Cannabis Peer Support Line

Fireside Project is not a replacement for emergency services, and we’re clear about that. If someone is experiencing severe symptoms, such as loss of consciousness, trouble breathing, chest pain, or injury, they should seek medical care or contact emergency services immediately.

That said, many people who worry they need the emergency room are actually experiencing panic. Part of our harm reduction approach to these experiences is helping people distinguish between distress that needs support and situations that truly require emergency intervention.

Our role is to help people calm, ground, and make informed choices.

Marijuana intoxication refers to the temporary physical and psychological effects that occur after cannabis use. These may include altered perception, anxiety, changes in blood pressure, increased heart rate, impaired coordination, or racing thoughts. For some people, especially at higher doses, these effects can feel frightening even though they are usually time-limited.

Yes. Cannabis edibles are a common source of distress because they take longer to kick in and can feel stronger than expected. This delayed onset can lead people to consume more than intended, increasing the risk of uncomfortable psychoactive effects, nausea, or panic. Fireside Project often hears from callers who feel overwhelmed hours after edible consumption.

Signs sometimes described as marijuana toxicity may include intense anxiety, paranoia, vomiting, dizziness, confusion, or a feeling of losing control. These symptoms are usually related to dose, individual sensitivity, or the form of cannabis used (such as THC oil or high-potency products). While distressing, these experiences are often temporary.

Most cannabis-related distress does not require an emergency room visit. However, medical emergencies may be appropriate if someone experiences severe symptoms such as chest pain, uncontrollable vomiting, loss of consciousness, injury, or if a child has been exposed. Poison control centers can also provide guidance when medical attention is unclear.

Cannabinoid Hyperemesis Syndrome (CHS) is a condition seen in some long-term cannabis users that involves repeated cycles of nausea, vomiting, and abdominal pain. People with CHS often report temporary relief from hot showers or baths. If symptoms are persistent or severe, medical evaluation may be necessary.

In some individuals, particularly those with a personal or family history of certain mental health disorders, such as bipolar disorder—cannabis use may be associated with psychotic episodes like paranoia or disorganized thinking. This risk can increase with high-THC products or synthetic cannabinoids.

Cannabis can affect mental health in different ways depending on the person, dose, and context. Some people find it relaxing, while others experience anxiety or emotional distress. For individuals with underlying mental health conditions, cannabis use may intensify symptoms. Fireside Project supports people navigating these experiences without judgment.

The idea of cannabis as a gateway drug is debated in public health research. While many people use cannabis without progressing to other substances, patterns of substance use are influenced by social, psychological, and environmental factors rather than a single drug alone.

Cannabis affects the endocannabinoid system, which plays a role in mood, memory, stress response, and perception. THC interacts with cannabinoid receptors in the brain, influencing sensory processing and emotional experience. These interactions explain both desired effects and unwanted anxiety or confusion.

Yes. Cannabis use can temporarily alter blood pressure and heart rate. Some people experience a racing heart or lightheadedness, which can contribute to anxiety. These changes are usually short-lived but can feel alarming if unexpected.

If someone feels unwell after cannabis consumption, staying calm, hydrated, and in a safe environment can help. If symptoms escalate or involve a child, poison control centers or medical professionals should be contacted. Fireside Project can provide emotional support during moments of panic or confusion.

Yes. Fireside Project provides free, confidential peer support for people experiencing distress related to cannabis use, including anxiety, panic, or overwhelming psychoactive effects. Support is available during the experience or afterward and is grounded in harm reduction, not judgment.

No. Fireside Project is an independent nonprofit. Conversations with the Psychedelic Support Line are confidential, and we are not affiliated with the Drug Enforcement Agency, marijuana enforcement divisions, or regulatory bodies.

Harm reduction focuses on reducing risks associated with marijuana consumption rather than condemning or encouraging use. This includes access to accurate information, emotional support during distress, and resources like poison control centers or peer support lines when needed.