Flashbacks are the trademark symptom of HPPD. You may notice that you continue to have flashbacks beyond the few days after drug use. You may also experience persistent changes in your perception after taking hallucinogenic drugs. If you have perception changes, you may see:  Geometric shapes Objects in your peripheral vision (along the sides or edges of sight) Colored flashes Enhanced color intensity Trailing and strobe-like moving objects After images or impressions Halos Objects that appear small or large Changes in perception can be annoying or even frightening, but they aren't necessarily a sign of any serious physical damage that is life threatening. Any alterations in brain chemistry are related to how you see things, not how your body generally functions. These alterations are also distinctly different from hallucinations since they're clearly not associated with what's happening in the present moment. Changes in perception shouldn't be confused with reality. Any serious health consequences of HPPD aren't caused by brain damage from whatever drug was used. Instead, health problems typically come from sustained depression or anxiety associated with the persistent flashbacks. You may feel depersonalized, or drastically disconnected from your body. For example, you may feel as though you're watching yourself from an outside perspective or from outside your body. This feeling of disconnect can also be accompanied by a sense that you're in a dreamlike state or that the world isn't a real place. Like other HPPD symptoms, this can be frightening and last for an unknown period of time. But, it's not necessarily a sign of serious physical damage that needs immediate treatment. Sometimes people who use hallucinogenic drugs notice visual disturbances in the weeks after use, while sometimes they last for years. Since this varies by individual, there’s really no clear way of knowing how long your visual disturbances will last. You most likely won't need to treat HPPD as if it was a serious health condition. But, if you have difficulty functioning, struggle to go to work or school, or can't interact with people, you may need to consider treatment for the symptoms. Even people who are affected by perceptual disturbances for years can go onto live a functioning lives despite the alterations. Some people have even reported pleasurable alterations in perception, with no desire for them to dissipate.
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