“…Nevertheless, in recent years the khat habit has made its appearance in regions far from the areas of cultivation of the plant, and this is mainly due to the possibility of air-transporting the leaves. Thus, fresh khat is now marketed in Great Britain (Mayberry et al, 1984;McLaren, 1987), which is of concern because the consumption of this drug may result in toxic psychosis (Carothers, 1945;Dhadphale et al, 1981), and because its habitual use is characterized by moderate but often persistent psychic dependence (Eddy et al, 1965). Indeed, cases of khatinduced psychosis have now also been observed in Great Britain (Critchlow & Seifert, 1987;Gough & Cookson, 1984;McLaren, 1987;Pantelis et al, 1989) as well as in the United States (Giannini & Castellani, 1982).…”