Drug-Induced Psychosis: Signs, Risks, and Treatment

Drug-induced psychosis is a serious mental health condition caused by the use or abuse of substances. It occurs when certain drugs or alcohol trigger a temporary state of psychosis. During a psychotic episode, people may lose touch with reality, experiencing delusions or hallucinations.

Understanding the symptoms, duration, and treatment of drug-induced psychosis is crucial for recognizing the condition and seeking timely help.

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Causes of Psychosis From Drugs

Drug-induced psychosis can be caused by a variety of substances. These include illegal drugs, prescription medications, and alcohol. Substance abuse plays a significant role in triggering psychotic episodes. Here are some common substances that can lead to drug-induced psychosis: 

Stimulants

Drugs like cocaine and methamphetamine can lead to intense paranoia and hallucinations. High doses can cause a psychotic episode that mimics symptoms of drug-induced schizophrenia.

Hallucinogens

Substances like LSD and PCP can cause profound changes in perception, leading to delusions or hallucinations. These drugs alter the brain’s chemical balance, resulting in an induced psychotic disorder.

Cannabis

High doses of THC, the psychoactive component in cannabis, can sometimes cause psychosis, especially in people with a predisposition to mental illnesses. Chronic use can increase the risk of developing schizophrenia or other psychotic disorders.

Alcohol

Heavy alcohol use, especially during withdrawal, can lead to a severe form of psychosis known as delirium tremens. This condition includes confusion, agitation, and hallucinations.

Synthetic Drugs

Synthetic cannabinoids are known for their unpredictable effects. These drugs can cause severe psychotic episodes, often requiring emergency medical intervention.

Prescription Medications

Some medications, like high doses of steroids, certain antidepressants, or anti-Parkinson drugs, can lead to psychosis as a side effect. It’s essential to understand the type of antipsychotic or any medication being taken to prevent unexpected outcomes.

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Drug-Induced Psychosis Symptoms

Recognizing the symptoms of drug-induced psychosis is key to seeking timely help. The most common symptoms of drug-induced psychosis include:

  • Hallucinations: Seeing, hearing, or feeling things that are not present. This symptom of drug-induced psychosis is often vivid and disturbing.
  • Delusions: False beliefs that are strongly held, despite evidence to the contrary. Delusions can range from paranoia to grandiosity.
  • Paranoia: An unfounded fear that others are trying to harm the person experiencing psychosis.
  • Agitation or Aggression: Increased restlessness or hostile behavior, often due to confusion or fear.
  • Disorganized Thinking: Trouble organizing thoughts, which can lead to incoherent speech or erratic behavior.
  • Impaired Insight: A lack of awareness that one’s thoughts or perceptions are abnormal, making it challenging to realize that help is needed.

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How Long Does a Drug-Induced Psychosis Last?

The duration of drug-induced psychosis can vary widely. It depends on several factors, including the type of drug used, the amount consumed, and overall mental health.

Short-term psychosis can last for hours or days. It often occurs after a single high dose of a substance or during withdrawal. For example, hallucinations or paranoia may persist until the substance leaves the body.

In some cases, symptoms can last for weeks or even months. Chronic substance abuse can lead to persistent psychotic disorders, resembling drug-induced schizophrenia. This long-term psychosis is more likely in individuals with a family history of mental illnesses.

Drug-Induced Psychosis vs. Schizophrenia

Both psychosis from drugs and schizophrenia involve similar symptoms but have different causes and implications.

Drug-induced psychosis is directly related to substance use. Symptoms typically resolve once the substance is eliminated from the body and the individual abstains from further use.

Schizophrenia is a chronic mental disorder characterized by persistent psychotic symptoms such as delusions, hallucinations, and cognitive impairments. Unlike drug-induced psychosis, schizophrenia is not caused by substance abuse, though substance use can worsen symptoms.

However, repeated episodes of drug-induced psychosis can increase the risk of developing schizophrenia or a similar psychotic disorder. The risk is also high for people already predisposed to mental health conditions.

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Can Antipsychotic Drugs Cause Psychosis?

Antipsychotic drugs are primarily used to treat psychosis, but there are rare cases where they might cause paradoxical effects or exacerbate symptoms. This paradoxical reaction is more common with older, first-generation antipsychotics.

These drugs can sometimes lead to agitation, anxiety, or worsening psychotic symptoms, particularly in sensitive individuals. However, these instances are rare, and most people benefit significantly from antipsychotic medication.

People under these medications must closely monitor any side effects and consult with a healthcare professional to adjust the treatment as needed. In some cases, switching to second-generation antipsychotics might be beneficial, as they are more tolerable for users.

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Treatment For Drug-Induced Psychosis

Timely and effective treatment is vital for anyone who has experienced drug-induced psychosis. Here are the key steps in managing and treating this condition:

  1. Stopping Substance Use: The first and most critical step is to stop using the substance that triggered the psychosis. This may require medical supervision, especially in cases of severe addiction or withdrawal symptoms.
  2. Medical Support: In some cases, hospitalization may be necessary. This provides a safe environment for detoxification and stabilization, especially if there is a risk of harm to oneself or others.
  3. Psychiatric Care: Antipsychotic medication is often prescribed to manage symptoms such as hallucinations or delusions. The choice of medication depends on the individual’s specific needs and potential side effects.
  4. Therapy and Support: Counseling and support groups can be beneficial. They help individuals understand their condition, develop coping strategies, and prevent future episodes of drug-induced psychosis.
  5. Long-Term Strategies: For those with a history of substance abuse or who are at risk of developing chronic psychotic disorders, long-term strategies are crucial. These may include ongoing therapy, lifestyle changes, and support from family and friends.

Managing Recovery and Preventing Relapse

Recovering from drug-induced psychosis is a process that involves more than just treating the immediate symptoms. Understanding what led to the psychotic episode is important. This might involve recognizing stressors, environmental factors, or peer influences that contribute to substance use.

Other helpful strategies may include:

  • Building a support network to connect with others.
  • Developing coping strategies to reduce the likelihood of turning to substances as a form of self-medication
  • Regular check-ins with mental health professionals are essential, especially for those at risk of developing bipolar disorder, schizophrenia, or other mental illnesses.

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Substance Abuse Treatment Near Me

Drug-induced psychosis is a complex condition that requires prompt recognition and treatment. Substance abuse plays a significant role in inducing psychosis from drugs and seeking timely medical support is important.

If you or someone you know is struggling with substance use disorder, finding help is crucial. Effective addiction treatment involves a comprehensive and tailored approach to address unique needs of each person.

Our treatment facilities in Scottsdale, Arizona are equipped with a professionally trained team of experts who can offer guidance and support for your recovery. Reach out to our team and start building a life free from the grip of addiction.

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