Dr. John Kruse

So it's a cousin, but methamphetamine, we know, has higher rates of psychosis, higher rates of addiction. This tends to be more rewarding. But Again, in that population, and many of them would hide that history from me, but I think that the very first person I had with amphetamine-induced psychosis, a guy in his 40s, HIV positive for years. This was back in early, mid-90s.

So it's a cousin, but methamphetamine, we know, has higher rates of psychosis, higher rates of addiction. This tends to be more rewarding. But Again, in that population, and many of them would hide that history from me, but I think that the very first person I had with amphetamine-induced psychosis, a guy in his 40s, HIV positive for years. This was back in early, mid-90s.

was able to finish school in his mid 40s, get a good paying job in two years on stimulants, and then had a full-blown psychotic episode where his dad had died of a heart attack 10 years earlier. He was threatening his mom because he believed his mom had poisoned her. He flew over to Rhode Island where she was living.

was able to finish school in his mid 40s, get a good paying job in two years on stimulants, and then had a full-blown psychotic episode where his dad had died of a heart attack 10 years earlier. He was threatening his mom because he believed his mom had poisoned her. He flew over to Rhode Island where she was living.

was able to finish school in his mid 40s, get a good paying job in two years on stimulants, and then had a full-blown psychotic episode where his dad had died of a heart attack 10 years earlier. He was threatening his mom because he believed his mom had poisoned her. He flew over to Rhode Island where she was living.

He was making threats from a payphone and because Rhode Island's so small, he was actually calling from out of state, so it was a federal crime. He got thrown in federal prison for this. And he stayed psychotic for months after he wasn't using anything. But it later turned out he had had a psychotic episode 10 years earlier on street meth, which he lied about. when I did the evaluation.

He was making threats from a payphone and because Rhode Island's so small, he was actually calling from out of state, so it was a federal crime. He got thrown in federal prison for this. And he stayed psychotic for months after he wasn't using anything. But it later turned out he had had a psychotic episode 10 years earlier on street meth, which he lied about. when I did the evaluation.

He was making threats from a payphone and because Rhode Island's so small, he was actually calling from out of state, so it was a federal crime. He got thrown in federal prison for this. And he stayed psychotic for months after he wasn't using anything. But it later turned out he had had a psychotic episode 10 years earlier on street meth, which he lied about. when I did the evaluation.

So the other high risk group I had was I was known in San Francisco as someone who worked with adults with ADHD at the early stages of recognizing ADHD. So, and I was comfortable with the broader range of stimulant dosages and many providers are. So I had people who had, and they were all young white males, straight males who had

So the other high risk group I had was I was known in San Francisco as someone who worked with adults with ADHD at the early stages of recognizing ADHD. So, and I was comfortable with the broader range of stimulant dosages and many providers are. So I had people who had, and they were all young white males, straight males who had

So the other high risk group I had was I was known in San Francisco as someone who worked with adults with ADHD at the early stages of recognizing ADHD. So, and I was comfortable with the broader range of stimulant dosages and many providers are. So I had people who had, and they were all young white males, straight males who had

I don't know how many of those demographics are relevant, but who had histories of taking stimulants, having a psychotic episode, again, being really paranoid. And again, the numbers aren't huge, but at least five people with this general profile.

I don't know how many of those demographics are relevant, but who had histories of taking stimulants, having a psychotic episode, again, being really paranoid. And again, the numbers aren't huge, but at least five people with this general profile.

I don't know how many of those demographics are relevant, but who had histories of taking stimulants, having a psychotic episode, again, being really paranoid. And again, the numbers aren't huge, but at least five people with this general profile.

But even though they were paranoid, even though they were severely impaired enough that each of them wound up in a psychiatric inpatient hospital, which is pretty hard to get into in this day and age or even 20 years ago, they all liked something about the experience enough that they all wanted to get back on. And all of them knew enough to lie about this past.

But even though they were paranoid, even though they were severely impaired enough that each of them wound up in a psychiatric inpatient hospital, which is pretty hard to get into in this day and age or even 20 years ago, they all liked something about the experience enough that they all wanted to get back on. And all of them knew enough to lie about this past.

But even though they were paranoid, even though they were severely impaired enough that each of them wound up in a psychiatric inpatient hospital, which is pretty hard to get into in this day and age or even 20 years ago, they all liked something about the experience enough that they all wanted to get back on. And all of them knew enough to lie about this past.

So they didn't tell me about, you know, they presented. All of them also had ADHD. You know, they presented with ADHD. They'd say, I've been on stimulants before, and I'm not working with that doctor because my insurance changed or they had moved to the area. So they gave plausible histories, and most of those, within a month or two of restarting it, wound up back in the psychiatric hospital.

So they didn't tell me about, you know, they presented. All of them also had ADHD. You know, they presented with ADHD. They'd say, I've been on stimulants before, and I'm not working with that doctor because my insurance changed or they had moved to the area. So they gave plausible histories, and most of those, within a month or two of restarting it, wound up back in the psychiatric hospital.

So they didn't tell me about, you know, they presented. All of them also had ADHD. You know, they presented with ADHD. They'd say, I've been on stimulants before, and I'm not working with that doctor because my insurance changed or they had moved to the area. So they gave plausible histories, and most of those, within a month or two of restarting it, wound up back in the psychiatric hospital.