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Brief Psychotic Disorder

Index

Criteria
Definition
Treatment ( Psychotherapy )
Treatment ( Pharmacotherapy )
Schizophrenia Diagnosis Flow Chart

Definition

Synonyms and related keywords: brief reactive psychosis, hysterical psychosis, reactive schizophrenia, transient psychosis, acute and transient psychotic disorders, ATPD, atypical psychosis, stress psychosis, psychogenic psychosis, cycloid psychosis, good-prognosis schizophrenia, yak, latah, koro, amok, whitiligo, thought disturbances, mood disturbances, mood disorders, substance-induced psychosis, bouffee delirante.

Some data suggest increased incidence of mood disorders in families of patients with brief psychotic disorder. Psychodynamic theories suggest that the psychotic symptoms occur because of inadequate coping mechanisms, as a defense against prohibited fantasy, or as an escape from a specific psychological situation. It must be understood that the individual perceives the stress as totally overwhelming. Neither biological nor psychological theories have been validated by carefully controlled clinical studies.

As with any other psychotic episode, the risk of harm to self and/or others increases with an acute episode of brief psychotic disorder. The disorder is more common in patients late in the third to early in the fourth decade of life. Cases have also been recognized later in life. According to an international epidemiologic study, incidence of the disorder was 2-fold higher in women than in men. Study reports in the United States indicate even higher incidence in women than in men. Some disorders have similar or even the same symptom. The clinician, therefore, in his diagnostic attempt has to differentiate against the following disorders which he needs to rule out to establish a precise diagnosis.

  • Psychotic Disorder Due to a General Medical Condition or a Delirium.
  • Substance-Induced Psychotic Disorder.
  • Substance-Induced Delirium and Substance Intoxication.
  • Mood Episode.
  • Schizophreniform Disorder.
  • Delusional Disorder.
  • Mood Disorder With Psychotic Features.
  • Psychotic Disorder Not Otherwise Specified.
  • Factitious Disorder, with predominantly psychological signs and symptoms.
  • Malingering.
  • Personality Disorders.

Associated Features

  • Learning Problem.
  • Hypoactivity.
  • Psychotic.
  • Euphoric Mood.
  • Depressed Mood.
  • Somatic or Sexual Dysfunction.
  • Hyperactivity

SEE: Schizophrenia.

Diagnostic Criteria - Mental Health made easy.

  • Presence of one (or more) of the following symptoms:

    • delusions
    • hallucinations
    • disorganized speech (e.g., frequent derailment or incoherence)
    • grossly disorganized or catatonic behavior

  • Duration of an episode of the disturbance is at least 1 day but less than 1 month, with eventual full return to premorbid level of functioning.

  • The disturbance is not better accounted for by a Mood Disorder With Psychotic Features, Schizoeffective Disorder, or Schizophrenia and is not due to the direct physiological effects of a substance ( e.g., a drug of abuse, a medication ) or a general medical condition.

Specify if:

  • With Marked Stressor(s) ( brief reactive psychosis ): if symptoms occur shortly after and apparently in response to events that, singly or together, would be markedly stressful to almost anyone in similar circumstances in the person's culture
  • Without Marked Stressor(s): if psychotic symptoms do not occur shortly after, or are not apparently in response to events that, singly or together, would be markedly stressful to almost anyone in similar circumstances in the person's culture
  • With Postpartum Onset: if onset within 4 weeks postpartum

Treatment ( Psychotherapy )

Adlerian Therapy
Behavior Therapy
Existential Therapy
Gestalt Therapy
Person-centered Therapy
Psychoanalytic
Rational-emotive Therapy
Reality Therapy
Transactional Analysis

Treatment ( Pharmacotherapy )

Clozaril
Compazine
Etrafon
Haldol
Haldol Decanoate
Inapsine
Lidone
Loxitane
Mellaril
Moban
Navane
Orap
Permitil
Prolixin
Prolixin Decanoate
Prolixin Enanthate
Proketazine
Risperdal
Serentil
Sparine
Stelazine
Taractan
Thorazine
Tindal
Trilafon
Vesprin

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