Acute effects
Depressive ReactionsIn novice marijuana users, rarely in regular users, marijuana may precipitate reactive or neurotic depressions.Panic ReactionsThe majority of all adverse responses to marijuana are panic reactions in which people begin to fear that they are dying or losing their minds. Panic reactions, or "bad trips", may become so severe as to be incapacitating. Smith (1981) reports that roughly 50% of marijuana smokers in the United States have on some occasion experienced this adverse reaction.Cognitive effectsThe longer marijuana has been used, the more pronounced the cognitive impairment.Anxiety ReactionsThe most common disturbing reaction to marijuana is acute anxiety. The user becomes fearful of dying or going insane. Mounting anxiety may lead to panic. The reaction is not a psychosis; there are no hallucinations. The anxiety reaction or delusional disorder is a milder version of the frightening LSD experience known as a bad trip. A truly nightmarish experience is rare under the influence of marijuana, because it is less potent than hallucinogenic or psychedelic drugs and the user is better able to control its effects.Use of LSD and other psychedelic drugs is often followed by flashbacks - the recurrence of emotions and perceptions originally experienced under the influence of the drug. They usually last only a few seconds and are not necessarily disturbing, but sometimes they become a persistent problem, which has been labeled post-hallucinogen perception disorder. Marijuana smoking may precipitate flashbacks in psychedelic drug users. A few reports suggest that marijuana flashbacks also occur without the previous use of psychedelic drugs.Read some of the comments from people who have had experiences with marijuana and anxietyComment: Hi, I've had panic attacks for more than 1.5 years now. Fortunately, I can now control the attacks and am aware that "I am not going to have a heart attack"Approximately twelve acquaintances of mine have since discussed, through different conversations, evidence of having panic attacks. Speeding heart beat, panic, going to hospital, etc. EVERY SINGLE ONE OF THEM HAD THEIR FIRST ATTACK while consuming marijuana, including me. About half of them, including me, were heavy smokers (minimum 1 joint/day).