![]() ![]() In the final analysis, an inability to concentrate and lack of retentiveness could not be determined but were probably present. In conversation, his level of attention fluctuated significantly. However, he had an adequate understanding of the situation (admission for treatment for alcohol dependence) and also seemed orientated with regard to himself. He seemed disorientated, above all, with regard to time (clearly confused not just about the day of the week but also the month) and initially thought he was actually at a different clinic. Even during admission, he was unsteady on his feet, drowsy and then alert but restless and anxious. ![]() He was unclean and unkempt and said that in the last few days he had been drinking up to 2.5 l of vodka a day. L is a 34-year-old patient who was admitted to the hospital in a state of drunkenness and with a blood alcohol content of 1.7 as measured by a breathalyser. 1991), the epidemiology, phenomenal picture, progress and treatment of which will be described in more detail below.īelow are two case vignettes, one of pre-delirium and one of alcohol-induced delusional jealousy. Nowadays psychotic disorders encompass above all delirium tremens (alcohol withdrawal with delirium), alcohol hallucinosis as well as the very uncommon alcoholic delusional jealousy (Soyka et al. Strictly speaking, acute intoxication already constitutes a “reversible exogenous psychosis with impaired self-control and self-criticism, stimulation and disinhibition as well as euphoria or also depression” (Bergmann and Ferbert 2012). Despite the prevalence of the underlying dependence disorder, alcohol psychoses are relatively rare, but very severe, and frequently life-threatening phenomena. ![]() 3–5 % of cases, severe withdrawal symptoms such as grand-mal convulsions or delirium occur (Schuckit 2014). In terms of 12-month prevalence, alcohol use is already the most frequent mental health disorder among men and among women the most frequent after anxiety disorders (Wittchen and Jacobi 2012).ĥ0 % of individuals suffering from substance use disorder develop symptoms of alcohol withdrawal when they reduce the quantity or frequency of their alcohol consumption. KeywordsĪlcohol use disorders (DSM-5), which in ICD-10 are divided into alcohol abuse and alcohol dependence, are among the most common psychiatric disorders. Strictly speaking, acute intoxication already constitutes a “reversible exogenous psychosis with impaired self-control and self-criticism, stimulation and disinhibition as well as euphoria or also depression” (Bergmann, L., Ferbert, A. 3–5 % of cases, severe withdrawal symptoms such as grand-mal convulsions or delirium occur (Schuckit, M. ).ĥ0 % of individuals suffering from substance use disorder develop symptoms of alcohol withdrawal when they reduce the quantity or frequency of their alcohol consumption. Ulfert Hapke) durch das BMG und die Stiftung der DGPPN gefördert. Die Zusatzuntersuchung “Psychische Gesundheit” wird zusammen mit dem RKI (Dr. DEGS im Auftrag des BMG vom Robert Koch-Institut, Berlin durchgeführt. Studie zur Gesundheit Erwachsener in Deutschland. In terms of 12-month prevalence, alcohol use is already the most frequent mental health disorder among men and among women the most frequent after anxiety disorders (Wittchen, H.-U., & Jacobi, F. Alcohol use disorders (DSM-5), which in ICD-10 are divided into alcohol abuse and alcohol dependence, are among the most common psychiatric disorders.
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