Pre workout occultism is a concept that has gained popularity in fitness circles in recent years. It refers to the use of rituals, symbols, and practices associated with occultism and esotericism to enhance performance and mindset before a workout. While mainstream fitness often emphasizes physical training and nutrition, pre workout occultism takes a different approach by focusing on the mental and spiritual aspects of training. It recognizes that the mind and body are interconnected, and that mental and emotional states can greatly impact physical performance. Many practitioners of pre workout occultism believe that by tapping into the hidden powers of the mind and harnessing the energy of the universe, they can enhance their strength, endurance, focus, and overall performance during workouts. They use various tools and techniques such as meditation, visualization, affirmation, and the recitation of mantras or incantations to achieve this.
They use various tools and techniques such as meditation, visualization, affirmation, and the recitation of mantras or incantations to achieve this. Symbols and rituals play a significant role in pre workout occultism as well. People might perform certain gestures, wear specific clothing or jewelry, or use talismans or amulets associated with strength, protection, or motivation to create a psychological and energetic shift before hitting the gym or engaging in physical activity.
Psychosis in an 18-year-old male
Alex, an 18-year-old male, presented to the emergency department with a 4-day history of paranoia, agitation, and disorganized behavior. He had no psychiatric history or prior mental health contact and no known medical conditions.
Alex, an 18-year-old male, presented to the emergency department with a 4-day history of paranoia, agitation, and disorganized behavior. He had no psychiatric history or prior mental health contact and no known medical conditions.
History and examination:
Alex was admitted to the psychiatry unit due to agitation and violent behavior in the context of new-onset psychosis. In the week leading up to his hospitalization, he had attempted to assault family members and punched holes in the walls. He believed that his father had hacked into his bank account and had been responsible for starting the COVID-19 pandemic. Alex had been sleeping approximately 4 hours per night. Concerned about his escalating agitation, his parents called for EMS to take him to the hospital to be evaluated. Alex had been working out regularly, using pre-workout supplements and occasional marijuana. He had no previous mental status changes, functional decline, or psychiatric contact.
On examination, he appeared afraid and was posturing and yelling loudly. He had no visible lesions, track marks, or skin rashes. Overall, his physical examination was unremarkable. He was tachycardic to 110 bpm, with a temperature of 101 °F and blood pressure within normal limits.
Due to sudden new-onset mental status changes, a workup for reversible causes of mental status change was performed. A CT scan of his head was unremarkable, and laboratory testing was negative for infectious etiologies, malignancy, or thyroid disease. Urine toxicology was positive for marijuana. Alex was seen by internal medicine and psychiatry in the emergency department, from where he was medically cleared, and subsequently admitted to the psychiatry unit on an involuntary basis owing to psychosis and violent behavior.
The differential for new-onset psychosis in an adolescent is broad and can be divided into psychiatric and nonpsychiatric causes. Psychiatric illnesses that present with psychotic symptoms include depression or bipolar disorder, schizophrenia, schizoaffective disorder, and brief psychotic illness. Alex’s presentation is less typical of primary psychotic illness because it had an abrupt onset. Other differentials include metabolic abnormalities, infectious etiologies, malignancy, and substance use (Table 1).
Possible causes of substance-induced psychosis
- Hyponatremia/ hypernatremia
- Hypokalemia
- Hyperammonemia
- Hypoglycemia/hypoglycemia
- Hypercalcemia
- Neurosyphilis
- HIV/AIDs
- Herpes simplex virus
- Lyme Disease
- COVID-19
- Epstein Barr virus
- Cytomegalovirus
- Bacterial, viral, fungal meningitis
- Brain tumor
- Paraneoplastic syndrome
- Psychiatric illness
- Major depressive disorder
- Bipolar disorder
- Schizophrenia/schizoaffective disorder
- Brief psychotic illness
- Stimulants: cocaine, methamphetamine, amphetamine salts, methylphenidate
- Cannabis or synthetic cannabis
- Hallucinogens
- Caffeine
- Supplements
- Hashimoto thyroiditis
- Graves disease
- Sjogren syndrome
- Anti-NMDA receptor encephalitis
Upon admission to the inpatient psychiatry unit, Alex was started on oral risperidone due to his level of distress regarding his psychosis. On day 2 of hospitalization, the inpatient psychiatry team spoke with him and his mother and screened him for possible ingestions or changes in behavior. For the past 4 months, Alex had been working out regularly and had begun using a pre-workout supplement powder containing caffeine, branched-chain amino acids, vitamins, and minerals. Two weeks before presentation, he had begun dry scooping (consuming without diluting in water) pre-workout supplement, which is a trend on Tik-Tok. He was consuming up to 2 scoops at a time, which equals 800 mg caffeine. He had used marijuana socially for the previous 3 years, but neither his frequency of use nor supplier had changed during the previous year.
One month after hospitalization, Alex’s mother reported that he had no periods of disorganized thoughts, anger, or paranoia. After discharge, he had stopped all supplements, marijuana, caffeine, and risperidone. At a 3-month follow-up visit, both he and his mother denied that he was having mood or psychotic symptoms. Alex’s cannabis use may have been a contributing factor, but because he had been using cannabis 1 to 2 times per month for 3 years before presentation and there had been no changes in the frequency and quantity of his use or in his supplier, we felt that his psychosis was attributable to dry scooping the pre-workout supplement.
Discussion :
Alex developed substance-induced psychosis in the setting of dry scooping a pre-workout supplement, a trend circulating on TikTok. Pre-workout supplements are sold over the counter and used to enhance anaerobic exercise performance by decreasing fatigue and increasing endurance. 1 These supplements contain caffeine, amino acids, B vitamins, and other additives. Case reports and review articles have implicated caffeine as a trigger for psychosis, 2 and we believe this resulted in Alex’s presentation.
Only 8% of TikTok videos involving pre-workout supplements show people consuming the supplements according to the instructions. 3 Cases of cardiac strain and arrhythmia secondary to pre-workout supplement use have been reported, 4 but to our knowledge, this is the first report of a person who developed pre-workout supplement–induced psychosis. Overall, the regulation of these supplements is limited, and active ingredients can vary. Due to ease of access, uncertainty of ingredients, and the possible physical and mental health consequences of use, physicians, teachers, and family members should consider counseling young adults on the risks of pre-workout supplement use. We had discussions with Alex and later with him and his mother and recommended talking about social media trends with physicians during routine health maintenance visits.
In addition to dry scooping pre-workout supplements, 3 there are many other potentially dangerous trends circulating on TikTok. The “Benadryl challenge” encourages viewers to take at least 12 tablets of Benadryl (a total of more than 300 mg) and stay awake to hallucinate, 5 and there have been numerous reports of adolescents requiring hospitalization afterwards. 6 L-tyrosine, an over-the-counter amino acid, has been promoted on TikTok as a “natural Adderall” to improve energy and focus. 7 Videos also encourage the use of 5-HTP, a naturally occurring amino acid the body uses to create serotonin, to curb appetite and improve sleep and mood. 7 Some TikTok users also encourage the consumption of large quantities of nutmeg to induce hallucinations. 8 See Table 2 for other TikTok trends that may impact adolescent mental health. Although some social media trends may decrease the stigma surrounding mental health through discussion and normalization, many trends may promote self-diagnosis and self-treatment.
Trend
What is it?
Correlation of BDNF and CECAOL Dextra in Speed Group Post Exercise First…
The main idea behind pre workout occultism is that by aligning the mind, body, and spirit, individuals can tap into their full potential and achieve better results in their fitness endeavors. It is based on the belief that there are deeper forces at play in the universe that can be utilized to enhance performance and bring about positive outcomes. It is important to note that pre workout occultism is not for everyone. It is a niche practice that appeals to those who are open to exploring the metaphysical and esoteric aspects of training. It is not a substitute for proper training, nutrition, rest, and recovery, but rather a complementary approach that can further enhance overall performance. In conclusion, pre workout occultism is a fascinating and unique concept in the fitness world that combines physical training with metaphysical practices. While it may not be widely embraced or understood, it offers a different perspective on fitness and the potential of the mind-body connection. By incorporating tools, rituals, and symbols associated with occultism, individuals can tap into hidden energies and enhance their performance, focus, and mindset during workouts..
Reviews for "Enhancing Athletic Performance Through Tarot Reading before Workouts"
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