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Psychosis
Psychosis describes a state in which perception, thought, memory or belief detach from the external world, manifesting as delusions and hallucinations.
Pharmacology
Psychosis through schizophrenia has long been associated with excessive dopamine signaling, aswell as more recently being linked to decreased glutamate signaling.
Subjective effects
Causes
Organic psychosis
Psychosis can arise naturally due to a range of conditions such as dementia, parkinson's disease, schizophrenia and bipolar disorder, risk-factors also include psychological trauma, prolonged sleep deprivation, traumatic brain injury(TBI) and giving birth.
Substance-induced psychosis
Substance-induced psychosis, Drug-induced psychosis or Toxic psychosis broadly refers to a psychosis that is primarily caused by the effects of psychoactive substances.
Stimulant psychosis
Stimulant psychosis also known as Stimulant-induced psychosis is a form of psychosis associated with an increase of dopamine signaling as a result of stimulant-use, typically following excessive use over the span of several days.
Commonly implicated substances typically stem from the substituted amphetamine class(notably including cathinones and pyrrolidinophenones), with examples including methamphetamine, cocaine, α-PVP, MDPV or NEP.
PCP, a dissociative associated with a high risk of psychosis. |
Dissociatives
JWH-018 a Cannabinoid associated with a increased risk of psychosis. |
Cannabinoids
Ethanol (Alcohol)
Alcohol-related psychosis, Delirium tremens (DTs) or Alcoholic hallucinosis
Treatment
Most common treatment for psychosis both acutely and long-term is the administration of typical- or atypical- antipsychotics such as haloperidol or olanzapine.
In case of stimulant-psychosis or in case of acute agitation careful use of benzodiazepines may be helpful.