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Inhalant-Related Psychiatric Disorders - An Overview

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Inhalant-related psychiatric disorders are conditions where substances are used to cause an abusive state of euphoria.

Medically reviewed by

Dr. Vishal Anilkumar Gandhi

Published At September 20, 2022
Reviewed AtJanuary 12, 2024

What Are Inhalant-Related Psychiatric Disorders?

The inhalant-related psychiatric disorder also termed huffing, is a; condition where a person achieves a state of euphoria or gets high by using substances like glues, paints, fuels, or other volatile substances that are easily available. Huffing has been practiced for ages now but has gained popularity in recent years, and the graph of; people involved has remarkably surged; variable factors; can be the reason considered, like low cost; availability, peer influence, and rapid mood elevation. A significant correlation has been demonstrated between alcohol consumption and huffing, which states the; population that is alcoholic is most likely to be involved in activities like huffing. Adolescents involved carry out acts that can be fatal as well; thus various laws; have been implemented to control the practice of toxic inhalation but these are difficult to implement due to the inability to regulate and restrict the availability of the substance of abuse as these are the day-to-day used products.

What Is Substance Abuse and How Are They Used to Cause the Effect?

Substances of abuse or the products used in huffing mainly contain volatile liquids commonly made up of butane, lead, propane, toluene, ethyl acetate, or naphthalene.

The products that are commonly used due to their easy access and low cost are spray paint, permanent markers, correction fluid, glue, lighter fluid, hairspray, gasoline, kerosene, and mothballs. These substances are generally packed in a container, and the bottle is placed; over the mouth or nose and inhaled to obtain the desired state of euphoria. Abusive is also sprayed; directly into the nose or mouth, or applied over; the sleeves or collars of the dresses that are inhaled at intervals; the effect lasts for a short duration, and so the individuals; inhale the substances repeatedly.

What Effect Does an Inhalant Have on the Body and Organs?

After inhalation or abuse, a person enters a state of euphoria that is similar to a state of alcohol consumption, but the duration of effect is shorter in comparison to alcohol.

Effect of Inhalant on CNS:

Similar to other methods to gain the feeling of euphoria, inhalants also target the central nervous system, and the activity; of the brain is slowed down. An individual experiences the following symptoms:

  • Tremors and uncontrollable shaking on long-term use of abuse.

  • Seizures.

  • Euphoria (feeling high).

  • Dizziness.

  • Double or blurred vision as it also affects eyesight.

  • Change in personality and behavior due to damage to the brain.

  • Memory loss.

The abuse also affects other organs like the lungs, liver, kidney, peripheral nervous system, gastrointestinal system, muscles, and bones when used for long durations; the severity of the damage; depends on the quantity, frequency, and duration of the use.

The effect of inhalant is quick as the fumes dissolve in the fatty tissue of the brain within seconds of passing from nose to lungs to heart and brain; it can also; cause sudden sniffing death within seconds of inhalation, or cause permanent coma or paralysis, inability to think, talk, walk depending on the inhalant used.

Death after the use of inhalants may occur due to heart rhythm irregularities leading to cardiac arrest, suffocation, asphyxiation, or aspiration.

Who Engages in the Misuse of Inhalants?

Individuals from 14 - 15 years of age may use the inhalants at peak. Children from 5 - 6 years old are also abused. Studies show that there is a decline in the abuse rate from 17 - 19 years of age. Inhalant abuse happens more in males than females. Inhalant abuse happens in individuals with a history of depression, antisocial attitudes, physical abuse, etc.

How Is Inhalation Disorder Diagnosed?

Diagnosis of inhalant-related psychotic disorders is purely based on the signs and symptoms presented by the individual can range from mild headache and disorientation to life-threatening suffocation, irregular heart rate, etc. If a patient is brought to the emergency room and is usually in a state of euphoria and is disoriented, the vitals are elevated, breath smells like the odor of the substance of abuse, which can help confirm the diagnosis. Blood and specific urine analysis help to detect the quantity and the substance of abuse as inhalants are not detected by normal drug urine analysis. The clinical picture usually is presented as elevated liver enzymes; the gas chromatography; technique can also be used.

Differential Diagnosis:

As inhalant-induced psychiatric disorders resemble mental health disorders, the differential diagnosis is as follows:

Treatment mainly aims at discontinuing the inhalation and reverting the symptoms or controlling the further damage. Treatment options similar to other mental health disorders include cognitive behavioral therapy, family therapy, activity and engagement programs, and rehabilitation programs.

Inhalant Abuse or Overdose:

An inhalant overdose occurs when a large amount of toxic substance is inhaled, causing severe symptoms; or death. Inhalant overdose can occur to anybody, even the first-time; user as well; it does not; require you to be an abuser for a long period. It is usually caused by solvents and aerosol sprays that are highly concentrated with a large number of active ingredients; stop-sniffing deaths; usually occur due to suffocation when inhalation occurs in closed spaces or as the heart fails to function.

How Is Overdose Treated?

Inhalant overdose causes life-threatening symptoms including seizures; and cardiac arrhythmia, or the heart completely stops beating; therefore, the; primary treatment involves emergency room doctors who carry out symptomatic treatment to control the seizures and revert the function of the heart. No treatment modalities have been found to date to revert the effect of inhalant intoxication.

What Is the Common Clinical Side Effect of Inhalant Abuse?

The common clinical side effects of inhalant abuse include nausea, dizziness, confusion, headaches, impaired coordination, and damage to vital organs like heart, kidney, liver and brain

Conclusion:

Inhalant-related psychiatric disorders are conditions where individuals generally in the adolescent age group use abusive inhalants like paints, kerosine, and white markers to experience a state of euphoria similar to that of alcohol, but inhalant-infused; euphoria is short-termed, which leads to repeated; inhalation by the addict. The symptoms include euphoria, tremors, disorientation, slurred speech, blurred vision, etc. Its treatment includes symptomatic cures and therapies to promote discontinuing the habit to prevent further complications.

Frequently Asked Questions

1.

What Is an Inhalant-Related Disorder DSM-5?

It is an inhalant use disorder that occurs when people start using inhalers like aerosols, gas nitrates, and solvents for psychoactive effects. It also involves the abuse of glue, paint, fuel, or other volatile substances.

2.

What Is Inhalant Use Disorder?

Inhalant Use Disorder is a mental health condition characterized by the recurrent and problematic misuse of inhalable substances, leading to significant distress, impairment in daily life, and an inability to control or cease inhalant use even after knowing negative consequences.

3.

How To Treat Inhalant-Related Disorders?

Treatment for Inhalant-Related Disorders typically involves a combination of behavioral therapies, counseling, support groups, and, in some cases, medication. The specific approach depends on the severity of the disorder and individual needs. It's crucial to seek professional help for an accurate diagnosis and tailored treatment plan.

4.

What are Examples of Inhalant Abuse?

Examples of inhalant abuse include the misuse of common household products or chemicals to achieve a high. Some common substances abused as inhalants include:
- Aerosol Sprays: Deodorants, air fresheners, and spray paints.
- Solvents: Paint thinners, nail polish removers, and gasoline.
- Gases: Butane from lighters, propane, and nitrous oxide.
- Nitrates: Amyl nitrate, is used in some cleaning products.
- Nitrous Oxide: Found in whipped cream dispensers and some medical products.
- Volatile Substances: Glue, felt-tip markers, and correction fluid.

5.

What Is the Other Term for Inhalant?

Another term for inhalants is volatile substances. Both terms refer to substances commonly found in household products, solvents, and other materials that can be inhaled to produce a psychoactive or mind-altering effect.

6.

What Are Inhalants in Psychology?

Inhalants refer to substances that are deliberately inhaled to produce a psychoactive or mind-altering effect. These substances typically include common household products, solvents, aerosol sprays, and gases that, when inhaled, can result in a temporary high or altered state of consciousness.

7.

What causes Inhalant Allergy?

Inhalant allergies, also known as allergic rhinitis or hay fever, are primarily triggered by the immune system's response to certain substances in the air. It includes:
- Pollen from trees, grasses, and weeds is a significant trigger for seasonal allergies.
- Tiny organisms are found in house dust, bedding, and upholstery.
- Allergens from the skin, fur, or feathers of pets like cats, dogs, and birds.
- Airborne fungal spores, particularly in damp or humid environments.
- Cockroach Particles and droppings can be allergenic.

8.

What Is Mild Inhalant Use Disorder?

Mild Inhalant Use Disorder is a diagnosable mental health condition characterized by the misuse of inhalable substances, such as household products or chemicals, which results in some negative consequences and distress but does not meet the criteria for a more severe form of the disorder.

9.

How to Handle Inhalers?

Handling inhalers properly is essential for effective medication delivery. 
- Begin by washing hands to ensure cleanliness.
- Some inhalers require shaking before use. 
- Take off the cap from the inhaler.
- Exhale fully to prepare for inhalation.
- Create a good seal between the lips and the inhaler's mouthpiece.
- Start inhaling slowly and deeply through the mouth by pressing the inhaler. This should release a puff of medication.
- Hold the breath for around 10 seconds or as long as comfortably possible. This helps the medication reach the airways.
- Breathe out slowly.
- If multiple puffs are prescribed, wait about 1 - 2 minutes between each puff.
- Put the cap back on to protect the inhaler.
- Some inhalers need occasional cleaning. Follow the manufacturer's instructions.

10.

How to Avoid Inhalants?

Avoiding inhalant misuse is essential for health and well-being.
- Learn about the risks and dangers associated with inhalant abuse. 
- Understand the potential harm it can cause to the body and mind.
- Be aware of common household products, chemicals, and substances that can be misused as inhalants.
- Use paints, glues, and cleaning agents in well-ventilated areas to minimize inhalation exposure.
- Store household products and chemicals in a safe and secure location, out of reach from children and adolescents.
- Use products only for their intended purposes. Follow instructions and precautions on labels.
- Dispose of chemicals and products properly according to local regulations. Do not burn or intentionally inhale fumes.
- Support and engage in educational programs about inhalant abuse prevention, especially for children and teenagers.
- If struggling with substance abuse, including inhalant misuse, seek professional help. Reach out to a healthcare provider, counselor, or support group.
- Encourage healthy coping mechanisms and activities such as sports, hobbies, and creative pursuits to manage stress or boredom.

11.

What Are the Socio-Emotional Effects of Inhalants?

Inhalant abuse can lead to various socio-emotional effects, including depression, anxiety, irritability, social isolation, low self-esteem, cognitive impairment, aggressive behavior, strained relationships, diminished coping skills, and an overall decline in quality of life. These impacts can disrupt emotional well-being and social interactions, emphasizing the need for timely intervention and support to address both the physical and emotional consequences of inhalant misuse.

12.

What Is the ICD 10 Code for Inhalant Use Disorder?

The ICD-10 code for Inhalant Use Disorder, which falls under the category of Substance Use Disorders, is F18.1. This code is used to classify and identify cases involving problematic and recurrent misuse of inhalant substances that result in distress, impairment, and negative consequences.

13.

What Are the Comorbidities of Inhalant Use Disorder?

Comorbidities include other substance use disorders, mental health conditions like depression or anxiety, behavioral disorders like conduct disorder, impulse control disorders, trauma-related issues, learning disabilities, physical health concerns, and social challenges such as strained relationships and isolation.

14.

What Are the Four Effects of Inhalants on the Body Quizlet?

Inhalants can have various harmful effects on the body, including:
- Central Nervous System Effects: dizziness, lightheadedness, impaired coordination, and even loss of consciousness due to their impact on the central nervous system.
- Respiratory System Effects: respiratory depression, coughing, shortness of breath, and damage to lung tissues.
- Cardiovascular Effects: irregular heart rhythms, increased heart rate, and low blood pressure.
- Neurological Effects: cognitive deficits, memory impairment, and even permanent brain damage.

15.

Which General Anesthesia Belongs to Inhalants?

Common examples of volatile inhalation anesthetics include:
- Sevoflurane
- Desflurane
- Isoflurane
- Nitrous Oxide (N2O)

16.

What Are the Different Types of Inhalants and Solvents?

Volatile solvents, like paint thinners and gasoline, evaporate at room temperature and are inhaled for their mind-altering effects. Aerosols, such as spray paints and air fresheners, release chemicals under pressure when sprayed. Gases like nitrous oxide and volatile chemicals in household cleaning products can also be inhaled. Glue, adhesives, and even certain volatile chemicals in nail polish removers are misused for their intoxicating properties.

17.

How Do Inhalants Affect the Central Nervous System Quizlet?

The misuse of inhalants can result in a range of adverse effects, including distortion of perception, headaches, dizziness, coordination problems, and even the potential for brain damage.
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Dr. Vishal Anilkumar Gandhi
Dr. Vishal Anilkumar Gandhi

Psychiatry

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