From: judgebean23x@gmail.com   
      
   Symptoms Of Substance-Induced Psychotic Disorder   
      
   RASHMI NEMADE, PH.D. & MARK DOMBECK, PH.D. AUG 7, 2009   
      
   Substance-Induced Psychotic Disorder   
      
   A large number of toxic or psychoactive substances can cause psychotic   
   reactions. Such substance-induced psychosis can occur in multiple ways. First,   
   people may inadvertently ingest toxic substances by accident, either because   
   they don't know any better (   
   as is the case when a child eats lead paint chips, or mercury in tuna fish),   
   or by mistake (such as when someone eats a poison mushroom they thought was   
   safe, or gets food poisoning from mishandled food). Alternatively, people may   
   take too much of a    
   legitimately prescribed medicine, medicines may interact in unforeseen ways,   
   or doctors may miscalculate the effects of medicines they prescribe. Finally,   
   people may overdose on recreational drugs they commonly use (such as cocaine),   
   or become dependent    
   on drugs or alcohol and experience psychotic symptoms while in withdrawal from   
   those substances. While the substance induced psychosis is triggered and then   
   sustained by intoxication or withdrawal, its effects can continue long after   
   intoxication or    
   withdrawal has ended.   
      
   Drugs of abuse that can cause psychosis include alcohol, amphetamines,   
   marijuana, cocaine, hallucinogens, inhalants, opioids, and sedative-hypnotics,   
   including medicines that are sometimes used to treat anxiety.   
      
   Common over-the-counter and doctor-prescribed medications that can cause   
   psychosis include anesthetics (knock-out drugs), analgesics (pain-relievers),   
   anticholinergic agents, anticonvulsants, antihistamines, cardiovascular   
   (heart) medications,    
   antimicrobial medications, antiparkinsonian medications, chemotherapeutic   
   agents, corticosteroids (steroids), gastrointestinal medications, muscle   
   relaxants, nonsteroidal anti-inflammatory medications (NSAIDS like   
   ibuprophin), and anti-depressants.   
      
   Environmental toxins reported to induce psychotic symptoms include   
   anticholinesterase, organophosphate insecticides, nerve gases, carbon monoxide   
   (car exhaust), carbon dioxide, and volatile substances such as fuel or paint.   
      
   The following diagnostic criteria must be met before a diagnosis of   
   Substance-Induced Psychotic Disorder is warranted, according to the DSM-IV-TR:   
      
   A) Prominent hallucinations or delusions   
      
   B) There is evidence from the history, physical examination, or laboratory   
   findings of either (1) or (2):   
      
   1. the symptoms in Criterion A developed during, or within a month of,   
   substance intoxication or withdrawal   
      
   2. medication use is etiologically related to the disturbance   
   C) The disturbance is not better accounted for by a Psychotic Disorder that is   
   not substance induced. Evidence that the symptoms are better accounted for by   
   a Psychotic Disorder that is not substance induced might include the   
   following: the symptoms    
   precede the onset of the substance use (or medication use); the symptoms   
   persist for a substantial period of time (e.g., about a month) after the   
   cessation of acute withdrawal or severe intoxication, or are substantially in   
   excess of what would be    
   expected given the type or amount of the substance used or the duration of   
   use; or there is other evidence that suggests the existence of an independent   
   non-substance induced Psychotic Disorder (e.g., a history of recurrent   
   non-substance-related episodes)   
      
   D) The disturbance does not occur exclusively during the course of a delirium.   
      
      
      
       
      
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   Comments   
   ANONYMOUS-1  APR 20, 2006   
   Handling a Substance Induced Psychotic Disorder   
   I am a mother of two and thought that I was in control of an occasional   
   recreational use of Cocaine. Occasional as in maybe twice a year. In 2005 my   
   drug use became more frequent every three months or so. In 2006, during the   
   month of February alone, my    
   husband and I were using every weekend. Once we used for 6 days straight, the   
   longest time ever. My delusions started to get worse with each use. I have   
   since been handling the withdrawal symptoms, for about three weeks now. My   
   symptoms have been getting    
   worse.... as far as my irritability and guilt is concerned. It is affecting my   
   marriage and family. I certainly hope that this will pass and I can resume   
   normal functioning. I think about the activities of that week every minute of   
   every day. Hopefully,    
   things will get better with time. Dreadlocks Queen   
      
   ANONYMOUS-2  JUL 9, 2006   
   remember the things that made YOU love BEing alive   
   it will be okay sista... think about the smile of a person that is dearly   
   loved by you. your husband holding you while watching the sunset, drifting   
   with the current far out in a calm sea... when changing what you think about,   
   let the warmth you receive    
   give you peace of mind..YOU ARE IN CONTROL!! pamper your mind, body & soul. go   
   back to what was important before.   
      
   KATH  AUG 1, 2008   
   Recreational, REALLY?   
   There is no such thing as a recreational use of an illegal, highly addictive   
   drug. You admit that you can't control your use, so you shouldn't even attempt   
   to use it. Get your shit together - raise your kids. It's time for you to stop   
   hanging around with    
   idiots who care more about their own addictions than about your welfare. Seek   
   some professional help - at least go to Narcotics Anonymous, if you can't   
   afford a professional.   
      
   LINDA  AUG 16, 2008   
   Isn't it ironic?   
   I agree with the previous post. My son 23, is now in the hospital, suffering   
   from drug-induced psychosis, and i am waiting for the next diagnosis, which   
   may very well be schizophrenia. I am looking at the possibility of a dual   
   diagnosis, and I    
   unfortunately have to say that his step-father is a drug addict (mostly   
   cocaine, to my knowledge) and he has been my EX for 7 years. Here's the   
   irony..He's a pharmaceutical rep, and has a nursing diploma. I know I   
   shouldn't place blame, but until he    
   steps up to the plate and accepts responsibility for his part in my son's near   
   destruction, I will blame. I don't think he ever will. I only try to keep   
   strong for my son and his brothers and sisters. DRUGS make EVERYONE suffer!   
      
   DHIK13  SEP 12, 2008   
   pranning!!?   
   substance abuse is normal, so if you are in drugs, be sure to face the   
   consequences. get a life, take your parents as your inspiration through the   
   journey of your life.   
      
   KARAN  SEP 29, 2008   
   recovering addict and psychosis patient,23   
      
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