---------- ADVANCED PSYCHOPHARMACOLOGY ----------
---------- SPRING, 2005 ----------
---------- A Syllabus ----------

                            
                            
                       ADVANCED PSYCHOPHARMACOLOGY

Psychology 572                       	                                 Spring, 2005
Dr. John M. Morgan                    Tuesday & Thursday, 8am to 9:20
                                                                      Natural Resources 201

Joanna Rocco
Erin C. Villa
Eric West

LSD


Erin C. Villa
Chemistry & synaptic transmitters involved

       The most common psychoactive substances can be divided into 
depressants (i.e., alcohol, sedatives, hypnotics), stimulants (i.e., 
cocaine, amphetamines, ecstasy), opioids (i.e., morphine and heroine), 
and hallucinogens (i.e., PCP, LSD, cannabis).  The brain has different 
effects to different psychoactive substances.  They bind to different 
receptor types, and can increase or decrease the activity of neurons 
through several different mechanisms.  Consequently, these 
psychoactive substances have different behavioral effects, different 
rates of development of tolerance, different withdrawal symptoms, and 
different short-term and long-term effects (Vaccarino & Rotzinger, 
2004).
       In this team project we will take a closer look at the 
hallucinogen, LSD by explaining the chemistry and route of access of 
LSD, synaptic transmitters and the parts of neurons affected, 
inhibitory/excitatory potential changes, physiological changes, primary 
behavior changes, side effects of behavior changes, and effects 
reported by users.  
       LSD is considered to be one of, if not the, most potent 
hallucinogenic drug known (Leicht, 1996). To understand LSD first we 
will give a brief history of how LSD came into existence.  
       In 1938, Albert Hoffman was an employee in the pharmacological 
department of Sandoz, in Basel, Switzerland.  Hoffman was studying 
derivatives of lysergic acid, including systematically reacting the acid 
group with various reagents, to produce the corresponding amides, 
anhydrides, esters, etc.  One of these derivatives was the 
diethylamide, made by addition of the –NC2H5)2 group, and it was 
named LSD-25.  But the new substance didn’t appear to have any 
particularly useful medical properties, although the research report 
noted, in passing, that “the experimental animals became restless 
during the narcosis”. (May, 1998).  LSD was not looked at for the next 
five years until Hoffman couldn’t get this new substance out of his 
mind and decided to reexamine LSD. Hoffman stated: “A peculiar 
presentiment- the feeling that this substance could possess properties 
other than those established in the first investigations- induced me, 
five years after the first synthesis, to produce LSD-25 once again so 
that a sample could be given to the pharmacological department for 
further tests.” So, in the spring of 1943, he repeated the synthesis of 
LSD-25. Hoffman is quoted in his laboratory journal on April 19, 1943.

17:00:  Beginning dizziness, feelings of anxiety, visual distortions, 
symptoms of paralysis, desire to laugh.

CHEMISTY OF LSD:

D-Lysergic acid diethylamide or LSD is a structure comprised of four 
cyclic structures and three notable functional groups- two ethyl groups 
and a methyl group. The structure of LSD bears a striking similarity to 
that of serotonin, which is the molecule principally responsible for 
determination of mood. A useful explanation for the brain’s receptivity 
to LSD is its structural similarity to serotonin. (Fichman, 2004).  5-HT is 
implicated in the regulation of many systems known to be effected by 
LSD.  This evidence indicates that many of the effects of LSD are 
through serotonin mediated pathways.  Subsequent research revealed 
that LSD not only has affinities for 5-HT receptors but also for 
receptors of histamine, Ach, dopamine, and the catecholines: 
epinephrine and norepinephrine (Leicht, 1997).
	Two areas of the brainstem that are thought to be involved in 
LSD’s pathway are the Locus Coeruleus (LC) and the Raphe Nuclei.  
The LC is a small cluster of norepinephrine containing neurons in the 
pons beneath the 4th ventricle.  The LC is responsible for the majority 
of norepinephrine neuronal input in most brain regions (Snyder, 1986).  
It has axons which extend to a number of sites including the 
cerebellum, thalamus, hypothalamus, cerebral cortex, and 
hippocampus. (Leicht, 1997).
	A single LC neuron can effect a large target area.  Stimulation of 
LC neurons results in a number of different effects depending on the 
post-synaptic cell.  The LC is part of the ascending reticular activating 
system which is known to be involved in the regulation of attention, 
arousal, and the sleep-wake cycle.  Electrical stimulation of the LC in 
rats results in hyper-responsive reactions to stimuli (visual, auditory, 
tactile, etc) (Nichols, Martin, Wallace, 1992).  LSD has been found to 
enhance the reactivity of the LC sensory stimulations.  While many 
effects of LSD can be described by its effects on the LC, it is apparent 
that LSD’s effects on the LC are indirect (Leicht, 1997).  
	While norepinephrine activity throughout the brain is mainly 
mediated by the LC, the majority of serotoneric neurons are located in 
the Raphe Nuclei (RN).  The RN is located in the middle of the 
brainstem from the midbrain to the medulla. It innervates the spinal 
cord where it is involved in the regulation of pain.  Like the LC, the RN 
innervated wide areas of the brain.  Along with the LC, the RN is part 
of the ascending reticular activating system.  5-HT inhibits ascending 
traffic in the reticular system; perhaps protecting the brain from 
sensory overload.  Post-synaptic 5-HT receptors in the visual areas are 
also believed to be inhibitory.  Thus, it is apparent that an interruption 
of 5-HT activity would result in disinhibition, and therefore e 
excitation, of various sensory modalities (Leicht, 1997).
       Current thought is that the mechanism of LSD is related to the 
regulation of 5-HT activity in the RN.  The RN is also influenced by 
GABAergic, catecholamergic, and histamergic neurons.  LSD has been 
shown to also have affinities for many of these receptors.  Thus it is 
possible that some of its effects may be mediated through other 
pathways.  Current research however had focused on the effects of 
LSD on 5-HT activity. (Leicht, 1997). 

NEUROTRANSMITTER INVOLVED:

In the body, the brain and spinal cord make up what is known as the 
central nervous system (CNS).  Neurons in the human body “connect” 
to other neurons and communicates with one another through 
electrical signals.  These electrical signals must pass between the 
small gap between neurons before it can be transmitted.  These gaps 
known as synapses are between neurons. Messages are constantly 
passed through the synapses between our neurons, and these 
messages allow us to sense, to think, and to act upon these feelings 
and thoughts (Bacon, Cagle, Mikowski, Rosol, 1996).
	There are two types of synapses between neurons:  chemical and 
electrical.  Chemical synapses are more common and are the type 
discussed in this paper.  When an action potential (AP) travels down a 
pre-synaptic cell, vesicles containing neurotransmitter are released 
into the synapse where they effect receptors on the post synaptic cell.  
Synaptic activity can be terminated through reuptake of the 
neurotransmitter to the pre-synaptic cell, the presence of enzymes 
which inactivate the transmitter, or simple diffusion (Leicht, 1996).
	A pre-synaptic neuron can act on the postsynaptic neuron 
through direct or indirect pathways.  In a direct pathway, the post-
synaptic receptor is also an ion channel.  The binding of a 
neurotransmitter to its receptor on the post-synaptic cell directly 
modifies the activity of the channel.  Neurotransmitters can have 
excitatory or inhibitory effects (Leicht, 1996).  Excitatory 
neurotransmitters make it easier for the cell to allow positive ions in, 
and therefore decrease the threshold, or the smallest stimulation that 
will cause the cell to generate an impulse.  Inhibitory 
neurotransmitters, on the other hand, make the neuron’s membrane 
more permeable to negative ions, and increase the threshold (Bacon et 
al., 1996).  Many neurotransmitters that have system-wide effects such 
as epinephrine, norepinephrine, and 5-HT work by an indirect pathway.  
In an indirect pathway, the post-synaptic receptor acts on an ion 
channel through indirect means such as a secondary messenger 
system.  Many indirect receptors such as muscarinic, Ach, and 5-HT 
involve the use of G proteins.  Indirect mechanisms often will alter the 
behavior of a neuron without effecting its resting potential (Leicht, 
1996).
	Although the precise biochemical action of hallucinogens is 
unknown, it is believed that it probably stems from a complex reaction 
with serotonin (5-HT) from the cortex to the spinal cord.  LSD seems to 
closely resemble serotonin in structure.  Serotonin exists mainly in the 
Locus Coeruleus and RN.  The chemical then is said to play a large 
role in moderating behaviors and moods.  The actions of serotonin and 
the effects of LSD on the body are inextricably linked.  The 
numerological pathways that allow serotonin to regulate so many of 
the body’s activities are the same ones that allow the LSD molecule to 
profoundly affect the body.  The serotonergic neurons and the bodies’ 
response to the disruption of the normal pathways are where the basis 
of the chemistry lie (Bacon et al., 1996).  Even to this day, there is still 
much to study about how LSD affect the neurons, especially at the 
synaptic level.
	With the serotonin neurons, there appear to be two types of 
receptors to which LSD and 5-HT both can attach.  These are known 
as 5HT1 AND 5HT2 receptors.  The first is part of pre-synaptic neurons 
and the latter is part of the post-synaptic neurons. When a molecule 
becomes chemically attached to 5HT1 receptors the neuron slows or 
stops in production of serotonin, creating a negative feedback loop, 
where excess serotonin will halt further production.  When a molecule 
binds to the 5HT2 receptors, the post-synaptic neuron is inhibited, and 
it is more difficult for it to generate an action potential.  Serotonin will 
attach itself to either of these two receptors with equal frequency, but 
it has been proposed that LSD prefers the 5HT1 receptor to the 5HT2 
receptor (Bacon et al.,1996).
	
References


Bacon, A., Cagle, H., Mikowski, P., Rosol, M. (1996).  The
effect of LSD on the human brain.  Retrieved Jan. 25, 
2005, from http://www.cem.msu.edu/˜cem181h.projects/96/
lsd/drug.html.

Leicht, I. (1997). LSD- Origins and neurobiological 
implications. Retrieved Jan. 25, 2005, from
http://www.cs.hmc.edu/˜ivl/writing/non_fiction/lsd/.

May, P. (1998). Lysergic acid diethylamide- LSD. December 
1998.  Retrieved Jan. 25, 2005 from 
http://www.chm.bris.ac.uk/motm/lsd/lsd1_text.htm.

Nicholls, J., Martin, R., Wallace, B. (1992).  From neuron 
to brain:  Acellular and molecular approach to the 
function of the nervous system. Retrieved Jan. 25, 
2005.

Palfai, T., Jankiewicz, H. (2001). Drugs and human 
behavior. New York, NY:  McGraw-Hill.

Snyder (1986).  Drugs and the brain. Sci-Am Books Inc. 
Retrieved Jan. 25, 2005, from http://www.cs.hmc.edu/˜ 
ivl/writing/non_fiction/lsd/.

World Health Organization. (2004). Neuroscience of 
psychoactive substance use and dependence summary. 
Geneva, Switzerland: Franco Vaccarino and Susan 
Rotzinger.
       
                                                                                                    
       
       
       
       
       
       
                                                                                         
         Eric West
       
         LSD: Parts of the neuron affected and inhibitory or excitatory 
potential changes

       Lysergic Acid Diethyl amide (LSD) has been implicated in a 
variety of studies to determine its potential for influence on certain 
neural activities. To date, little that can be certified as concrete fact 
has been found, though a number of theories with considerable 
support exist. Although dopamine, epinephrine, and norepinephrine 
may be implicated in some LSD studies, serotonin seems to be the 
main focus of scientific inquiry with respect to LSD. Leicht (1996), 
postulates four theories concerning serotonin (5-HT) pre- and post-
synaptic transmitter sites and the potential for LSD to affect these 
sites, in particular. All of these theories point to the synaptic neuronal 
dendrites and terminal buttons as the main suspects with regard to 
LSD and its particular target area on the neurons themselves. After 
considerable dialogue which analyses studies by Aghajanian and 
colleagues, Leicht came to the conclusion that the evidence points 
toward certain types of activities on particular pre- and post-synaptic 
serotonergic neurons. The theories are as follows:

1: LSD Pre-synaptically inhibits 5-HT neurons. 
2: LSD Post-synaptically antagonizes 5-HT2 receptors.
3: LSD Post-synaptically partially agonizes 5-HT receptors.
4: LSD Post-synaptically agonizes 5-HT receptors.
        
       Neural clusters in the Raphe Nuclei, which spread out from there, 
mainly into the frontal and prefrontal cortices have been identified as 
serotonergic. They are also auto-reactive, and LSD appears to inhibit 
the spontaneous firing of the neurons at that site, when the drug is 
systemically administrated. 5-HT2 receptors have been identified as 
pH dependent, while LSD molecules have been identified as pH 
independent. 5-HT2 receptors are connected to a second messenger 
system (phosphatidyloniitol, or PI). PI turnover has been found to be 
affected by 5-HT2 in an antagonistic fashion, but is stimulated by 5-HT. 
LSD, in micrometric doses, can inhibit 1000 times that amount of 5-HT, 
which supports theory #2, as well as supporting, partially, theory #3; 
when LSD is administered in a variety of doses, it apparently acts as a 
partial agonist. Though LSD and 5-HT are highly compatible, 5-HT is 
more effective at the serotonin receptor site, but LSD can compete 
with it at the 5-HT2 site. The conclusion is, “…since 5-HT is a more 
potent agonist than LSD, the effects of LSD would appear 
antagonistic.“ Finally, for theory #4, Leicht cites Dr. Glennon’s 
explanation of LSD’s relationship with post-synaptic 5-HT receptors. 
He (Glennon) concluded that, since 5-HT2 and 5-HT1c receptor sites 
were compatible, higher doses of LSD can increase antagonism of the 
5-HT2 receptor, through agonism of 5-HT1 receptors.
       Although Leicht clearly states that there is a “lack of 
understanding about the mechanisms of LSD,” he comes to the 
conclusion that LSD is a partial 5-HT agonist, and may be either 
antagonistic or agonistic to 5-HT2 receptors, depending on the dose of 
LSD and the presence or absence of other molecules in the synaptic 
site. It may also be true that LSD plays a role in synaptic auto receptor 
activity in serotonergic neurons. Low doses of LSD do not depress 
firing of serotonergic neurons, and repeated dosage of LSD still effects 
neuron firing, even though inhibitory activity is believed to play an 
important role in the regulation of serotonergic synaptic activity, 
especially with regard to neurological reactivity to hallucinogenic 
drugs. LSD, and other hallucinogens, apparently have the properties 
that enable them to affect synaptic transmission of serotonin, as well 
as reuptake in the pre-synaptic neuron. Evidence for this lies largely in 
the findings of studies of laboratory rats, but also in the close 
resemblance of LSD molecules to serotonin.  
       Palfai & Jankiewicz (2001) relate it as “…imbalancing a natural 
system--for example, by blocking 5-HT at the synapse, which is 
followed by a rebound of serotonergic over-activity or receptor 
hypersensitivity.“ This appears to be a bit short of the mark, as a 
number of receptor types (5-HT1, 5-HT2, and subtypes, etc.) are also 
implicated, but does put it in a basic, simplistic light.
       




LSD: Ion Channels Affected

       As related above, LSD has, as its main targets, serotonergic 
systems, from the Raphe Nuclei to cortices in the brain. These neurons 
do not follow typical neuronic firing pattterns; they typically follow a 
rhytmic, pulsing patttern (Jacobs, 178), much like that of an 
attenuating current (AC) flow of electricity. There is a 
hyperpolarization spike-decay-spike, which constitutes a constant 
flow of impulse in the nerve clusters. This occurs due to Calcium (Ca+) 
dependent Potassium (K+) currents inherent to the natural ionic 
exchange cycles in the serotonergic system. LSD slows this activity, 
theoretically creating overactivity at the receptor sites from rebound 
effects, due to the tendency of the serotonergic system to rebalance 
itself to normal functioning.
       When LSD is introduced to the system, a significant decrease 
occurs in the levels of K+ outside the cell, altering the positive and 
negative potentials in and around the axon, which, in turn, alters the 
action potential, or the all-or-none nerve impulse. LSD causes 
hyperpolarization, cessation of spontaneous nerve firing, and 
decreases membrane resistance (Jacobs, 177). The increased 
hyperpolarization creates slower firing at longer intervals due to the 
necessary time for the system to add more positively charged ions to 
the area so that ion channels may reach the voltage potential of about 
-80mV, thence opening the ion channels. LSD seems to sustain this 
hyperpolarization by blocking the normal impulse decay in the spike-
decay-spike cycle. When resistance is lowered, K+ is allowed into the 
hyperpolarized area, leaving less K+ outside the cell. Because LSD 
somehow pushes its way into and increases K+ conductance of 
serotonin, it may be that LSD can recruit K+ through other K+ channels 
that are not directly attributable to serotonin (Jacobs, 177-178).
       Muschamp, et al (2004), also did a study implicating LSD, other 
hallucinogens, and 5-HT2A receptors, the activation of which caused a 
calcium-dependent increase of excitatory postsynaptic potentials 
(EPSP's). Out of the findings, they proposed a hypothesis that 
"...glutamate release represents a common pathway for the actions of 
serotonergic hallucinogens."
       
       





References
       
Leicht, I. (1996). Postulated mechanisms of LSD.  Retrieved from: 
http://www.cs.hmc.edu/~ivl/writing/non_fiction/lsd/

 Jacobs, B. L. (1985). Hallucinogens: Neural, behavioral, and clinical 
perspectives. New York Raven Press.

Palfai, T. & Jankiewicz, H. (2001). Drugs and Human Behavior, 2nd ed., 
McGraw-Hill.

Muschamp, J. W., Regina, M. J., Hull, E. M., Winter, J. C., & Rabin, R. A. 
(2004). Lysergic acid diethylamide and [--]-2,5-dimethoxy-4-
methylamphetamine increase extracellular glutamate in rat 
prefrontal cortex. Brain Research 1023, 134-140. Retrieved from:
        www.elsevier.com/locate/brainres
       

Joanna Rocco
Primary behavior changes and side effects of LSD

       LSD (D lysergic acid diethylamide) is a very potent synthetic 
hallucinogen.  It is manufactured from lysergic acid, found in ergot, 
which is a fungus that grows on grains.  In its original form, LSD is a 
white or clear, odorless, water soluble crystal that can be crushed into 
a powder and dissolved.  LSD goes by the street name “acid” or 
“blotter” and is sold in tablets, capsules and sometimes liquid form.  
Oftentimes LSD is added to absorbent paper and sold in individual 
squares or “doses” which are then dissolved on the tongue.
	LSD is an extremely potent mood changing chemical.  A person’s 
subjective world changes drastically once LSD is taken (Blacker, 
Jones, Stone, & Pfefferbaum, 1968). Users refer to their experience 
with LSD as a “trip.” These experiences generally begin about 30 to 90 
minutes after taking the drug, and last from 6 to 12 hours.  LSD is 
sometimes described as a drug that breaks down barriers, but the 
results of taking LSD are complex and variable.  Every trip is different 
and users show a wide range of reactions (Terrill, 1964).  The first 
signs of LSD are usually physical, and can include dilated pupils, 
salivation, sweating and nausea, loss of appetite, sleeplessness, 
tremors, dry mouth, chills, raised body temperature, rapid heartbeat 
and elevated blood pressure.  As the trip progresses, one’s mood, 
perceptions and sensations become affected (Palfai & Jankiewicz, 
2001).
	In the first phase of the trip there may be abnormal body 
sensations, changes in mood, space and time distortions and visual 
hallucinations (Palfai & Jankiewicz, 2001).  Time may seem to stand 
still, or race forward or backward (Terrill, 1964).  Emotions can 
become very intense, and reactions my range from euphoria to 
depression.  Users at this stage may also feel an increased sensitivity 
to interactions with other people and can become hurt or paranoid.  As 
stated by Palfai and Jankiewicz (2001), the second phase of the trip 
can contain a release of personal material and memory, complex 
imagery and ego disruptions.
	At the peak of the trip there is a flurry of strange and intense 
effects.  There is a flood of information from the sensory system, and 
the user experiences increased sensitivity to sounds and sights.  One 
may lose critical perception, even becoming part of the hallucinated 
imagery.  Distortions of body image can occur, and one may feel they 
have become separate from their body.  There is often a combination 
or “crossing” of sensations.  For example, one may feel colors, or see 
music.  Objects may seem to come alive, and things once seen as 
ordinary may become achingly beautiful (Terrill, 1964).  At this point 
the user may feel that they are losing themselves or losing control.  
Thinking can become difficult and there may be a flight of ideas and 
problems organizing information.  One may sense that he is visiting 
other worlds or unlocking deep secrets (Palfai & Jankiewicz, 2001).
       Tripping on acid can produce very deep and profound 
experiences in many of its users.  Some may even consider the results 
to be mystical.  People often report a feeling of understanding and 
“connectedness” when using the drug.  The person may become aware 
of being part of something larger, a part of everything in existence. 
Thoughts may become very lucid, and the mind may seem to be able to 
see relationships between things on many different levels, often all at 
the same time (Pahnke, 1967).  As stated by Palfai and Jankiewicz 
(2001), some users get a new perception of their personality and even 
a sense of unity with God or the Universe.  Accompanying this may be 
feelings of awe and reverence.  These feelings and new 
understandings may persist long after the actual trip is over, leading to 
new attitudes and behaviors regarding both self, others and life itself.  
Exploration into LSD’s possible clinical applications (e.g. Pahnke, 
1967), such as helping terminal cancer patients become more 
comfortable with the idea of dying, have had mixed results. 
	
 Side Effects

       Side effects or adverse effects of LSD can be unpleasant and 
even scary, but are usually not life threatening.  There is no known 
human lethal dose for LSD.  Death can occur as a result of the 
psychological actions of the drug on users (i.e., suicide).  There is also 
no clear evidence that LSD alone causes brain damage, but long time 
users sometimes complain of memory loss and may feel as if they have 
been permanently altered (Blacker et al., 1968). It should also be 
noted that when LSD is acquired on the street, it may contain other 
substances that could be harmful or fatal if ingested.  The results of 
the drug become even more unpredictable when mixed or combined 
with other drugs such as MDMA.  
       Anytime one finds the aspects of an LSD experience to be 
frightening or objectionable, especially if it constitutes the majority of 
time under the influence, it can be considered a bad trip.  A bad trip 
can include hallucinations, intense anxiety, depression, rapid mood 
swings and extreme confusion (Ungerlieder, Fisher, Fuller, & Caldwell, 
1968).  A person experiencing a bad trip may feel like he has no 
control over the situation, or have the sense that he is losing his 
identity. One may also feel trapped, or as if the experience will never 
end, which in turn leads to panic.  One may also feel paranoid or 
persecuted.  A bad trip can be a very traumatic experience. These 
psychotic reactions can be severe and prolonged enough as to require 
hospitalization (Palfai & Jankiewicz, 2001).  
       The effects of LSD are unpredictable, and it is not entirely clear 
what exactly makes for a bad LSD experience.  Some people believe 
that one is more likely to have a bad trip if one is inexperienced with 
the drug, but there are also reports of people have had numerous 
positive trips on LSD and then have a bad trip for no apparent reason.  
Factors that seem to have some importance in the occurrence of a 
good trip versus a bad trip are the amount taken, attitude of the user 
toward the experience, the setting in which one takes the drug and 
goes through the trip, and the presence of any preexisting mental 
illness (Palfai & Jankiewicz, 2001; Ungerlieder et al., 1968).   
       It is important to note at this point that some effects are 
pleasant or expected when one is on the drug, but can be unwanted 
when the drug has worn off and the effect is still present or sometimes 
present.  As defined by Palfai and Jankiewicz (2001), a flashback 
occurs when the elements of a trip come back after a period of time 
off the drug.  A flashback can include any and all elements of an LSD 
trip such as hallucinations, delusions, and emotional changes. A 
flashback occurs suddenly, often without warning, though some 
believe that flashbacks are more likely to occur under emotional 
distress, when overly tired, or when under the influence of alcohol and 
marijuana.  Length and frequency of flashbacks are extremely 
variable.  If these flashbacks cause a significant amount of distress or 
impairment in one’s life or affect one’s ability to work or socialize with 
others, they can constitute a disorder called Hallucinogen Persisting 
Perception Disorder (American Psychological Association, DSM IV TR, 
2000).
       Lastly, there is the occurrence of long term perceptual 
distortions.  One such side effect of LSD is known as “trailing.”  This is 
when one sees a moving thing in individual movements, almost as if in 
slow motion.  There may also be color trails associated with this 
phenomenon.  Some users report that they experience trailing for up to 
a year after taking the drug.  LSD does affect the optic pathways of the 
brain, and the drug may decrease the brain’s ability to “screen out” 
certain sensory input (Asher, 1971).  One study showed chronic users 
of LSD to be very sensitive to low intensity visual stimulation, also 
backing up the theory that long time users may organize sensory input 
differently than non users (Blacker et al., 1968).  
       Most users of LSD decrease use or stop its use over time.  This 
may be due in part to the inconsistent effects and potential adverse 
reactions of LSD as well as one’s need to recover and reorient after an 
LSD experience.  LSD does produce tolerance, but it doesn’t produce 
compulsive drug-seeking behavior typical of addictive drugs such as 
heroin (LSD JustFacts).  
       In conclusion, it is worthy of noting that while LSD may seem 
less dangerous than some other illicit substances, it is an illegal drug 
that can lead to serious penalties.  It is also a drug for which 
appropriate doses are hard to calculate, and can contain other 
substances that may be harmful.  Anyone who has been diagnosed 
with a mental disorder or has had psychological problems in the past 
should be extremely cautious about taking this drug as it may 
precipitate a psychotic break. (Palfai & Jankiewicz, 2001).

       Following are some LSD experiences reported by anonymous 
users, both positive and negative, that illustrate much of the 
information given in this paper.

       “It kicked in quickly and hard.  The moving fractals took over my 
entire vision.  The TV screen poured out onto the carpet like a 
waterfall.  The walls cracked and defused.  Everything disappeared, 
even my body melted into the void that I was now in.  All that was left 
was my consciousness, and the very basic thought process.  
Everything I could see was oozing, melting, swirling, decaying, 
transforming.  I watched as the music came out of the speakers like a 
tidal wave.  Things I touched were transformed into smells…an 
endless play on my senses ensued, relentlessly bashing my fragile 
consciousness.”  
       
       “She was wearing fingernail polish that was clear, but shiny.  
Suddenly I started to notice that when she moved her arms about, 
making gestures, I was able to see the trails following her fingertips.  
This is when I realized that everything around me was different.  It was 
like being in a whole different universe.  I remember sitting on the 
front steps, enjoying all of these new sensations, and then looking at a 
few long blades of grass that were blowing in the breeze.  They were 
stretching toward me, reaching out to me.  I remember reaching out to 
touch these blades of grass, then suddenly becoming aware that I was 
in the midst of so much life.  I began to feel like I was connected to all 
of life and nature.”

       “My gaze lifted to the sky and the sky’s gaze fell upon me.  Each 
cloud was now a giant type of amoeba type organism, covered in dots 
which pulsed in color like the skin of a cuttlefish.  Each giant amoeba 
had a giant blue human looking eye observing me.  I briefly saw 
existence as a giant clock face of a billion dots between each second.  
The dots were ticking forward in a relentless advance.  Each dot was 
the equivalent of someone’s lifetime.  I could hear air raid sirens and 
the sound of buzzing.  In the sea of holes was a giant cross which had 
a festering bloody pile of guts and organs spread across it staining the 
wood crimson.  It was an image of impossible pain.”

	“Thought loop after thought loop, over and over, uncontrollable.  I 
could have bitten through nails I was clenching my jaw so hard.  
Nothing stayed still, buildings oozed, the street and cars breathed and 
waved as if they were on rough seas.  The branches of the trees grew, 
in any direction, I couldn’t tell.  This universe was getting too big for it 
all.  I felt the universe collapse.  I saw every particle come together in 
a fantastic implosion of everything I knew and didn’t know or ever 
knew or ever will know.  Finally, everything this trip has been riding on 
and every thought and visual and everything that had ever happened in 
the universe came down to a single answer.  Everything came down to 
this one single moment.  I was sure that this is where I would meet 
God.”
       
References
       
       
American Psychiatric Association. (2000). Diagnostic and statistical 
manual of mental disorders (4th ed TR.).  
Washington, DC: Author.

Asher, H. (1971, March). “Trailing” phenomenon, a long lasting LSD 
side effect [Letter to the editor]. American Journal of Psychiatry, pp. 
1233-1234.

Blacker, K.H., Jones, R.T., Stone, G.C.,& Pfefferbaum, D. (1968). 
Chronic users of LSD: the “acidheads.” American Journal of 
Psychiatry, 125, 341-351.

LSD JustFacts. (n.d). Retrieved February 8, 2005, from 
http://www.cesar.umd.edu/cesar/jf/drugs/lsd.asp

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