Sleepless and paranoid
Current Psychiatry. 2013 April;12(04):39-43
April 1, 2013|Psychiatry
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Mr. Q, age 44, presents with disorientation, paranoid delusions, and auditory and visual hallucinations that began after his sleep started to deteriorate 6 months ago. What could be causing his insomnia?
Table 3
DSM-IV-TR diagnostic criteria for opioid withdrawal
| A. | Either of the following:
|
| B. | ≥3 of the following, developing within minutes to several days after criterion A:
|
| C. | The symptoms of criterion B cause clinically significant distress or impairment in social, occupational, or other important areas of functioning |
| D. | The symptoms are not due to a general medical condition and are not better accounted for by another mental disorder |
| Source: Reference 11 | |
- Morin CM, Benca R. Chronic insomnia. Lancet. 2012; 379(9821):1129-1141.
- Pressman MR, Orr WC, eds. Understanding sleep: the evolution and treatment of sleep disorders. Washington, DC: American Psychological Association; 1997.
- NIH State-of-the-Science Conference Statement on manifestations and management of chronic insomnia in adults. NIH Consens State Sci Statements. 2005;22(2):1-30.
- Albuterol • Proventil, Ventolin
- Aripiprazole • Abilify
- Bupropion • Wellbutrin, Zyban
- Dextroamphetamine • Dexadrine
- Haloperidol • Haldol
- Hydrocodone/Acetaminophen • Vicodin
- Lamotrigine • Lamictal
- Lorazepam • Ativan
- Methylphenidate • Methylin, Ritalin
- Phenylephrine • Neo-Synephrine
- Pseudoephedrine • Sudafed
- Ramelteon • Rozerem
- Theophylline • Elixophyllin, Slo-Phyllin
- Zolpidem • Ambien
The authors report no financial relationship with any company whose products are mentioned in this article or with manufacturers of competing products.
