F14.259

Clinical Causes: Repeated and prolonged use of cocaine leading to physical and psychological dependence. Genetic predisposition influencing susceptibility to substance use disorders and psychotic episodes. Environmental factors such as stress, trauma, or peer influence encouraging substance use. Mental health disorders that may increase vulnerability to substance dependence and psychosis. High potency and frequent dosing of cocaine increasing the risk of psychotic episodes. Use of adulterated or contaminated cocaine that can exacerbate psychiatric symptoms.

Key Symptoms: Hallucinations, often auditory or visual, during or following cocaine use. Delusional thinking, where the individual might believe in false ideas or paranoid thoughts. Agitation, restlessness, or erratic behavior. Impaired judgment and disorganized thinking. Episodes of severe anxiety or paranoid ideation. Physical symptoms such as increased heart rate, elevated blood pressure, and dilated pupils. Possible sensory distortions and confusion during psychotic episodes. Cravings for cocaine and compulsive drug-seeking behavior.

Diagnosis Path: Diagnosis involves a thorough clinical assessment, including detailed history-taking about drug use and mental health symptoms. Healthcare providers may employ standardized questionnaires and psychiatric evaluations. Laboratory tests, such as urine drug screenings, can confirm recent cocaine use. Differential diagnosis is essential to distinguish cocaine-induced psychosis from other primary psychiatric disorders, such as schizophrenia.

Treatment Protocols: Detoxification to manage withdrawal symptoms safely under medical supervision. Psychiatric interventions, including antipsychotic medications, to control psychotic symptoms. Behavioral therapies like cognitive-behavioral therapy (CBT) to address cravings and prevent relapse. Motivational interviewing and counseling to enhance motivation for sobriety. Support groups and community resources to provide ongoing support. Addressing co-occurring mental health or medical conditions for integrated care. Monitoring and managing potential complications related to substance withdrawal and psychosis.