Spiritual awakening. Substance abuse, dual pathology
European Psychiatry August 27, 2024 M. J. Gordillo Montaño, L. Rodriguez Rodriguez, C. Pérez Aparicio et al.
A 23-year-old man with a history of depression and recent use of Kambo and Salvia divinorum developed a manic episode with psychotic symptoms, including mystical delusions and auditory hallucinations. The episode took about a month to resolve with treatment. The authors suggest that these substances, sometimes used as alternative therapies, may trigger severe psychiatric episodes in vulnerable patients, and note that later similar episodes were linked to other natural medicinal substances rather than Kambo.