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Drug-induced psychosis, also known as substance-induced psychosis, refers to a condition where the use of certain drugs or substances triggers symptoms of psychosis in an individual who was not previously diagnosed with a psychotic disorder. Psychosis is a mental health condition characterized by a loss of contact with reality, leading to disturbances in thoughts, emotions, perceptions, and behaviors.

Various substances can lead to drug-induced psychosis, including but not limited to:

  1. Stimulants: Drugs like amphetamines (e.g., methamphetamine) and cocaine can cause agitation, hallucinations, and delusions.

  2. Hallucinogens: Substances like LSD, psilocybin (magic mushrooms), and phencyclidine (PCP) can induce vivid hallucinations, altered perceptions, and disorganized thinking.

  3. Cannabis: While most people tolerate cannabis well, in some cases, it can trigger psychotic symptoms, especially in those with a predisposition to psychosis.

  4. Synthetic Cannabinoids: Also known as "spice" or "K2," these designer drugs can have unpredictable effects on the brain, including psychosis.

  5. Alcohol: In some individuals, excessive alcohol consumption or alcohol withdrawal can lead to psychotic symptoms.

  6. Bath Salts: Synthetic cathinones, known as "bath salts," can cause agitation, paranoia, and hallucinations.

The exact mechanisms by which these substances induce psychosis are not entirely understood, but they can alter brain chemistry and neurotransmitter systems, leading to disruptions in neural communication and functioning.

The symptoms of drug-induced psychosis are similar to those seen in primary psychotic disorders, such as schizophrenia, and may include:

  • Hallucinations: Seeing, hearing, or feeling things that are not present.
  • Delusions: Holding false, fixed beliefs that are not based in reality.
  • Disorganized thinking: Speaking incoherently and having difficulty organizing thoughts.
  • Disorganized or abnormal motor behavior: Agitation, unpredictable movements, or catatonia.
  • Emotional disturbances: Fluctuating or inappropriate emotions.

The onset of drug-induced psychosis can be rapid, and the severity and duration of symptoms can vary depending on the substance used and individual factors. In most cases, drug-induced psychosis subsides once the effects of the substance wear off, but in some instances, it may persist or require medical intervention.

It's essential to recognize the potential risks associated with substance use, especially in individuals with a history of mental health conditions or a family history of psychosis. If someone experiences symptoms of drug-induced psychosis, they should seek immediate medical attention, and discontinuing substance use is crucial to prevent further complications. Treatment may involve supportive care, drug detoxification, and addressing any underlying mental health issues through therapy and, if necessary, medication.

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