Put your knowledge and skills to the test with the case of a 17 year old male who presents to hospital after a suicide attempt in which he ingested 24 diphenhydramine tablets, and was found by his parents acting inappropriately and talking to the walls of the house, as well as to birds and trees. The patient reported that a week earlier he had broken up with his girlfriend and since then has been experiencing depressed mood, difficulty sleeping, fatigue, anhedonia, trouble concentrating, and psychomotor retardation. The patient also reported a history of gender identity and gender dysphoria struggles.
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)
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)
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