Counsellors are encouraging some synthetic cannabis addicts to smoke the real thing after seeing teens becoming a "total mess" by climbing out of moving cars, suffering hallucinations and seizures.
They also say they are anecdotally aware someone has died as a result of consuming psychoactive substances.
The revelations are contained in Western Bay of Plenty District Council psychoactive substances policy stakeholders meeting report.
BOP Addiction Services, which comes under the district health board, and Te Puna Hauora, a community mental health service, said in the report the number of people seeking help was small but their problems were "significant" and included hallucinations, seizures and impulsivity, including climbing out of moving cars.
Addiction services dealt with three to four people per month for detoxification while Te Puna Hauora saw between two and five young people or children per month, the report said.