The patient previously had a two year history of depression, and has a history of substance abuse and dependence including cannabis, MDMA, diphenhydramine, robitussin, and hydrocodone. He has had no contact with his biological mother since he was a child, and he has been a victim of bullying at school. The patient is currently treated with psychotropic medications and meets regularly with a psychiatrist. He reports that this is his first suicide attempt.
Can you determine the cause of this patient's hallucinations? How would you treat this overdose?
"Acting Strange After Trying to Get 'Numb'" by Muhammad Puri, Edward Hall, Matthew Erisman, Yazan Vwich (Current Psychiatry)