Fact Sheet 7 – Crash / comedown / post-session anxiety

Objective

• Normalize the “comedown” without trivializing it.

• Reduce harm (dehydration, insomnia, anxiety, depression).

• Identify emergencies (suicide, psychosis, confusion, somatic complications).

When to use it?

• Post-session (D0–D5), when the person describes: anxiety, shame, rumination, insomnia, "emptiness", irritability.

• In prevention, before a weekend, to prepare aftercare.

Duration: 5 minutes.

1) What is common (and not a “moral failure”)

• Fatigue + sleep debt

• Anxiety / irritability / “looping brain”

• Low mood, shame, hypervigilance

• Digestive issues, aches, body pain

• Low libido / temporary sexual difficulties

2) Basic aftercare (to offer)

☐ Sleep : goal is rest, not performance
☐ Drink + eat (small regular intake)
☐ Shower, clean clothes, quiet environment
☐ Limit screens / apps if they trigger rumination
☐ Safe human contact (buddy / friend / pro)
☐ Postpone important decisions (“D+2 minimum”)

3) Useful scripts

• “The comedown is a neurobiological + emotional phenomenon. Above all, we're going to help you get through it without hurting yourself.”

• “We don't treat shame by punishing ourselves: we treat shame by protecting ourselves and understanding.”

4) When to consult quickly (non-vital but important)

• Insomnia > 48–72 hours despite rest

• Overwhelming anxiety/panic attacks, flashbacks, dissociation

• Persistent low mood > 1 week

• Thoughts of compulsive redosing “to stop suffering”

• Infectious symptoms after slamming/sex (fever, local pain, redness)

5) EMERGENCIES (15/112)

• Suicidal thoughts with intent / plan / inability to protect oneself

• Confusion, hallucinations, delirium, uncontrollable agitation

• Chest pain, fainting, shortness of breath

• High fever, stiffness, convulsions

• Unresponsive sleepiness / abnormal breathing (GHB/GBL)