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DAMS PSYCHIATRY SUPPLEMENT 2020

SUBSTANCE USE DISORDERS


SUBSTANCE INTOXICATION WITHDRAWAL TREATMENT
Emotional lability, slurred 1. TREMORS (1st symptom, key
ALCOHOL symptom, most common
speech, ataxia,
sypmtom)
nystagmus, coma, 2. Autonomic hyperactivity
blackouts (Anterograde (Tachycardia, Inc BP)
amnesia, patient 3. Alcoholic Paranoia
(Fixed Delusions)
appears normal to
4. Alcoholic Hallucinosis (Auditory
onlookers) (AIIMS) Hallucinations in clear
sensorium)
5. GTCS (Alcohol Withdrawal
Seizures)
6. Delirium Tremens (Visual
Hallucinations in altered
sensorium)

Euphoria, respiratory and Mydriasis, rhinorrhoea,


OPIUM CNS depression, pupillary lachrymation, YAWNING,
constriction (pinpoint sweating, piloerection (goose
pupils), seizures bumps), COLD TURKEY,
(overdose). Most
diarrhoea, muscle cramps,
common cause of drug
overdose death.
autonomic hyperactivity.
(DOC : IV NALOXONE)

NICOTINE Restlessness. Decreased attention and


concentration, increased appetite
and weight gain, drowsiness with
paradoxical trouble sleeping,
constipation, irritability,
bradycardia.

CANNABIS Impaired motor


coordination, anxiety, Decreased appetite
slowed reaction time,
euphoria, anxiety,
and weight loss,
(AMOTIVATIONAL paranoid psychosis
(HEMP INSANITY),
low mood, stomach
LONG
SYNDROME :

TERM USE
perception of slowed pain (minimal
time (FLASHBACKS),
CAUSES impaired judgment, withdrawal). New
social withdrawal,
decrease in increased appetite withdrawal added
drive) (MUNCHIES), dry mouth,
in DSM 5
conjunctival injection,
hallucinations. RUN
AMOK (Runs aimlessly,
violent and homicidal)

Impaired judgment, Depression, fatigue,


COCAINE pupillary dilation,
hallucinations (including increased appetite
tactile), paranoid unpleasant dreams,
ideations, angina, sudden suicide
cardiac death

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DAMS PSYCHIATRY SUPPLEMENT 2020
AMPHETAMINE Euphoria, grandiosity, Depression, fatigue,
pupillary dilation, increased appetite
prolonged wakefulness unpleasant dreams,
and attention, suicide
hypertension,
tachycardia, anorexia
fever. PARANOID
SCHIZOPHRENIA LIKE
SYMPTOMS
Restlessness, diuresis, Headache (MC), lethargy,
Caffeine muscle twitching, drowsiness
agitation, insomnia, GI
disturbances, excitement

PERSON TO REMEMBER IN PSYCHIATRY


1. Phillipe Pinel: Father of modern psychiatry (unchained the mental
patients)
2. Erik Erikson: Psychosocial stage of development
3. Carl Jung: father of analytical psychology
4. Sigmund Freud (Austria 1856 – London 1939): Father of psychoanalysis,
Psychosexual stages, dream analysis, psychoanalysis, coined abreaction,
catharsis, transference and counter transference
5. Coined the term
Catatonia, Cyclothymia Karl Kahl Baum
Hebephrenia Hecker
Demence Precoce Benedict Morel
Dementia Praecox Emil Kraepelin
Hysteria, Melancholia Hippocrates
Neurosis William Cullen
Hallucinations Jean Esquirol
Psychiatry Johann Riel
Schizophrenia Eugene Bleuler
Dhat syndrome N.N Wig
Classical Conditioning Ivan Pavlov
Operant conditioning BF Skinner

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