- the second most frequent after delirium is alcoholic psychosis. It usually develops acutely, either in a state of a hangover syndrome, or during a period of prolonged binge. Leading in the clinical picture of the disease are auditory verbal (verbal) hallucinations, which occur with a clear consciousness and maintaining orientation in the environment. The patient first hears a simple noise, the sound of wheels, and then “voices” appear that take on the character of a dialogue or even an entire assembly condemning his behavior. The patient hears accusations and threats against him, condemnation of his actions, drunkenness, the demand for punishment up to physical reprisal. Occasionally, against the background of general abuse, abuse, threats, timid lonely voices of the “defenders” appear. Patients under the influence of these voices are in a state of fear, anxiety, try to escape from them, sometimes they leave far from home, they turn to the police for help. Suicide attempts are frequent.
The disease can be limited to a few days, but more often lasts for weeks. Acute alcoholic hallucinosis is prone to recurrence (recurrence) if alcohol abuse continues. In about 1/4 of patients, he takes a protracted chronic course, lasting months and even years. In such cases, patients seem to "get used" to their "voices", they are clearly divided into two groups: scolding and protecting. At times, hallucinations subside or cease altogether, a critical attitude towards them, an awareness of the disease, appears.
In some cases, chronic alcoholic hallucinosis develops gradually, without a previous acute episode, as a rule, with prolonged daily use of alcohol with symptoms of chronic intoxication with the subsequent development of dementia.
Treatment:Hallucinations are stopped by the appointment of antipsychotic drugs (haloperidol, triftazine, etaperazine, etc.). With severe hangover syndrome - detoxification therapy. It is also necessary to carry out anti-alcohol treatment, which, in turn, is the prevention of alcoholic hallucinosis.