Psychosis During Stimulant Withdrawal

Psychosis During Stimulant Withdrawal

In this episode of Cracking Addiction, Dr. Ferghal Armstrong and Dr. Manu Bhatnagar delve into the complex issue of psychosis in the context of withdrawal treatment or when withdrawing from stimulants such as methamphetamine. They explore the challenges of distinguishing between drug-induced psychosis and primary psychotic disorders, and discuss the intricacies of treatment options, including the use of benzodiazepines and antipsychotics. With valuable insights and clinical expertise, this episode provides a deep understanding of the management of psychosis in the context of substance withdrawal.

Key Points:

- Differentiating between drug-induced psychosis and primary psychotic disorders is a challenging yet crucial aspect of patient care in the context of substance withdrawal.

- Understanding the neurochemical impact of stimulants on the brain and the implications for treatment is essential for managing psychotic symptoms effectively.

- The role of benzodiazepines and antipsychotics in controlling agitation and psychotic symptoms during withdrawal and the potential transition to more long-term antipsychotic therapy in cases of persistent symptoms.

- The importance of comprehensive and integrated psychosocial support alongside medication in ensuring long-term recovery and abstinence.

Insightful Quote:

"The best amount of medication is the least effective dose. My role is to say, how much support can we put around you? So I can bring this dose down to a level where it's causing the least amount of side effects, but it's just enough to prevent the next episode happening." - Dr. Manu Bhatnagar

Learning Outcomes:

1. Gain insights into the complexities of distinguishing between drug-induced psychosis and primary psychotic disorders, and the implications for treatment decisions.

2. Understand the neurochemical basis of stimulant-induced psychosis and the role of medications such as benzodiazepines and antipsychotics in managing psychotic symptoms during withdrawal.

3. Appreciate the significance of longitudinal assessment and psychosocial support in the overall management of psychosis in the context of substance withdrawal.

4. Explore the potential transition to long-term antipsychotic therapy and the importance of holistic approaches to supporting recovery and abstinence.

Actionable Takeaways:

1. When managing patients undergoing withdrawal from stimulants, establish a timeline of substance use and psychotic symptoms to differentiate between drug-induced psychosis and primary psychotic disorders.

2. Consider the neurochemical impact of stimulants and the mechanisms of action of benzodiazepines and antipsychotics to tailor treatment for psychotic symptoms during withdrawal.

3. Emphasize the role of comprehensive psychosocial support and longitudinal assessment in ensuring successful recovery and abstinence post-withdrawal.

4. Strive for a balanced approach to medication, aiming for the least effective dose while providing adequate support to prevent future episodes of psychosis.

Avsnitt(218)

Benzodiazepines

Benzodiazepines

In episode 58 of Cracking Addiction we discuss the pharmacology of benzodiazepines and their interaction with the GABA-A receptor, the different types of benzodiazepines and their different half lives and effects, discuss how to calculator benzodiazepine dose equivalence, the increased risks of benzodiazepine overdose when compared with other medications especially with opioid medications and the pharmacokinetics and metabolism of benzodiazepines.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

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Methamphetamine relapse prevention

Methamphetamine relapse prevention

In this episode of Cracking Addiction we discuss relapse prevention strategies with regards to methamphetamine use and discuss harm reduction strategies, how to avoid a lapse becoming a relapse, the Matrix Model, motivational intervention and contingency management. We also discuss the importance of peer support programs in aiding people on their path to recovery from substance use disorder and discuss the evidence surrounding pharmacotherapy interventions for methamphetamine use disorder.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

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Methamphetamine withdrawal

Methamphetamine withdrawal

In this Episode of Cracking Addiction we discuss the three phases of methamphetamine withdrawal, strategies to manage the methamphetamine withdrawal including possible medication options and the ongoing psychosocial support required to support patients during methamphetamine withdrawal. Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle. Latest Blogs https://www.meducate.com.au/blogs About Meducate ® Meducate provides online education for doctors, clinicians, health professionals and the public. See the website to browse the many different talks and courses available https://www.meducate.com.au

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Methamphetamine and amphetamines

Methamphetamine and amphetamines

In this episode of Cracking Addiction we mainly speak about methamphetamines but also amphetamines and discuss the amphetamine class of drugs and their physiological effects, the different types of methamphetamines, symptoms of intoxication with amphetamines, side effects of methamphetamine and amphetamines including the various organ systems they impact and in particular the potential psychological and psychiatric harms and focus on drug induced psychosis. Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

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Living with Addiction

Living with Addiction

In this episode of Cracking Addiction we are privileged to have Steven McDonald who discusses his lived experience with addiction and his path towards recovery. Steven speaks openly and honestly about his past history and his experiences. Steven has written a book 'Thanks for Letting Me Share' which is a book of 368 quotes that have helped him along his journey. The book is available on Amazon https://www.amazon.com/dp/B09BCG67JK/ and Facebook https://www.facebook.com/Thanks-for-Letting-Me-Share-book-102078078856382Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

16 Aug 202236min

Cannabis hyperemesis syndrome

Cannabis hyperemesis syndrome

In this episode of Cracking Addiction we discuss cannabis hyperemesis syndrome, the various theories surrounding the pathophysiology of cannabis hyperemesis, treatment of cannabis hyperemesis syndrome, diagnostic criteria for cannabis hyperemesis syndrome and discuss the other potential differential diagnoses of cyclic vomiting symptoms and how cannabis hyperemesis syndrome is often a diagnosis of exclusion.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

10 Aug 202216min

Synthetic cannabis

Synthetic cannabis

In this episode of Cracking Addiction we discuss the variety within the class of synthetic cannabinoids, symptoms of synthetic cannabis intoxications, side effects and complication of synthetic cannabis usage and specific considerations in withdrawal management.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

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