substance-induced psychotic disorder

Medium urgency
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Mental disorder characterised by the presence of psychotic symptomatology, such as delirium and hallucinations, caused by the consumption of psychoactive substances.

Its main cause is drug abuse such as cocaine, methamphetamines, weed and hallucinatory drugs.

Symptoms include seeing, hearing, feeling, smelling, tasting things that don't exist (hallucinations), believe in things that aren't real (delusion), disorganised thought and behaviour, and a lack of emotion and motivation.

The diagnosis is done based on the presence of psychoactive drug consumption symptoms, and ruling out other psychiatric disorders such as schizophrenia.

Treatment includes a substance detox, psychotherapy and anxiolytics or anti-psychotic medication.

Bibliographic references
  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), Washington, DC 2022.
  2. Fiorentini A, Volonteri LS, Dragogna F, et al. Psicosis inducidas por sustancias: una revisión crítica de la literatura. Curr Abuso de Drogas Rev 2011; 4:228.
  3. Fiorentini A, Cantù F, Crisanti C, Cereda G, Oldani L, Brambilla P. Substance-Induced Psychoses: An Updated Literature Review. Front Psychiatry. 2021 Dec 23;12:694863. 
  4. Degenhardt L, Coffey C, Hearps S, Kinner SA, Borschmann R, Moran P, et al.. Associations between psychotic symptoms and substance use in young offenders. Drug Alcohol Rev. (2015) 34:673–82. 
Author
Dr. Abel Andrés Orelogio
Copyright
© TeckelMedical 2026

Symptoms

    Visual hallucinations


    Agitated, with physical and/or verbal aggressiveness


    Smell hallucinations


    Hallucinations


    Noises inside your head

Pre-hospital care recommendations

If the person appears to have psychomotor agitation, try to restrain them and prevent them from hitting or hurting themselves.