Alcoholic delirium occurs in the second stage of alcoholism, after years of the existence of alcohol withdrawal syndrome. Develops paranoid, usually on the first day after the end of many days alcohol abuse. Often the appearance of alcoholic delusions of persecution precedes a longer soak, or an increase in daily doses of alcohol. First noted sleep disturbances, mood is ill depressed, increased irritability. There is confusion, anxiety, fear, and in some cases – hallucinations. The interval from the emergence of more vague fears before the full confidence to the top harassment can take from several hours to several days.
The patient begins all deeds of the surrounding people, their gestures, facial expressions, individual words and whole phrases interpreted as a manifestation of actions and intentions towards against him. He feels that others are going to kill him or out of revenge or for the purpose of mastering his property, or by some yet unknown to him motives. Of these patients can guess the motives of phrases and gestures pursuers. One word spoken in their presence, may become the basis for the profound confidence not only in the character of the impending massacre, but the details of its implementation. Typically, patients are quite firmly know the motives the ongoing persecution against them. A particular variant of alcoholic paranoia is delusion of jealousy (usually they are suffering men over forty years). Such patients feel that their wife is wrong, that it changes with numerous lovers, even to their relatives, for example, brother, uncle, etc.
The patient's wife threatened with death for treason. Any conviction that is all it just seems to not be sick, but rather argues that it still wants to present fool. Under the influence of delusions such person may have committed a serious crime, it is extremely dangerous and socially. Alcoholic delusions of persecution may last from several days to several weeks. Help in alcoholic paranoid: a challenge to the psychiatrist, if necessary – hospitalization. After the first phase of treatment (relief of withdrawal or acute intoxication in a hospital outpatient or home) patients voluntarily offered to go to the second and third phase (respectively: postabstinentnyh correction of mental disorders and anti-therapy).