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Psychotic Disorders

Psychosis — Diagnosis & Treatment in Maryland

Psychosis — involving hallucinations, delusions, and disorganized thinking — requires prompt psychiatric evaluation and treatment. First-episode psychosis in particular benefits from early intervention.

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Common Signs & Symptoms

  • !Hallucinations — hearing, seeing, or feeling things others don't
  • !Delusions — false fixed beliefs despite evidence to contrary
  • !Disorganized speech and thinking
  • !Negative symptoms: flat affect, reduced motivation, social withdrawal
  • !Significant functional decline

What Causes This?

  • Schizophrenia spectrum disorders
  • Bipolar disorder with psychotic features
  • Major depression with psychotic features
  • Substance-induced psychosis (cannabis, stimulants)
  • Medical causes: encephalitis, thyroid, B12 deficiency

Treatment Approaches

Antipsychotic Medication

First-generation and second-generation antipsychotics — selected based on symptom profile and side effect considerations.

First-Episode Psychosis Program

Coordinated specialty care for first-episode psychosis produces the best long-term outcomes.

Psychoeducation

Patient and family education about the condition, medication, and relapse prevention.

Frequently Asked Questions

Is psychosis permanent?

Not necessarily — many first-episode psychosis patients recover fully with treatment. Ongoing antipsychotic treatment significantly reduces relapse risk.

Related Topics

Think This Could Be Your Issue?

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