A Paradoxical Reaction to Lorazepam Prescribed for a Young Person With New Psychotic Symptoms Related to Insomnia: A Case Report

Paradoxical reactions are uncommon consequences of benzodiazepine treatment. Despite the frequency of lorazepam use in acute psychiatric care, we are not aware of previous reports of paradoxical reactions to lorazepam in children and young people. We report here a case of such a reaction in a 16‐year‐old who presented to a local Accident and Emergency Department with acute psychiatric symptoms secondary to insomnia. We note that there are challenges to correctly identifying paradoxical reactions among children and young people in acute medical environments, where time pressures are acute. However, recognition is important for appropriate ongoing care, and related support for those working in these contexts may be beneficial.