Put your knowledge and skills to the test with the case of Mr. D, a 23 year old male, who presents with new-onset psychosis with auditory and visual hallucinations and catatonia 10 days after taking 2C-B, a new designer drug. Specifically, Mr. D reported that he and his friends obtained 2C-B off the internet, and while his friends recovered well after using the drug, Mr. D instead has been decompensating. He reported abruptly quitting his job and thinking he is in alien in a spaceship over the last few days.
While his family and friends report that Mr. D has been acting strange, sleeping only 2-3 hours a night and talking rapidly since the use of the drug, they deny any other recent stressors in his life. They report that Mr. D is an Ivy-League educated man and has no significant medical or psychiatric history, and no family history of psychiatric disorders. About 1 month ago however, Mr. D began to smoke marijuana daily.
What is your differential for this patient? What work-up would you order? How would you treat his psychosis and catatonia?
"Psychosis and catatonia after dancing with a dangerous partner" by Surbhi Khanna, Jordan Rosen, Derek Blevins, and Pamila Herrington (Current Psychiatry)
While his family and friends report that Mr. D has been acting strange, sleeping only 2-3 hours a night and talking rapidly since the use of the drug, they deny any other recent stressors in his life. They report that Mr. D is an Ivy-League educated man and has no significant medical or psychiatric history, and no family history of psychiatric disorders. About 1 month ago however, Mr. D began to smoke marijuana daily.
What is your differential for this patient? What work-up would you order? How would you treat his psychosis and catatonia?
"Psychosis and catatonia after dancing with a dangerous partner" by Surbhi Khanna, Jordan Rosen, Derek Blevins, and Pamila Herrington (Current Psychiatry)
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