Brief Psychotic Do.pptxdiidiididdddddddfff

Dkdkfikff

1. Emergency Psychiatry

2. Contents Brief Psychosis Mania Suicidal behavior Homicidal behavior/violence Catatonia Delirium

3. Brief Psychotic Disorder

4. Learning Objectives After completion of this topic, the learners will be able to: describe what brief psychosis is, diagnostic criteria for brief psychosis, management of brief psychosis

5. Brief Psychotic Disorder Brief psychotic disorder is characterized by hallucinations, delusions, disorganized speech or behavior Symptom onset is often rapid, with marked functional impairment. The duration of symptoms is between one day and one month Other Schizophrenia Spectrum Disorders

6. DSM-5 Diagnostic Criteria for Brief Psychotic Disorder A. At least one of the following sx must be 1, 2 or 3: 1. Delusions. 2. Hallucinations. 3. Disorganized speech. 4. Grossly disorganized or catatonic behavior. B. Duration is between one day and one month, C. The disturbance is not caused by another form of mental illness, substance abuse or other medical condition Other Schizophrenia Spectrum Disorders

7. Clinical Features Emotional turmoil and confusion are often present. Mood and affect may be labile. Onset is usually sudden and may subside rapidly Attentional deficits are common Psychotic symptoms are usually of brief duration (several days Other Schizophrenia Spectrum Disorders

8. Epidemiology of Brief Psychotic Disorder The disorder is rare, younger individuals have a higher rate of illness The risk of suicide is increased in patients with this disorder, especially in young patients. Patients with personality disorders have a higher risk for brief psychotic disorder. Other Schizophrenia Spectrum Disorders

9. Specify Brief Psychotic Disorder as A. Brief Psychotic Disorder with Marked Stressors is present if symptoms occur in relation to severe stressors (ie, death of a loved one). B. Brief Psychotic Disorder without Marked Stressors is present if symptoms occur without identifiable stressors. C. Brief Psychotic Disorder with Postpartum Onset occurs within four weeks of giving birth. Other Schizophrenia Spectrum Disorders

10. Differential Diagnosis of Brief Psychotic Disorder Substance-Induced Psychotic Disorder Psychotic Disorder Caused a General Medical Condition Depressive and bipolar disorders Other psychotic disorders Malingering Other Schizophrenia Spectrum Disorders

11. Treatment of Brief Psychotic Disorder Brief hospitalization may be necessary, especially if suicidal or homicidal ideation is present. A brief course of a neuroleptic, such as haloperidol 2-10 mg per day, is usually indicated. Adjunctive benzodiazepines can speed the resolution of symptoms. Short-acting benzodiazepines, such as lorazepam 1-2 mg every 4 to 6 hours, can be used as needed for associated agitation and anxiety. Supportive psychotherapy is indicated if precipitating stressors are present Other Schizophrenia Spectrum Disorders

12. Other Schizophrenia Spectrum Disorders Thank You!