Concept

Substance Intoxication or Substance Withdrawal as Differential Diagnoses to Substance/Medication-Induced Psychotic Disorder

  • Individuals inebriated may experience altered perceptions that they recognize as drug effects. If the individual recognizes that the perception is substance induced and neither believes in nor acts on it, the diagnosis is not substance/medication-induced psychotic disorder. Instead, substance intoxication or substance withdrawal, with perceptual disturbances, is diagnosed.
  • “Flashback” hallucinations that can occur long after drug use has stopped are diagnosed as hallucinogen persisting perception disorder.
  • If substance/medication-induced psychotic symptoms occur exclusively during the course of a delirium, as in severe forms of alcohol withdrawal, the psychotic symptoms are considered to be an associated feature of the delirium and are not diagnosed separately. Delusions in the context of a major or mild neurocognitive disorder would be diagnosed as major or mild neurocognitive disorder, with behavioral disturbance.

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Updated 2023-05-21

References


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Diagnostic and Statistical Manual (DSM)

Psychology

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Behavioral Neuroscience

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