![]() No other mental disorder could be diagnosed. He fulfilled the criteria for inhalant dependence syndrome by international classification of diseases-10 as well as by DSM-IV. A detailed workup by a psychiatrist and a clinical psychologist was done. He admitted to his problems with inhalant abuse but did not show any eagerness to get rid of the habit instead, it appeared that he did not want to miss the high he experienced from the use of kerosene. In spite of rigorous efforts by his parents and family members, he could not outgrow this habit. No other features of conduct disorder were present. The cessation of fuel storage at home prompted him to steal money as well as to tell lies to procure money. ![]() His scholastic performance had deteriorated. He admitted of not being able to remain without inhaling for more than a week. He would ingest or inhale only when alone he would feel “nice” and “happy” and would continue to do so until he felt drowsy, only to lock himself into a room for a good 2 h sleep. He reported a consumption of approximately 250 ml of kerosene, which he managed to buy for Rs 10-15 in his village. A pattern of use started that landed him into the habit of ingesting kerosene or petrol. He liked the smell of kerosene, which had prompted him to experiment by inhaling through the mouth of a kerosene container. The boy was using kerosene by inhalation when sufficient quantity was not available for ingestion. Thus, inhalant abuse and dependence may be a marker of global vulnerability rather than an isolated problem.Ī 14-year-old boy was brought to the psychiatry outpatient department for having problems due to inhalation and ingestion of kerosene and petrol since 2 years. Adolescents who meet the criteria for dependence or abuse report coexisting delinquent behaviors, multiple drug abuse and dependence, and utilize mental health services for other emotional problems. The use of inhalants is associated with a feeling of euphoria which is intensified by the hypercapnia and hypoxia caused by rebreathing from a closed bag. ![]() The pattern of use include sniffing or snorting, huffing, and bagging. ![]() Commonly used inhalants include gasoline, glue, spray paints, solvents, cleaning fluids, and the other assorted aerosols. Although inhalants include glue, gasoline, anesthetic gases, and nitrites, epidemiological and pharmacological differences prompt only the former to be grouped as inhalants. Diagnostic and statistical manual-IV (DSM-IV) identifies inhalant-use disorders with the maladaptive pattern of use and inhalant-induced disorders with the toxic effects of the inhaled substances. Traditionally, inhalant-related disorders have been classified as inhalant-use disorders and inhalant-induced disorders. ![]()
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