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Culture War Roundup for the week of July 8, 2024

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Drugs can make people become psychotic (acutely/temporarily)

No kidding. I have a friend who I've known since undergrad. Very smart guy - graduated from high school early so he could play around with robotics, did an undergrad double major in math and philosophy, breezed through a T-5 law school and was doing really well for himself working BigLaw.

However, in addition to the smarts (or maybe as an adjunct to them) this guy was quite neurotic, and developed a quite serious fear of flying. Needless to say he wasn't happy about this, and so started self-medicating with THC whenever he needed to fly. This led to a discovery that he quite liked being high, and in short order he wound up escalating to quite heavy marijuana use.

I'm not sure how long he had this habit or how heavy his use had been, but one morning I got a call asking if I could come pick him up and maybe let him crash at my place for a couple nights...only to find out once I had got him that he was in the depths of full-blown (if well-mannered) psychotic incident, complete with auditory hallucinations, paranoia, insomnia, erratic behavior, and mania. I spent about 18 hours convincing this alien inhabiting my friend's body that no, the cars parked out front of my apartment weren't there to surveil him, that the faint sounds audible through the apartment walls was just my neighbor watching a movie, and that no he really didn't need to go find a gun store.

He eventually calmed down and I let him loose when he seemed clearly in control of himself again. Three days later he called and let me know that his doctors had told him it was THC-induced psychosis, and that he really needed to lower his dose. Fortunately it hasn't happened again, but man was that a weird moment.

One thing that has happened is that modern weed is stronger than older weed (and therefore people are more likely to have severe shit happen). Synthetic marijuana is popular in some communities and can also cause extremely severe issues.

For a fun one: too much caffeine (and stimulants of any kind) can also cause psychosis.

I love college students who are super crazy because they are drinking too many monsters and not sleeping. One of my favorite presentations. Consistently hilarious to see when you walk into the ED.

For a fun one: too much caffeine (and stimulants of any kind) can also cause psychosis.

A guy I knew a long time ago with no history of drug abuse got prescribed new sleeping pills (might have been Ambien), ”sleep walked” on those to taking an entire package of his ADHD meds (dexamphetamine) at once and promptly ended up in a psych ward due to acute amphetamine psychosis.

Ambien side effects include: sleep talking, sleep walking, sleep driving, sleep eating, death.

All the good drugs have death listed as side effect.