FAQ - Psychotic Disorders
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If someone has psychotic episodes but was able to get medication for them, would they still be able to go to?


medical school to become a doctor? Where can I find the rules for this? I recently applied to a nursing school and was asked if I had received any medication for sorts of mental disorders or had any. I thought my medical records were confidential.
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You don't have to answer those questions. As long as the medication works you can go.  (+ info)

Are the mental illnesses Narcissistic Personality Disorder and Psychotic Depression related?


I have a close relative who has been diagnosed with Psychotic Depression. In my research, he seems to have all the symptoms of Narcissistic Personality Disorder. I was wondering if they are related.
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One can have both of them especially if they think highly of themselves and get "put down" a lot.  (+ info)

for people who have been diagnosed with psychotic related disorders or people knowledgable about psychology?


how do you feel about having a label that basically says "you're crazy"? iv been twice diagnosed with psychotic depression. this really worries me and i'm inclined to believe that the episodes were merely stress induced and that they can occur to anyone even those without a genetic predisposition to psychosis. isn't this true? please help, this is a really tough pill to swallow.
actually my first episode seemed to be stress/GA/social anxiety induced while the second was caused by prescribed concerta which caused complications because my pdoc was under the impression that i needed a higher dose since the initial doses weren't working (although i didn't realize nor did the doc seem to acknoledge the possiblity that certain vitamins and diet can affect absorption of the medication) so i basically wound up having a conspiratorial delusional psychotic suicide attempt episode... thanks concerta, guess i don't have add..
thank you very much kate
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Psychotic depression doesn't mean you're crazy. I know that in today's society, the word "psycho" or "psychotic" has a really negative connotation, but having a psychotic disorder doesn't make you messed up or defective, even though it can feel that way sometimes. Psychotic just means that you lose touch with reality for a period of time, either in the form of delusions or hallucinations. Society teaches us that "psychotic" means a crazy, violent person who can't be trusted, with eyes that go in different directions and a herd of cats following them around. That's just not true, and you don't have to accept that as your label.

I know you want to believe that your psychotic symptoms are stress induced and not indicative of a psychotic disorder... but the "average" person, with no genetic predisposition to psychosis, does not have psychotic symptoms when they are heavily stressed. I know you want to believe that, because I wanted to believe it too, but sadly it's just not true. Average people who deal with heavy stress may "crack" under pressure, but they don't experience psychotic symptoms the way someone like you or I do.

This is a tough pill to swallow, you're right, but it doesn't make you crazy or permanently "labeled" as defective. Only you can allow yourself to feel that way. What you need to focus on now is how to prevent your depression from coming back (via therapy, and medication if necessary) and recognizing the onset of your psychotic symptoms if they do reoccur. It's important that if you have any more psychotic symptoms, you go to the hospital right away. You can potentially be a danger to yourself if you let your psychotic symptoms continue, and you want to make sure you are safe. If necessary, the hospital can keep you safe until your symptoms subside.

When I was diagnosed with bipolar disorder, I did not want to believe it. When my psychiatrist told me what I was experiencing was psychosis with my depression, not just "stress" like "normal" people, I didn't want to believe that either. But reality is what it is, and we have to accept it and move on. Don't let the diagnosis define who you are as a person - you're still the same person you were before you were diagnosed, and you will continue to be that same person. Focus on the symptoms, not the name they're given.

Good luck!  (+ info)

Is anxiety a psychotic illness according to the Bar association?


I looked at the Character and Fitness application for the Bar.

It asks if you have a mental illness. I think the would was "psychotic" or some similar word.

I was diagnosed 2 years ago with ADHD and Anxiety and put on medication. (I had problems due to a stalker.) I am now completely free of anxiety and I no longer see a psychiatrist.

Will my ADHD/anxiety diagnoses hurt me? Or are they more concerned with illnesses like schizophrenia and anti-social personality disorder?
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Anxiety is not a psychotic disorder.

It sounds to me like someone should sue the bar if they are using mental illnesses to screen out candidates. That is discrimination, or at least it is per the state of California constitution.  (+ info)

What is the difference between psychotic "features" & the others?


if a person is NOT seeing things, how could they be diagnosed with "psychotic FEATURES"? Major Depressive Disorder was also present & lots of anxiety.
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The person may be having delusions or false beliefs. They could be hearing voices. They may be paranoid. Having visual hallucinations is only one symptom of being psychotic. I hope you are doing OK. Take Care.  (+ info)

Does anyone else have major depression with psychotic features?


I have major depression with psychotic features, obsessive compulsive disorder and post traumatic stress disorder. I started to become depressed with i was around 12 and it has just gotten worse. I began having psychotic features when i was 16 and they continue to get more severe and more frequent. Does anyone else have major depression with psychotic features? Why kind of psychotic features do you have? How long do they last? What are they of?
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I just have depression ~are you in therapy? have you had classes as to how to channel out some of the psychosis♦  (+ info)

What is a bipolar disorder with psychotic features?


I recently was diagnosed with it and don't understand it at all.
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Well it seems that you haven't left a very good impression on the psychiatrist who examined you.

Just ignore it. These are just the subjective observations of a person whom you made angry with your behaviours towards him/her.

EDIT: I strongly recommend you getting a second opinion without mentioning the diagnosis given to you in the first time.  (+ info)

Seeking an answer for the psychotic triad personality disorder?


What is the accepted psychotic personality disorder triad? Has it proven to be true in most cases?
There are three physical acts that psychotics are prone to. The key word is PHYSICAL.
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Okay, the triad includes the following factors:

Interpersonal

* Glibness/superficial charm
* Egocentricity/Grandiose sense of self-worth
* Pathological lying
* Conning/Manipulative

Affective

* Lack of remorse or guilt
* Callous/Lack of empathy
* Shallow affect
* Failure to accept responsibility for own actions

Lifestyle

* Need for stimulation/Proneness to boredom
* Parasitic lifestyle
* Lack of realistic, long-term goals
* Impulsivity
* Irresponsibility

There is a great deal of correlation between these factors, making the concept empiricaly valid. Interestingly, there is also a four factor model, which mainly divides up lifestyle into antisocial behavior and life style, allowing for the diagnosis of psychopathy even in the absence of criminal acts (it is thought that a great number of psychopaths use their inter-personal skills to their advantage in high-powers careers, and that not will will either (a) break the law, or (b) get caught)

To assess these factors, the Psychopathy Checklist-revised (PCL-R) is the only diagnostic tool, as DSM-IV and ICD-10 do not formally recognise psychopathy as a disorder and instead include it under 'antisocial personality disorder', which is farther reaching than psychopathy: most psychopaths will have antisocial PD, while few people with antisocial PD will be psychotic.

Interestingly, the PCL-R only recognises two factors of psychpathy:

Factor 1: Aggressive narcissism

* Glibness/superficial charm
* Grandiose sense of self-worth
* Pathological lying
* Conning/manipulative
* Lack of remorse or guilt
* Shallow affect
* Callous/lack of empathy
* Failure to accept responsibility for own actions

Factor 2: Socially deviant lifestyle

* Need for stimulation/proneness to boredom
* Parasitic lifestyle
* Weak behavioral controls
* Early behavioral problems
* Lack of realistic, long-term goals
* Impulsivity
* Irresponsibility
* Juvenile delinquency
* Revocation of conditional release

Factor one is highly correlated to narcisistic and histrionic personality disorders and criminality, while factor two correlates with with antisocial personality disorder.

I hope that helps somewhat!

EDIT: Could it be this?
In the pre-DSM-III era, phenelzine was reported to be globally efficacious in treating a subset of patients with pseudoneurotic schizophrenia. This diagnostic categorization describes patients characterized by the triad of pananxiety, panphobias, and chaotic sexuality but without psychosis or major depression.

EDIT: aha, I found it, I know what you mean now! from wikipedia, it's called the 'macdonald triad'

In psychology, there are three major personality traits in children that are said to be warning signs for the tendency to become a serial killer. They were first described by J. M. MacDonald in his article "The Threat to Kill" in the American Journal of Psychiatry.

* Firestarting, invariably just for the thrill of destroying things.
* Cruelty to animals. Many children can be cruel to animals, such as pulling the legs off of spiders, but future serial killers often kill larger animals, like dogs and cats, and frequently for their solitary enjoyment rather than to impress peers.
* Bedwetting beyond the age when children normally grow out of such behaviour.

It should be noted that recently this Triad, developed in 1963, has been called into question by other researchers. They note that many children and teenagers set fires or harm animals for many reasons (boredom, imitation of adult punishment of household pets, exploration of a "tough guy" identity, or even feelings of frustration). It is thus difficult to know whether these variables are in fact relevant to serial murder etiology and, if so, how precisely they matter.  (+ info)

Psychosis/psychotic symptoms as part of bipolar disorder?


I've heard of occasional psychotic symptoms (auditory and visual hallucinations, delusions, etc) manifesting themselves in some instances of bipolar disorder. Is this a common symptom? If so, does it occur more during depression or mania? Any thoughts on this would be appreciated.
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You can have severe psychotic episodes associated with specific conditions related to a bipolar disorder. Bipolar itself actually just a broad term that collectively includes other disorders that more specific to certain cases. And yes some bipolar disorders can include psychotic episodes where a person is delusional, manic even hallucinating.

With bipolar disorder itself you can have several different types of episodes or occurances of border-line to psychotic behavior. You can have a manic episode. This includes irritable mood, hyper sexual behavior, racing thoughts, unexplained euphoria. You can have a hypomanic episode which includes fewer behaviors than manic. Generally during hypomania they are energetic, creative, able to think well but still have racing thoughts.

You can have a major depressive episode which is pretty much the opposite of manic - hence the name bipolar. But in this episode one experiences periods of depression, isolation, uncontrolable crying, anxiety, panic and so forth. Then you can have a have mixed episode where you experience both the symptoms from depression and mania.

In any one of these episodes it is possible, though rare, to experience hallucinations. What is more common is delusional thinking. For example mania can lead to extreme paranoia and thinking things like the government is out to get you, or your best friend is really lying to you, things like that. And then in a depressive or mixed state one might have delusional thoughts about suicide, believing they are worthless or that they are dying.

Where you do see a larger occurance of hallucinations, as well as other symptoms, is when a person who is bipolar uses drugs most commonly, alcohol, marijuana and crystal meth. Particularly alcohol and meth are considered to precipitate symptoms. For example alcohol is a depressant that causes the body to release endorphines. So for awhile a person feels the euphoria of these chemicals but then they come down, or drink too much and then experience a major depressive episode. And meth encourages states of mania and paranoia. Therefore a person who's bipolar uses meth and starts to think they're invincible or have powers over magic or they might believe aliens are trying to listen to their thoughts, for example.

Deffinately more delusional thinking than hallucinations in cases of bipolar disorder.  (+ info)

How do you deal with a family member who has a psychotic disorder and?


Who has nothing but contempt and bad feelings towards his other family members? I have a brother like this and it seems he has nothing but hatred and evil in him and threatens to harm us. We've tried everything we can to help him but we've reached the end of our rope and cannot deal with this situation any longer. What can be done? He refuses to take his medication or to be sent to a hospital for treatment. He also refuses to leave the house because that's what it has come to. Help! Any words of wisdom?
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My mother is a paranoid schizophrenic and I am now 18 years old. I have dealt with her my whole life but found what is most helpful is to understand what they are going through and that their feelings of hatred toward you are part of their disease. Treatment is very helpful, my mom was a lot worse before she switched medications and even now she has her ups and downs but is a lot better. Try to convince your brother to get treatment or talk to your parents about convincing him. Also, let your brother know that you are there for him, and give him support because I'm sure he needs it. I hope this helps!  (+ info)

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