What is psychosis? D B Double http://www.dbdouble.freeuk.com/Psychosis.ppt - PowerPoint PPT Presentation

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What is psychosis? D B Double http://www.dbdouble.freeuk.com/Psychosis.ppt

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What is psychosis? D B Double http://www.dbdouble.freeuk.com/Psychosis.ppt Symptoms Hallucinations Delusions Thought disorder 'Loss of contact with reality' Disorders ... – PowerPoint PPT presentation

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Title: What is psychosis? D B Double http://www.dbdouble.freeuk.com/Psychosis.ppt


1
What is psychosis?D B Double http//www.dbdouble
.freeuk.com/Psychosis.ppt
2
Symptoms
  • Hallucinations
  • Delusions
  • Thought disorder
  • 'Loss of contact with reality'

3
Disorders
  • Schizophrenia
  • Manic-depression (Bipolar disorder)
  • Paranoid disorder (Delusional disorder)
  • Psychotic depression

4
Classificatory criteria
  • International classification of diseases (ICD)
  • Diagnostic and statistical manual (DSM) of
    American Psychiatric Association
  • Distinction between schizophrenia and
    manic-depression (bipolar disorder)
  • Organic versus functional disorders

5
Epidemiology
  • Most common risk period of first-episode
    psychosis is ages 14 to 35
  • Lifetime risk schizophrenia 1 in 100, and
    similarly for bipolar disorder
  • Greatest risk of diagnosis of schizophrenia in
    socially deprived, especially young men
  • 10-15 of population experience hallucinations at
    some point in their life

6
Outcome
  • Less than a quarter remain permanently affected
  • Third complete recovery
  • Better outcome generally in developing countries
    than industrialised nations
  • Sudden onset better outcome than gradual

7
Management
  • Understanding in context
  • Management of disturbance may require Mental
    Health Act
  • Psychosocial interventions, support and
    facilitation of recovery
  • Specific psychological treatments and family
    interventions
  • Rehabilitation

8
Medication
  • Traditional and atypical anti-psychotic drugs
  • Acute and preventative treatment
  • Mood-stabilising medication
  • (Antidepressants and minor tranquillisers)
  • Side effects and discontinuation problems

9
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10
What is mental illness?
11
Conclusion - ? Brain disorder (such as chemical
imbalance)
  • Research not led to clear conclusions
  • All experience and behaviour involves
    neurochemical changes and this is true for
    'normal' as well as psychotic experience

12
Further reading
  • Recent Advances in Understanding Mental Illness
    and Psychotic Experiences. British Psychological
    Society report (link)
  • Critical psychiatry website (http//www.anti-psych
    iatry.co.uk/)
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