“Magic mushrooms” might look like ordinary mushrooms, but they are far different from the ones you buy in grocery stores. 

These types of mushrooms contain psilocybin, a chemical found in the caps and stems of dried or fresh mushrooms. Psilocybin is illegal for recreational use, as it can have negative effects on the mind and body. In 2023, psilocybin was the most popular hallucinogen, with 3% of the population—or about 8 million adults—having used the substance. 

It is possible to overdose on psilocybin if you consume too much. While the effects are generally not fatal, they can still be severe and distressing. It’s also important to know that if you eat a mushroom that is incorrectly identified as a psilocybin mushroom, it can lead to poisoning. Symptoms of mushroom poisoning range from mild gastrointestinal upset to liver failure and death.  

Wolf Creek Recovery is aware of the dangers of psychedelics like psilocybin and how they can impact a person’s thoughts and emotions. This is why we offer support services for this substance, helping individuals recover while learning new ways to enjoy their life. Let’s learn more about the symptoms of psilocybin overdose and what to do if you find yourself in this situation. 

Psilocybin Overdose

Psilocybin mushrooms have gained popularity in recent years for their potential therapeutic effects. However, any type of recreational use can be dangerous and unpredictable, which is why psilocybin is a Schedule I substance. No amount is considered safe, and it is possible to take too much and experience an overdose. While most psilocybin overdoses are not fatal, they can still cause problems like accidents, injuries, self-harm, and harm to others. Not to mention, they can be extremely uncomfortable and put individuals at risk of experiencing a “bad trip.”

What Happens During a Psilocybin Overdose?

A psilocybin overdose—whether accidental or intentional—occurs when an individual consumes more of the substance than their body or mind can manage. Although psilocybin is not considered toxic in the same way as opioids or stimulants, high doses can still trigger intense and potentially harmful mental health effects, including severe anxiety, paranoia, or disorientation. Below, we’ll explore the range of symptoms and effects associated with psilocybin overdose in more detail.

Early Warning Signs: Recognizing a Potential Psilocybin Overdose

Recognizing the early warning signs of a potential psilocybin overdose ensures timely support and intervention. However, you will need to stay vigilant. Initial symptoms often include heightened anxiety, confusion, and sensory overload that progresses into paranoia or panic. The emotional and behavioral effects of a psilocybin overdose can be especially pronounced in individuals with pre-existing health conditions. Early recognition of these signs allows for appropriate reassurance, grounding techniques, or medical assistance.

Signs and Symptoms of Taking Too Much Psilocybin 

• Sudden, intense fear of dread or feeling like you’re losing your mind.
• Vivid visual or auditory distortions that are frightening or uncontrollable.
• Believing others are out to get you or perceiving threats that aren’t real.
• Not knowing where you are, who you are with, or what you are doing.
• Pacing, shaking, or impulsive behavior. 
• Enlarged pupils that don’t respond to light normally.
• Nausea or vomiting, especially at high doses.
• Shaky hands, twitching, or trouble standing and walking. 
• Increased heart rate and blood pressure.
• Rapid changes in body temperature. 
• Dry mouth and dehydration. 

Complications of Overdose 

Going through a psilocybin overdose can be a stressful experience that poses serious mental, emotional, and physical risks. Unpredictable settings, in particular, can lead to dangerous outcomes such as severe anxiety or panic attacks, psychosis or delusions, and disorientation. Physical reactions are also possible, with the most concerning being rapid heart rate, elevated blood pressure, and seizures.   

Another complication to be aware of is persistent hallucinogen perception disorder (HPPD). This condition causes a person to experience long-lasting hallucinations after using mushrooms—sometimes months or years later. HPPD is more likely to happen to individuals who have a co-occurring mental health disorder. There are two types: HPPD type 1 involves shorter, random flashbacks, while HPPD type 2 affects the vision. 

Responding to an Overdose 

If you believe that a person has too much psilocybin in their system, you’ll want to be present and avoid arguing or challenging their hallucinations. Remind them that they are safe and the moment will pass. Even though psilocybin overdose is typically not life-threatening, we still recommend seeking professional help. First responders can guide safe treatment so that the person doesn’t put themselves in further danger. If the person is agitated, violent, or suicidal, or they are unresponsive or having seizures, calling for help is a must. 

While you wait for medical help to arrive, create a safe environment. Remove anything sharp or dangerous, turn off bright lights and loud music, and keep the person away from heights, roads, or bodies of water. You can give the person space if they need it, but stay close and monitor them. However, you’ll never want to leave someone alone during an intense trip. Additionally, you can try grounding the person by encouraging slow, deep breathing or getting them to focus on their surroundings. 

Who Is Most at Risk of a Psilocybin Overdose?

When you ingest psilocybin mushrooms, the effects are always unpredictable. Not only could you take too much psilocybin, but also the mushrooms could be laced with other substances like fentanyl. Fortunately, most overdose symptoms improve over time.

Risk Factors for Psilocybin Overdose

The main risk factor for psilocybin overdose is having an underlying mental health condition like schizophrenia, bipolar disorder, or severe anxiety. These disorders can make people vulnerable to psychosis, paranoia, or emotional breakdowns during a trip. 

People who are using psilocybin mushrooms for the first time may also take too much or put themselves in an unfamiliar environment, leading to a dangerous experience. Having heart conditions is another risk factor for psilocybin overdose, as the substance raises heart rate and blood pressure, sometimes to dangerous levels. 

It’s also important to point out the dangers in using psilocybin mushrooms with other substances like stimulants or alcohol. Combining multiple substances increases the risk of overdose-like symptoms. It’s even possible for certain medications—antidepressants or MAOIs—to have unpredictable effects on psilocybin. 

What Are the Best Treatment Options for Psilocybin in Prescott, AZ?

People who use psilocybin as a way to escape reality have developed a problematic pattern of use that requires attention. Psilocybin addiction treatment focuses on mental health, behavioral support, and harm reduction. Medical detox is usually not required to start the recovery process because psilocybin does not cause physical withdrawal. However, individuals who are starting psilocybin treatment often benefit from psychiatric care. 

For example, cognitive-behavioral therapy gives insight into the thoughts and behaviors driving psilocybin use, while trauma-informed therapy helps resolve root issues. Holistic and wellness-based approaches are also effective treatment options that can help ground individuals and offer emotional regulation. Healthy activities include mindfulness and meditation, yoga and exercise, art and music, and journaling. 

If you or a loved one is relying on psychedelics like psilocybin to escape emotional pain, it may be time for professional support. Wolf Creek Recovery offers comprehensive treatment services for substance use disorders of all types and severities. We have staff in recovery who can lead the way and show you how great life can be without substances! Our outdoor therapy program is an important component of our program, as it introduces clients to a wide range of activities that offer joy, purpose, and meaning. Contact us today at 833-732-8202 to explore our programs in more detail. Build a life you love. 

FAQs About Psilocybin Overdose

Can you overdose on psilocybin? 

Yes, it is possible to take too much psilocybin and experience intense trips and psychosis. Typically, psilocybin overdoses are not fatal, but they can still be severe. 

How much psilocybin is safe to take? 

No amount of psilocybin is safe. Even though this substance has gained more attention for its potential therapeutic effects, it is a Schedule I substance that should not be used recreationally. 

What happens if I overdose on psilocybin mushrooms? 

If you believe that you have taken too much psilocybin, seek medical care immediately. You may benefit from breathing, airway, and circulation support. At the very least, you can be in a safe environment with access to medications and psychiatric care.