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Paranoid delusions

The positive symptoms are the most responsive to antipsychotic medications, such as chlorpromazine or halo-peridol. Initially, these drugs were thought to be specific for schizophrenia. However, psychosis is not unique to schizophrenia, and frequently occurs in bipolar disorder and in severe major depressive disorder in which paranoid delusions and auditory hallucinations are not uncommon (see Ch. 55). Furthermore, in spite of early hopes based on the efficacy of antipsychotic drugs in treating the positive symptoms, few patients are restored to their previous level of function with the typical antipsychotic medications [2]. [Pg.876]

Paranoid Delusions Hallucination Disorganized thoughts Disorganized behavior Mutism, catatonia Flat affect... [Pg.99]

Psychosis for demented patients usually takes the form of paranoid delusions. Demented patients may believe family members have turned against them, or they may misidentify their loved ones as intruders in their home. Although hallucinations are not listed in the DSM-IV criteria, they may also occur. When psychosis occurs in a demented patient, it is a serious problem. It is very distressful to the patient, makes it difficult (if not impossible) for family members to provide care, may lead to episodes of violence, and commonly leads patients to be hospitalized or placed in nursing homes. Fortunately, most patients with dementia do not develop delusions or other psychotic symptoms. [Pg.285]

Psychiatric patients Schizophrenic or paranoid patients may exhibit a worsening of psychosis with TCA therapy, and manic-depressive patients may experience a shift to a hypomanic or manic phase this may also occur when switching antidepressants and withdrawing them. In overactive or agitated patients, increased anxiety or agitation may occur. Paranoid delusions, with or without associated hostility, may be exaggerated. Reduction of TCA dosage and concomitant antipsychotic therapy may be necessary. [Pg.1039]

LSD can also provoke a prolonged psychiatric reaction which includes paranoid delusions, schizophreniform auditory hallucinations and overwhelming panic. This reaction, which closely resembles schizophrenia, occurred in 1-2 per cent of patients administered LSD for psychotherapeutic purposes (Malleson, 1971). Medical use of LSD is now obsolete but similar psychoses are seen in recreational users (Seymour Smith, 1991). [Pg.196]

Apathy, indifference, disinhibition (rare) Depression, irritability, euphoria (rare) Paranoid delusions, hallucinations Wandering, pacing, agitation Sleep-wake disturbances, hyperphagia (rare)... [Pg.232]

Self-administration of psychostimulants by humans produces a syndrome of intoxication, the symptoms of which can include elevated pulse and blood pressure, pupillary dilation, euphoria, and psychomotor agitation. Ingestion of excessive amounts can result in compulsive behavior, psychotic symptoms that include auditory and visual hallucinations and paranoid delusions, chest pain, arrhythmias, dyskinesias, and seizures. [Pg.240]

Delirium. Characteristics include the sudden onset of symptoms, disorientation, visual hallucinations, and transient, often paranoid, delusions. The intensity of symptoms often fluctuates, and the patient may have a known medical illness but no psychiatric history. [Pg.64]

The psychomotor stimulants, cocaine and D-amphetamine, are considered together because they share a similar psychopharmacological profile.19 20 Low to moderate doses of both drugs given acutely to nontolerant, nonanxious subjects produce increases in positive mood (euphoria), energy, and alertness. Experienced cocaine users were unable to distinguish between intravenous (IV) cocaine and D-amphetamine,21 and cross-tolerance between cocaine and D-amphetamine with respect to their anorectic effect has been demonstrated.22 Additionally, the toxic psychosis observed after days or weeks of continued use of both psychostimulants is very similar. The fully developed toxic syndrome, characterized by vivid auditory and visual hallucinations, paranoid delusions, and... [Pg.66]

Time T6 is shown as a question mark because we do not know what the resolution of this conflict will be. if the bulk of energy and contents of consciousness are taken up by the paranoid delusion, the thought DON T take PARANOIA seriously may simply be wiped out or repressed for lack of energy to compete with the delusion. [Pg.252]

Amphetamine psychosis causes feelings of severe paranoia and auditory and visual hallucinations. The amphetamine addict who is psychotic typically experiences delusions of persecution, believing someone, or everyone, is out to get them. Because of these paranoid delusions, violence can frequently occur during amphetamine psychosis. Once the amphetamine abuser is free of the drug, psychosis fades quickly. However, symptoms such as mental confusion, memory problems, and delusional thoughts may last up to several months or longer. [Pg.141]

This case suggests that bupropion can rarely cause psychotic symptoms even in people without susceptibility factors, although it is conceivable that this patient might, for example, have had a family history of psychiatric disorder. Amfebutamone is believed to enhance dopaminergic function, and the psychiatric phenomena experienced by the patient, principally paranoid delusions and elevated mood, are consistent with a hypcrdopamincrgic state. [Pg.95]

Catatonia occurred in a 61-year-old woman who was taking risperidone 5 mg/day for prominent paranoid delusions after a post-frontal lobotomy some 35 years ago. The catatonic disorder was dose-dependent and resolved immediately after changing to clozapine. [Pg.342]

A 76-year-old woman, who had taken dexamfetamine since the age of 28 years for narcolepsy, developed an acute schizophreniform psychosis with paranoid delusions and auditory hallucinations. She was initially treated with sulpiride while continuing to take dexamfetamine. Five months later, sulpiride was withdrawn, and her psychotic symptoms recurred. She was given risperidone 3 mg/day and continued to take dexamfetamine 15 mg/day. [Pg.459]

Of 55 individuals with cocaine dependence, 53% reported transient cocaine-induced psychotic symptoms (179). Paranoid delusions (related to drug use) and auditory hallucinations were often reported. In addition, almost one-third (all of whom also described psychotic symptoms) reported transient behavioral stereotypes. [Pg.505]

A 76-year-old woman began taking an extract of St. John s wort (75 mg/day) and developed delirium and psychosis 3 weeks later (179). She had no relevant medical history and did not take any other medications. She was given risperidone and donepezil hydrochloride, and her paranoid delusions and visual hallucinations improved. [Pg.659]

An 18-year-old student had dissociative phenomenon, nihilistic and paranoid delusions, vivid visual hallucinations, thought insertion, and broadcasting after having consumed 1-2 bottles of cough syrup (dextromethorphan 711 mg per bottle) every day for several days (226). The psychotic symptoms remitted completely without any treatment 4 days after withdrawal of dextromethorphan. He was hospitalized twice more over the next 2 months with similar symptoms each time he had consumed large doses of dextromethorphan. [Pg.664]

Gorelick DA, Kussin SZ, Kahn I. Paranoid delusions and auditory hallucinations associated with digoxin intoxication. J Nerv Ment Dis 1978 166(ll) 817-9. [Pg.704]

Wells LT, Rasch DK. Emergence delirium after sevo-flurane anesthesia a paranoid delusion Anesth Analg 1999 88(6) 1308-10. [Pg.716]


See other pages where Paranoid delusions is mentioned: [Pg.191]    [Pg.191]    [Pg.140]    [Pg.156]    [Pg.877]    [Pg.400]    [Pg.289]    [Pg.317]    [Pg.184]    [Pg.184]    [Pg.232]    [Pg.505]    [Pg.405]    [Pg.75]    [Pg.86]    [Pg.292]    [Pg.294]    [Pg.302]    [Pg.291]    [Pg.15]    [Pg.132]    [Pg.353]    [Pg.57]    [Pg.72]    [Pg.166]    [Pg.329]    [Pg.343]    [Pg.649]    [Pg.662]    [Pg.686]    [Pg.697]    [Pg.302]   


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Delusions

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