TripSit Wiki - User contributions [en]

How To Tripsit Online

2018-01-18T12:22:12Z

Icedtea4life:

This is a guide to Tripsitting online, primarily guided around doing so in TripSit's #tripsit channels, though most tips should be transferable to most tripsitting scenarios.

Here on TripSit's network, when you join to help users, you will be connected to #tripsit,#tripsit1,#tripsit2,#tripsit3 and #tripsitters.

The channels #tripsit,#tripsit1,#tripsit2, and #tripsit3 are all the same, support channels users who need assistance are divided evenly between.

The channel called #tripsitters is a peer support channel, where you can ask for help from other TripSitters, or discuss an ongoing situation to determine the best approach.

==Greeting a user==

Greet users with a simple, calm and neutral phrase such as "hello, how are you?" If the user requires some help, make sure you first gain from them an understanding of exactly what drug(s) they are on, at what dosages and how long it was since they took them (always better to ask the user to list all of the drugs he is on even though the problem seems to only be coming from one of them). You can use ~welcome to greet new users, but we recommend using your own words as it feels more human than automated response.

If a user is online, and not getting too much into convo, then don't idle- they might think that no one is listening to them and leave. When possible, try to greet the user as soon as they enter the room (you can use the ~gettripsitentries command to help with this!).

==Basic Commands==

*Changing your nickname is done with:

:*/nick name

::*Note: Spaces are not allowed in a nickname; they are treated as the end of the nickname, and anything after a space will not show up. Alphanumeric (A-Z, 1-9) characters, hyphens (-), and underscores (_) are allowed.

*Joining a room is done with:

:*/join #room

*Leaving a room is done with:

:*/part #room

*Sending someone a private message is done with:

:*/query user message

*Display all available channels:

:*/list

== TripBot ==
Here on TripSit, we have a resident helper bot called TripBot. Here are some of the most useful commands for helping out.
=== Common Commands ===
{| class="wikitable"
! scope="col" style="width: 33%;" | Syntax
! scope="col" style="width: 33%;" | Description
! scope="col" style="width: 33%;" | Example
|-
| ~report <#channel> <user> <reason> || Report a <user> in a <#channel> for a <reason>. This command can either be run publicly in a channel or anonymously in a PM to tripbot. || /msg tripbot ~report #drugs JoeTheTroll Asking where to get stuff.
|-
| ~drug <drug> || Displays the properties of the <drug>, for example: summary, dose, duration, effects and more. || ~drug LSD
|-
| ~drug <drug> <property> || Displays <property> information || ~drug LSD dose
|-
| ~factsheet <drug> || Links to the factsheet of the <drug>. || ~factsheet LSD
|-
| ~bconvert <dosage> <benzo1> <benzo2> || Converts <dosage> of <benzo1> to <benzo2>. || ~bconvert 2mg xanax klonopin
|-
| ~breathe2 || Links a gif animation designed to help users regain control of their breathing, useful for panic and anxiety || ~breathe2
|}

=== TripSitting ===
{| class="wikitable"
! scope="col" style="width: 33%;" | Syntax
! scope="col" style="width: 33%;" | Description
! scope="col" style="width: 33%;" | Example
|-
| ~tripsit <user> || Ask for help in #tripsit on behalf of the <user> in need help. Messages all tripsitters and posts a message in #drugs and #tripsitvip. <user> is optional. || ~tripsit TripSitMe_12345
|-
| ~gettripsitentries || After issuing this command, you will be PMed by tripbot when a new user comes into #tripsit and may need help. ||
|-
| ~notripsitentries || Turns off the above alert of new users in #tripsit. ||
|-
| ~recovery position|| Displays a link to an image on how to get into the recovery position. || http://imgur.com/nTEm0QE.png The recovery position is designed to prevent suffocation through obstruction of the airway
|}

==How To Deal with Various Situations==

===Panic attack===

The most important thing to keep in mind is that panic attacks are not dangerous. They usually originate from a negative thought loop and can be stopped by reminding the 'victim' that they are in no danger whatsoever. Usually a short period of breathing exercise (30s) will be able to 'break the cycle' in terms of the thought loop and you will be able to move them onto another subject. Ask the user to shut their eyes, breathe slowly and deeply and clear their mind of everything but their breathing for thirty seconds - and reassure them that once they have done this they will be feeling much better.

Remember, panic attacks are uncomfortable but not dangerous. Failing being able to perform meditation, suggest a change of setting - this can be done most easily by suggesting the user goes to get a glass of water. See our page on [[Panic Attacks|panic attacks]] for more specific information on dealing with a panic attack.

===Possible Overdose===

Ascertain whether just [[Panic Attacks|panic attack]], and beyond that recommend nothing other than seeking immediate medical attention. We aren't doctors. You should be able to use our resources (or failing that, Google) to quickly ascertain whether a dose is dangerous. Don't freak out trippers by saying they may be in danger when they're on, for example, ~1500ug of 25-I-NBOMe (high dose but not dangerous). Get some background from the tripper; 4g of paracetamol (Acetaminophen) won't harm most of the people but if someone already has problems with their liver it is really dangerous.

There is no way to be certain of a users pre-existing tolerance to any one drug and what they say might be nothing more than their perceived tolerance to said drug. As a result, every individual is different. Potential overdoses for one may be a safe recreational dose for another (more tolerant) individual. This means that there is no guaranteed way to know if one is at a significant risk of death from a potential overdose, which is why recommending seeking medical attention is the best thing to do at that point.

See our page on [[Overdose|overdoses]] for more specific information.

===Bad Trip===

Try to identify the reasons why the tripper is having a bad trip. Is it a general fear or anxiety towards the experience?

The most useful defense a tripper can have against bad trips is the ability to change their environment. Changing the music, the lighting, the room or just about anything can have a huge influence on the mindset of a person who is tripping and this makes it an invaluable technique.

Remind the tripper that the trip will end and that they should try to enjoy it while it lasts. Hopefully this will help ground the tripper and that they will realize the effects they are feeling are only temporary and that they should try to make the best out of their experience.

Another way to quickly help the tripper regain control is by helping them focus on their breathing. Deep inhales through the nose, holding it for a few seconds, slowly exhaling through the mouth and holding breath briefly before repeating it all over again. Tripbot has several gifs in ~breathe that can serve as a visual aid for the tripper.

Sometimes all a tripper needs is a distraction from their negative feelings. Use your imagination to find something relevant that the tripper finds interesting. Engage them in a subject they find interesting! For example, ask them what type of music they like and then respond with your music preferences. Perhaps link them to some chill tunes, chill music is always wonderful when tripping. Simple conversation can be calming to the tripper.

Consider also that challenging moments in a trip can be an incredible opportunity for the development of one's character and you may come to the conclusion that many others have - that benzos are great for dulling the effects of psychedelics but really ought to be a last resort. You can draw a parallel outside of the context of illegal drug use to those that drink heavily when times get tough. Instead of dealing with the hurdles that life presents they retreat to the bar, and they tend to be very immature as a result.

If it appears the tripper is now feeling better perhaps suggest that they occupy themselves with an enjoyable simple activity (drawing, jamming to music, watching a movie, '~triptoys' command, etc). Or if the tripper is feeling up for some conversation you should direct them to #sanctuary and explain the chat is a light positive chat for people on substances.

We also have a [[How_To_Deal_With_A_Bad_Trip|full guide on how to deal with a bad trip]].

===Stimulant Induced Panic===
Ask the user how much they’ve taken to ensure that it isn’t a dangerous amount. Find out how long they’ve been awake for, and inquire about their food and water intake. In nearly all cases they will have neglected one or more of these basics. Reassure them the panic will go away when the dietary and rest negligence has been mended. Have the user drink juice, gatorade, other isotonic beverages or water; ideally eat a full meal as well. Fruit, bananas in particular, can be acceptable if the user is too stimulated to eat and in worst case scenarios they can drink water mixed with a pinch of salt, as that will help to retain the water better. It can be hard for the user to disengage and follow through due to the stimulation. Be adamant, but gentle.

The ~breathe command can help them calm down. If the user has started to rehydrate and eat you can start suggesting soothing music. When the user has calmed down and rehydrated suggest they get some sleep to fully recover.
A few food items which are generally easy to eat in stimulated states include things like: shakes, soups or smoothies.

More information about Stimulant Harm Reduction [[Stimulants#Harm_Reduction|Here]]

===Suicidal Users===

If a user is suicidal, check if they're on drugs or coming down. Try and calm them down to the best of your ability using the techniques described in the Bad Trip section. Use your best judgment, but remember we're not mental health professionals and we're not equipped to deal with these situations properly. If you feel their state isn't improving try to figure out what country they're from and direct them to call a suicide hotline, as they know how to help them much better than we do. Tripbot has the command: ~suicide that links to [[Suicidal_Users_Referrals|Suicidal Users Referrals]]. If all attempts fail please contact a staff member.

===Finding and Providing Information===

There is a wealth of useful information which can help provide you and a tripsitee with information on our Wiki or our other resources. You can either browse the Wiki itself at [http://wiki.tripsit.me/ http://wiki.tripsit.me], or various important articles are also stored in tripbot quotes, such as ~stimulant comedowns. You can get bite-sized information about certain drugs and classes of drug in-channel with the '~drug drugname' command. For example, '~drug mdma dose'. You can also get a link to a nice web-page with all the information about a single drug with, for example: ~factsheet 2cb. For a quick overview of drug combinations check out our [[Drug_combinations|Drug Combination Chart]]

==What to Avoid==

*Giving incorrect advice and information. No information is usually better than wrong information. Don't be afraid to ask fellow tripsitters for input when you cannot give correct advice. If you don't know the substance, direct the user to Erowid or get the info yourself and provide it. If there are no other staff members around feel free to ask in #drugs, there are usually people willing to help! in case of an emergency. Don't hesitate to use the command "~tripsit username" replacing "username" with the username of the tripper in need of help. This will notify people on the network.
*Being too talkative to the user, if you can try to let them guide the conversation so they're as comfortable as possible - try to keep the channel relatively un-busy (use the ~busy command!).
*Crowding a user. If the room is already busy and a tripper is already being attended to by 2-3 people then leave it be.
*Try not to express much surprise or confusion at how a tripper is feeling - avoid phrases like "I'm surprised you're still feeling this 20 hours on." Remember, the primary aim is reassurance.
*Negativity. Try to keep all discussion positive and as upbeat as possible. Being a stick in the mud is no good when people around you are tripping.
*Awkward or negative wording - It is obvious that negative input is clearly to be avoided when dealing with a "bad trip" situation, but it is easy to overlook how much of an impact the wording of your advice has on the tripper's mind. Avoid words with a generally negative conotation (for example, panic, death, etc...) and replace them with words that are easier to handle for a tripping brain. For example, "don't panic" can easily be replaced by "stay calm," which is more soothing. Keep wording simple and easy to understand.
*Avoid suggesting the use of harder drugs unless the situation is considered an emergency, or is too severe for any tripsitter to handle. A common example in a tripsitting situation is the suggestion of benzos to kill a trip - in most cases this is entirely unnecessary, and a good bit of personal tripsitting is all a user needs to be calmed.

==Other Useful Links==
*A quick intro guide to [[IRC_User_Guide#Basic_Commands|how the chat works and its commands]]
*A list of [[List_of_IRC_bot_commands|Tripbot commands]]
*A list of [[List_Of_Trip_Toys|Trip Toys]] (you can link to a random one with ~triptoy)

[[Category:Guides]]

How To Tripsit Online

2018-01-18T12:20:55Z

Icedtea4life:

This is a guide to Tripsitting online, primarily guided around doing so in TripSit's #tripsit channels, though most tips should be transferable to most tripsitting scenarios.

Here on TripSit's network, when you join to help users, you will be connected to #tripsit,#tripsit1,#tripsit2,#tripsit3 and #tripsitters.

The channels #tripsit,#tripsit1,#tripsit2, and #tripsit3 are all the same, support channels users who need assistance are divided evenly between.

The channel called #tripsitters is a peer support channel, where you can ask for help from other TripSitters, or discuss an ongoing situation to determine the best approach.

==Greeting a user==

Greet users with a simple, calm and neutral phrase such as "hello, how are you?" If the user requires some help, make sure you first gain from them an understanding of exactly what drug(s) they are on, at what dosages and how long it was since they took them (always better to ask the user to list all of the drugs he is on even though the problem seems to only be coming from one of them). You can use ~welcome to greet new users, but we recommend using your own words as it feels more human than automated response.

If a user is online, and not getting too much into convo, then don't idle- they might think that no one is listening to them and leave. When possible, try to greet the user as soon as they enter the room (you can use the ~gettripsitentries command to help with this!).

==Basic Commands==

*Changing your nickname is done with:

:*/nick name

::*Note: Spaces are not allowed in a nickname; they are treated as the end of the nickname, and anything after a space will not show up. Alphanumeric (A-Z, 1-9) characters, hyphens (-), and underscores (_) are allowed.

*Joining a room is done with:

:*/join #room

*Leaving a room is done with:

:*/part #room

*Sending someone a private message is done with:

:*/query user message

*Display all available channels:

:*/list

== TripBot ==
Here on TripSit, we have a resident helper bot called TripBot. Here are some of the most useful commands for helping out.
=== Common Commands ===
{| class="wikitable"
! scope="col" style="width: 33%;" | Syntax
! scope="col" style="width: 33%;" | Description
! scope="col" style="width: 33%;" | Example
|-
| ~report <#channel> <user> <reason> || Report a <user> in a <#channel> for a <reason>. This command can either be run publicly in a channel or anonymously in a PM to tripbot. || /msg tripbot ~report #drugs JoeTheTroll Asking where to get stuff.
|-
| ~drug <drug> || Displays the properties of the <drug>, for example: summary, dose, duration, effects and more. || ~drug LSD
|-
| ~drug <drug> <property> || Displays <property> information || ~drug LSD dose
|-
| ~factsheet <drug> || Links to the factsheet of the <drug>. || ~factsheet LSD
|-
| ~bconvert <dosage> <benzo1> <benzo2> || Converts <dosage> of <benzo1> to <benzo2>. || ~bconvert 2mg xanax klonopin
|-
| ~breathe2 || Links a gif animation designed to help users regain control of their breathing, useful for panic and anxiety || ~breathe2
|}

=== TripSitting ===
{| class="wikitable"
! scope="col" style="width: 33%;" | Syntax
! scope="col" style="width: 33%;" | Description
! scope="col" style="width: 33%;" | Example
|-
| ~tripsit <user> || Ask for help in #tripsit on behalf of the <user> in need help. Messages all tripsitters and posts a message in #drugs and #tripsitvip. <user> is optional. || ~tripsit TripSitMe_12345
|-
| ~gettripsitentries || After issuing this command, you will be PMed by tripbot when a new user comes into #tripsit and may need help. ||
|-
| ~notripsitentries || Turns off the above alert of new users in #tripsit. ||
|-
| ~recovery position|| Displays a link to an image on how to get into the recovery position. || http://imgur.com/nTEm0QE.png The recovery position is designed to prevent suffocation through obstruction of the airway
|}

==How To Deal with Various Situations==

===Panic attack===

The most important thing to keep in mind is that panic attacks are not dangerous. They usually originate from a negative thought loop and can be stopped by reminding the 'victim' that they are in no danger whatsoever. Usually a short period of breathing exercise (30s) will be able to 'break the cycle' in terms of the thought loop and you will be able to move them onto another subject. Ask the user to shut their eyes, breathe slowly and deeply and clear their mind of everything but their breathing for thirty seconds - and reassure them that once they have done this they will be feeling much better.

Remember, panic attacks are uncomfortable but not dangerous. Failing being able to perform meditation, suggest a change of setting - this can be done most easily by suggesting the user goes to get a glass of water. See our page on [[Panic Attacks|panic attacks]] for more specific information on dealing with a panic attack.

===Possible Overdose===

Ascertain whether just [[Panic Attacks|panic attack]], and beyond that recommend nothing other than seeking immediate medical attention. We aren't doctors. You should be able to use our resources (or failing that, Google) to quickly ascertain whether a dose is dangerous. Don't freak out trippers by saying they may be in danger when they're on, for example, ~1500ug of 25-I-NBOMe (high dose but not dangerous). Get some background from the tripper; 4g of paracetamol (Acetaminophen) won't harm most of the people but if someone already has problems with their liver it is really dangerous.

There is no way to be certain of a users pre-existing tolerance to any one drug and what they say might be nothing more than their perceived tolerance to said drug. As a result, every individual is different. Potential overdoses for one may be a safe recreational dose for another (more tolerant) individual. This means that there is no guaranteed way to know if one is at a significant risk of death from a potential overdose, which is why recommending seeking medical attention is the best thing to do at that point.

See our page on [[Overdose|overdoses]] for more specific information.

===Bad Trip===

Try to identify the reasons why the tripper is having a bad trip. Is it a general fear or anxiety towards the experience?

The most useful defense a tripper can have against bad trips is the ability to change their environment. Changing the music, the lighting, the room or just about anything can have a huge influence on the mindset of a person who is tripping and this makes it an invaluable technique.

Remind the tripper that the trip will end and that they should try to enjoy it while it lasts. Hopefully this will help ground the tripper and that they will realize the effects they are feeling are only temporary and that they should try to make the best out of their experience.

Another way to quickly help the tripper regain control is by helping them focus on their breathing. Deep inhales through the nose, holding it for a few seconds, slowly exhaling through the mouth and holding breath briefly before repeating it all over again. Tripbot has several gifs in ~breathe that can serve as a visual aid for the tripper.

Sometimes all a tripper needs is a distraction from their negative feelings. Use your imagination to find something relevant that the tripper finds interesting. Engage them in a subject they find interesting! For example, ask them what type of music they like and then respond with your music preferences. Perhaps link them to some chill tunes, chill music is always wonderful when tripping. Simple conversation can be calming to the tripper.

Consider also that challenging moments in a trip can be an incredible opportunity for the development of one's character and you may come to the conclusion that many others have - that benzos are great for dulling the effects of psychedelics but really ought to be a last resort.

If it appears the tripper is now feeling better perhaps suggest that they occupy themselves with an enjoyable simple activity (drawing, jamming to music, watching a movie, '~triptoys' command, etc). Or if the tripper is feeling up for some conversation you should direct them to #sanctuary and explain the chat is a light positive chat for people on substances.

You can draw a parallel outside of the context of illegal drug use to those that drink heavily when times get tough. Instead of dealing with the hurdles that life presents they retreat to the bar, and they tend to be very immature as a result.

We also have a [[How_To_Deal_With_A_Bad_Trip|full guide on how to deal with a bad trip]].

===Stimulant Induced Panic===
Ask the user how much they’ve taken to ensure that it isn’t a dangerous amount. Find out how long they’ve been awake for, and inquire about their food and water intake. In nearly all cases they will have neglected one or more of these basics. Reassure them the panic will go away when the dietary and rest negligence has been mended. Have the user drink juice, gatorade, other isotonic beverages or water; ideally eat a full meal as well. Fruit, bananas in particular, can be acceptable if the user is too stimulated to eat and in worst case scenarios they can drink water mixed with a pinch of salt, as that will help to retain the water better. It can be hard for the user to disengage and follow through due to the stimulation. Be adamant, but gentle.

The ~breathe command can help them calm down. If the user has started to rehydrate and eat you can start suggesting soothing music. When the user has calmed down and rehydrated suggest they get some sleep to fully recover.
A few food items which are generally easy to eat in stimulated states include things like: shakes, soups or smoothies.

More information about Stimulant Harm Reduction [[Stimulants#Harm_Reduction|Here]]

===Suicidal Users===

If a user is suicidal, check if they're on drugs or coming down. Try and calm them down to the best of your ability using the techniques described in the Bad Trip section. Use your best judgment, but remember we're not mental health professionals and we're not equipped to deal with these situations properly. If you feel their state isn't improving try to figure out what country they're from and direct them to call a suicide hotline, as they know how to help them much better than we do. Tripbot has the command: ~suicide that links to [[Suicidal_Users_Referrals|Suicidal Users Referrals]]. If all attempts fail please contact a staff member.

===Finding and Providing Information===

There is a wealth of useful information which can help provide you and a tripsitee with information on our Wiki or our other resources. You can either browse the Wiki itself at [http://wiki.tripsit.me/ http://wiki.tripsit.me], or various important articles are also stored in tripbot quotes, such as ~stimulant comedowns. You can get bite-sized information about certain drugs and classes of drug in-channel with the '~drug drugname' command. For example, '~drug mdma dose'. You can also get a link to a nice web-page with all the information about a single drug with, for example: ~factsheet 2cb. For a quick overview of drug combinations check out our [[Drug_combinations|Drug Combination Chart]]

==What to Avoid==

*Giving incorrect advice and information. No information is usually better than wrong information. Don't be afraid to ask fellow tripsitters for input when you cannot give correct advice. If you don't know the substance, direct the user to Erowid or get the info yourself and provide it. If there are no other staff members around feel free to ask in #drugs, there are usually people willing to help! in case of an emergency. Don't hesitate to use the command "~tripsit username" replacing "username" with the username of the tripper in need of help. This will notify people on the network.
*Being too talkative to the user, if you can try to let them guide the conversation so they're as comfortable as possible - try to keep the channel relatively un-busy (use the ~busy command!).
*Crowding a user. If the room is already busy and a tripper is already being attended to by 2-3 people then leave it be.
*Try not to express much surprise or confusion at how a tripper is feeling - avoid phrases like "I'm surprised you're still feeling this 20 hours on." Remember, the primary aim is reassurance.
*Negativity. Try to keep all discussion positive and as upbeat as possible. Being a stick in the mud is no good when people around you are tripping.
*Awkward or negative wording - It is obvious that negative input is clearly to be avoided when dealing with a "bad trip" situation, but it is easy to overlook how much of an impact the wording of your advice has on the tripper's mind. Avoid words with a generally negative conotation (for example, panic, death, etc...) and replace them with words that are easier to handle for a tripping brain. For example, "don't panic" can easily be replaced by "stay calm," which is more soothing. Keep wording simple and easy to understand.
*Avoid suggesting the use of harder drugs unless the situation is considered an emergency, or is too severe for any tripsitter to handle. A common example in a tripsitting situation is the suggestion of benzos to kill a trip - in most cases this is entirely unnecessary, and a good bit of personal tripsitting is all a user needs to be calmed.

==Other Useful Links==
*A quick intro guide to [[IRC_User_Guide#Basic_Commands|how the chat works and its commands]]
*A list of [[List_of_IRC_bot_commands|Tripbot commands]]
*A list of [[List_Of_Trip_Toys|Trip Toys]] (you can link to a random one with ~triptoy)

[[Category:Guides]]

How To Tripsit Online

2018-01-18T12:15:11Z

Icedtea4life: Added and expanded on techniques for handling bad trips, minor grammar/wording edits, paragraph ordering

This is a guide to Tripsitting online, primarily guided around doing so in TripSit's #tripsit channels, though most tips should be transferable to most tripsitting scenarios.

Here on TripSit's network, when you join to help users, you will be connected to #tripsit,#tripsit1,#tripsit2,#tripsit3 and #tripsitters.

The channels #tripsit,#tripsit1,#tripsit2, and #tripsit3 are all the same, support channels users who need assistance are divided evenly between.

The channel called #tripsitters is a peer support channel, where you can ask for help from other TripSitters, or discuss an ongoing situation to determine the best approach.

==Greeting a user==

Greet users with a simple, calm and neutral phrase such as "hello, how are you?" If the user requires some help, make sure you first gain from them an understanding of exactly what drug(s) they are on, at what dosages and how long it was since they took them (always better to ask the user to list all of the drugs he is on even though the problem seems to only be coming from one of them). You can use ~welcome to greet new users, but we recommend using your own words as it feels more human than automated response.

If a user is online, and not getting too much into convo, then don't idle- they might think that no one is listening to them and leave. When possible, try to greet the user as soon as they enter the room (you can use the ~gettripsitentries command to help with this!).

==Basic Commands==

*Changing your nickname is done with:

:*/nick name

::*Note: Spaces are not allowed in a nickname; they are treated as the end of the nickname, and anything after a space will not show up. Alphanumeric (A-Z, 1-9) characters, hyphens (-), and underscores (_) are allowed.

*Joining a room is done with:

:*/join #room

*Leaving a room is done with:

:*/part #room

*Sending someone a private message is done with:

:*/query user message

*Display all available channels:

:*/list

== TripBot ==
Here on TripSit, we have a resident helper bot called TripBot. Here are some of the most useful commands for helping out.
=== Common Commands ===
{| class="wikitable"
! scope="col" style="width: 33%;" | Syntax
! scope="col" style="width: 33%;" | Description
! scope="col" style="width: 33%;" | Example
|-
| ~report <#channel> <user> <reason> || Report a <user> in a <#channel> for a <reason>. This command can either be run publicly in a channel or anonymously in a PM to tripbot. || /msg tripbot ~report #drugs JoeTheTroll Asking where to get stuff.
|-
| ~drug <drug> || Displays the properties of the <drug>, for example: summary, dose, duration, effects and more. || ~drug LSD
|-
| ~drug <drug> <property> || Displays <property> information || ~drug LSD dose
|-
| ~factsheet <drug> || Links to the factsheet of the <drug>. || ~factsheet LSD
|-
| ~bconvert <dosage> <benzo1> <benzo2> || Converts <dosage> of <benzo1> to <benzo2>. || ~bconvert 2mg xanax klonopin
|-
| ~breathe2 || Links a gif animation designed to help users regain control of their breathing, useful for panic and anxiety || ~breathe2
|}

=== TripSitting ===
{| class="wikitable"
! scope="col" style="width: 33%;" | Syntax
! scope="col" style="width: 33%;" | Description
! scope="col" style="width: 33%;" | Example
|-
| ~tripsit <user> || Ask for help in #tripsit on behalf of the <user> in need help. Messages all tripsitters and posts a message in #drugs and #tripsitvip. <user> is optional. || ~tripsit TripSitMe_12345
|-
| ~gettripsitentries || After issuing this command, you will be PMed by tripbot when a new user comes into #tripsit and may need help. ||
|-
| ~notripsitentries || Turns off the above alert of new users in #tripsit. ||
|-
| ~recovery position|| Displays a link to an image on how to get into the recovery position. || http://imgur.com/nTEm0QE.png The recovery position is designed to prevent suffocation through obstruction of the airway
|}

==How To Deal with Various Situations==

===Panic attack===

The most important thing to keep in mind is that panic attacks are not dangerous. They usually originate from a negative thought loop and can be stopped by reminding the 'victim' that they are in no danger whatsoever. Usually a short period of breathing exercise (30s) will be able to 'break the cycle' in terms of the thought loop and you will be able to move them onto another subject. Ask the user to shut their eyes, breathe slowly and deeply and clear their mind of everything but their breathing for thirty seconds - and reassure them that once they have done this they will be feeling much better.

Remember, panic attacks are uncomfortable but not dangerous. Failing being able to perform meditation, suggest a change of setting - this can be done most easily by suggesting the user goes to get a glass of water. See our page on [[Panic Attacks|panic attacks]] for more specific information on dealing with a panic attack.

===Possible Overdose===

Ascertain whether just [[Panic Attacks|panic attack]], and beyond that recommend nothing other than seeking immediate medical attention. We aren't doctors. You should be able to use our resources (or failing that, Google) to quickly ascertain whether a dose is dangerous. Don't freak out trippers by saying they may be in danger when they're on, for example, ~1500ug of 25-I-NBOMe (high dose but not dangerous). Get some background from the tripper; 4g of paracetamol (Acetaminophen) won't harm most of the people but if someone already has problems with their liver it is really dangerous.

There is no way to be certain of a users pre-existing tolerance to any one drug and what they say might be nothing more than their perceived tolerance to said drug. As a result, every individual is different. Potential overdoses for one may be a safe recreational dose for another (more tolerant) individual. This means that there is no guaranteed way to know if one is at a significant risk of death from a potential overdose, which is why recommending seeking medical attention is the best thing to do at that point.

See our page on [[Overdose|overdoses]] for more specific information.

===Bad Trip===

Try to identify the reasons why the tripper is having a bad trip. Is it a general fear or anxiety towards the experience?
The most useful defense a tripper can have against bad trips is the ability to change their environment. Changing the music, the lighting, the room or just about anything can have a huge influence on the mindset of a person who is tripping and this makes it an invaluable technique.
Remind the tripper that the trip will end and that they should try to enjoy it while it lasts. Hopefully this will help ground the tripper and that they will realize the effects they are feeling are only temporary and that they should try to make the best out of their experience.
Another way to quickly help the tripper regain control is by helping them focus on their breathing. Deep inhales through the nose, holding it for a few seconds, slowly exhaling through the mouth and holding breath briefly before repeating it all over again. Tripbot has several gifs in ~breathe that can serve as a visual aid for the tripper.
Sometimes all a tripper needs is a distraction from their negative feelings. Use your imagination to find something relevant that the tripper finds interesting. Engage them in a subject they find interesting! For example, ask them what type of music they like and then respond with your music preferences. Perhaps link them to some chill tunes, chill music is always wonderful when tripping. Simple conversation can be calming to the tripper.
Consider also that challenging moments in a trip can be an incredible opportunity for the development of one's character and you may come to the conclusion that many others have - that benzos are great for dulling the effects of psychedelics but really ought to be a last resort.
If it appears the tripper is now feeling better perhaps suggest that they occupy themselves with an enjoyable simple activity (drawing, jamming to music, watching a movie, '~triptoys' command, etc). Or if the tripper is feeling up for some conversation you should direct them to #sanctuary and explain the chat is a light positive chat for people on substances.

You can draw a parallel outside of the context of illegal drug use to those that drink heavily when times get tough. Instead of dealing with the hurdles that life presents they retreat to the bar, and they tend to be very immature as a result.

We also have a [[How_To_Deal_With_A_Bad_Trip|full guide on how to deal with a bad trip]].

===Stimulant Induced Panic===
Ask the user how much they’ve taken to ensure that it isn’t a dangerous amount. Find out how long they’ve been awake for, and inquire about their food and water intake. In nearly all cases they will have neglected one or more of these basics. Reassure them the panic will go away when the dietary and rest negligence has been mended. Have the user drink juice, gatorade, other isotonic beverages or water; ideally eat a full meal as well. Fruit, bananas in particular, can be acceptable if the user is too stimulated to eat and in worst case scenarios they can drink water mixed with a pinch of salt, as that will help to retain the water better. It can be hard for the user to disengage and follow through due to the stimulation. Be adamant, but gentle.

The ~breathe command can help them calm down. If the user has started to rehydrate and eat you can start suggesting soothing music. When the user has calmed down and rehydrated suggest they get some sleep to fully recover.
A few food items which are generally easy to eat in stimulated states include things like: shakes, soups or smoothies.

More information about Stimulant Harm Reduction [[Stimulants#Harm_Reduction|Here]]

===Suicidal Users===

If a user is suicidal, check if they're on drugs or coming down. Try and calm them down to the best of your ability using the techniques described in the Bad Trip section. Use your best judgment, but remember we're not mental health professionals and we're not equipped to deal with these situations properly. If you feel their state isn't improving try to figure out what country they're from and direct them to call a suicide hotline, as they know how to help them much better than we do. Tripbot has the command: ~suicide that links to [[Suicidal_Users_Referrals|Suicidal Users Referrals]]. If all attempts fail please contact a staff member.

===Finding and Providing Information===

There is a wealth of useful information which can help provide you and a tripsitee with information on our Wiki or our other resources. You can either browse the Wiki itself at [http://wiki.tripsit.me/ http://wiki.tripsit.me], or various important articles are also stored in tripbot quotes, such as ~stimulant comedowns. You can get bite-sized information about certain drugs and classes of drug in-channel with the '~drug drugname' command. For example, '~drug mdma dose'. You can also get a link to a nice web-page with all the information about a single drug with, for example: ~factsheet 2cb. For a quick overview of drug combinations check out our [[Drug_combinations|Drug Combination Chart]]

==What to Avoid==

*Giving incorrect advice and information. No information is usually better than wrong information. Don't be afraid to ask fellow tripsitters for input when you cannot give correct advice. If you don't know the substance, direct the user to Erowid or get the info yourself and provide it. If there are no other staff members around feel free to ask in #drugs, there are usually people willing to help! in case of an emergency. Don't hesitate to use the command "~tripsit username" replacing "username" with the username of the tripper in need of help. This will notify people on the network.
*Being too talkative to the user, if you can try to let them guide the conversation so they're as comfortable as possible - try to keep the channel relatively un-busy (use the ~busy command!).
*Crowding a user. If the room is already busy and a tripper is already being attended to by 2-3 people then leave it be.
*Try not to express much surprise or confusion at how a tripper is feeling - avoid phrases like "I'm surprised you're still feeling this 20 hours on." Remember, the primary aim is reassurance.
*Negativity. Try to keep all discussion positive and as upbeat as possible. Being a stick in the mud is no good when people around you are tripping.
*Awkward or negative wording - It is obvious that negative input is clearly to be avoided when dealing with a "bad trip" situation, but it is easy to overlook how much of an impact the wording of your advice has on the tripper's mind. Avoid words with a generally negative conotation (for example, panic, death, etc...) and replace them with words that are easier to handle for a tripping brain. For example, "don't panic" can easily be replaced by "stay calm," which is more soothing. Keep wording simple and easy to understand.
*Avoid suggesting the use of harder drugs unless the situation is considered an emergency, or is too severe for any tripsitter to handle. A common example in a tripsitting situation is the suggestion of benzos to kill a trip - in most cases this is entirely unnecessary, and a good bit of personal tripsitting is all a user needs to be calmed.

==Other Useful Links==
*A quick intro guide to [[IRC_User_Guide#Basic_Commands|how the chat works and its commands]]
*A list of [[List_of_IRC_bot_commands|Tripbot commands]]
*A list of [[List_Of_Trip_Toys|Trip Toys]] (you can link to a random one with ~triptoy)

[[Category:Guides]]

Overdose

2017-10-10T01:36:06Z

Icedtea4life: Good Samaritan notice

== General Information ==

'''If you think you or a friend is overdosing, seek immediate medical attention. When in doubt, it is better to contact emergency services than to be responsible for bodily harm or death.'''

Furthermore, it is important not to misrepresent your situation to paramedics. Tell the paramedics and emergency personnel the truth about what you have ingested. A majority of overdose situations are caused by unsafe drug combinations; when considering a drug combination, check for any [[Drug Combinations]], avoid dangerous combinations and start with a lower dose of each drug.

If someone is refusing contact with emergency medical services due to fear of legal consequences they should be reminded that most regions have some sort of Good Samaritan law where legal immunity is offered to reduce a bystanders' hesitation to assist in the event of an emergency.

=== The difference between a panic attack and a seizure ===

When a person has taken mind altering substances, especially with a history of anxiety, they may become hysterical and believe they are having a seizure. It can be difficult to diagnose a seizure for physicians because often it is over before the patient can be seen. Panic attacks however can present similarly to seizures and confirmation must be done through an EEG to confirm if there was in fact a seizure.

Seizures can commonly be caused by alcohol withdrawal, Benzodiazepine withdrawal, cocaine usage, MDMA usage, or even infection secondary to improper/unsanitary drug usage such as using old used needles.
* Sometimes partial seizures present themselves as panic attacks
* Some seizures are caused by conditions such as low blood sugar (hypoglycaemia) or a temporary change to the way the heart is working.
What seizures depending on their origin and type commanly can be sudden, short, and cause a change in the person’s awareness of where they are, what they are doing, what they are thinking or what they are feeling and even cause memory loss. It is also possible for stroke symptoms to present after a seizure in what is called the "post ictal" phase.

A concern when dealing with seizures is status epilepticus. Status epilepticus (SE) is an epileptic seizure of greater than five minutes or more than one seizure within a five-minute period without the person returning to normal between them

Benzodiazepines are indicated as treatment for seizures as they raise the seizure threshold and reduce the electrical activity occurring in the brain '''do not attempt to administer benzodiazepines yourself''' ; Contact Emergency medical services

=== The difference between a panic attack and a heart attack ===
*Panic attacks are again usually triggered by something
*Panic attacks and heart attacks can feel frighteningly similar: shortness of breath, palpitations, chest pain, dizziness, vertigo, feelings of unreality, numbness of hands and feet, sweating, fainting, and trembling.
Physical symptoms of a panic attack are triggered by an offset in breathing (usually hyperventilation). Your heart isn’t being strained; it’s being thrown into a natural fight or flight response. Also, your heart isn’t what’s causing the panic attack – your mind is. During a panic attack, chest pain is localized over the heart and described as "sharp, and comes and goes. The pain usually intensifies with breathing in and out, and pressing on the center of the chest. Panic attack may cause nausea, but vomiting is very rare. If tingling is present, the entire body tingles. Hyperventilation almost always precedes panic attack symptoms. If the location of the pain moves to the center of the chest, doesn't go away within 10 minutes, is accompanied by more than one incident of vomiting or diarrhea, or goes away and returns a few minutes later, you should immediately get medical attention.

Heart attacks, also known as Acute Myocardial Infarctions or AMI's are extremely deadly and anyone suspecting an AMI should err on the side of caution.

A heart attack can be caused my multitudes of things and the chance of something being a heart attack versus a panic attack can possibly be narrowed down through medical history current drug use and risk factors but the two can be hard to distinguish at times.

==== Classic signs of a heart attack include ====
* Sweating profusely
* Chest pain (squeezing tight pain is typical, usually severe as well, but not all heart attacks present the same way)
* Cold skin
* Pale skin
* heart rate below 60 or above 100 beats per minute
* Difficulty breathing
* Pain radiating to the left shoulder or left arm (due to the heart being on the left side of the body)
* Pain radiating to the jaw or neck or chin
* Rapid breathing, possibly shallow as well
* Altered mental status
* Pain lasting longer than 20 minutes not relieved by rest!

If you suspect you are having a heart attack do not hesitate to contact emergency services

=== How To Check Your Heartrate and Pulse ===

http://onlineheartrate.com/
A normal resting heart rate for adults ranges from 60 to 100 beats a minute.

==== Tips to lower heartrate ====

To do the valsalva maneuver, after taking a deep breath, strain the muscles in your abdomen the same way you would to give a bowel movement. Hold the pressure for five seconds, and then let go. You may have to do this multiple times to get the desired effect.

== Serotonin Syndrome ==

Serotonin syndrome is a potentially life threatening drug reaction that causes the body to have too much serotonin, a chemical produced by nerve cells. Serotonin syndrome can happen as the result of taking many different drugs and taking different types of drugs together, including psychedelics, anti-depressants, CNS stimulants, opiods, 5-HT1 antagonists. some herbs, and others.

Symptom onset is usually rapid, often occurring within minutes. Serotonin syndrome encompasses a wide range of clinical findings. Mild symptoms may only consist of increased heart rate, shivering, sweating, dilated pupils,myoclonus (intermittent tremor or twitching), as well as overresponsive reflexes. Moderate intoxication includes additional abnormalities such as hyperactive bowel sounds, high blood pressure and hyperthermia; a temperature as high as 40 °C (104 °F) is common in moderate intoxication.

The combination of MAOIs, alcohol or other serotonin agonists or precursors pose a particularly severe risk of a life-threatening serotonin syndrome.

Treatment consists of discontinuing medications which may contribute and in moderate to severe cases administering a serotonin antagonist. An important adjunct treatment includes controlling agitation with benzodiazepine sedation.

If you think you have serotonin syndrome, it is best to seek medical advice.

== Opioid overdose ==

Naloxone is an opioid antagonist drug developed by Sankyo in the 1960s. Naloxone is a drug used to counter the effects of opioid overdose, for example heroin or morphine overdose. Naloxone is specifically used to counteract life-threatening depression of the central nervous system and respiratory system. Always have naloxone on you if you plan on taking opiates; many ambulances and hospitals also carry the drug.

== Stimulant overdose ==

In case of amphetamine psychosis

Antipsychotics such as Risperidone; or Haldol (Haloperidol lactate)

[[Benzodiazepines]] such as Lorazepam, Diazepam (EMS uses often), Midazolam

Benzodiazepines also raise the seizure threshold and are the drug class of choice in stimulant, primarily cocaine, overdose including if there is a cocaine or stimulant induced seizure

As mentioned above seizures may also occur due to stimulant usage, primarily with cocaine or MDMA

The use of cocaine is associated with the occurrence of seizures frequently, up to 40% in some case studies

Amphetamines and related drugs rarely induce epileptic seizures at therapeutic doses, but seizures may occur after the first dosing.

Caffeine at high doses may induce epileptic seizures because of its adenosine receptor-antagonizing properties.

Marijuana, at variance with other psychostimulants, owing to its serotonin-mediated anticonvulsant action, could have a medical use for the treatment of epilepsy.

Psychedelic compounds rarely induce epileptic seizures, but the most common clinical CNS complication after ingestion of ecstasy is the occurrence of. seizures

Possible hospitalisation

Seroquel (2x 50mg, 200mg max) If seroquel were to be used for a stimulant overdose it should be noted that benzodiazepine treatment of acute stimulant overdose will be amplified by seroquel. This drug interaction may cause CNS depression.

== Depressant Overdose ==

Depressants slow the central nervous system, and depress breathing and heart rate. In the case of an overdose caused by excess consumption or combination of depressants, effects can range from unrousable consciousness to possible coma or death.

Symptoms:

*Shallow breathing
*Unresponsive, unrousable unconsciousness
*Low body temperature
*Blue tinged skin, particularly on the fingertips or lips

In the case of these symptoms, it is important to seek medical attention immediately. In general, such overdoses must be treated in a hospital by supplementing oxygen, or through manual respiration. Certain drugs, such as opioids (mentioned above), may respond to individual treatments to reverse the depressant effects.

== Dissociative Overdose ==

Dissociative overdose can have long lasting psychological effects.

With an overdose of dissociatives, emergency care, such as 911, should be contacted immediately. There is no antidote for ketamine. Overdose situations with ketamine are treated with symptomatic and supportive care in the hospital setting. Benzodiazepines may be used if needed for seizures or excitation. Respiratory support is rarely needed, but assisted ventilation or supplemental oxygen may be required.

'Tussin syrup may contain potentially deadly active ingredients such as paracetamol (acetaminophen), chlorpheniramine, and phenylephrine. Never take more than 4g of acetaminophen in a day, which may cause liver damage. In case of overdose, you will want to see medical attention.

Combining dissociatives with stimulants can cause a dangerous rise in blood pressure and heart rate. CNS depressants such as ethanol (drinking alcohol) will have a combined depressant effect, which can cause a decreased respiratory rate.

Combining dextromethorphan with other serotonergic drugs could possibly cause serotonin toxicity, an excess of serotonergic activity in the central nervous system (CNS) and peripheral nervous system (PNS).

== Psychedelic Overdose ==

Most psychedelics are relatively safe, and won't put a user in a physically endangered state through psychedelic actions alone. However, many psychedelics are also stimulating and serotonergic, so overdoses may result in issues with stimulant overdose or serotonin syndrome.

In case of a NBOMe overdose, seek medical attention immediately.

== Other ==

Many Over The Counter drugs also contain APAP (acetaminophen/paracetamol). Never take more than 4g of acetaminophen in a day. Overdoses of APAP take place over several days with a slow onset, and damage the liver - possibly causing liver failure or death. In the case of such an overdose, seek medical attention.

== Emergency numbers ==

USA
Emergencies: 911
Poison Control Hotline 1-800-222-1222

Australia
Emergencies: 000 (112 from cell phones)
Poison Control: 13 11 26

United Kingdom
Emergencies: 999
Poison Control: 0845 4647
NHS non-emergency: 111

Germany
Emergencies: 112
49 30 3068 6711

Most of Europe:
Emergencies: 112

[[Category:Guides]]