Psychotic disorder of undetermined origin, possibly related to substance use

Abstract

We present the case of an 18-year-old man referred to the Emergency Department of the University Hospital of Badajoz for psychotic symptoms, behavioural disturbances, personality change and drug use of five years’ evolution, with an intensification of these symptoms over the last two months. Through clinical-pathological correlation, a diagnosis of psychotic disorder of undetermined origin was reached. The aim is to develop an individualized care plan for a person with a possible substance-induced psychotic disorder. The nursing diagnoses formulated were: acute confusion [00128], social isolation [00053] and ineffective health self-management [00276]. The patient was treated with a combination of neuroleptics, benzodiazepines and group and individual cognitive-behavioural therapy. In addition, tests were carried out to rule out neurological diseases. The case is presented below, covering relevant aspects of the clinical picture, the objectives set and the interventions performed.