Doctor insights on:
Anxiety To Psychotic Episode To Complete Break Down
What are the chances of an anxiety/depression/psychosis (?) episode will happen again now that I am doing better (1yr) and on Lexapro for 7 months?
Research: I'm glad you're feeling better. If this is your first episode of depression, studies show that you have a 50% likelihood of another episode. If it's your second or more, the likelihood is higher and your doctor may recommend you continuing an antidepressant indefinitely. There may be other factors that increase your risk, such as alcohol or drug abuse, history of child abuse, and medical illness. ...Read moreSee 1 more doctor answer
Psychotic disorders (such as schizophrenia) are major mental disorders that cause abnormal thinking. Psychotic people lose touch with reality and have symptoms of delusions and hallucinations. Delusions are false beliefs, such as thinking that a TV is sending you personal messages. Hallucinations are false perceptions, such as hearing, seeing, or feeling something that ...Read more
Sometimes: Depends the level of progression of the psychosis. 4 some period of time (esp. as an episode is coming on, or as an episode is beginning to resolve w/ treatment) some patients may have insight into the fact the the auditory hallucinations they hear (for ex.) are symptoms of illness & not real, though they *feel* and sound real. Other patients do not have insight = they don't believe they're ill ...Read more
Many causes: There are many possible causes for psychotic episodes. These days, drug intoxication and withdrawal are exceedingly common. Also bipolar disorder with mania; schizophrenia; psychotic depression; brief reactive psychosis; delirium (not just due to drugs); etc. Consultation with a psychiatrist can help narrow it down. ...Read more
Minutes: Fleeting thoughts of hearing one's name called or isolated episodes of thinking you hear or see something may be normal. Anything else is a symptom of abnormal brain activity. Psychosis is a formal thought disorder which includes hallucinations, delusions, and disorganized thought patterns. Hallucinations can be caused by many things. Talk to your doctor. ...Read moreSee 2 more doctor answers
Labor & Psychosis: This is a very serious situation, requiring urgent psychiatric consult. I'm assuming this patient has not been in treatment for psychosis previously, and this is an acute episode. Drug screens & other labs to eval the cause. Restraints could be needed. Also IV Haldol may be helpful -- titrating this carefully & working w/nursing staff & obgyn physicians. Will probably need inpatient care. ...Read moreSee 1 more doctor answer
Depends on problem: From my experience, how long an antipsychotic is prescribed after a psychotic episode depends upon the nature of the psychotic episode and the underlying illness. If the illness is one that has had recurrent psychotic episodes, then the antipsychotic should probably be continued indefinitely. It is possible that the combination of duloxetine and Prozac has triggered a manic episode, in which case discontinuing those medications might allow for discontinuation of the antipsychotic. So therefore important to talk with your doctor about this. ...Read more
Will stopping geodon kick off a psychotic episode? I seem to think geodon is the most dangerous of antipsychotics because it makes one more psychotic?
It could: Depending on what kind of illness you have, stopping Geodon could risk a psychotic episode. I'm not sure why you think Geodon is the most dangerous of antipsychotics, or that it makes one more psychotic. Like other antipsychotics, at high enough dose it can cause restlessness/akathisia -- which sometimes may feel like a psychosis, but isn't. Please discuss these concerns w/your own psychiatrist. ...Read more
I had a drug induced psychotic episode in march 2013. I have since recovered but can't concentrate. Is methylphenidate suitable for me?
Careful, now: If you had a "drug induced psychotic episode" less than a year ago, i would be observing carefully for any other issues. People with an innate tendency to psychosis are more likely to have these responses. You've also listed citalopram and Abilify as current medications. I would not be keen on adding stimulants to you at all, but would review your current medications ; effects more carefully. ...Read more
Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more
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