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Misc A 17 year old, PCP, and sudden violent psychosis

Seattle_Stranger

Bluelighter
Joined
Mar 5, 2009
Messages
1,903
Location
Seattle, WA
TL;DR - A 17 year old kid started with pot and worked up to PCP and all sorts of polydrug use, lost 100 pounds and went from normal to violently psychotic and delusional in barely a few months. Has threaten to kill himself and his family multiple times, thinks he is God and has refused absolutely any helping hand extended outward. We just don't know what else to do, and we need advice. He is a child and his family is shattered.

My lady's little brother who was always a decently smart, kind, more or less normal kid. In the recent year, he discovered cannabis and became immediately obsessed with it. Shortly thereafter, he told us he has been experimenting with LSD and mushrooms. I noticed this unhealthy obsession and made it a point to talk to him a few different times about the dangers of drug use, especially at his young, developing age. I explained about how even something benign like pot can really have detrimental effects on his later years because his brain is still rapidly growing and developing, and the 'negative side effects' of drugs aren't always immediately apparent. I thought he would heed my warnings, but alas....

Over the course of the next ~8 months he started rapidly changing. He lost over 100 pounds in a couple months. He started out just acting like a stoner but then evolved into an extremely violent, psychotic, delusional, suicidal, claims to be jesus, constantly preaching about "the system" and just acting flat out insane. He ran away from warm family home and willingly was living in a tent city with homeless people. He's got that far away look in his eyes and seems to be on some sort of a "mission from God" and has even told his own mother, whom he's EXTREMELY close with, that he was going to "murder her in her sleep" along with the rest of his beloved family. This child went from a total mommas-boy, overweight and excited about getting his first car to this scarily psychotic and violently paranoid stranger over the course of barely 8 months. After much, much, much todo about the whole thing, he is FINALLY under the care of mental health professionals...unwillingly of course.

My first guess was meth, or potentially crack only because he was apparently staying with this known 50-something year old crackhead lady who acted somewhat similar. The only things he has admitted to using were pot, mushrooms and LSD, but I knew for a fact something else was at play, even way before the episode started. Just from his simple curious and limit-testing nature, I knew he had at least tried this and that or wanted to. He seemed to be displaying what I understand a stimulant-psychosis state to be, but at the same time it wasn't spot on. I thought it could be combinations of things, including psychedelics on his young, impressionable mind coupled with a very bad environment and company, teenage angst, etc.. There was the thought that he had a dormant schizophrenia-like illness that came out due to his frequent psychedelic use. There were millions of frustrated guesses. Everyone in his life individually has offered a hand to help him and he bit every last one of them.

One day, he calls up his mother and demands she take him to the emergency room because he hurt his leg. This was used as an opportunity because all along he has absolutely refused to accept any help from doctors or health professionals (or anything that was part of "the system"), and he clearly is needing a professional evaluation. So, she took him to the ER and pulled the doctor aside to tell them what has been going on and that he needs to be checked out, how this is the only opportunity they have, etc.. After a bit of a fiasco, he finally was deemed "in a psychotic state" and was admitted. They took blood work but he refused to allow the results to be released to his mother (apparently you can do that at 16 in WA state), so there's no toxicology report yet. They finally got his iPhone that he worshiped away from him (so much for avoiding "the system", huh?) which he proceeded to scream at everyone saying if they turn it on it will explode and collapse the hospital.

Upon inspection of his text message history by his mother, it was discovered that he has been doing any drug he can get his hands on and literally advertising to several people how "I want absolutely anything and everything you can find, I want to try it all, I don't care what it is". There were several mentions of MDMA, bragging about being high on this and that for days straight, tripping on mushrooms and LSD and all sorts of combinations for a week, combining this and that, pushing doses extremely high, and even text messages to friends saying "I took A, B and C and I think I'm OD'ing can you come help me please". There also apparently a constant mention of "smoking sherm", as if he's addicted to it. I have not seen the texts myself so I don't know what else was in there.

So now, having read up on PCP, all these adverse effects they speak of are SPOT FRICKING ON to the changes we have observed in his behavior. The God-complex, the violence towards loved ones, the paranoia, the disassociating with society and organization, severe weight loss, suicidal tendencies, etc.. Does anyone have advice for us? This is driving everyone insane and we just want to help before he hurts himself or others. Like I said he's in the hands of the professionals now, but what can we do from our end? Also, what precautions should we take to protect his very young little sisters? I don't know if he kept the PCP in the house, and I wouldn't even know what to look for, but I'd like to make sure his 2 year old sister doesn't find it somehow. Has anyone dealt with this? Do people normally recover from this kind of psychosis?

It's extremely sad because of how rapid this happened, and how it has absolutely destroyed his family. He has threatened to kill all of them in their sleep multiple times, has kicked down his sister's bedroom door because she was hiding from him, and has just plain caused straight-up chaos. We want to help, but really don't know what else to do. The other problem, I think the hospital will only hold him for 2 weeks and then they let him out. If he's still in this state at that time, Seattle is going to have one seriously dangerous person roaming the streets at free will. :(

Thanks for any advice in advance, and sorry I didn't keep it short like I said I would...
 
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Man, he took the ball and fucking ran with it. Does he know about your extensive drug use past? Maybe you can get on his level with him if he looks up to you. I know when I was his age, like many of us here, I took in ALL the information I could and tried it all too. Not PCP though, ick. I wish I had some better advice, but man. I'll just extend some good vibes your way and pray for the best for him. Maybe his time being with the doctors will improve his psychotic symptoms.
 
Like you stated, his brain is still developing & the last thing g he should be doing is psychedelics at 15/16 years old......jmo, but psychedelics shouldn't be started until you're much older because of the underlying problems that may be waiting to come out, & at a young age, psychedelics can screw you up.

Doctors can only do so much IMO, meds will hurt him instead of helping him with his heavy drug use.

It seems he's testing the limits to his reality & life. It also seems to me that he's trying to change his reality permanently which is very dangerous........

Religion can help way more than any hospital or doctor in this situation......he needs stability & needs to be far away from his connections/drug inducing friends. He needs to be placed on an island somewhere with people that will watch over him until he stabilizes.......

Where he's at now mentally, he may have a nervous breakdown when he realizes what he's down to himself & his loved ones during the aftermath of his heavy usage & during his stabilization time.

First things first......he needs to be kept away from all his contacts because if he continues on this road of self inflicting mind altering destruction, it won't end well at such a young age........he needs help but the only way psychiatrists & hospitals know how to help people like this is to heavily medicate them into a stupor which might be s good idea now but wikl make him much worse in the long run.

To do it the right way, you need money & to sacrifice your time.......you need to move away from the environment he's in now, into a remote area like I suggested earlier, an island or Arizona desert & to be monitored constantly.......he can get his mind back but it has to be done w/o any kind of meds. He needs rest, to start eating healthy, exercise, etc.......

We all have done our share of psychedelics/drugs but most of us don't test the limits of our egos/minds.......he has & it seems he lost the game.

We are not all created equally, hence the different reactions to drugs.......to some they cause destruction & chaos while to others they open up doors to perceive new roads.
 
I and my friends used to smoke a lot of PCP when we were younger and never had anything like this happen. I think he clearly had some underlying mental disorder that psychedelics triggered in him. I feel bad for him, he sounds like a nice kid under all of it. Just get him help before heroin, meth, or the needle suck him in.
 
Thanks for the kind words guys. I should mention that I am slightly removed from this situation, as it's my lady's family, not mine, and she knows it's stressful and tries not to subject me to it. This has been a long time coming and I can see how this is destroying her, so now I'm reaching out for advice. Not only for her brother's sake, but hers as well.

Having said that I'm not completely up to speed on the current events of this situation, or exactly what his texts said, or what his status is. In the short sentence or two she uttered to me about it, it seems like he's "coming around" (aka coming down) and seems to be starting to realize the turmoil in his wake, but still has ways to go. Does PCP typically have a withdrawal? How similar is PCP to DXM in terms of effects?

I'm sorry if this seems directionless, I just can't see her cry about this anymore.
 
Man, he took the ball and fucking ran with it. Does he know about your extensive drug use past? Maybe you can get on his level with him if he looks up to you. I know when I was his age, like many of us here, I took in ALL the information I could and tried it all too. Not PCP though, ick. I wish I had some better advice, but man. I'll just extend some good vibes your way and pray for the best for him. Maybe his time being with the doctors will improve his psychotic symptoms.

My "drug use past" is minimal compared to most folks on this forum. It sounds like it pales in comparison to his too. I still haven't had LSD, and apparently he's been going for days on end on it. I wouldn't dream of touching PCP. I also would never, ever, ever ask for "anything and everything" even back in my most curious days. Atop this, I also didn't even start smoking pot more than once a year until I was about 23. Back when he was starting out, just with weed, mushrooms/LSD, and the occasional k-pin he'd get from his mom, I had a couple long conversations with him about the "hard stuff" which I honestly thought he was taking seriously. He seemed to understand why drugs are extra bad for his young body and brain after I (and his sister) had explained it to him. I'm a stage-performing musician in a heavy rock band (which he admires me for greatly) so I tried using the whole "I seen things you wouldn't believe" angle, explaining how I've seen the worst of the worst happen with drug use in the music scene (which is true), and I thought I did a good job of making it sink in. I think due to the 10+ year age gap, and the fact that I've been around since he was 8 years old, he does look up to me but in an authoritative "one-of-the-grown-ups" way, not in an "older-brother-I-can-tell-anything-to" kind of way, so maybe he was lying to me. I'm also the ONLY male role model in his like so maybe he didn't want to disappoint me. He can bet his ass I'm disappointed now... :(

I'm so angry and sad for him at the same time. I want to hug him and kick him in the nuts in one motion. We were all young and dumb once, but this takes the cake. How fucked up in the head must you be to threaten to kill your entire beloved family in their sleep when just a few months ago everything looked like a Mormon commercial? He has caused so much pain and anguish to his sister, has said extremely ugly psychotic kind of things to her, and had caused more turmoil, negativity, depression, anxiety, and problems for her and I than anything else ever has. We have the most fruitful and wholesome relationship you could ever imagine, and this kid has caused more direct problems between us than I can begin to explain.

Thanks for your help everyone. Just talking about it helps. :)
 
I and my friends used to smoke a lot of PCP when we were younger and never had anything like this happen. I think he clearly had some underlying mental disorder that psychedelics triggered in him. I feel bad for him, he sounds like a nice kid under all of it. Just get him help before heroin, meth, or the needle suck him in.

Agreed. Albeit I personally didn't indulge a lot, anybody I can think of that I hung around with is relatively healthy and normal.
 
Yeah, I doubt PCP is the sole cause of this kids psychosis. It seems pretty clear that he was/is using a load of drugs as often as possible and probably mixing them. That in itself is kind of indicative of some sort of underlying psychological/social problem, I mean, people don't try to escape their own mind that much without reason. With that said though, I have heard at least one third-hand account of someone similarly going nuts due to PCP usage, but that was someone who had been using it habitually for several years. I think they had several episodes (or maybe just one big long one) as they had developed quite the reputation for basically being completely unpredictable, having crazy mood swings and being outright delusional. Unfortunately I don't know any more details about it, though judging by the company they kept, it's quite safe to assume that they were probably a bit of a speed freak too.
 
What seems to have happened here is that the drugs have exacerbated an existing psychotic condition. I say this because you say he's delusional/psychotic all the time (not just when he trips). Psychedelics + psychosis is a very, very bad combination. I watched a paranoid schizophrenic have a psychotic break on LSD... nearly a year has passed and he's still in the looney bin.

Sane people can only go temporarily psychotic on certain drugs (PCP and friends are notorious culprits).
 
Time and time again I've witnessed extreme substance abuse (and comorbid mental disorders) and seeing what it does to the individual and their loved ones is nothing short of a tragedy. :( sorry to hear about all this OP.

From reading your post it seems like he has some pretty serious underlying mental issues, exacerbated by heavy polysubstance abuse/dependency. It is clear that he needs help beyond what his family and friends are able to provide.

It is imperative that he stops using all drugs immediately. No cannabis, no caffeine, nothing. He needs adequate mental health care, which could come in several different forms, but in cases extreme as these the more intensive the better. Medication and talk therapy will probably be required, and inpatient rehab probably wouldn't be a bad idea either. I also know all too well how hard it is to get help for someone who doesn't want it - at the end of the day you can't force someone into treatment - but if he continues down the same road it could very well get worse before it gets better.

Best of luck OP. Please keep us updated
 
Sorry to hear about this, but I too experimented with drugs at an early age, starting weed and alcohol at 12. Then tried benzodiazepines, 25i, 25c, LSD, DMT, DXM, whippets, hydrocodone, oxy, MDMA at 15 and continued recreational use for a long time, and I can tell you from personal experiences that some of the complications he is having, most of them will fade away or reduce significantly. From my drug abuse I have experienced something called visual snow(I've had it since i was a little kid but only slightly in the dark and my drug abuse has made it almost 24/7) I suffered some emotional problems mainly during withdrawal, too the point I thought I was Schizophernic because I was hearing things that werent there and seeing things that werent there, but with time they have faded away.

Although what he has done may not have been the most responsible thing, I believe it will benefit him too, teaching him harm reduction if he continues his drug abuse.

Best wishes to OP and his ladys family.
 
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I've had almost exact symptoms from diphenidine.
Feeling like a god, biting my father, wanting to harm close ones, and acting preety much same as your relative.

I've been taken lot of drugs but dissociatives are the only ones that made me act this way(but diphenidine was the fucking the same as your description). So PCP is probably the right guess IMO.

I think the difference between me and him on this aspect is that I prefer other drugs, and my dad behavior on this issue probably helped a lot as well.
 
he's one of those people in life that simply CANNOT handle anything psychoactive. You need to help him realise this and have him abstain completely from drugs. I have a friend who was brilliant and started smoking weed, saw the bob marley movie and became a rasta then dropped out of school, worked a government street cleaning job and lived with a crack head in a shack and then found out the crack head was stealing from him and then burned down the shack was thrown in jail then out because it was his first offense and it wasn't much of a house and now lives with his parents under the impression that he's stopped smoking weed. He simply cannot handle psychoactive substances as we was totally ignorant even with booze and weed just distorted his reality to the point where he doesn't believe in society anymore and is totally insane.

It's sad cuz he was my first closest friend and he tried weed with me after scorning me for being a pothead. Now his life is in the toilet and it's a shame cuz he was brilliant and did really good in school before pot with hopes of becoming a doc.

AND THIS IS JUST POT. sadly when someone who shouldn't be doing drugs is told that their minds can't handle it they get even more upset so there's not much you can do.

The good thing about psychosis is that it's temporary so maybe wait it out till he possibly returns to base line and try to knock some sense into him. Other than a life in the psych ward there isn't much that can be done at this point.
 
^ I doubt that is the case... everyone has a breaking point and it seems like curiosity got the best of him, soon turning into obsession with altered states of consciousness. Everyone's mind would need time to recouperate from trips and integrate what happened and how to attach meaning to it with reservations and due skepticism. But clearly he is not giving himself that chance, instead desperately looking for something in the psychedelic / psychotic chaos. It may not be easy determining the causality here, whether it was a latent disorder that fueled the obsessed crossing and stripping away of boundaries... or whether it is something else undermining his willpower to go at it reasonably. From the sounds of it he didn't want to stay away from this... that sounds pretty different from someone who 'cannot handle their shit'.

For me personally a shroom trip prompted an existential crisis that had a sweep of a few years... and after 6 months of abstinence I started tripping again despite terrible bad trips, in order to find truth or explanation behind the ineffable spiritual experience that started it all.
This is just to illustrate how a person can get caught up in something that is hard to understand from the outside. Then again I never really lost it completely, but just felt pretty lost for a long time before things got better.

This probably belongs in TDS by the way - agreed? (Oh sorry this is not my jurisdiction! Thought this was in PD, wouldve made sense). Not sure what use there is in us speculating now, Seattle stranger could return to continue discussion though but only if he wants to obviously.
 
^ I doubt that is the case... everyone has a breaking point and it seems like curiosity got the best of him, soon turning into obsession with altered states of consciousness. Everyone's mind would need time to recouperate from trips and integrate what happened and how to attach meaning to it with reservations and due skepticism. But clearly he is not giving himself that chance, instead desperately looking for something in the psychedelic / psychotic chaos. It may not be easy determining the causality here, whether it was a latent disorder that fueled the obsessed crossing and stripping away of boundaries... or whether it is something else undermining his willpower to go at it reasonably. From the sounds of it he didn't want to stay away from this... that sounds pretty different from someone who 'cannot handle their shit'.

For me personally a shroom trip prompted an existential crisis that had a sweep of a few years... and after 6 months of abstinence I started tripping again despite terrible bad trips, in order to find truth or explanation behind the ineffable spiritual experience that started it all.
This is just to illustrate how a person can get caught up in something that is hard to understand from the outside. Then again I never really lost it completely, but just felt pretty lost for a long time before things got better.

This probably belongs in TDS by the way - agreed? (Oh sorry this is not my jurisdiction! Thought this was in PD, wouldve made sense). Not sure what use there is in us speculating now, Seattle stranger could return to continue discussion though but only if he wants to obviously.

This ^
 
IDK just seems like there are ALOT of people who are hurting. Is it possible he is acting out because of some pain in his childhood? In any case it is always good to listen...and keep listening...
 
even if he didn't want to stay away from it, it still proves my point. Someone who can't handle psychoactives STILL may or may not want to keep doing drugs. Regardless it doesn't matter. The fact is that they cannot handle the mind trip because they keep tripping on their minds. It's what i'm trynna say. My dad would tell me of a person who would smoke a joint and go on a mind trip who eventually ended up sacrificing all morals and not accepting life as we know it and from an insider's point of view they would seem "mad" though they may not actually be psychotic, they just have a totally altered state of their own beliefs (if that makes sense). Lol I have to be very careful when talking to you smart folk cuz everything I say CAN and WILL be used against me. I'm not too good at expressing my thoughts so bear with me.

My post earlier wasn't explained properly cuz I was at work at didn't wanna spend too long explaining myself when I should of been working.

But like I know the case here is that this guy is "psychotic" but what I'm trynna say is that you don't have to have an underlying condition that can be triggered by drugs to NOT be able to handle drugs. You can be one of those people regardless. He, to me, can't handle drugs and has an underlying issue that clearly surfaced.

Lmk if it makes sense but don't get upset at me I'm trynna flow an idea.
 
even if he didn't want to stay away from it, it still proves my point. Someone who can't handle psychoactives STILL may or may not want to keep doing drugs. Regardless it doesn't matter. The fact is that they cannot handle the mind trip because they keep tripping on their minds. It's what i'm trynna say. My dad would tell me of a person who would smoke a joint and go on a mind trip who eventually ended up sacrificing all morals and not accepting life as we know it and from an insider's point of view they would seem "mad" though they may not actually be psychotic, they just have a totally altered state of their own beliefs (if that makes sense). Lol I have to be very careful when talking to you smart folk cuz everything I say CAN and WILL be used against me. I'm not too good at expressing my thoughts so bear with me.

My post earlier wasn't explained properly cuz I was at work at didn't wanna spend too long explaining myself when I should of been working.

But like I know the case here is that this guy is "psychotic" but what I'm trynna say is that you don't have to have an underlying condition that can be triggered by drugs to NOT be able to handle drugs. You can be one of those people regardless. He, to me, can't handle drugs and has an underlying issue that clearly surfaced.

Lmk if it makes sense but don't get upset at me I'm trynna flow an idea.

I think I understand you but imma branch off your thought and elaborate...

Basically everyone is different, like how maybe you may think its totally crazy for someone to do lsd, while they think its normal. Or how I see people who take a few hits of weed and cannot move, or freak out, which sounds hilariously stupid to me because my mind can handle weed. So basically this falls into expierence and mind set... Enviroments and friends you are with will also affect how a trip will be resulting in a good or bad trip which may have positve or negative effects on your life.
 
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