BRIEF PSYCHOTIC DISORDER

BRIEF PSYCHOTIC DISORDER

Brief Psychotic Disorder (also called brief reactive psychosis) is an acute psychosis that lasts less than a month, accompanied by a complete recovery. There are delusions, hallucinations, disorganized speech, and grossly disorganized or catatonic conduct throughout the psychosis. This condition contributes to severe personal distress, work instability, social dysfunction, or damage to others.

This form shortly occurs after a trauma, such as the death of a loved one, an accident, an attack, natural disaster, or significant stress. It’s basically a reaction to an incident that is upsetting.

Studies show that a real brief psychotic episode occurs anywhere from one to four per 100,000 people, more often in women than in men, and does not progress to another medical illness.

Typically, this condition occurs in individuals aged 30-50 years, and an episode appears to last an average of 17 days. This varies somewhat from individuals suffering from every first-time psychotic episode that occurs every year in around 100,000 adolescents and young adults in the United States, has a peak onset between 15-25 years of age, and affects males vs. females more.

SYMPTOMS

The following can include signs and symptoms of brief psychotic disorder:

Hallucinations: Someone can hear voices, see objects that are not there, or feel sensations on their skin even if their body is not touched by something.

Delusions: Those are false convictions that someone, even in the face of evidence, refuses to give up.

There are other symptoms:

  • Disorganized thinking
  • Speech or language which makes no sense
  • Unusual conduct and dress
  • Remembrance problems
  • Disorientation or misunderstanding
  • Changes in eating or sleeping habits, weight or energy levels
  • Not being capable of making choices

DIAGNOSIS

There is no known specific examination, such as an X-ray, that can reliably diagnose a person with a brief psychotic disorder. Individuals who are worried that they may suffer from this disease can consider taking an online or printable self-test, such as the Yale PRIME Screen, the Youth Psychosis at-Risk Examination, the Schizophrenia Test, or the Predictor of Early Psychosis.

Health care providers will administer a mental health interview to decide whether a person suffers from a brief psychotic illness and checks for some background and the existence of signs, also called diagnostic criteria, that have been previously identified.

It also prevents short psychotic illness from being misdiagnosed as another psychotic disorder or delirium (sudden confusion caused by a mental or medical disorder). Since there are some signs (traits) of the condition, the mental health examiner can conclude that the individual does not completely qualify for the diagnosis.

When testing for brief psychotic illness, the evaluator would probably ask whether the person’s symptoms occur for the appropriate period of one day to one month and are not best explained by a mood disorder.

TREATMENT

Brief Psychotic Illness is treated with treatment for antipsychotic use. The antipsychotic drug is slowly phased out until the patient fully recovers. The diagnosis must be changed to another, longer-lasting, psychiatric illness after one month if the psychosis returns.

Since people with a brief psychotic illness are at elevated risk of depression, a significant recovery aspect may be drugs that address that symptom. These include serotonergic drugs, such as:

  • fluoxetine (Prozac),
  • sertraline (Zoloft),
  • paroxetine (Paxil),
  • citalopram (Celexa), and
  • escitalopram (Lexapro)

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