Alcoholic psychoses

During chronic alcoholism (see), is usually not earlier than 5 years after the appearance of hangover, there are diverse in its manifestations and duration of psychosis. Some of them have a very close relationship to the hangover syndrome and depend primarily from toxicity. This is delirium tremens, an alcoholic hallucinosis, alcoholic depression, alcohol epilepsy, alcohol paranoid, alcoholic delirium of jealousy. Other psychosis associated with the metabolism of vitamins. It is alcoholic encephalopathy.

Treatment of alcoholic psychosis

Patients with alcoholic psychoses should be immediately placed in a special hospital. The persistence subject and some patients with the syndrome hangover in cases where mental disorders, particularly mood changes, intensive. Treatment of alcoholic psychosis in the hospital should be complex - the use of vitamins (B1, C, PP), heart and sleeping pills with hypoglycemic and comatose doses of insulin or psychotropic (chlorpromazine, haloperidol) means. The only effective treatment of alcohol, especially flowing, encephalopathy is therapy with high doses of vitamins: B1 - up to 600 mg, With up to 1000 mg, RR-300-400 mg / day for 2-4 weeks.
Binge drinking (dipsomania) occurs in people not suffering from chronic alcoholism. Will do it precedes depressed-irritable mood, inability to do the usual things, sometimes insomnia, headaches, loss of appetite. To "facilitate" the patient begins to drink. Despite techniques significant dose of alcohol (up to 1 liter per day or more), symptoms of intoxication often small. The attacks last from several days to several weeks. During a binge may be a pathological desire for vagrancy (dramamine). End binge sudden - patient suddenly notices that he has disappeared the need for alcohol. May appear to him and disgust. Between periods of binge celebrated complete abstinence from alcohol. Dipsomania is often a manifestation of epilepsy, mood disorders the psychopaths, patients with schizophrenia and circular psychosis. During a binge should refer the patient to a mental hospital.
Pathological intoxication is a twilight dizziness, usually appearing after receptions minor doses of alcohol - 50-150 g; is a form of exception (see). Physical symptoms of intoxication no - movement of patients precise and confident, walk hard, it is clear that actions are consistent and can even not to attract attention. However, often under the influence of frightening hallucinations and delusionsthat accompany the dizziness, patients commit dangerous to themselves and others acts of violence. In these cases can be observed motor and language stimulation. Pathological intoxication lasts from several minutes to several hours. Ends in a deep sleep, after which the patient not remember or not remember what was happening to him.
Pathological intoxication develops more frequently in patients with epilepsy, organic brain diseases (injuries, arteriosclerosis), excitable psychopaths. The development of pathological intoxication contribute to fatigue, state of recovery after illness, physical exhaustion, the overheating of the body. Need to consult a psychiatrist.