Delirious puff: the treatments

An acute delirious puff is an emergency. It often requires hospitalization of the patient against his will because he does not consider himself delusional and refuses the proposed care (law of 27/06/1990).

Hospitalization and antipsychotic treatments (neuroleptics) can give way to delirium. They can be administered intramuscularly if the person refuses to ingest them by mouth. During this emergency period, it is recommended to distance relatives to prevent them from attending potentially violent scenes. This distance helps relieve guilt on both sides, and limit stimulation around the patient. It is important, however, to inform and accompany families. And to reintegrate them little by little in the support of the sick person.

After the acute phase, regular psychiatric follow-up is mandatory even if the person no longer has any symptoms. Treatment will be continued between six months to one year.

If the person has signs beyond six months, this may be the first episode of a psychiatric illness. Indeed, in one-third of the cases, the delirious puff evolves towards a schizophrenia. In another third, to bipolar disorder. In this case, a background treatment, to be taken in the long term, will be proposed. In the remaining third, the delirious puff can be repeated and remained isolated.

It is important to associate psychotherapeutic support with the prescription of drugs, in order to accompany the person towards a psychological well-being. This can include therapeutic education, cognitive and behavioral therapy, psychological support, art therapy, etc.

Some therapies, if indicated, should be conducted with great expertise and vigilance, such as mindfulness meditation, hypnosis, art therapy, etc. The delusional whiff sign a psychological fragility that requires to be accompanied in a clear and reliable therapeutic framework, if possible with several stakeholders, and always coordinated by a psychiatrist.

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Go see a shrink: how to find the right? Which psychotherapy to choose?
Obsessive Compulsive Disorder (OCD)
Overcoming your phobias and anxiety disorders

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