Psychosis, neurosis and brief reactive psychosis?

By Samuel Blakemore


Examples of illnesses categorised as psychosis might be Bipolar disorder or Schizophrenia. These sorts of illnesses are characterised by hallucinations, delusions, serious defects in judgement and other cognitive processes and an inability to evaluate objectively. Any disorder that causes one or more of the above could be classed as a psychosis as it is a broad term that refers to a range of mental illnesses.

The encyclopedia Britannica defines psychosis as 'A severe mental disorder, with or without organic damage, characterized by derangement of personality and loss of contact with reality and causing deterioration of normal social functioning'

A large variety of mental and physical symptoms such as bodily tics, compulsions, phobias and anxiety would be described as neuroses. They are all characterised by having no clear organic or neurological cause and differ with psychosis in that they are all non-specific mental illnesses that can trigger feelings or of distress but do not prevent rational thought, they may impair but not prevent normal social functioning.

Sigmund Freud used the term 'Anxiety Neurosis' to describe mental illnesses with defining features of distress or extreme anxiety. However the term neurosis was first coined in the 1700's by the Scottish doctor William Cullen who used it to refer to what he described as disorders of 'sense and motion' that he believed were caused by 'a general affection of the nervous system'. He used the term in relation to a range of different disorders that could not be explained with physiological causes.

Psychotherapy and hypnotherapy are very effective in the treatment and control of neurosis, they are useful for things such as stress management, the control of habits, compulsions or phobias. Neurosis is not treated with medication.

Brief reactive psychosis generally has exactly the same symptoms as psychosis does such as hallucinations, disorganised speech, delusions and sometimes catatonic behaviour, but it is only a temporary condition. Symptoms must be present for less than a month but more than one day and the person must then return to previous normal functioning to be termed brief reactive psychosis.

It is thought that brief reactive psychosis is triggered by extremely traumatic or stressful events in a persons life such as bereavement, it usually occurs quite suddenly and the cause is unknown. Some people suggest a hereditary vulnerability to the condition, but this is unproven. If the symptoms are as a result of alcohol or drug abuse then by definition they are not brief reactive psychosis.

The condition is most prevalent in adults aged between 20 and 50 and is twice as likely to occur in women than men. People showing signs of psychosis are often given a preliminary diagnosis of brief reactive psychosis only for a revised diagnosis of another psychotic disorder to be given if the symptoms persist for more than one month.

The prognosis for the condition is good as, by definition, the symptoms go away within one month. However, due to the nature of psychotic behaviour, it can often lead to violence, self-harm or sometimes suicide. Clearly, if any of these is a risk then a person may need to be admitted to hospital.

The symptoms can be controlled with the use of anti-psychotic medication but people suffering from the condition can often have recurrent episodes triggered by further stress.

Psychotherapy can be used very effectively with this condition, as it is an excellent way to help a person deal with emotional problems that cause then stress and anxiety and to establish coping strategies for use in future stressful situations, both these things can help to prevent recurrence.

Psychotherapy is increasingly being looked on as an important alternative to drug therapy alone. One fifth of all patients with long term psychotic illnesses do not respond solely to medication and so using psychotherapy as part of an integrated approach can be very effective. It is important to remember that hypnotherapy is not suitable for use with patients experiencing any form of psychosis




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By Samuel Blakemore


Examples of illnesses categorised as psychosis might be Bipolar disorder or Schizophrenia. These sorts of illnesses are characterised by hallucinations, delusions, serious defects in judgement and other cognitive processes and an inability to evaluate objectively. Any disorder that causes one or more of the above could be classed as a psychosis as it is a broad term that refers to a range of mental illnesses.

The encyclopedia Britannica defines psychosis as 'A severe mental disorder, with or without organic damage, characterized by derangement of personality and loss of contact with reality and causing deterioration of normal social functioning'

A large variety of mental and physical symptoms such as bodily tics, compulsions, phobias and anxiety would be described as neuroses. They are all characterised by having no clear organic or neurological cause and differ with psychosis in that they are all non-specific mental illnesses that can trigger feelings or of distress but do not prevent rational thought, they may impair but not prevent normal social functioning.

Sigmund Freud used the term 'Anxiety Neurosis' to describe mental illnesses with defining features of distress or extreme anxiety. However the term neurosis was first coined in the 1700's by the Scottish doctor William Cullen who used it to refer to what he described as disorders of 'sense and motion' that he believed were caused by 'a general affection of the nervous system'. He used the term in relation to a range of different disorders that could not be explained with physiological causes.

Psychotherapy and hypnotherapy are very effective in the treatment and control of neurosis, they are useful for things such as stress management, the control of habits, compulsions or phobias. Neurosis is not treated with medication.

Brief reactive psychosis generally has exactly the same symptoms as psychosis does such as hallucinations, disorganised speech, delusions and sometimes catatonic behaviour, but it is only a temporary condition. Symptoms must be present for less than a month but more than one day and the person must then return to previous normal functioning to be termed brief reactive psychosis.

It is thought that brief reactive psychosis is triggered by extremely traumatic or stressful events in a persons life such as bereavement, it usually occurs quite suddenly and the cause is unknown. Some people suggest a hereditary vulnerability to the condition, but this is unproven. If the symptoms are as a result of alcohol or drug abuse then by definition they are not brief reactive psychosis.

The condition is most prevalent in adults aged between 20 and 50 and is twice as likely to occur in women than men. People showing signs of psychosis are often given a preliminary diagnosis of brief reactive psychosis only for a revised diagnosis of another psychotic disorder to be given if the symptoms persist for more than one month.

The prognosis for the condition is good as, by definition, the symptoms go away within one month. However, due to the nature of psychotic behaviour, it can often lead to violence, self-harm or sometimes suicide. Clearly, if any of these is a risk then a person may need to be admitted to hospital.

The symptoms can be controlled with the use of anti-psychotic medication but people suffering from the condition can often have recurrent episodes triggered by further stress.

Psychotherapy can be used very effectively with this condition, as it is an excellent way to help a person deal with emotional problems that cause then stress and anxiety and to establish coping strategies for use in future stressful situations, both these things can help to prevent recurrence.

Psychotherapy is increasingly being looked on as an important alternative to drug therapy alone. One fifth of all patients with long term psychotic illnesses do not respond solely to medication and so using psychotherapy as part of an integrated approach can be very effective. It is important to remember that hypnotherapy is not suitable for use with patients experiencing any form of psychosis




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