Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

161 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suffering from psychosis related to sleep deprivation. Taking ameliorate. Any advice?

Answered by
Dr.
Dr. Gourav Monga

Psychiatrist

Practicing since :2006

Answered : 295 Questions

default
Posted on Tue, 15 Jan 2013 in Mental Health
Question: HI, I'm afraid I'm suffering psychosis related to extreme sleep deprivation / concomitant amphetamine use
How do I ameliorate the effects and still carry out activities in a normal manner
IS this feasible?
Should I take anxiolytic medication?
So I have to wait in unreality because of possible legal ramifications associated with reliance on the answer?

Can I receive some
acknowledgment
, general advice, not from a medical perspective, but based on if this situation can resolve long enough for me to carry out important activities. obviously getting adequate sleep is the corect answer. This is frustrating.
doctor
Answered by Dr. Gourav Monga 4 hours later
Hello

Thanks for your query

I can understand what you are going through and how distressing it can be to go through such difficult times. As a psychiatrist, I am able to empathize with you.

Don’t worry and relax. You can carry out your routine activities definitely with proper management.
Let me tell you that Amphetamines can cause “Paranoid Schizophrenia like picture” which consists of psychotic symptoms such as delusions and hallucinations. But this needs detailed evaluation. So tell me what kind of symptoms you are experiencing?
Amphetamines can also cause Insomnia (decreased sleep), anxiety, tachycardia, hypertension, weight loss, formication etc. Excessive sleep deprivation could be the result of amphetamine use which again exacerbate psychosis.
The first thing you have to do is to stop intake of amphetamines immediately. In case of psychotic symptoms, anti-psychotic drugs are required like First Generation Antipsychotics (FGAs- Haloperidol, Trifluperazine, Chlorpromazine etc), Second Generation Antipsychotics (SGAs-Olanzapine, Risperidone, Clozapine, Quetiapine etc) or newer antipsychotics like aripiprazole.
For sleep problems, sedative hypnotics like benzodiazepines can be tried like clonazepam, lorazepam, nitrazepam etc.
Along with pharmacological treatment, psychotherapy and some relaxation exercises like XXXXXXX breathing, progressive muscle relaxation etc could also be of help to ameliorate anxiety symptoms.

Hope I have answered your query. Follow up questions are welcomed.
Regards
Dr. Gourav Monga

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,   ,   ,  
Drug/Medication ,   ,   ,   ,   ,   ,   ,   ,   ,  
Treatment/Therapy

Recent questions on  Psychotherapy

doctor1 MD

I have a past with ovarian cysts. Not a fun one. I m 16 years old and have had 3 surgeries to remove them. This last one, they didn t remove. I had crippling pain for months. I still have the pain but it s dulling down. yet I can still feel pressure. I have had doctor after doctor tell me it s all in my head so don t try that. I ve been to countless counselors, therapists, psychiatrists, they can t find anything wrong with my mental health. Ovarian cancer is very prevalent in my family history. Should I be concerned?

doctor1 MD

I am trying to understand the process of what my sister is goign through at the moment, she is anorexic, she is currently going through phsycotherapy... she now completely shuts herself off from her family, is this normal?
Also is there some type of guidline for a therapy program which could help me understand what's going on?

doctor1 MD

i am 15 years old and i am having wet dreams since age of 13 i am totally frustrated of it and about mastburation i try maximumly to mastburate only once in a month and i am trying to get rid of it but these wet dreams make me mad i am not able to concentrate on my studies plzzz help what should i do. i have wet dreams 2 times a week plzzz help how should i cure it also i live in delhi since i am still at the teen age is there any other way to stop wet dreams

doctor1 MD

hi my 2yr old grandson has had a viral infection for 4days now, and seems to be getting no better, he hasnt eaten for 4days now.the other problem is since he has had this at night times he is finding it hard to go to bed andsleep crying out an as if he is having a bad dream is there any connection many thanks

doctor1 MD

What are the current treatments for fibromyalgia? I am taking lyrica and tramadol

doctor1 MD

why do I get disoriented feeling with my anxiety? I have anxiety with my Hashimoto's but here lately I don't feel like I'm here at all since I've got off the coladapin. I get really confused don't feel like myself really disoriented at times I...

doctor1 MD

Hello doctor, I have been recently diagnosed with very frequent premature ventricular ectopics. I have been asked to take Inderal 10mg as required by the cardiologist. I am facing some issues and have some questions with regard to this medication:...