Citation

Bell G. Nord. Psykiatr. Tidsskr. 1991; 45(6): 437-441.

Copyright

(Copyright © 1991, Scandinavian University Press)

DOI

10.3109/08039489109106169

PMID

unavailable

Abstract

No consensus exists as to the classification, diagnosis, and management of steroid-induced psychiatric disorders (SIPDs). SIPDs should be seen as a spectrum of disorders both in type and severity, ranging from minor symptoms such as insomnia, restlessness, irritability, and euphoria to the more severe steroid psychoses, such as disturbance of mood, belief, cognition, or behavior or any combination of these symptom groups. Initial treatment strategies include division of the daily dose of corticosteroids into 3 or 4 aliquots or dose reduction. If psychiatric symptoms are severe or persist, neuroleptic medication should be prescribed. Female sex and steroid dosage have been identified in severe psychiatric reactions. 93% of SIPD patients recover, 4% have recurrent symptoms, and 3% commit suicide. (PsycINFO Database Record (c) 2016 APA, all rights reserved)

Keywords

classification & diagnosis & management of corticosteroid induced psychiatric disorders; Corticosteroids; Drug Therapy; Mental Disorders; Side Effects (Drug)