Psychotic disorders can be highly distressing, impacting a persons quality of life and ability to maintain self-care.

However, most of these conditions can be managed with medication and therapy.

This article lists the different types of psychotic disorders, as well as their associated symptoms and treatment options.

Psychotic disorders

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Often, people who have psychotic disorders also manifest behavioral symptoms.

Symptoms of psychotic disorders are often characterized aspositiveornegative.

They include:

Many psychotic disorders are lifelong illnesses, often beginning during early adulthood.

They may progress or stabilize over time.

Some psychotic disorders are limited in their duration, however, and can resolve.

Hallucinations

Hallucinationsare false sensory experiences.

Delusions

Delusionsare fixed false beliefs.

Additionally, they may not be aware of any abnormal behaviors.

If you or a loved one are in immediate danger, call911.

Causes

Genetics

Psychotic conditions have a strong genetic component.

They are more common among people who have one or more family members with a psychotic disorder.

The specific genes involved in psychotic disorders are not well established.

Psychotic disorders are associated with brain and neurotransmitter dysfunction.

Disruption ofdopamineandserotonin, among others, is believed to play a role in these conditions.

Sometimes the ventricles of the brain can be enlarged.

The criteria generally include a list of thoughts, behaviors, and duration of symptoms.

There are no blood tests or imaging tests that are considered indicative or that can confirm psychotic disorders.

However, diagnostic tests may be used to rule out other potential causes of the symptoms.

Some types of liver disease can cause mental status changes that can seem similar to psychotic disorders.

Both of these therapies involve talking with a trained professional.

Medications used to treat psychotic disorders include typical antipsychotics, atypical antipsychotics, and a combination muscarinic agonist/antagonist.

Some typical antipsychotics include:

One of the most common side effects of these medications is sleepiness.

Typical antipsychotics are associated withextrapyramidalside effectstremors, spasms, muscle rigidity, and diminished control of movement.

Side effects can diminish with medication adjustments, but sometimes extrapyramidal symptoms remain even after the medication is discontinued.

Some atypical antipsychotics include:

Atypical antipsychotics are not as likely to cause extrapyramidal side effects as typical antipsychotics.

During this time, you will be kept safe, and your medication may be adjusted.

Any other medical problems that you have (like an infection) would be managed as well.

Coping

Living with a psychotic disorder can be challenging.

You might have fluctuations in your symptoms, and you could experience side effects from your medications.

The socialstigmacan affect your life and the lives of your family members.

It is an illness, just like any other medical condition.

You might consider some approaches that could help you cope with your condition to optimize your quality of life.

Counseling/Therapy

Managing your psychotic illness doesnt have to stop with controlling the symptoms.

You might have concerns or apprehensions about your condition.

Speaking with a professional therapist or with your psychiatrist about any feelings you have about your condition can help.

Give yourself time to find a group that makes you feel comfortable.

Family/Community

How much you want to share about your condition is up to you.

They can be resources for help if your symptoms worsen or if you need urgent medical attention.

confirm to have a plan in place for getting urgent medical help if needed.

Outlook for Psychotic Disorders

The prognosis for psychotic disorders can vary.

It largely depends on the underlying cause and whether someone is receiving appropriate treatment.

Some mental illnesses like schizophrenia can be difficult to treat and may often present with chronic symptoms.

This involves maintaining consistent psychiatric and medical care.

Summary

Psychotic disorders are mental health disorders in which a person loses touch with reality.

People with these types of disorders may experience symptoms like delusions or hallucinations.

Treatment varies depending on the cause, but it often includes a combination of prescription medication and counseling.

Therefore, having a routine for taking medications and going to medical appointments can help with this process.

National Library of Medicine: MedlinePlus.Psychosis.

American Psychiatric Association.What is schizophrenia?.

2020;29(1):131-143. doi:10.1016/j.chc.2019.08.006

Arciniegas DB.Psychosis.Continuum (Minneap Minn).

A detailed review.Ann Indian Psychiatry.

2023;7(3):283-287. doi:10.4103/aip.aip_152_22

NHS.Symptoms - schizophrenia.

2015;91(12):856-863.

National Institute of Mental Health.Psychotherapies.

Stroup TS, Gray N.Management of common adverse effects of antipsychotic medications.World Psychiatry.

2018;17(3):341-356. doi:10.1002/wps.20567

Drugs.com.Atypical antipsychotics.

Food and Drug Administration.Cobenfy label.

2020;66(7):633-641. doi:10.1177/0020764020922276