What Are Alcoholic Hallucinations?

Alcoholism hallucinations

Overview of alcoholism hallucinations

Alcoholic hallucinations are hallucinations caused by long-term drinking. In patients with alcohol dependence, most patients develop a mental disorder with hallucinations as the main symptom after abruptly stopping or significantly reducing alcohol consumption, which usually occurs within 48 hours of alcohol withdrawal. Hallucinations occur in a state of clear consciousness. The hallucinations are mainly hallucinations, mostly verbal, and the content is more threatening. Patients have secondary delusions based on hallucinations. Subject to these mental symptoms, patients may commit suicide or aggressive behavior. The course of the disease can be hours, days or weeks, but not more than 6 months. ^[1]

Classification of alcoholism hallucinations

Psychiatry

Signs and symptoms of alcoholism hallucinations

On the basis of clear consciousness, hallucination-based mental symptoms may appear, and the content is mostly comments and abusive words. There may also be primitive sounds or various small animal calls. May cause secondary delusions, and corresponding emotional disorders and impulsive behavior. Symptoms last from hours to weeks, not more than 6 months.

Causes of alcoholism hallucinations

Focus on understanding the history of drinking, whether there is habitual drinking and alcohol dependence (psychological and physical dependence), whether to quit drinking 48 hours before the illness; whether there is a previous history of mental illness, and whether there is a personality change.

Alcoholism hallucinations diagnostic test

Detailed physical examination, and blood, urine, stool routine, liver, kidney function, blood glucose, enzyme spectrum test, liver and gallbladder B-ultrasound, upper gastrointestinal barium meal examination and EEG, skull CT and other examinations. Eliminate mental disorders caused by schizophrenia or physical illness.

Alcoholism hallucinogenic treatment plan

1. Antipsychotic treatment. Can be selected according to the condition:

(1) chlorpromazine 25mg, 2 / d;

(2) Perphenazine 2mg 4mg, 2 / d;

(3) Clozapine 12.5 mg to 25 mg, 2 / d.

2. Abstinence Treatment

(1) One-time withdrawal: Severe patients and those with severe withdrawal reactions can be replaced with benzodiazepines that have a cross-dependence on alcohol. After the replacement is successful, the drug is withdrawn. Optional

Stability 10mg, or 5mg, 2 / d

Jiajing Anping 0.4mg, 2 / d;

Clonazepam 1.0mg, 2 / d.

(2) Aversion therapy: After subcutaneous injection of apomorphine 20mg, the patient smells alcohol. When the patient is about to vomit, give the patient a drink. In this way, once a day or every other day, after 10 to 30 consecutive times, vomiting reflections on wine and wine taste can be formed, and the purpose of quitting drinking can be achieved.

(3) taking anti-drinking agent: disulfiram 0.25 or 0.5g, l / d, 1 to 3 weeks as a course of treatment, coronary heart disease and acute poisoning status are prohibited.

3. Chinese medicine and traditional Chinese medicine, dialectical treatment.

4. Psychotherapy, work entertainment.

Nursing:

1. According to the general nursing routine of psychiatry, for the secondary impulse wounding and suicide, follow the special nursing routine of impulse wounding and suicide prevention.

2. During the period of abstinence, close observation should be made on the presence of mental and physical withdrawal reactions to encourage and help patients to abstain from alcohol.

3. Strengthen psychological care and urge patients to participate in physical exercise and recreational activities.

Discharge criteria:

Mental symptoms disappeared and self-awareness recovered; mental and physical dependence on alcohol disappeared.