Most often, alcoholic psychosis occurs in those who suffer from chronic alcoholism. The constant presence of alcohol in the body leads to disruption of metabolic processes that ensure the neutralization and elimination of alcohol from the body, which adversely affects the functional state of all organs and systems, and especially the central nervous system.
Acute alcoholic psychosis occurs predominantly during a hangover. Sleep disorder becomes his harbinger: at night a person is either tormented by nightmares, or he cannot sleep at all, and by day he looks tired, overwhelmed, irritated. Periodically, without reason, he develops a state of anxiety, confusion, tension, fear – the patient cannot be alone in the room, he is afraid to go outside. His behavior is also changing. He begins to listen to something, speak as if to himself, peer at objects around him, perform seemingly unmotivated defensive and defensive movements or remove himself from non-existent threads, shake off alleged insects …
The presence of these signs indicates the need for urgent hospitalization of the patient. If you do not take the necessary measures, in 1–2 days he can develop a WHITE HOT: at night during insomnia, the patient suddenly sees spiders, snakes, rats. Often he sees unusual animals, devils, dead. They seem to climb on him from under the bed, from the dark corners of the room, through the window trying to cause harm.
Often, other deceptions of the senses join visual hallucinations. The patient hears the clatter of the hoofs of devils or the talk of people looking out from under the bed or the dark corners of the room, who agree to kill him. He feels how the body is wrapped around the snake or spiders running around it.
The combination of various deceptions of feelings (visual, auditory, olfactory, tactile, and others) convinces the patient of the reality of what is happening around him. Experiencing anxiety, fear, he tries to flee, to protect himself. And this can lead to dire consequences for both himself and the people around him. So, one patient with delirium tremens, defending himself against animals “attacking” him, armed himself with an ax. There were cases when, fleeing from the chase, some patients jumped out of the windows.
One of the symptoms of delirium tremens is tremor (trembling). Mostly it captures areas of the eyelids, the tip of the tongue, fingers. A quivering voice makes speech slurred, the handwriting becomes angular, with leaping letters. In the midst of delirium tremens, the body temperature of some rises to 39-40 °, but more often it is not high. The face is covered with sweat, the pulse quickens.
It also happens that visual hallucinations are absent, and auditory hallucinations and the associated delusions of persecution occupy a central place in the picture of mental disorders. This is characteristic of another form of acute alcoholic psychosis – ACUTE ALCOHOLALLY.
Like delirium tremens, acute alcoholic hallucinosis most often occurs in the evening or at night. First, the patient begins to hear some strange sounds, noises. trying to find their source and, not finding him, is perplexed, indignant. Gradually, his confusion, anxiety, bewilderment grows, unmotivated fear arises. He begins to hear voices that scold him, threaten him. discuss his behavior, insult. A patient in such a state listens to something, then suddenly begins to justify himself, as if answering someone’s questions. In this case, on his face alternately arises the expression of surprise, confusion, then protest, fear, despair.
Very quickly, delusional ideas that reflect the nature of the hallucinations join auditory hallucinations. Most often this is nonsense of persecution. With the increase of hallucinations and deepening delusions. what happens literally in a matter of hours, a feeling of despair, anxiety, fear seizes the sick. All his actions are subject to only one thing: escape! He is trying to clarify relations with others and persecutors, to destroy the conspiracy directed against him, to prevent the execution of the verdict.
The patient becomes dangerous to others: in a state of fear, anxiety, despair, he may try to deal with his “persecutors”, seeing them in people close to him, neighbors or co-workers. One patient, for example, started a fire in his own apartment in order to prevent the “pursuers” from entering. Another tried to break away from them, jumping out of the train on the move …
Surrounding people should know that WHITE WHITE PATIENT HELPFULLY TO PROVE THAT AROUND IT IS NO ANY DRAW OR ANIMALS ATTACKING IT. Brightness, intensity of visual hallucinations for him is more real than the surrounding reality. It is useless to assure a patient with acute alcoholic hallucinosis that nothing is endangering his life. Having noticed signs of acute alcoholic psychosis, do not hesitate! URGENTLY CALL EASY PSYCHIATRIC OR MEDICAL AID. Only timely hospitalization of the patient in a psychiatric hospital will eliminate the threat to his life and the lives of those around him.
After suffering acute alcoholic psychosis, some patients may develop a sharp decline in mental abilities with memory lapses, which leads them to disability, and in some cases to a life-long stay in a psychiatric hospital.
Along with acutely alcoholic psychosis, there are no less dangerous forms of alcoholic psychosis, developing slowly, gradually and having a tendency to a long, protracted, for many months, flow. They are less noticeable to others around the patient, but often they are dangerous for him and for them. We are talking about chronic alcoholic hallucinosis, alcohol depression and alcoholism. We will not specifically dwell on chronic alcoholic hallucinosis. manifestations of which and the accompanying changes in the patient’s behavior are similar to acute alcoholic hallucinosis.
ALCOHOL DEPRESSION arises mainly against the background of a hangover. Patients have a low mood, anguish, accompanied by irritability with a tinge of malicious melancholy or tearfulness and unmotivated anxiety. There are thoughts about their uselessness, the “ruined life”, the worthlessness of existence, the unwillingness to live. In this state, patients often attempt suicide.
ALCOHOL-RABINITY is observed mainly in patients with chronic alcoholism with noticeable manifestations of personality degradation. More often it happens on average and old age. Patients at first only occasionally, intoxicated or hangover, talk about infidelity of the spouse. Characteristically, at the first stage of the formation of alcoholic nonsense of jealousy, the arguments that the patients give (a bad attitude to them from the spouse, her coldness) have very real prerequisites. Drunkenness, rudeness, captiousness, lack of restraint, as well as weakening of potency, caused by many years of drunkenness, are indeed the basis of the estrangement of the spouses. Gradually, accusations of infidelity are expressed more and more and out of a state of intoxication. The behavior of the patient is also changing, he demands admission in treason, he develops a system for spying on his wife, looking for evidence of her infidelity, methods of punishment.
Typically, patients consider a rival to someone from relatives, relatives, neighbors, in general, those familiar to them. One patient, for example, was jealous of his wife for his own grandson. Naturally, such manifestations of jealousy in no case should not be regarded as a revival of past love. This is a manifestation of the disease, and the patient needs the help of a doctor.
Those close to an alcoholic should not forget that an alcoholic patient is potentially dangerous. Therefore, when the symptoms listed in this article appear, you should immediately consult a local psychiatrist or a narcologist, who will prescribe the appropriate treatment.