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Titre de l’article Withdrawal delirium in a 15-year-old cannabis addicted patient: a case report
Code d’article P31
Auteurs
  1. Elena Bauerschmidt Integrated Psychiatry Winterthur
  2. Stephan Kupferschmid Integrierte Psychiatrie Winterthur Conférencier
  3. Sabine Weber Integrated Psychiatry Winterthur
  4. Damir Krinitski Psychiatriezentrum Oberwallis
Forme de présentation Poster
Domaines thématiques
  • T24 - Substance abuse
Résumé (Abstract) Here we report the case of a 15-year-old male who developed delirium two weeks after stopping regular consumption of cannabis, because of an intoxication with psilocybin and cannabis. The patient first presented with optical hallucinations, derealization and severe anxiety, which led to the preliminary diagnosis of a Substance-Induced Psychotic Disorder. His condition did not improve under the prescribed aripiprazole and lorazepam treatment, he developed more fluctuating symptoms such as short term memory deficits, difficulty in maintaining attention and sleep disturbances, which led to the final diagnosis of delirium. After stopping the medication the patients’ symptoms gradually improved, so that no further pharmacological treatment was necessary. Especially in adolescent psychiatric units it could be important to be aware of the signs and symptoms characterizing delirium, because if it follows substance abuse it might be misdiagnosed for a Substance-Induced Psychotic Disorder.