A wide range of psychiatric reactions include affective disorders (such as irritable, euphoric, depressed and labile moods psychological dependence and suicidal thoughts), psychotic reactions (including mania, delusions, hallucinations and aggravation of schizophrenia), behavioural disturbance , irritability, anxiety, sleep disturbances, cognitive dysfunction including confusion and amnesia have been reported for all corticosteroids. Reactions are common and may occur in both adults and children. In adults, the frequency of severe reactions was estimated to be a 5-6%. Psychological effects have been reported on withdrawal of corticosteroids; the frequency is unknown
Anders Breivik , known as Norway’s “laughing gunman,” killed 77 people, many of them children, in 2011. Norway officials amassed pages and pages of analysis of the horrific crime, but almost nobody noticed that the smirking Breivik was taking large quantities of mind-altering chemicals, the Daily Mail reported . In this case, the substances are an anabolic steroid called stanozolol, combined with an amphetamine-like drug called ephedrine, plus caffeine. The authorities and most of the media were more interested in his non-existent belief in fundamentalist Christianity, the Mail reported.
Many individuals who develop the symptoms of Wernicke’s encephalopathy will be able to live a full life in recovery. The change from addiction to sobriety will require an effort, however. The person will need to develop a whole new way of dealing with life. This should be a way of living which is more satisfying than anything they have experienced before. Those who have abused alcohol to such an extent that they have developed encephalopathy will often need a lot of support to stay free of their addiction – at least in the beginning. This initial help can be found in rehab or from other recovery options. It is also important that chronic alcoholics are medically supervised during alcohol withdrawals if they are at risk of delirium tremens .