Most often, alcoholic psychoses occur in those who suffer from chronic alcoholism. The constant presence of alcohol in the body leads to metabolic disorders that ensure the neutralization and elimination of alcohol from the body, which negatively affects the functional state of all organs and systems, and primarily the central nervous system.
Acute alcoholic psychosis occurs mainly during a hangover. His precursor is sleep disturbance: at night, a person is either tormented by nightmares, or he cannot sleep at all, and during the day he looks tired, broken, irritated. Periodically, without reason, he has a state of anxiety, bewilderment, tension, fear – the patient cannot be alone in the room, he is afraid to go out. His behavior also changes. He begins to listen to something, talk as if to himself, peer into the objects surrounding him, make outwardly unmotivated defensive and defensive movements or take off non-existent threads, shake off supposedly insects …
The presence of these signs indicates the need for urgent hospitalization of the patient. If you do not take the necessary measures, after 1 – 2 days he may develop WHITE HOT: at night during insomnia the patient suddenly sees spiders, snakes, rats. Often he sees unusual animals, devils, and dead. They seem to climb onto him from under the bed, from the dark corners of the room, trying to do harm through the window.
Often, other deceptions of feelings join visual hallucinations. The patient hears the tramp of hoofed devils or the conversations of people peering out from under the bed or in the dark corners of the room who agree to kill him. He feels like snakes entwine around his body or spiders run around him.
The combination of various deceptions of feelings (visual, auditory, olfactory, tactile and others) convinces the patient of the reality of what is happening around him. Feeling anxiety, fear, he tries to escape by flight, to protect himself. And this can lead to grave consequences both for himself and for the people around him. So, one patient with delirium tremens, defending himself from animals “attacking” him, armed himself with an ax. There were times when, in order to escape from the chase, some patients jumped out of windows.
One of the signs of delirium tremens is tremor (trembling). For the most part, it captures the eyelids, the tip of the tongue, and fingers. A trembling voice makes speech slurred, the handwriting becomes angular, with skipping letters. In the midst of delirium tremens, the body temperature of some rises to 39 – 40 °, but more often it is not high. The face is covered with sweat, the pulse quickens.
It also happens that there are no visual hallucinations, and the central place in the picture of mental disorders is occupied by auditory hallucinations and the associated delusions of persecution. This is characteristic of another form of acute alcoholic psychosis – ACUTE ALCOHOL GALLUTINOSIS.
Like delirium tremens, acute alcoholic hallucinosis most often occurs in the evening or at night. First, the patient begins to hear some strange sounds, noises. trying to find their source and, not finding it, perplexed, indignant. Gradually, confusion, anxiety, and perplexity increase in him, unmotivated fear arises. He begins to hear voices that scold him, threaten him. discuss his behavior, insult. A patient in this state either listens to something, then suddenly begins to make excuses, as if answering someone else’s questions. At the same time, an expression of surprise, confusion, then protest, fear, and despair alternately appears on his face.
Very quickly delusional ideas, reflecting the nature of hallucinations, join auditory hallucinations. Most often this is delirium of persecution. As hallucinations increase and delusions deepen. what happens literally in a matter of hours, the patient is seized with a feeling of despair, anxiety, fear. All his actions are subordinated to only one thing: to be saved! He is trying to find out relations with others and his persecutors, to destroy the conspiracy directed against him, to prevent the execution of the sentence pronounced by votes.
The patient becomes dangerous to others: in a state of fear, anxiety, despair, he may try to crack down on his “persecutors”, seeing them in people close to him, neighbors or colleagues. One patient, for example, started a fire in his own apartment to prevent the “persecutors” from entering it. Another tried to break away from them, jumping on the move from the train …
People should know that it is useless to prove to a SICK WHITE HOT that THERE ARE NO DAMAGES OR ANIMALS ATTACKING IT. The brightness, intensity of visual hallucinations for him is more real than the surrounding reality. It is useless to convince a patient with acute alcoholic hallucinosis that nothing threatens his life. Noticing the signs of acute alcoholic psychosis, do not hesitate! URGENTLY CALL AN AMBIENT PSYCHIATRIC OR MEDICAL AID.