Alcoholic Psychoses

September 24th, 2019

Alcoholic psychoses – a psychosis, occurring against the backdrop of long-term excessive alcohol consumption. They are usually observed in patients during the acute abstinence period after long drinking sessions or at the end of a long binge amid falling daily doses of alcohol (which is associated with the depletion of the patient). The development of alcoholic psychoses are influenced by additional factors that worsen the patient's condition, – injuries, acute poisoning (eg, surrogate alcohol, drugs, etc.), comorbidities. Currently accepted that the development of alcoholic psychosis plays a big role a combination of several factors: the endo-and exogenous intoxication, metabolic disorders, primarily central nervous system neurotransmitters, immune disorders. Psychoses are the signs of alcoholism, the second and third stages, which are characterized by pronounced disturbances of homeostasis (Relative constancy of the dynamic composition and properties of the internal environment and ustoychivostiosnovnyh physiological functions of man). Each transferred accompanied by a persistent psychosis, and often irreversible changes in the central nervous system, manifesting as a chronic encephalopathy, residual delirium, etc. From a clinical point of view, isolated severe, protracted and chronic psychoses.

Alcoholic psychoses divided into the following types: * Alcoholic delirium (delirium tremens). Acute course. * Alcoholic hallucinosis. Acute, protracted and chronic types of flow. * Alcoholic delusional psychosis (paranoid alcoholic, alcoholic delusions of jealousy). Acute, protracted and chronic types of flow. * Alcoholic encephalopathy (acute encephalopathy, chronic encephalopathy, Wernicke encephalopathy, Gaye, alcoholic psevdoparalich.) Alcohol paranoid (delusions prosecution) alcohol delusions of persecution (paranoid alcoholic) – is one form of alcohol psychosis.

Occurs in the second stage of alcoholism, after years of the existence of alcohol withdrawal syndrome. Develops paranoid, usually on the first day after the end of many days of alcohol abuse. Often the appearance of alcoholic delusions of persecution precedes a longer soak, or increasing doses of alcohol. First noted sleep disturbances, mood becomes depressed patients, increased irritability.

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