June 26, 2020

Meth Induced Psychosis – Withdrawal, Symptoms, and Treatment

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Medicially Reviewed By:
Dr. Priya Chaudhri
credentials here


Methamphetamine is a stimulant that can be consumed orally, intravenously, or nasally. Methamphetamine is similar in chemical formation to amphetamine, the common drug used to treat ADHD. Forms of methamphetamine are referred to meth, speed, ice, crank, and crystal. Methamphetamine is highly addictive and can cause severe psychological effects during withdrawal.

Like many substances, methamphetamine produces both short-term effects and long term side effects. There are many long term effects of methamphetamine abuse, one of which is meth induced psychosis. Prolonged abuse of methamphetamine may also cause weight loss, “meth mouth,” extreme anxiety, and mood swings. A 2001 study found that meth abuse can also cause impaired memory and motor skills.

Meth AddictionMeth Withdrawal Symptoms

One of the most common withdrawal symptoms of crystal meth is craving for more of the drug. This is fairly common among stimulants and other illicit substances. Although meth withdrawal symptoms are unlikely to be lethal, it’s imperative that the individual seek help. The depression, psychosis, and mood swings that may arise can lead a person to become suicidal or violent.

Symptoms of methamphetamine withdrawal include:

  • Meth cravings
  • Vivid dreams
  • Decreased motor function
  • Irregular sleeping patterns
  • Suicidal ideation
  • An inability to feel happy (anhedonia)
  • Overeating/increased appetite
  • Depression and/or mood swings
  • Meth induced psychosis
  • Involuntary spasms and twitches

Symptoms generally last anywhere from a few days to a couple weeks. Meth leaves the body fairly quickly, resulting in withdrawal symptoms that come on quickly and strongly and can subside more quickly than withdrawal symptoms of other drugs. Each individual is different, and withdrawal may manifest differently from person to person.

What is Meth Induced Psychosis?

Meth induced psychosis is perhaps one of the most well-known symptoms of methamphetamine abuse. Drug induced psychosis can be dangerous, painful for all involved, and quite scary. Meth induced psychosis is a state that generally comes about during the withdrawal process. It may also arise from overdose, which is often referred to as being “spun” or “tweaking.”

The APA (American Psychiatric Association) defines psychosis as the presence of both hallucinations and delusions. Drug induced psychosis can put the individual at great risk of causing harm to themselves or others, as they are often not aware or perceptive of the world around them. Crystal meth psychosis can last for a period of a few days up to a few months in more severe cases.

About Methamphetamine

Methamphetamine is a powerful synthetic stimulant drug that interacts with the brain region called the limbic system. This part of the brain regulates mood, impulsivity, and the fight-or-flight response. When this brain region is over-stimulated the individual may react with intense paranoia, hallucinations, and aggression. Chronic meth use can induce the symptoms of psychosis because of the pathological brain changes that take place.

Because methamphetamine releases large amounts of dopamine, the brain registers the experience in the reward center, setting up the brain to desire a repeat of the euphoric effects. The drug is highly addictive, with some individuals becoming addicted after just a few uses of the drug and then rapidly increasing meth consumption. Meth induced psychosis develops in 26%-46% of habitual meth users, according to a 2014 article published in Therapy in Practice.

Methamphetamine short-term effects include euphoria, hyperactivity, heightened alertness, increased energy, agitation, reduced appetite, reduced need for sleep, irritability, aggression, hypersexuality, mania, disturbed and speech patterns. Long-term meth use can lead to extreme tooth decay and tooth loss, “meth-mites,”high blood pressure, liver damage, malnutrition, kidney damage, heart attack, stroke, depression, and psychosis. In fact, according to a report by the DEA (Drug Enforcement Agency), in 2016, over 100,000 emergency department visits related to methamphetamine, and at its peak in 2005, methamphetamine was responsible for almost 4,500 deaths in the U.S. alone.

How Addictive is MethMeth Induced Psychosis Symptoms

Like any withdrawal symptoms, severity may vary from individual to individual. Generally, meth induced psychosis symptoms may include:

  • Hallucinations (auditory, visual, olfactory, tactile, or gustatory)
  • Delusions (grandeur, persecution, reference, somatic)
  • Obsessive behavior
  • Paranoia
  • Aggressiveness

Hallucinations may occur at any of the five senses. The individual may hear sounds that are not really there, such as voices, noises of people moving around, or static. They may experience visual hallucinations, seeing movement from still objects or seeing things that are simply not present. The person may smell an extremely unpleasant smell wherever they go. They may feel things on the skin that aren’t there, causing the itching and scratching often seen in long-term meth abusers. They may also believe their food to taste strange.

Delusions can arise in a number of different ways. One of the most common delusions is that of persecution, or believing that others are out to harm them. Delusions of grandeur are also common, which is when the user believes they are special in some way or chosen. Delusion may also arise as the belief that random events are connected or important to the individual, as the belief that they are under someone else’s control, or that their body is changing in some way.

The combination of delusions and hallucinations can lead to aggressive and violent behavior. This may manifest in fits of rage, unexplained anger, and/or misdirected fury.

Obsessive behavior is common among meth users, especially those experiencing psychosis. Those experiencing meth psychosis may compulsively clean, repeat a behavior such as tapping or twitching, or take things apart and put them back together.

Paranoia is a common effect of meth-induced psychosis. Paranoia is described as intense irrational fear experienced by the individual that someone is after them, watching them, following them, or out to do them harm.

Aggressive behavior, including acute violent outbursts and agitation.

meth addiction effectsMETH PSYCHOSIS TREATMENT

There are many drugs used to treat meth-induced psychosis. Some drugs may help ease the person down from psychosis, while others can reduce cravings. In the long term, meth addicts benefit from psychotherapy and appropriate addiction treatment. Drugs used to treat ice psychosis may include antidepressants, anticonvulsants, antipsychotics, and stimulants.

People experiencing psychosis need proper medical attention. Without care, meth induced psychosis can result in a lot of harm being caused. With professional care, those experiencing psychotic symptoms can recover and live a healthy life. Although symptoms of meth abuse may last for some time, a team of clinicians and professionals can help the individual to regain control over their lives.

Treatment for Methamphetamine Addiction

Obtaining professional treatment for a meth addiction or dependency is imperative in reducing the incidence of meth psychosis. By the individual receiving psychosocial treatment, especially cognitive therapies, as well as continuing care services to prevent the risk of relapse, the individual increases their ability to overcome the meth addiction and avoid meth psychosis.

Meth recovery begins with a medical detox during which the individual will cycle through several days of withdrawal symptoms as the body rids itself of the drug and attempts to stabilize. Meth withdrawal symptoms include:

  • Fatigue
  • Excessive sleepiness
  • Increased appetite
  • Dry mouth, jitteriness
  • Lethargy
  • Depression
  • Drug cravings
  • Mental confusion
  • Psychoses, including hallucinations, delusions, and paranoia

The next phase of methamphetamine recovery is the addiction treatment phase. Most individuals with a meth addiction will require a residential rehab program for a minimum of 60 days. The program will provide 24-hour support and monitoring while offering a multi-dimensional course of therapeutic activities. Each individual will receive an individualized treatment plan that will be aligned with his or her own specific substance use disorder. This provides a more targeted approach to treating the unique features of each substance of abuse.

Treatment for methamphetamine addiction with include:

  • Cognitive behavioral therapy. CBT is intrinsic to helping individuals overcome habitual behavior patterns that are in response to disordered thoughts. CBT helps individuals identify the irrational or negative self-messaging and then to replace this with positive, constructive thoughts that lead to healthy behaviors.
  • Group therapy. Peer-based therapy is a core element in addiction recovery. The small groups provide an opportunity for the members of the group to interact directly with each other, discussing personal experiences and offering each other support.
  • Medication management. Depending on the severity of the methamphetamine addiction and whether there was meth-induced psychosis present, the individual may be placed on certain psychotropic medications. These may include benzodiazepines or anti-psychotic drugs.
  • Addiction education. These classes teach the individual in recovery coping skills for avoiding triggers and relapse in order to reinforce total abstinence.
  • Holistic practices. Part of the process of restoring psychological and physical health after a methamphetamine addiction is learning how to regulate stress. Rehabs now include activities, such as yoga, mindfulness training, art therapy, and equine therapy, to help teach individuals how to promote relaxation and avoid stress.

If you or somebody you know is struggling with methamphetamine addiction, call us today at (888) 561-0868 .

Our team of experts is here to help you.