Substance or medication induced psychotic disorder: Difference between revisions
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{{CMG}}; {{AE}} {{JH}} | {{CMG}}; {{AE}} {{JH}} | ||
{{SK}} Medication induced psychotic disorder; | {{SK}} Medication-induced psychotic disorder; Substance-induced psychotic disorder; Substance/medication-induced psychotic disorder | ||
==Overview== | ==Overview== | ||
Substance-induced psychotic disorder is defined as hallucinations and/or delusions that occur soon after substance intoxication or withdrawal and that are not better explained by a psychotic disorder. | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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*Schizophrenia spectrum | *Schizophrenia spectrum | ||
*[[Delusional disorder]] | *[[Delusional disorder]] | ||
* | *Meperidine use<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | ||
==Risk Factors== | ==Risk Factors== | ||
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*History of psychopathic disorder <ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | *History of psychopathic disorder <ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | ||
== | ==Prognosis== | ||
Poor | Poor prognostic factors include: | ||
*[[Depersonalization]] | *[[Depersonalization]] | ||
*Flashbacks | *Flashbacks | ||
Latest revision as of 16:47, 12 November 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]
Synonyms and keywords: Medication-induced psychotic disorder; Substance-induced psychotic disorder; Substance/medication-induced psychotic disorder
Overview
Substance-induced psychotic disorder is defined as hallucinations and/or delusions that occur soon after substance intoxication or withdrawal and that are not better explained by a psychotic disorder.
Differential Diagnosis
- Alcohol withdrawal
- Brief psychotic disorder
- Cannabis intoxication
- Delusional disorder
- Flashback hallucinations
- Intoxication with stimulants
- Phencyclidine
- Schizophrenia
- Schizoaffective disorder
- Schizophrenia spectrum
- Delusional disorder
- Meperidine use[1]
Risk Factors
Prognosis
Poor prognostic factors include:
- Depersonalization
- Flashbacks
- Hallucinations
- Marked anxiety
- Persecutory delusions[1]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Substance/Medication-induced Psychotic Disorder
- A. Presence of one or both of the following symptoms:
- 1. Delusions
AND
- B. There is evidence from the history, physical examination, or laboratory findings of both (1) and (2):
- 1. The symptoms in Criterion A developed during or soon after substance intoxication or withdrawal or after exposure to a medication.
- 2. The involved substance/medication is capable of producing the symptoms in Criterion A.
AND
- C. The disturbance is not better explained by a psychotic disorder that is not substance/medication-induced. Such evidence of an independent psychotic disorder could include the following:
The symptoms preceded the onset of the substance/medication use; the symptoms persist for a substantial period of time (e.g., about 1 month) after the cessation of acute withdrawal or severe intoxication: or there is other evidence of an independent non-substance/medication-induced psychotic disorder (e.g., a history of recurrent non-substance/medication-related episodes).
AND
- D. The disturbance does not occur exclusively during the course of a delirium.
AND
- E. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Note: This diagnosis should be made instead of a diagnosis of substance intoxication or substance withdrawal only when the symptoms in Criterion A predominate in the clinical picture and when they are sufficiently severe to warrant clinical attention.
References
- ↑ 1.0 1.1 1.2 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.