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You know this is a really old post and I don't know If I should respond but I will. I have the same issue, weed turned on me or so I thought. I think the anxiety was there all along I just didn't know it as a kid during the fun times. Now that I'm older and smoke occasionally I sometimes get anxiety attacks or paranoia. I look at it as a blessing, its a way to explore my own neurosis in a safe way. I can examine the irrational thinking and fear that they produce, which is really intense when high. I have come to understand that facing this sh*t and really internally dealing with the underlying issues lessens my anxiety in my daily life. I used to not smoke because I feared this would happen, now I sometimes hope it will. Just make sure to argue (in your own mind) against any irrational thought. For example, if someone is walking towards you and the thought enters "that guy is staring at me", just argue that this is ridiculous and even if he is who gives a sh*t. Doing this can retrain your mind out of anxiety and/or paranoia. Understand that these feelings exist when you are sober they are just buried and smoking brings them out.
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Hi, this is now super old lol, but it came up when I googled "presmoke panic attack" and since it's got such a high pagerank I thought I'd add my piece. This is mostly for my own benefit however. I've had some pretty serious panic attacks and anxiety on weed, and one thing that really resonated with me when I read OP's post was how when he smoked with another person around, there was no anxiety. I'm very similar with regards to how my anxiety works, and reading OP's post kinda made me feel a bit less lonely, since it seems like none of my stoner friends have this issue when they smoke alone. Thanks OP.
Also thank you, 1st post, that's a really good idea and it's given me some strength to tackling this issue. I'm actually not so sad about how weed anxiety made me feel terrible, because it made me realize my problems (how I would go from 0-100 in 0.5s emotionally while sober, my actual anxiety attacks my sober brain was suppressing from me) and made me go get help for them. In case someone finds this through google and wants a "system" for dealing with irrational thoughts and anxiety (at any time, not just when high), I recommend googling for CBT (Cognitive Behavioral Therapy). My psych gave me a recommendation as a primary form of treating my mental problems, and a lot of the stuff in the books I've read is like a more defined, procedural method to dealing with irrational thoughts.
I'm actually high at the moment and writing this made me feel a lot better (even though my fingers are shaking lol). Drugs can only change your perspective. Anything that comes up from that is something you can solve.
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