- the second most frequent alcoholic psychosis after delirium. Usually develops acutely or in a state of hangover, or during a long binge. Leading in the clinical picture of the disease are auditory verbal (verbal) hallucinations that occur with a clear consciousness and preservation of orientation in the environment. The patient first hears a simple noise, a knock 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 in his address, condemnation of his actions, drunkenness, demands of punishment up to physical violence. Occasionally, against the background of a common battle, swearing, threats, timid lonely voices of “defenders” appear. Patients under the influence of these voices are in a state of fear, anxiety, try to run away from them, sometimes leave far from home, turn to the police for help. Frequent suicide attempts.
The disease may be limited to a few days, but more often lasts for weeks. Acute alcoholic hallucinosis tends to recur (recur) in case of continued alcohol abuse. Approximately 1/4 of patients, he takes a protracted chronic course, lasting for months and even years. In such cases, patients, as it were, “get used” to their “voices”, they are clearly divided into two groups: scolding and defending. At times, hallucinations subside or cease altogether, a critical attitude towards them, awareness of the disease appears.
In some cases, chronic alcoholic hallucinosis develops gradually, without a preceding acute episode, as a rule, with prolonged daily use of alcohol with symptoms of chronic intoxication followed by the development of dementia.
Treatment:Hallucinations are stopped by prescription of antipsychotic drugs (haloperidol, triftazin, cetarazine, etc.). In severe hangover syndrome - detoxification therapy. It is also necessary to carry out anti-alcohol treatment, which, in turn, is the prevention of alcoholic hallucinosis.