Edible Cannabis–Induced Psychosis: Intoxication and Beyond
Case | Chief Complaint | History of Present Illness | Exam | Treatment |
---|---|---|---|---|
34-year-old Caucasian female hairdresser | “My eyes are open and I am following the Lord.” | 3 days of bizarre behavior with insomnia, intermittent euphoria, paranoia | Labile, disorganized thinking, poor insight and judgment, hyperreligious delusions | Intramuscular haloperidol in the emergency department; seclusion and oral risperidone in Psychiatric Emergency Services |
35-year-old Caucasian female homemaker | “I’m trying to fight for my freedom.” | 3 days of bizarre behavior with rapid speech and flight of ideas | Disorganized thinking, flat affect, poor insight and judgment, grandiose delusions, auditory and visual hallucinations | In Psychiatric Emergency Services; intramuscular haloperidol and lorazepam, then oral risperidone |
25-year-old African American male, currently unemployed | “When I was driving, something told me to get home immediately so I panicked and jumped.” | At least 1 day of bizarre behavior and paranoia | Combative and agitated with disorganized thinking | Intramuscular haloperidol and midazolam in the field; restraints in the emergency department |
27-year-old Caucasian male contractor | “I’ve had thoughts of jumping off my balcony.” “I am God.” | 4 days of suicidal ideation, insomnia, depressed mood | Grandiose delusions, disorganized thinking, depressed affect | Oral olanzapine in Psychiatric Emergency Services |
22-year-old Caucasian male student | “I mutilated myself because friends wanted their energy back.” | 1 day of bizarre, disorganized thinking and question of self-inflicted incision to the left neck | Labile, agitated, disorganized with flight of ideas and loose associations | Intramuscular midazolam and haloperidol in the emergency department |
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