SSRI’s and Substances

***Please note that this is an informational overview on the interactions between SSRI and SNRI medications with recreational substances. You should always tell your doctor what recreational substances you use when considering treatments for depression, anxiety, and other mental health conditions. There may be additional risks and side effects not listed here!***

SSRI and SNRI?

SSRI’s (selective serotonin re-uptake inhibitors) and SNRI’s (Serotonin-Norepinephrine Re-uptake inhibitors) are widely known antidepressant medications that are also prescribed for many other conditions. They can be prescribed by your doctor for anxiety, post-traumatic stress disorder (PTSD), premenstrual syndrome (PMS), fibromyalgia and nerve pain syndromes, and even conditions such as irritable bowel syndrome (IBS) and premature ejaculation. Because they are prescribed for a wide variety of conditions, some folks may not be aware that they are taking antidepressant medications! This is important because there are significant risks associated with taking SSRI/SNRI medications and using recreational drugs, which is why you should always ask your doctor or other healthcare professional if there are any interactions between the drugs you use and the drugs they give you – every time! Even after talking to your doctor, it’s a good idea to take charge of your health and do your own research (such as reading this blog!)

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Boofing Safety

Boofing, also known as  “hooping”*, “booty-bumping”, “butt-chugging”, “shelving”, “stuffing”, “plugging” or “alcohol enemas”, is when you put alcohol or another drug into your rectum. These terms will change depending on who you’re with, or where you’re using. For example, the terms ‘hooping’ or ‘hoopers’ is also used in party scenes to refer to the act of hula hooping or the people who hula hoop. In some places “boofing” is slang for smoking weed. Make sure that everyone is on the same page to avoid embarrassing mix ups!

How does it work?
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Trip! Project’s Harm Reduction During Covid Workshop Series

The Trip! Project presents Harm Reduction 101, with an emphasis on harm reduction during Covid. This workshop series is free, and open to all including community members, service providers, or anyone that wants to learn about this topic.

Register here!

harm reduction workshop poster, same text as the post

In Part 1 of this workshop (Friday June 26th, 3PM) we will discuss: Drug use trends during Covid; Harm reduction & drugs with a focus on party drugs; overdose prevention strategies & and transmission risk reduction strategies when meeting dealers or picking up drugs.
Click ‘going’ on the Facebook event here.

Part 2 (Tuesday June 30th) will explore more in-depth topics related to withdrawal and returning to use after Covid; mental health, and safety at online parties as well as a longer question session for anything from either of these 2 workshops.
Click ‘going’ on the Facebook event here.

Please REGISTER, you will be sent the info before the workshops begin!

Stay tuned for: Relationships during Covid workshop, coming early July 2020!

 

Navigating Relationships During the COVID-19 Pandemic

Are your friendships stressed or feeling awkward? Are you finding that relationships with colleagues or bosses are strained from new working arrangements? Have you found yourself arguing more frequently with the people you live with about things such as money, space, handwashing, visiting friends, or even who is going to cook dinner?

People are more stressed than ever before because of the pandemic, and this is putting added strain on all their relationships.

In this post we have communication tips to help you better manage your relationships, and ideas for keeping connected.

How have your relationships changed during the pandemic? Do you find yourself lonely and isolated with less physical connection? Feeling cornered by a lack of privacy or space in a small living quarters?  Many people are also finding themselves living away from their partner(s), or living with someone full time unexpectedly during the lockdowns. This is creating additional challenges within relationships. These challenges intensify when you add in new work from home scenarios, partners that have lost their jobs, or who work in high risk essential positions. Whatever the change has been for you, we have tips to help you cope.

First: You are not alone.
Physical-distancing and isolation is a new concept for most people, and long distance relationships, (platonic or romantic), can be hard to navigate even outside of a pandemic. Most people have a shorter emotional fuze from the added stress of the pandemic, and this is leading to more interpersonal struggles for everyone.

Second: Your feelings are valid.
While some people may not feel as stressed or as distant, everyone responds to situations differently. Communication is as important than ever to help your family, friends, colleagues, lovers, and even neighbours understand your feelings. There are also many free online counselling options, as well as text and phone supports if you need someone to talk to. TRIP peers are always available to chat if you ever want to talk or want more information on how to find supports. There’s a list of resources at the end of this post.

Third: There are coping strategies that can help with overwhelming feelings. 

Music, meditation, gentle exercise or fresh air, doing crafts or other hobbies can help relieve stress and pass the time. It is also important to try to eat nutritious food, drink water, maintain personal hygiene and get some exercise. Lack of motivation is a very real factor right now, so be gentle with yourself, and realistic about your capacity. You won’t get all of these self-care activities done in one day, instead take one step at a time. We WILL get through this, together.

 

Sex in Pandemic

Lets talk about sex! Stress and routine change can affect your libido: you may want to have less sex than you would usually have, or none at all. However you’re feeling, is 100% okay. It’s important to remember that people might have no interest in sex or sexual pleasure, and that is normal and valid. Talk to your partner(s) honestly about where you’re at.

Masturbation, for those who enjoy it, is always an option, and on the plus side, it’s 100% safe. It’s no surprise that Canadians can’t get enough sex toys during Coronavirus isolation. Masturbation can help improve sleep, relieve stress,  increase mood, and decrease cramps, as well as other health benefits.

 

 

Sex and Safety in the Digital Age

Self isolating away from your sexual pal? Try some of these technology based options to still have some sexy time together:

  • Send and recieve sexy texts (after establishing consent).
  • Dress up and have a mini selfie shoot and exchange sexy pics. Talk to your partner first about what will be done with the pictures (who keeps them, for how long, can they show anyone, etc.).
  • Videocall sex is another option, and Cosmopolitian even has a list of Facetime sex positions to show off those angles for the camera.
  • Phone sex can be very rewarding, and it’s all about the dirty talk! There are many blogs with tips that promise the best phone sex of your life: here’s one example. If you’re like most people and feel a little awkward on the phone: here’s a link that talks about how to make phone sex less akward!
  • Trying to spice things up with a long-distance lover? There is an app for that! Here’s a few: Couple Game, Desire, Lover, LokLok.
  • While you’re on that sex toy shoppping spree, pick up one of these app based sex toys so you can help with the orgasm from home.
  • Pay a sex worker! Many sex workers have moved online, with already existing webcam/content sharing sites and apps, and partner packages with messaging, video exchanges, and calls.

Consider a Sex Buddy if You’re Single
https://www.bbc.com/news/world-europe-52685773

People are really feeling the loneliness of physical- distancing, and are struggling with how to date and have sex safely. There are some lesser risk options being discussed in other countries.

In Denmark public health authorities have told singles that it may be low risk to choose one “sex buddy” or “cuddle buddy”, assuming that both individu

als are free from symptoms, are low risk health wise, and limit their contact to a very limite

d number of individuals. While this approach is not “no risk”, it is a lesser risk to those that need physical connection and intimacy, and don’t have a regular partner. As always, it’s important to protect yourself from STIs and pregnancy, and to work your way up to a physical meeting if you haven’t met this person before. It is also important to talk to your potential partner about other people they may be seeing; the more points of contact, the higher the risk. If in doubt, remember that the safest sex partner is yourself, and that this pandemic will not be forever.

COVID-19 and Consent

When you’re living full time with a sexual partner, you may take many things for granted, including general consent for many, if not all, sexual activities.

However, it is always important to get enthusiastic consent before engaging in any activities with another person. Even if you live with someone, are married to them, or have had sex with them before, they are NOT obligated to have sex with you. Respect your

partners decisions if they choose to abstain from sex, or just don’t feel like it. Sex (or even kissing) with a partner that is high risk or an essential worker can also be risky, and people are allowed to make an informed decision about their risk of catching COVID-19. It’s also still important to prevent STIs and unwanted pregnancy! STI testing is still available at clinics by appointment. Physical-distancing and isolation has changed relationship dynamics between some roommates, who are turning to each other to fulfill their sexual needs. Even if they are the only option in your house it’s still important to get enthusiastic consent, and talk about how this might affect living arrangements.

Consent isn’t strictly for sexual activity. Be mindful that people’s level of comfort for various activities they used to be totally comfortable with, will have changed. People may not want to hug, share food, visit your apartment, go out to a bar with you, be in an enclosed space with you, or many other activities you used to do together without much thought. Check in with folks about what their comfort levels are, and find activities that fit within your comfort zones. Be honest about the risks you’ve taken and whether you’ve potentially been exposed to COVID, so that the other person can consent, (remember consent MUST be informed).

Navigating Non-monogamous Relationships During the COVID-19 Pandemic

Like anything in the poly/non-monogamous lifestyle, communication is essential.

  • Take this time to map out your relationship constellation together, either on paper or with a website like polycul.es.
  • Talk to your partners about who they are in close contact with (family, roommates, coworkers, other partners).
  • Check in with your partners about whether there are people in their life who are high-risk for catching COVID (Do they have a partner who is immunocompromised?).
  • Discuss how you plan to interact with your various partners during the pandemic, and how they plan to interact with theirs. This will look different for every constellation and may mean choosing to be intimate with some partners, and ly distant with others. Consider forming a polybubble, including partners and metamours, (this is obviously easier for people who practice kitchen table style poly).
  • The structure of poly relationships can change and be fluid. This is beneficial while we’re in a pandemic, and it’s important to accept your partner’s decision if they want the relationship structure to change. Talk to them about whether they feel this is a permanent change or “just for the pandemic” change.

On the bright side, people in ethically non-monogamous relationships are used to discussing safety precautions around STI testing, fluid bonding, and harm reduction in their relationships and all these communication skills apply to COVID risks +COVID testing. Talk with your partners about what measures you’re taking to keep safe, and what things might be off-limits for the time being. This is an excellent time to connect with the online poly community and find spaces without stigma, where you can talk about your unique problems and know that you’re not alone.Take this as an opportunity to focus on increasing the meaningful interactions between you and your partners and get creative with HOW you interact and date your partners, do new things!

If partners have differences in physical- distancing beliefs or may not be as safe as you would like them to be, talk about it! Be honest and let them know what you’re not comfortable with, and make suggestions of ways they can be safer.

If you are having issues with partners not being honest about who they are seeing, talk about it! If you think your partner is not being honest with you let them know how this makes you feel. Lying about knowingly violating a boundary that you set together may be a red-flag. If you usually see partners in public places, but are only limited to home spaces, have a brainstorm together for what you can do instead of your usual dates, get creative! If lack of privacy while talking to partners is a recurring issue see if you can schedule a time to talk when you’re alone in the house, if this isn’t possible take the conversations outside. Go for a walk or find a place in the park to call them.

If you are feeling left out if your partner chooses to be intimate with other partners but not with you remember that it isn’t necessarily about you and there could be a variety of reasons why someone might choose to be close with someone else. If you and your partner have differences in wanting space or closeness, talk about what each of you want and see if you can find a compromise. It’s easy to get caught up in isolation and fall into learned patterns of monogamy. If this is not something you want, make sure to talk about it with your partner. Voice your concerns and listen to what they have to say about it. It’s okay to ask for space, even from a partner you live with.

Communication Strategies

  • Try to approach the issue with empathy and be clear with what you are saying.
  • Ask if you can have a talk, if they have the capacity to talk with you or when they might.
  • Don’t talk at the same time, listen to each other remove distractions (like phones, tv)
  • You don’t need to always be right. Instead of focusing on being ‘right’, focus on listening and understanding what the other person is trying to say.
  • If you feel like emotions are getting in the way of healthy communication, take a break and try talking again after becoming more calm
  • Emotions are running high for everyone. Remember that guilting, manipulation, insults, threats (to each other or the relationship) and ultimatums aren’t helpful.
  • Be aware of non-verbal communication, such as body language. Remember that it is difficult to  interpret over video or phone calls, and especially hard to convey tone over text.
    • Avoid inconsistent body language (shaking your head no while saying yes).
    • Negative body language (crossed arms, slouched shoulders, avoiding eye contact) can make the other person feel defensive

Domestic Abuse During the COVID-19 Pandemic

Domestic abuse and violence have significantly increased during the pandemic, with many people unable to leave their homes and go to places of respite such as school, or work. Living with abusers full time limits the victims’ ability to call for help. There has also been an increase in people staying in abusive relationships because they feel stuck during the pandemic. Survivors also worry about their options of where to go if they do try to leave an abusive situation. There are some resources available for people experiencing partner or family violence.

Domestic abuse isn’t always violent. Psychological abuse can also happen if for example, one partner has lost their job due to COVID, and is unable to pay for things they previously did.

Feeling disconnected? 

We are lucky that many people have access to a complete digital world and communication like never before. We have many messaging services, video calling, media messages, and more that can be sent and received across the world. Looking to spice up a long distance relationship? There’s a blog about that. Keep connected with friends and family? There’s an app for that. Let your neighbour or yoga teacher know that you are thinking of them? Send them a virtual message! Here is a list of activities to help you connect online. Some yoga instructors are doing regular livestreams to replace regular classes. Find a fitness class that suits you! There are online dance parties, online watch parties (through watch party sites or chrome extentions),  online multiplayer games (skribbl.io, Jackbox, Cards Against Humanity online, Mario Kart,etc), and online drop-ins. Check out TRIP’s Zoom hangout every Thursday 5-6pm and get updates on facebook, insta and other social media.

 

Online Fatigue

Experiencing fatigue after a day of long video chats, Zoom meetings, Google hangouts, virtual doctors appointments and online school? You’re not alone! Technology is great for staying connected, but it requires our brains to work a lot harder. We are less able to pick up on non-verbal social cues such as body language and changes in facial muscles, and are required to use our brains to fill in these ques. It’s also hard to read and listen at the same time, or watch and listen at the same time; especially if you don’t multitask well. We also lose eye contact, struggle to focus if there are many faces on the screen or listen to multiple voices at once, and delays in speech and video can interrupt how we communicate and lead to frustration. Generally, people use socialization with friends, peers, coworkers and family help to reduce this fatigue, but physical-distancing prevents much of that right now.

What can we do about online fatigue? Take a break from the video aspect. If you need to be at a meeting, try turning your image off when possible, or when you are not responding. This helps to eliminate self consciousness, distractions and the need to be always present. Try other forms of communication, such as emails, phone calls and texting. These are less time sensitive, and allow you time to formulate answers without being on the spot or worried about audio and video glitches. Scheduling breaks, and naps when necessary are also important. And when you are on a break, give your eyes a break from electronics and screens.

The ‘20-20-20 rule’ is a great way to remember to do this: every 20 minutes spent looking at a screen, look at something that is at least 20 ft away for 20 seconds.

Taking a break to go outside and get some fresh air, listening to some music, or reading a book are all great ways to ease your online fatigue. Even just five minutes each hour is important to give yourself some time to reduce eye strain and connect with the physical world around you.

Resources

National Services: 

Crisis Services Canada
24/7 Suicide prevention service
(EN) 1-833-456-4566 (FR) 1-866-277-3553

Kids Help Phone
24/7 national support service for children and youth
Call 1-800-668-6868
Text CONNECT 686868

 Youthspace
Online crisis and emotional support chat for anyone under 30
6pm-midnight (PST) Text: 778 783 0177

Black Youth Helpline
Call 416-285-9944 Toll Free 1-833-294-8650
Hours of Service 9 am – 10 pm

Ontario Services: 

LGBT Youthline
Confidential peer support age 16 to 29
Text: 647-694-4275
Chat online: www.youthline.ca
Sunday to Friday 4pm-9:30pm

Trans Lifeline
Trans-led organization connecting people to community and resources
1-877-330-6366

Good 2 Talk
Confidential support services for post-secondary students in Ontario and Nova Scotia
1-866-925-545
Text GOODTOTALKON to 686868

Toronto Services and Organizations:

Gerstein Crisis Line 
The 519
Lumenus
Centre for Addiction and Mental Health (CAMH) Rainbow Services
Centre for Addiction and Mental Health (CAMH) Gender Identity Clinic
Toronto 211 Central
The Homeless Hub 
Trip! Project

Edibles

Cannabis edibles have been made and enjoyed by many people for many years. Since legalization of cannabis, weed infused edibles are becoming increasingly more common. However, supply of legal edibles is limited, and the dosage may be lower than some users would want. With the black market options vast in dosage and flavours, some users turn to black market brands or homemade. Black market or homemade edibles are unregulated though. A study of edibles across Canada showed that products contained 1/5th to ½ of the THC labeled on the package. What can make edibles even more unpredictable is the number of servings in each edible product (such as a brownie or gummy bear) can change from product to product. Here are some tips on how you can be safe and have fun while ingesting edibles.

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Integrating Psychedelic Experiences

It’s easy to quickly get caught up in the flow of regular life again after a profound experience, allowing the deep insights to be replaced with to-do lists and schedules. Coming back to reality can be shocking as well. Here you are, having had this profound experience, yet the people around you may have no idea. How do you process what you learned and discovered on your trip and incorporate it into your everyday life? This is where integration comes in. Alex Theberge, a therapist who specializes in plant medicines and psychedelic experiences, describes integration as: “the process by which the experiences that occurred during ceremony, or during a psychedelic experience, translate into actual changes in your life”. The Psychedelic Times says that “Integration is arguably the single most important factor in what gives a psychedelic experience lasting therapeutic and personal growth value, rather than being a wild ride that sweeps you up for a few hours before fading away into memory”. This blog has some suggestions for how you can begin to integrate your psychedelic experience into your life.

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V A P E S

Vaping is a recent harm reduction alternative to smoking cigarettes or tobacco. There are various misconceptions and myths about vaping that not many people have heard about. Vaping has been found to be a healthier alternative to smoking because it burns at a lower temperature and exposes you to less harmful contaminants than a conventional cigarette.

Many adults worry that younger folks could be attracted to it due to its tasty flavours such as  peach, cotton candy, fruit loops, strawberry cream, churros, and even “nerdz” candy. Even when e-cigarettes and vaporizers are outlawed for anyone under 19, keep in mind that teens from all generations have gotten access to cigarettes, and will most likely continue to vape in this generation as well. The best thing to do now is to educate yourself and others about vaping so you’re in the know. Continue reading

All About DMT

What is DMT? 

Summary:

  • DMT is a psychedelic drug that is similar to mushrooms, both chemically and in terms of its subjective effects, but known to be far more intense due to its availability in smokeable form.
  • DMT used to be quite obscure, but has been increasing in popularity lately.
  • Usually available in smokeable form as a powder or crystal that is white to yellow and has a distinct aethereal smell. The Ehrlich reagent can be used to detect the presence of tryptamine psychedelics.
  • Have somebody else light your tokes for you! It is very dangerous to be holding a hot pipe full of liquid DMT while you are tripping your face off!
  • DMT is not physically harmful, but like other psychedelics, it has very intense mental and spiritual effects that are to be taken very seriously.
  • DMT is one of the few psychedelics that can be smoked, and the quick and extreme peak of smoking a psychedelic leads to a very sudden and intense subjective experience compared to the usual doses of orally ingested psychedelics like LSD and mushrooms.
  • DMT trips only last about 10 minutes, with a come-up that is less than a minute and a similarly fast comedown, but one should still take time to process the experience despite the short duration.

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