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Psychotic disorders
• Psychotic disorders are a group of
serious illnesses that affect the mind.
• These illnesses alter a person's ability to
think clearly, make good judgments,
respond emotionally, communicate
effectively, understand reality and
behave appropriately.
• When symptoms are severe, people with
psychotic disorders have difficulty staying in
touch with reality and often are unable to
meet the ordinary demands of daily life.
• However, even the most severe psychotic
disorders usually are treatable.
Schizophrenia
Schizoaffective
disorder
Schizophreniform
disorder
Brief psychotic
disorder
Delusional disorder
Shared psychotic
disorder
Substance-induced
psychotic disorder
Psychotic disorder
due to a medical
condition
Paraphrenia
People with this illness have changes in
behavior and other symptoms –
such as
delusions and hallucinations
that last longer than six months,
usually with a decline in work,
school
and
social functioning.
People with this illness have symptoms
of both
schizophrenia and a mood disorder,
such as
depression or bipolar disorder.
People with this illness
have
symptoms
of
schizophrenia,
but the symptoms last
more than one month
but less than six months.
People with this illness
have
sudden, short periods of psychotic behavior, often
in response to a very stressful event, such as a
death in the family.
Recovery is often quick -- usually less than a month.
People with this illness have
delusions involving real-life situations that
could be true,
such as being followed,
being conspired against or having a disease.
These delusions persist for at least one month.
This illness occurs
when a person
develops
delusions in the
context of a
relationship with
another person
who already has
his or her own
delusion(s).
This condition is caused by
the use of or withdrawal
from some substances,
such as alcohol and crack
cocaine,
that may cause
hallucinations, delusions or
confused speech.
Hallucinations, delusions or other
symptoms may be the result
of another illness
that affects brain function,
such as a head injury
or
brain tumor.
This is a type of schizophrenia that starts
late in life
and
occurs in the elderly population.
Paraphrenia is a mental disorder
characterized by an organized system of
paranoid delusions with or
without hallucinations without deterioration of
intellect or personality
Symptoms of Psychotic Disorder
Symptoms vary from person to person and may
change over time.
The major symptoms of psychotic disorders are
hallucinations and delusions.
Other possible symptoms of psychotic illnesses
include:
• Disorganized or incoherent speech
• Confused thinking
• Strange, possibly dangerous behavior
• Slowed or unusual movements
Contd…
• Loss of interest in personal hygiene
• Loss of interest in activities
• Problems at school or work and with
relationships
• Cold, detached manner with the inability to
express emotion
• Mood swings or other mood symptoms, such as
depression or mania
The exact cause of psychotic disorders is not known, but
researchers believe that many factors may play a role.
Some psychotic disorders may be
• Genetics
• Environmental factors may also play a role in their
development, including stress, drug abuse and major life
changes.
• Imbalance of certain chemicals in the brain. They may
be either very sensitive to or produce too much of a
chemical called dopamine.
Contd…
• Dopamine is a neurotransmitter, a substance
that helps nerve cells in the brain send
messages to each other.
• An imbalance of dopamine affects the way
the brain reacts to certain stimuli, such as
sounds, smells and sights and can lead to
hallucinations and delusions.
• A complete medical history and physical examination
to determine the cause of the symptoms.
• Although there are no laboratory tests to specifically
diagnose psychotic disorders -- except those that
accompany a physical illness, such as a brain tumor --
the doctor may use various tests, such as blood tests
and X-rays, to rule out physical illness as the cause of
the symptoms.
• Psychiatrists use specially designed interview and
assessment tools to evaluate a person for a psychotic
disorder.
Most psychotic disorders are treated with a
combination of medications and psychotherapy (a
type of counseling).
Medication:
• The main medications used to treat psychotic
disorders are called antipsychotics.
• These medicines do not cure the illnesses, but are
very effective in managing the most troubling
symptoms of psychotic disorders, such as
delusions, hallucinations and thinking problems.
• Antipsychotics include older medications such as
Haldol, Thorazine, and Mellaril and newer
medications (often called atypicals) such as
Clozaril, Risperdal, Zyprexa, Seroquel, Abilify, and
Geodon.
• The newer medications -- sometimes referred to
as atypical antipsychotics -- are considered first-
line treatments because they have fewer and
more tolerable side effects.
• Various types of psychotherapy, including
individual, group and family therapy, may be used
to help support the person with a psychotic
disorder.
• Most patients with psychotic disorders are treated
as outpatients.
• However, people with particularly severe
symptoms, those in danger of hurting themselves
or others, or those unable to care for themselves
because of their illness may require hospitalization
to stabilize their condition.
Understanding Psychotic Disorders

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Understanding Psychotic Disorders

  • 1.
  • 3. • Psychotic disorders are a group of serious illnesses that affect the mind. • These illnesses alter a person's ability to think clearly, make good judgments, respond emotionally, communicate effectively, understand reality and behave appropriately.
  • 4. • When symptoms are severe, people with psychotic disorders have difficulty staying in touch with reality and often are unable to meet the ordinary demands of daily life. • However, even the most severe psychotic disorders usually are treatable.
  • 5. Schizophrenia Schizoaffective disorder Schizophreniform disorder Brief psychotic disorder Delusional disorder Shared psychotic disorder Substance-induced psychotic disorder Psychotic disorder due to a medical condition Paraphrenia
  • 6. People with this illness have changes in behavior and other symptoms – such as delusions and hallucinations that last longer than six months, usually with a decline in work, school and social functioning.
  • 7. People with this illness have symptoms of both schizophrenia and a mood disorder, such as depression or bipolar disorder.
  • 8. People with this illness have symptoms of schizophrenia, but the symptoms last more than one month but less than six months.
  • 9. People with this illness have sudden, short periods of psychotic behavior, often in response to a very stressful event, such as a death in the family. Recovery is often quick -- usually less than a month.
  • 10. People with this illness have delusions involving real-life situations that could be true, such as being followed, being conspired against or having a disease. These delusions persist for at least one month.
  • 11. This illness occurs when a person develops delusions in the context of a relationship with another person who already has his or her own delusion(s).
  • 12. This condition is caused by the use of or withdrawal from some substances, such as alcohol and crack cocaine, that may cause hallucinations, delusions or confused speech.
  • 13. Hallucinations, delusions or other symptoms may be the result of another illness that affects brain function, such as a head injury or brain tumor.
  • 14. This is a type of schizophrenia that starts late in life and occurs in the elderly population. Paraphrenia is a mental disorder characterized by an organized system of paranoid delusions with or without hallucinations without deterioration of intellect or personality
  • 15. Symptoms of Psychotic Disorder Symptoms vary from person to person and may change over time. The major symptoms of psychotic disorders are hallucinations and delusions. Other possible symptoms of psychotic illnesses include: • Disorganized or incoherent speech • Confused thinking • Strange, possibly dangerous behavior • Slowed or unusual movements
  • 16. Contd… • Loss of interest in personal hygiene • Loss of interest in activities • Problems at school or work and with relationships • Cold, detached manner with the inability to express emotion • Mood swings or other mood symptoms, such as depression or mania
  • 17. The exact cause of psychotic disorders is not known, but researchers believe that many factors may play a role. Some psychotic disorders may be • Genetics • Environmental factors may also play a role in their development, including stress, drug abuse and major life changes. • Imbalance of certain chemicals in the brain. They may be either very sensitive to or produce too much of a chemical called dopamine.
  • 18. Contd… • Dopamine is a neurotransmitter, a substance that helps nerve cells in the brain send messages to each other. • An imbalance of dopamine affects the way the brain reacts to certain stimuli, such as sounds, smells and sights and can lead to hallucinations and delusions.
  • 19. • A complete medical history and physical examination to determine the cause of the symptoms. • Although there are no laboratory tests to specifically diagnose psychotic disorders -- except those that accompany a physical illness, such as a brain tumor -- the doctor may use various tests, such as blood tests and X-rays, to rule out physical illness as the cause of the symptoms. • Psychiatrists use specially designed interview and assessment tools to evaluate a person for a psychotic disorder.
  • 20. Most psychotic disorders are treated with a combination of medications and psychotherapy (a type of counseling). Medication: • The main medications used to treat psychotic disorders are called antipsychotics. • These medicines do not cure the illnesses, but are very effective in managing the most troubling symptoms of psychotic disorders, such as delusions, hallucinations and thinking problems.
  • 21. • Antipsychotics include older medications such as Haldol, Thorazine, and Mellaril and newer medications (often called atypicals) such as Clozaril, Risperdal, Zyprexa, Seroquel, Abilify, and Geodon. • The newer medications -- sometimes referred to as atypical antipsychotics -- are considered first- line treatments because they have fewer and more tolerable side effects.
  • 22. • Various types of psychotherapy, including individual, group and family therapy, may be used to help support the person with a psychotic disorder. • Most patients with psychotic disorders are treated as outpatients. • However, people with particularly severe symptoms, those in danger of hurting themselves or others, or those unable to care for themselves because of their illness may require hospitalization to stabilize their condition.