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Brief Psychotic Disorder

Brief psychotic disorder

Introduction:

Brief psychotic disorder (BPD) according to DSM-5 is the sudden onset of psychotic behavior that lasts less than 1 month followed by complete remission with possible future relapses. It is differentiated from Schizophreniform disorder and schizophrenia by the duration of the psychosis. Brief psychotic disorder is a temporary loss of connection with reality, often caused by a significantly stressful circumstance or event. People who experience brief psychotic disorder may see, hear, or feel things that others don’t. This may include hallucinations, delusional thinking, or unpredictable behavior. The typical course of the initial psychotic episode can be conceptualized as occurring in three phases. These are the prodromal phase, the acute phase and the recovery phase.

Symptoms

The core criteria continue to require the presence of two or more psychotic and related symptoms (delusions, hallucinations, disorganized speech reflecting formal thought disorder, abnormal psychomotor behavior such as grossly disorganized or catatonic behavior, negative symptoms)—

  • Behavior that is odd or out of character.
  • False ideas about what is taking place (delusions)
  • Hearing or seeing things that aren’t real (hallucinations)
  • Strange speech or language

Causes

There is no one cause of psychosis. Psychosis appears to result from a complex combination of genetic risk, differences in brain development, and exposure to stressors or trauma. Psychosis may be a symptom of a mental illness, such as schizophrenia, bipolar disorder, or severe depression. Brief psychotic disorder is triggered by extreme stress, such as a traumatic accident or loss of a loved one. It is followed by a return to the previous level of function. The person may or may not be aware of the strange behavior. This condition most often affects people in their 20s, 30s, and 40s.

Diagnosed

A psychiatric evaluation can confirm the diagnosis. A physical exam and laboratory testing can rule out medical illness as the cause of the symptoms

Brief psychotic disorder (BPD) according to DSM-5 is the sudden onset of psychotic behavior that lasts less than 1 month followed by complete remission with possible future relapses. It is differentiated from Schizophreniform disorder and schizophrenia by the duration of the psychosis.

Treatment

Treatment usually includes a combination of psychotherapy, case management, and medication. Typically, antipsychotic medications are the medications of choice, sometimes combined with mood stabilizers or antidepressants. Antipsychotics, especially second-generation, are the first-line treatment for brief psychotic disorder. Although BPD characteristically shows complete resolution of symptoms within one month of symptom onset, it is suggested to continue treatment with antipsychotics for one to three months after symptom remission

Psychotherapy

As expected, a brief yet major psychotic episode can be highly disruptive to the livelihood and functioning of an individual and his/her family and friends. Psychotherapeutic management of BPD would involve medically informing the patient and his/her family about the condition and treatment modalities employed for the particular patient. Along with emphasizing reintegration into the societal milieu, it is essential to focus on managing comorbid disorders or stressors and improving overall coping skills.

Medications

it isb available in this class include risperidone (Risperdal), quetiapine (Seroquel), olanzapine (Zyprexa), ziprasidone (Zeldox), paliperidone (Invega), aripiprazole (Abilify) and clozapine (Clozaril). Medications aren’t the only way to treat psychosis. Some other coping skills include: Lifestyle changes that help manage stress. Working through past trauma with a therapist.

Conlucion

Brief psychotic disorder (BPD) according to DSM-5 is the sudden onset of psychotic behavior that lasts less than 1 month followed by complete remission with possible future relapses. It is differentiated from Schizophreniform disorder and schizophrenia by the duration of the psychosis.

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