Drug-Induced Psychosis – Steven Batki, M.D.


– A very recent example of
an individual who came in with a substance induced
psychosis was a young man who had been taking high doses of Adderall to treat what had been assessed as a very severe form of ADD. This patient had initially
been helped by stimulants but found that he liked them, and found that he needed
higher and higher doses. He raised the Adderall
doses he was taking, and developed a psychosis. The physician treating this patient was under the impression
that the patient had a form of bipolar
disorder and had developed a manic psychosis, and began
anti-psychotic treatment. Unfortunately, the Adderall was continued, psychosis did not resolve. When we saw the patient,
he was delusional, had thoughts about his
computer and his phone being hacked, had
hallucinations, paranoid beliefs, felt that he was being followed, being observed wherever he went. After stopping stimulants and continuing anti-psychotic medication for a relatively brief period of time, we saw resolution of that psychosis. One of the most important
things about diagnosing substance induced psychoses
is that if the substance is stopped, then very often,
individuals will be able to be treated to the point of resolution of the psychosis and not have ongoing long
term anti psychotic treatment. (uplifting music)

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