Psychosis has been a relatively uncommon reaction to cocaine in this century: with freebase, however, this reaction is no longer unusual. The purpose of this chapter is to highlight the rising abuse of freebase cocaine (also known as crack) from the standpoint of the clinical psychopathology of psychosis, arguably one of the most serious of cocaine manifestations. I would first like to define cocaine psychosis; second, to summarize some of what we know about this disorder; third, to relate that knowledge of the Bahamian experience with freebase psychosis; and finally, to suggest some ways in which our knowledge should develop.
KeywordsToxicity Depression Lithium Dementia Schizophrenic Disorder
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