Raves and trance events are generally night-long dances, often held in warehouses. Many who attend raves and trances do not use drugs, but those who do may be attracted to the generally low cost, seemingly increased stamina, and intoxicating highs that are said to deepen the rave or trance experience. Recent hard science, however, is showing serious damage to several parts of the brain from use of these drugs. Many users tend to experiment with a variety of club drugs in combination. Also, combinations of any of these drugs with alcohol can lead to unexpected adverse reactions and death.
Club drugs are an increasing challenge for treatment programs.
Many teens and young adults enter treatment with a number of these drugs and alcohol, rather than a single drug, as their primary problem. A recently completed survey in the Seattle area found that 20 percent of young, gay men reported using Ecstasy. GHB is the drug of choice among white, gay males in New Orleans' French Quarter and is popular among high school and college students. Many problems MDMA users encounter are similar to those found with the use of amphetamines and cocaine. Psychological difficulties can include confusion, depression, sleep problems, severe anxiety, and paranoia.