cocaine psychosis
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If anyone has had experience with cocaine psychosis (and not their own, I hope!) I'd like to hear what those experiences were. The son of a dear friend has been a cocaine abuser for a number of years. For most of that time, he managed to confine it to so-called "recreational" use, but in the last year has spiraled out of control. He began having classic paranoid delusions that his house was being monitored, there were cameras in the ceiling fans, etc. He also had auditory hallucinations.....an entire chorus of distinct, individual voices describing his every move and mocking him.
To make a long (and depressing) story short, he is currently not using & has been 'clean' for approximately 2 months. His psychiatrist rx'd Abilify for the hallucinations. He also takes Trileptal and Effexor (diagnosis of BiPolar 2)
Question: Just wondering how often permanent psychosis results from heavy cocaine abuse ( the research I've done is equivocal...maybe yes, maybe no); and would there be a risk in d/cing the Abilify at some point? Hate to think he would remain on a powerful antipsychotic indefinitely if it were not necessary. Anyone with any experience with this, please weigh in. Thanks
jackie