Which type of hallucinations may occur during stimulant acute intoxication?

• A. Auditory hallucinations only
• B. Auditory, visual, and tactile hallucinations
• C. Visual hallucinations only
• D. Tactile hallucinations only

Answer: (B)

Stimulant acute intoxication can produce a psychotic picture with multiple sensory misperceptions because the drugs heighten dopaminergic and other neurotransmitter activity in brain circuits that regulate perception. This can lead to hallucinations across more than one modality. In practice, patients may hear voices (auditory), see things that aren’t there (visual), and feel sensations on or under the skin (tactile), such as bugs crawling on or under the skin. So the phenomenon is not limited to a single sense; all three modalities can be involved, which is why selecting the option that includes auditory, visual, and tactile hallucinations best fits stimulant intoxication. The other options are too restrictive because they specify only one sensory modality.