Psychosocial Problems Experienced by Patients Diagnosed with Substance-Induced Psychosis

Substance-induced psychosis (SIP) is a clinical condition in which psychotic symptoms occur during intoxication or withdrawal related to psychoactive substance use. Beyond psychotic symptoms, SIP may lead to significant psychosocial problems that affect individuals socially, within the family, at work, and in emotional and behavioural functioning. This review aims to comprehensively examine the psychosocial problems experienced by individuals diagnosed with SIP based on the available literature. Evidence indicates that these individuals commonly experience social isolation and withdrawal, stigma and exclusion, loss of roles and functioning within the family, unemployment and financial difficulties, difficulties in emotion regulation, hopelessness, aggression, depressive symptoms, and other behavioural problems. These problems negatively affect treatment adherence, overall functioning, and quality of life. Therefore, in addition to pharmacological treatment, psychosocial dimensions should be addressed in the management of SIP. In this process, psychiatric nurses should take an active role in assessment, supportive interventions, and continuity of care.