TY - JOUR
T1 - Psychiatric symptoms and synthetic cannabinoid use
T2 - Information for clinicians
AU - Sweet, Gary
AU - Kim, Sara
AU - Martin, Samuel
AU - Washington, Nicole B.
AU - Brahm, Nancy
N1 - Publisher Copyright:
© 2021 Allen Press Inc.. All Rights Reserved.
PY - 2017/7/1
Y1 - 2017/7/1
N2 - Background: Limited treatment information is available when patients present with psychotic symptoms secondary to synthetic cannabinoid (SC) use. Symptoms associated with use are often indistinguishable from those encountered with a primary mental illness and also include aggression, confusion, and anxiety. For these patients, clinicians rely on physical presentation, symptom(s) onset, and episode duration when evaluating patients. Patient History: An adult man was involuntarily admitted to inpatient status secondary to reports of bizarre behaviors that included paranoia and psychomotor agitation. Because of the severity of the symptoms, he was unable to participate in the admission assessment. On day 2, he reported having smoked a substance provided by a friend. In addition, he admitted to previous SC use on 3 occasions, with each occasion resulting in an involuntary admission to inpatient status. The course of this admission was unremarkable. Conclusions: A brief overview of psychiatric signs and symptoms of SC use and information to help clinicians are included. The presentation of psychotic symptoms secondary to SC may be consistent with those of psychosis or other substances of abuse. Because of the variability in the symptoms produced by SC use, clinicians are encouraged to consider SC use in the diagnostic evaluation.
AB - Background: Limited treatment information is available when patients present with psychotic symptoms secondary to synthetic cannabinoid (SC) use. Symptoms associated with use are often indistinguishable from those encountered with a primary mental illness and also include aggression, confusion, and anxiety. For these patients, clinicians rely on physical presentation, symptom(s) onset, and episode duration when evaluating patients. Patient History: An adult man was involuntarily admitted to inpatient status secondary to reports of bizarre behaviors that included paranoia and psychomotor agitation. Because of the severity of the symptoms, he was unable to participate in the admission assessment. On day 2, he reported having smoked a substance provided by a friend. In addition, he admitted to previous SC use on 3 occasions, with each occasion resulting in an involuntary admission to inpatient status. The course of this admission was unremarkable. Conclusions: A brief overview of psychiatric signs and symptoms of SC use and information to help clinicians are included. The presentation of psychotic symptoms secondary to SC may be consistent with those of psychosis or other substances of abuse. Because of the variability in the symptoms produced by SC use, clinicians are encouraged to consider SC use in the diagnostic evaluation.
KW - K2
KW - cannabinoid
KW - cannabis
KW - herbal incense
KW - intoxication
KW - legal high
KW - marijuana alternative
KW - psychosis
UR - http://www.scopus.com/inward/record.url?scp=85076909510&partnerID=8YFLogxK
U2 - 10.9740/mhc.2017.07.156
DO - 10.9740/mhc.2017.07.156
M3 - Article
AN - SCOPUS:85076909510
SN - 2168-9709
VL - 7
SP - 156
EP - 159
JO - Mental Health Clinician
JF - Mental Health Clinician
IS - 4
ER -