A paranoid psychosis, resembling amphetamine psychosis, caused by chewing Khat (stems and leaves from the plantCatha edulis) has been well described. Our case demonstrates the natural history of Khat psychosis which, in previous case reports, has been vigorously treated with major tranquillisers.
References
1.
DhadphaleMMengechHNKChegeSW.Maraa (Catha edulis) as a cause of psychosis. East African Medical Journal1981; 58:130–135.
2.
CritchlowSSeifertR.Khat induced paranoid psychosis. British Journal of Psychiatry1987; 150:247–249.
3.
OmoloOEDhadphaleM.Prevalence of Khat chewers among primary health clinic attenders in Kenya. Acta Psychiatrica Scandinavica, 1987; 75: 318–320.
4.
OngJ. Dept. of Agriculture. Personal communication.
5.
OmoloEDhadphaleM.Alcohol use among Khat (Catha) chewers in Kenya. British Journal of Addiction, 1987:8297–99.
6.
HalbachH.Medical aspects of the chewing of Khat leaves. Bulletin of the World Health Organisation1972; 47:21–29.
7.
GoughSPCooksonIB.Khat-induced schizophreniform psychosis in U.K. Lancet1984; 1: 455.
8.
1991 Census of population and housing. Australian Bureau of Statistics.
9.
Refugee, humanitarian and special assistance arrivals. Statistical Focus, Bureau of Immigration and Population Research; October 1993:9.