A Presentation on Substance Induced Psychosis - Assignment

Running head: A PRESENTATION ON SUBSTANCE INDUCED PSYCHOSIS
A Presentation on Substance Induced Psychosis
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A PRESENTATION ON SUBSTANCE INDUCED PSYCHOSIS1
Table of Contents
Introduction................................................................................................................................2
Discussion..................................................................................................................................3
1. Critical Analysis of Comprehensive Information related to Aetiology of Substance-
Induced Psychosis......................................................................................................................3
Psychosis and Substance Induced Psychosis:........................................................................3
Cannabis and Cannabinoid as cause of Psychosis.................................................................3
Use of other Intoxications and Stimulants.............................................................................4
2. Relevant Signs and symptoms leading to Diagnosis..........................................................5
Severity of Symptoms............................................................................................................6
3. Evidence-Based Pharmacological Treatment of the Substance-Induced Psychosis...........6
4. Evidence-Based Non-Pharmacological Treatment of the Substance-Induced Psychosis. .8
5. Potential Nursing Challenges..............................................................................................9
Conclusion..................................................................................................................................9
References................................................................................................................................11

A PRESENTATION ON SUBSTANCE INDUCED PSYCHOSIS2
Introduction
In relation to Substance induced disorder, DSM-4 had come under scrutiny whereby
its strengths like reliability and validity of dependence were assessed along with few
concerns (American Psychiatric Association, 2013). In DSM-5, these concerns were studied
in details to find relevant evidence. The concerns mainly referred to retaining the two broad
categories of substance induced disorder: abuse and dependence, addition or removal of
further criteria and identification of the severity indicator of substance induced disorder. The
DSM-5 took into account an “axial” system for grouping psychological disorders into five
different classes namely, (1) all psychological diagnostic classes apart from personality
disorder and mental retardation, (2) mental retardation and personality disorders, (3)
environmental and psychosocial factors that contribute to the condition, (4) acute or general
medical conditions, and (5) Children’s Global Assessment Scale or Global Assessment of
Functioning. Furthermore, although in DSM-4, substance abuse disorder was divided into
two discrete classes of substance dependence and substance abuse, the DSM-5 code
combined the two into a uniform diagnostic class, commonly referred to as substance use
disorder (American Psychiatric Association, 2013).
Prominent psychotic symptoms such as, delusions or hallucinations are determined to
be a direct manifestation of the impacts of psychoactive substances and are the primary
characteristics of substance-induced psychosis. The substance being consumed often induces
a plethora of psychotic symptoms while a person is intoxicated (under the direct influence of
a certain drug) or during the withdrawal phase. Diagnosis of the condition is usually done
when the psychotic symptoms experienced by the person are severe and comprise of
prominent symptoms (Fasihpour, Molavi & Shariat, 2013). Substance-induced psychosis
usually interferes with the mental capacity of the affected person and makes it difficult to

A PRESENTATION ON SUBSTANCE INDUCED PSYCHOSIS3
identify reality, relate with others, or communicate, thereby meddling with the capability to
deal with life stresses.
Discussion
1. Critical Analysis of Comprehensive Information related to Aetiology
of Substance-Induced Psychosis
Psychosis and Substance Induced Psychosis:
It refers to the psychological disorder whereby an individual loses touch with reality
and it adversely affects his or her cognitive functions and subsequently, behaviour.
Substance abuse primarily refers to using psychoactive substances like alcohol,
cannabis or medications that leads to serious mental and physiological disorientation. Such
disorientation often accounts for Psychosis. The primary symptoms leading to psychosis
usually originate from the substantial use or withdrawal from amphetamines,
phencyclidine, opioids, inhalants, sedatives, anxiolytics, cocaine, LSD, hallucinogens and
other related drugs and substance. As discussed in ICD-10, Substance Induced Psychosis or
SIP can get partially resolved within 1 month or full resolved within 6 months when proper
attention is given to his or her experiences of hallucinations or delusions occurring as a result
of intoxication or abstinence. Such experiences when diagnosed and treated under expert care
can result in competent resolution (American Psychiatric Association, 2013).
Cannabis and Cannabinoid as cause of Psychosis
Evidence from DSM-5 have shown that natural and synthetic cannabis are associated
with psychotic disorder. Compounds of synthetic cannabis have been found to be similar to
the functions of psychoactive agents like delta-9-THC. These compounds in synthetic
cannabis have higher potency for causing psychosis as some of their ligands lack cannabidiol,