F10.25

Clinical Causes: Chronic and excessive alcohol consumption leading to physical dependence Genetic predisposition affecting alcohol metabolism and mental health vulnerability Environmental factors such as stress, trauma, or peer pressure influencing drinking behaviors Pre-existing mental health disorders that increase susceptibility Neurochemical changes in the brain caused by prolonged alcohol use

Key Symptoms: Psychotic episodes including hallucinations (auditory or visual) Delusional beliefs related to alcohol or its effects Severe confusion or disorientation during psychotic episodes Changes in behavior such as agitation, paranoia, or suspiciousness Persistent craving for alcohol despite adverse consequences Withdrawal symptoms when not consuming alcohol

Diagnosis Path: Diagnosis involves a comprehensive clinical assessment by a healthcare professional, including a detailed history of alcohol use, mental health evaluation, and the observation of psychotic symptoms. Laboratory tests such as blood alcohol levels may be conducted to confirm recent alcohol consumption. Psychiatric assessments help differentiate alcohol-induced psychosis from other primary psychotic disorders. The ICD-10 criteria specify that psychotic symptoms are directly attributable to alcohol use and occur concurrently with dependence.

Treatment Protocols: Detoxification and medical stabilization to manage withdrawal symptoms Psychiatric medications to control psychotic symptoms, such as antipsychotics Psychotherapy, including cognitive-behavioral therapy, to address underlying issues and develop coping strategies Support groups and counseling for substance abuse recovery Medication-assisted treatment for alcohol dependence, such as naltrexone or acamprosate Long-term monitoring and relapse prevention programs