Print Friendly   Leonard Lachover, MD Primary Psychiatry.
2007;14(1):70-72  Dr. Lachover is clinical assistant professor
in the Department of Psychiatry and Behavioral Neuroscience at
Wayne State University College of Medicine in Detroit, Michigan.
Disclosure: Dr. Lachover reports no affiliation with or
financial interest in any organization that may pose a conflict
of interest. Please direct all correspondence to: Leonard
Lachover, MD, Wayne State University, 9-B University Health
Center, Detroit, MI 48202; Tel: 313-966-2100; Fax: 313-966-4916;
E-mail:  Focus Points  • First-onset psychosis in a patient >30
years of age should alert the clinician to the possibility of
organic psychosis.  • Dextromethorphan is a common ingredient in
over-the-counter cough suppressants.  • When used in excessive
amounts, dextromethorphan has the potential to induce bizarre
feelings of dissociation, paranoia, and psychosis.   This
article presents a case of a 35-year-old woman presenting for
the first time in a severely agitat