentions.

  • Know Your Health Conditions: Avoid ayahuasca if you have heart problems, high blood pressure, or mental health conditions.

  • Integration Is Key: Processing your experience with a therapist or support group can help prevent long-term negative effects.



Not Every Trip Is Enlightening

Ayahuasca can offer powerful insights and emotional healing, but it’s not without risks. Intense fear, paranoia, and physical discomfort are real possibilities—especially if you’re not prepared. Understanding the potential downsides is crucial before you decide to drink the brew.

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