Johns Hopkins Psychiatry Guide

Hallucinogen-Related Disorders

Albert Garcia-Romeu, Ph.D., Alexis S. Hammond, M.D., Ph.D., Denis Antoine, M.D.
Hallucinogen-Related Disorders is a topic covered in the Johns Hopkins Psychiatry Guide.

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DEFINITION

  • A group of substance-related disorders involving the ingestion of drugs classified broadly as hallucinogens
    • Hallucinogens include a variety of pharmacologically distinct substances including PCP, ketamine, LSD, MDMA, mescaline, psilocybin, DMT, DXM, ayahuasca, and salvia divinorum.
  • Hallucinogen-related disorders include:
    • Phencyclidine use disorder
      • Pattern of phencyclidine (PCP) or related substance (e.g., ketamine) use causing significant concern or harm, and decrease in functioning
    • Other hallucinogen use disorder
      • Pattern of hallucinogen use other than PCP (e.g., LSD, MDMA, psilocybin, salvia, mescaline, DXM, DMT) causing significant concern or harm, and decrease in functioning
    • Phencyclidine intoxication
      • Behavioral effects occurring after ingestion of PCP or a related substance (e.g., ketamine)
    • Other hallucinogen intoxication
      • Behavioral or psychological effects occurring after ingestion of a hallucinogen (other than PCP) such as LSD, MDMA, psilocybin, salvia, mescaline, DMT, DXM, or ayahuasca
    • Hallucinogen persisting perception disorder
      • Re-experiencing while sober the perceptual (often visual) disturbances experienced when an individual was intoxicated with a hallucinogen
    • Other phencyclidine-induced disorders
      • PCP-induced psychotic disorder (see schizophrenia spectrum), PCP-induced depressive disorder, PCP-induced bipolar affective disorder, PCP-induced anxiety disorder, PCP-induced intoxication delirium
    • Other hallucinogen-induced disorders
      • Other hallucinogen-induced psychotic disorder (see schizophrenia spectrum), other hallucinogen-induced depressive disorder, other hallucinogen-induced bipolar affective disorder, other hallucinogen-induced anxiety disorder, other hallucinogen intoxication delirium
    • Unspecified phencyclidine-related disorder
      • A PCP-related disorder causing significant concern or harm, and decrease in functioning, not meeting full criteria for any particular PCP-related disorders
    • Unspecified hallucinogen-related disorder
      • A hallucinogen-related disorder causing significant concern or harm, and decrease in functioning, not meeting full criteria for any specific other hallucinogen-related disorders

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Last updated: October 31, 2014