Substance-Induced Psychotic Disorder

  • Substances associated with psychosis include:
    • Alcohol: The lifetime prevalence was 0.5%.
    • Cocaine
    • Amphetamines
    • Cannabis
    • LSD, PCP, NMDA, Ketamine

Substance-Induced Psychotic Disorder (SIMD)

  • 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) Substance use is etiologically related to the disturbance.

Substances Associated with Inducing Psychosis

  • Alcohol
  • Cocaine
  • Amphetamines
  • Cannabis
  • LSD, PCP
  • NMDA, Ketamine
  • Inhalants
  • Opioids

Treatment

  • Stop the drug use.
  • Chemical dependence treatment if indicated.
  • Consider antipsychotics depending on how psychotic the patient is and how long the symptoms have been present.