Psychosis

From Anvita Health Wiki

Contents 1 More Specific Terms 2 Introduction 3 Etiology 4 Clinical-manifestations 5 Complications 6 Management 7 More General Terms 8 Additional Terms 9 References

More Specific Terms

• acute functional psychosis (AFP)
• bipolar affective disorder
• Korsakoff's syndrome (amnesic psychosis)
• psychosis, agitation & difficult behavior in the elderly
• puerperal psychosis; postpartum psychosis, puerperal bipolar disorder
• reactive psychosis
• schizophrenia
• steroid psychosis

Introduction

• Gross distortion or disorganization of a person's cognition, affective response, ability to recognize reality & communicate with others to the extend of interfering with the person's ability to cope with the demands of everyday life

Etiology

• organic

• Korsakoff's syndrome
• psychosis agitation in the elderly
• drug-induced psychosis

• steroid psychosis

• functional

• schizophrenia
• bipolar disorder
• acute functional psychosis

Clinical-manifestations

• hallucinations
• delusions

Complications

• fear, anxiety, paranoia
• self-injury, suicide
• violence
  
• disease interaction(s) of psychosis with functional incontinence

Management

• Assess risk for suicide
• Assess risk for violence
• Assess risk for medical instability
• Assess risk for inability to maintain self at home or in community
• Follow legal mandates if the person refuses help or disengages
• Perform mental status examination
• Assess need for functional & psychosocial support
• Determine whether person uses alcohol or substances in a way that should be a focus of treatment
• Identify psychosocial needs
• Discuss treatment options with person/family;

• select modalities to meet needs;
• obtain person or legal guardian agreement to treatment plan
• antipsychotics may be indicated for acute &/or chronic psychosis

• Provide psychosocial rehabilitation based on identified needs
• Reevaluate level of recovery & degree to which the treatment plan has met the person's needs
• Does the person require immediate hospitalization?

More General Terms

• psychiatric disease; behavioral disorder
• altered mental status (AMS)

Additional Terms

• brief psychiatric rating scale

References

1. Stedman's Medical Dictionary 26th ed, Williams & Wilkins, Baltimore, 1995
2. Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 1025-27
3. National Guideline Clearinghouse Management of persons with psychoses. Veterans Administration, Department of Defense. ngc-guideline: [1]
   - Structural neuroimaging in first-episode psychosis. National Institute for Health and Clinical Excellence (NICE) ngc-guideline: [2]

psychosis