title: Bath Salts Abuse Leading to New-Onset Psychosis and Potential for Violence.
abstract: BACKGROUND
  Bath salts have recently emerged as a popular designer drug of abuse causing significant hazardous effects on mental health and physical health, resulting in public health legislation making its usage illegal in the United States.
  
  
  OBJECTIVE
  To educate mental health providers on the effects of the new designer drug bath salts, including its potential to cause psychosis and violence in patients.
  
  
  METHODS
  This is a case report on a 40-year-old male with no past psychiatric history who presented with new-onset psychosis and increased risk for violence after ingesting bath salts. In addition, a literature review was performed to summarize the documented effects of bath salts abuse and the current U.S. public health legislation on bath salts.
  
  
  RESULTS
  The presented case illustrates a new-onset, substance-induced psychotic disorder related to bath salts usage. The literature review explains the sympathomimetic reaction and the potential for psychotic symptoms.
  
  
  CONCLUSIONS
  To discuss the physical and psychological effects of bath salts, treatment options for bath salts abuse and U.S. legislation by Ohio state law to current U.S. federal law that bans production, sale, and possession of main substances found in bath salts.
  
  
  CONCLUSIONS
  It is important for mental health providers to be aware of bath salts, understand the physical and psychiatric effects of bath salts and be familiar with current legislative policy banning its usage. Lastly, bath salts abuse should be in the differential diagnosis where psychosis is new onset or clinically incongruent with known primary presentation of a psychotic disorder.
authors.forename: Michelle E
authors.initials: ME
authors.lastname: John
authors.forename: Crystal
authors.initials: C
authors.lastname: Thomas-Rozea
authors.forename: David
authors.initials: D
authors.lastname: Hahn
mesh_terms: D000328:Adult; D015198:Designer Drugs / Q000009:adverse effects*; D006801:Humans; D013287:Illicit Drugs / Q000009:adverse effects* / Q000331:legislation & jurisprudence; D008297:Male; D011605:Psychoses, Substance-Induced / Q000209:etiology*; D011634:Public Health; D019966:Substance-Related Disorders; D013566:Sympathomimetics / Q000009:adverse effects; D014481:United States; D014754:Violence
chemical_list: D015198:Designer Drugs; D013287:Illicit Drugs; D013566:Sympathomimetics
keywords: Bath Salts; MDPV; Mephedrone; Synthetic Cathinones