What is Acute Polymorphic Psychotic Disorder
Published on Tuesday, August 30th, 2011 at 7:24 am and is filed under Mental Disorders
What Is Acute Polymorphic Psychotic Disorder
With Symptoms Of Schizophrenia
Symptoms of acute polymorphic psychotic disorder with symptoms of schizophrenia:
This diagnosis is considered not only as the first with schizophrenia manifest, but also in favorable cases of the disease, such as long-term remission and spontaneous output of psychosis, it is advisable each subsequent psychosis attributed to this group, but not to schizophrenia or schizoaffective disorder. In the clinic of acute psychosis in this group there are productive the first rank symptoms characteristic of schizophrenia, but there are no negative emotional-volitional disorders. There is affect of anxiety, expansion and confusion. Motor activity is increased until the excitation.
Diagnosis of acute polymorphic psychotic disorder
with symptoms of schizophrenia:
1. Rapid changes in symptoms of delirium, including delusions of control, delusional interpretation and delusional perception, which is characteristic of schizophrenia.
2. Hallucinations, including auditory commenting, contradictory and mutually exclusive, compelling and true pseudohallucinations, somatic hallucinations, a symptom of the openness of thought, the sound of the own thoughts related to the first-rank symptoms in schizophrenia.
3. Symptoms of emotional distress, fear, anxiety, irritability, confusion.
4. Motor stimulation.
5. The above-mentioned productive symptoms of schizophrenia occur no more than a month.
It should be differentiated from schizoaffective disorder, psychotic disorders in schizophrenia-substance dependence. Schizoaffective disorder clinic from this psychosis is different in that period of affective disorders is shorter than the productive, and it marked the first rank symptoms characteristic of schizophrenia. Schizophreniform psychosis in diseases of addiction and organic schizophreniform psychosis can be delimited by using additional methods (laboratory, physical, neurological, neurophysiological) and on the basis of family history.
Treatment of acute polymorphic psychotic disorder with symptoms of schizophrenia:
In treatment is necessary to apply detoxication therapy, neuroleptics in the middle, and sometimes in the highest dose. It should always be given supportive treatment prolong or conduct occasional short courses of therapy because of the risk of developing schizophrenia, but also insist on an outpatient observation of patients, at least for one year. Pay attention to periods of sleep disorders, mood disorders (anxiety episodes), suspicion. It is these symptoms that may precede exacerbations, and therefore they are a signal for warning of therapy.