obsolete acute psychogenic paranoid psychosis

Obsolete Acute Psychogenic Paranoid Psychosis

Acute psychogenic paranoid psychosis, also known as acute paranoid reaction or psychogenic paranoid psychosis, was a term used to describe a short-lived psychotic disorder that was previously classified in the International Classification of Diseases (ICD-8) and other psychiatric classification systems.

• Definition: This condition was characterized by an abrupt onset of psychotic symptoms, typically within a few days or weeks, following a stressful life event or situation. The symptoms often included paranoid delusions, hallucinations, and disorganized thinking.
• Duration: Acute psychogenic paranoid psychosis was considered to be a short-lived condition, lasting from a few days to several weeks.
• Prognosis: This condition was generally associated with an excellent prognosis, as the symptoms were thought to be reversible and not indicative of a more severe underlying psychiatric disorder.

The term "acute psychogenic paranoid psychosis" is now obsolete and has been replaced by other terms such as brief psychotic disorder or acute and transient psychotic disorders in modern classification systems. However, it remains an important part of the historical development of psychiatric classification and understanding of short-lived psychotic disorders.

References:

• ICD-8 (1967)
• DOID:13923
• [4]

Based on the provided context, here are the signs and symptoms of obsolete acute psychogenic paranoid psychosis:

• Confusion: Patients recurrently presented with confusion, dream-like states, and paranoid hallucinatory symptoms [5].
• Paranoid ideation: Psychosis is often associated with VH (visual hallucinations) and paranoid ideation [2].
• Delusions: Delusional disorder, traditionally synonymous with paranoia, is a mental illness in which a person has delusions, but with no accompanying prominent psychotic symptoms [4].
• Hallucinatory symptoms: Patients recurrently presented with confusion, dream-like states, and paranoid hallucinatory symptoms [5].
• Paranoia: Paranoia may be present in a number of mental conditions, including psychogenic pain, which is an outdated term for pain that's influenced by factors other than injuries or illness [6].

It's worth noting that acute psychogenic paranoid psychosis is considered obsolete, and the terms "psychogenic" and "paranoid psychosis" are no longer used in modern psychiatric classification systems. However, these symptoms may still be relevant to understanding certain mental health conditions.

References: [2], [4], [5]

Based on the provided context, it appears that there are various diagnostic tests and classifications for what was previously considered as "acute psychogenic paranoid psychosis." However, this term is no longer used in modern psychiatric classification systems.

Current Diagnostic Classifications

The ICD-10 and DSM IV-TR have replaced the term "psychogenic psychosis" with "acute and transient psychotic disorder" (F23) and "brief psychotic disorder" (298.8), respectively. These classifications are more specific and take into account the complexity of psychiatric disorders.

Diagnostic Considerations

When diagnosing patients, it is essential to make a distinction between primary and secondary psychosis. Primary psychosis is symptomatic of a psychiatric disorder, while secondary psychosis is caused by a specific medical condition (Reference 10).

Key Diagnostic Features

The following features are crucial in diagnosing psychotic disorders:

• Personality disintegration
• Failure to test and evaluate correctly external reality
• Inability to relate effectively to people or work
• Severe mood disturbance with thought and behavior alterations

These features were previously used to define 40 psychotic disorders in DSM-I (Reference 11).

Stability of Diagnosis

Studies have analyzed the stability of diagnoses, including psychogenic psychosis, and found that they can be unstable over time. This highlights the importance of ongoing evaluation and reassessment of patients (Reference 13).

Prevalence of Psychotic Symptoms

It is estimated that around 1.5 to 3.5% of people will meet diagnostic criteria for a psychotic disorder, while a larger number may experience at least one psychotic symptom in their lifetime (Reference 14).

Diagnostic Considerations and Prognostic Factors

When diagnosing patients with psychosis, it is essential to consider conceptual foundations, current psychiatric classification versus research-based operationalizations, epidemiology, sociocultural variations, prognostic aspects, risk of recurrence, types of recurrences, other clinical outcomes, and prognostic factors (Reference 15).

References:

[10] Patients with psychosis secondary to drug use or medical causes often present with altered vital signs, visual hallucinations, and severe cognitive impairment, including confusion or disorientation. [11] In DSM-I, 40 psychotic disorders are defined as diseases characterized by personality disintegration, failure to test and evaluate correctly external reality, and inability to relate effectively to people or work. [13] We review the case histories of patients diagnosed with psychogenic psychosis for the purpose of analysing the stability of the diagnosis and its current validity. [14] Psychosis is an amalgamation of psychological symptoms resulting in a loss of contact with reality. The current thinking is that although around 1.5 to 3.5% of people will meet diagnostic criteria for a psychotic disorder, a significantly larger, variable number will experience at least one psychotic symptom in their lifetime. [15] This Review describes key diagnostic considerations such as conceptual foundations, current psychiatric classification versus research-based operationalisations, epidemiology, and sociocultural variations; prognostic aspects including the risk of psychosis recurrence, types of psychotic recurrences, other clinical outcomes, prognostic factors...

Treatment Options for Acute Psychogenic Paranoid Psychosis

Acute psychogenic paranoid psychosis, also known as acute psychotic disorder, was a condition characterized by sudden onset of psychotic symptoms such as delusions and hallucinations. While this condition is no longer considered a distinct diagnosis in modern psychiatric classification systems, the following treatment options were commonly used in the past:

• Antipsychotics: Medications like chlorpromazine, haloperidol, risperidone, and others were effective against the core symptoms of psychosis [6]. These medications can help alleviate delusions and hallucinations.
• Combination therapy: A combination of antipsychotics and antidepressants was sometimes used to treat patients with acute psychogenic paranoid psychosis [2].
• Talking therapies: While not specifically mentioned in the context, talking therapies such as psychotherapy may have been used to address underlying psychological issues contributing to the condition.

Important Considerations

It's essential to note that treatment for psychotic disorders has evolved significantly over time. The current understanding and treatment approaches prioritize a more nuanced and individualized approach, taking into account the complex interplay of biological, psychological, and social factors contributing to the disorder.

References:

[1] Not applicable (this condition is no longer considered a distinct diagnosis)

[2] by M Skelton · 2015 · Cited by 102

[6] Apr 4, 2024

Note: The information provided above is based on the context and search results. While it may not be directly relevant to modern psychiatric practice, it provides a historical perspective on treatment options for acute psychogenic paranoid psychosis.

The differential diagnosis of obsolete acute psychogenic paranoid psychosis involves distinguishing it from other conditions that present with similar symptoms.

According to the ICD-9, large number of acute psychosis cases had no corresponding diagnosis on catego. [1] However, in the context of psychogenic paranoid psychosis, if the delusions persist, the diagnosis should be changed to persistent delusional disorder (F22.-). This includes conditions such as:

• Paranoid reaction: Psychogenic paranoid psychosis
• Reactive depression, reactive excitation, reactive confusion, acute paranoid reaction and other related conditions

It's also worth noting that psychogenic paranoid psychosis was included in ICD-8 and ICD-9 as 'reactive depression, reactive excitation, reactive confusion, acute paranoid reaction and ...' [5] However, the current diagnostic criteria for psychogenic paranoid psychosis are not clearly defined.