Psychosis

Clinic

• Psychosis is difficulties determining what is real and what is not real.
• The neurotransmitter dopamine is believed to play an important role.

An entity or a disease?

• I think it is an entity which has Impaired insight, Hallucination and Delusions as a sign.
• Most of psychotic patients has Hallucination / Delusions but it dose not means that Psychosis equals to them.
• Temporal Lobe epilepsy is a good example in which the patients have hallucinations, but they usually aware that their hallucinations are not real, so they are not categorized as psychotics.
• Hallucinatory disease is another example of patient who have only hallucination but not psychosis.
• On the other hand, it is possible to see some psychotic patient, who does not have Delusion.

Sign/ Symptoms

Main symptoms	Negative symptoms
Delusions / Hallucinations Incoherent Speech/ Behavior Sleep problems Difficulties carrying out daily activities	Reduced emotional expression (Flat affect) Decreased motivation (Avolition) Reduced spontaneous speech (Poverty of speech, Alogia) Lack interest and spontaneity Anhedonia Social withdrawal

• Here we see a lot of Sign/ Symptoms. But considering them more deeply, we could discover that these are Sign / Symptoms of Psychotic disease such as Schizophrenia but not specifically Psychosis.
• Therefore I suggest only four of them Hallucination, Delusions, Behavioral change and Alterd thought pattern

Causes

Related disease	Static causes
Schizophrenia Schizoaffective disorder Bipolar disorder Sensory deprivation Psychotic depression NMDR encephalitis	Trauma Sleep deprivation Certain medications Postpartum psychosis

Entity / Miasms

	RBS	JE	LCM	EBV	NVCJD	HIV	EEE/ WEE/ BKV/JCV STLE
Hallucination	+++	+++	+++	+++	+++	+++	+++
Delusions	+++	+++	+++	+++	+++	+++	+++
Behavioral change	+++	+++	+++	+++	+++	+++	+++
Thought pattern	+++	+++	+++	+++			+++
Psychosis	+++	+++	+++	+++	+++	+++