Cycloid Psychosis: What is It and Why Should You Care?

Описание: Today, I want to talk about what I've learned about cycloid psychosis, a fascinating concept of a potential condition that exists in European psychiatric history but isn't found in our current diagnostic books like the DSM-5 or ICD-11.

This condition is particularly interesting to me because it presents in three distinct forms according to its appearance in early psychiatry. First, there's anxiety-blissfulness psychosis, then we have confusion psychosis, and Finally, there's motility psychosis. However, criteria established by later psychiatrists seems to contradict this.

What makes cycloid psychosis unique is its rapid onset - we're talking hours to days, not weeks like in schizophrenia or bipolar disorder. The Perris criteria, established in 1981, gave us a formal diagnostic framework, requiring sudden onset in people aged 15-50 and the presence of specific symptoms like confusion, delusions, hallucinations, and mood disturbances. However, there's an interesting conflict between these criteria and Leonhard's original conceptualization, showing why defining this condition has been so challenging.

While we don't have cycloid psychosis in our current diagnostic manuals, we do have similar categories like Brief Psychotic Disorder in the DSM-5 and Acute Transient Psychotic Disorder in the ICD. However, neither fully captures the unique presentation and characteristics of cycloid psychosis, particularly its prominent mood component. This raises important questions about how we categorize mental health conditions and whether our current diagnostic systems might be missing important clinical distinctions.

Sources used in this video:

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://dsm.psychiatryonline.org/doi/...

Drew Cumming, Jennifer Schreiber, Sarah Magaziner, Susmita N. Sarangi, (2022). Revisiting cycloid psychosis: An unexpected approach to a diagnostic challenge, Psychiatry Research Case Reports, V1, Issue 1, https://doi.org/10.1016/j.psycr.2022.....

El-Mallakh, R. S., & Furdek, C. (2018). Cycloid Psychosis. The American journal of psychiatry, 175(6), 502–505. https://doi.org/10.1176/appi.ajp.2017...

Jönsson, S. A., Jonsson, H., & Nyman, G. E. (1991). The concept of cycloid psychosis: the discriminatory power of symptoms. Acta psychiatrica Scandinavica, 84(1), 22–25. https://doi.org/10.1111/j.1600-0447.1...

Peralta, V., Cuesta, M. J., & Zandio, M. (2007). Cycloid psychosis: an examination of the validity of the concept. Current psychiatry reports, 9(3), 184–192. https://doi.org/10.1007/s11920-007-00...

Peralta, V., & Cuesta, M. J. (2005). Cycloid psychosis. International review of psychiatry (Abingdon, England), 17(1), 53–62. https://doi.org/10.1080/0020739050006...

Salvatore, P., Bhuvaneswar, C., Ebert, D., Maggini, C., & Baldessarini, R. J. (2008). Cycloid psychoses revisited: case reports, literature review, and commentary. Harvard review of psychiatry, 16(3), 167–180. https://doi.org/10.1080/1067322080216...

Selvakumar, N., Kuppili, P. P., Bharadwaj, B., & Kandasamy, P. (2017). The forgotten entity of cycloid psychosis. Asian journal of psychiatry, 30, 33–34. https://doi.org/10.1016/j.ajp.2017.07...

World Health Organization. (2022). ICD-11: International classification of diseases (11th revision). https://icd.who.int/

Yadav D. S. (2010). Cycloid psychosis: perris criteria revisited. Indian journal of psychological medicine, 32(1), 54–58. https://doi.org/10.4103/0253-7176.70536

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Disclaimer: I am not a qualified mental health professional. This channel exists for educational purposes, and I do my best to provide accurate and up-to-date information. In order to create content, I combine scientific resources (peer reviewed studies and easy-to-understand articles) and my own personal experiences/advice. I seek to make complicated topics easy to understand, but I am no substitute for a doctor, therapist, or other qualified mental health professional.

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