Cocaine-induced Psychotic Disorder

Cocaine-induced psychotic disorder is characterized by hallucinations, delusions, or disorganized behavior temporally associated with cocaine use. Etiology involves excessive dopaminergic stimulation, genetic susceptibility, and chronic exposure. Clinically, patients present with acute psychosis, agitation, and impaired reality testing, necessitating urgent evaluation. Diagnosis requires temporal association with cocaine use and exclusion of primary psychotic disorders. Management includes cessation of cocaine, supportive care, and short-term antipsychotic therapy if needed. Prognosis is favorable with abstinence, although repeated use increases the risk of persistent psychotic episodes.