Acute psychosis

Background

  • Caused by many psychiatric and medical conditions
  • Examples: schizophrenia, mania

Clinical Features

  • Agitation, restlessness, irritability
  • Decreased attention
  • Inappropriate or hostile behaviors
  • Hallucinations, delusions, paranoia

Differential Diagnosis

Altered mental status

Diffuse brain dysfunction

Primary CNS disease or trauma

Psychiatric

Psychiatric Disorders with Psychotic Symptoms

Evaluation

  • Signs or symptoms of intoxication or withdrawal
  • Signs of trauma
  • Rule out any organic causes or contributing factors

General ED Psychiatric Workup

Management

General ED Psychiatric Management

Disposition

  • Depends on underlying cause of psychosis
  • Hospitalization for first psychotic episode, suicidal or homicidal, unable to care for self or poor support system

See Also

External Links

References