The delirious puff

A delirious puff corresponds to the sudden and transient appearance of a delirious state. We speak of "thunderclap in a serene sky". Other terms refer to this disorder as "short psychotic disorder" or "acute delusional state".

The delirious puff was first described and studied in the nineteenth century in the clinical observations of Philippe Pinel, one of the precursors of psychiatry.

Acute delusional whiplash occurs suddenly in a teenager or a young adult, who sometimes has no psychiatric history. It is characterized by a delirium of sudden occurrence, whose themes and mechanisms are numerous. It can be associated with psychomotor agitation.

Delirious puffing requires urgent psychiatric care after eliminating any physical cause. Hospitalization is most often necessary, sometimes at the request of a third party, when the patient denies the disease. It requires a battery of additional tests, including a scanner, to check for the absence of neurological diseases. It will also seek a catch of toxic, in the blood and urine.

The treatment of the delirious puff is based on that of the cause, and on the taking of anti-delusional drugs (neuroleptics) and calming drugs (also called sedatives).

The episode may remain unique or mark the beginning of a psychiatric illness (schizophrenia or bipolar disorder, in particular). After a delirious puff, a psychological and psychiatric follow-up is necessary in order to prevent a relapse and, above all, to cure the psychic suffering.

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