Schizophrenia vs Brief Psychosis Explained Simply

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Dr. B here with demystifying the DSM and we're in the series on psychotic disorders and I'm going to clump the next two together. Brief psychotic disorder and schizophreniform. So, brief psychotic disorder, say someone presents to the emergency room or a psychiatric hospital, or even in the outpatient psychiatric center and they are meeting criteria for psychosis. They have maybe delusions and hallucinations, but it's very important, and one of the criteria for having some of the other disorders is a significant impairment in function and a period of time of those symptoms. So oftentimes we'll put as the treating diagnosis, brief psychotic disorder, really hoping that it's brief. Some doctors will put psychotic disorder unspecified. If you think that you might be able to bring this person out of it, maybe they ingested a substance, or they had a traumatic event, or something happened that you think that this is brief. It's short lived. We're going to be able to treat them and they're not going to have a chronic condition. Schizophreniform is when there's been a period of time where they have had these symptoms and we are concerned that they are going to eventually meet criteria for schizophrenia, and schizophrenia is a chronic long-term diagnosis that can go into remission, but likely will never go back to baseline. Brief psychotic disorder is kind of that diagnosis that we put on anybody coming in with no mental health history and they are having a psychotic episode and we are hoping that it is brief. So that's what brief psychotic disorder is. Schizophreniform is when they don't quite meet criteria for schizophrenia right now, but the likelihood is high, and this happens when somebody young comes in right at that age where schizophrenia typically develops, and we have not been able to put them into remission quickly. So, we put schizophreniform disorder there. You don't see these chronically. You'll see these diagnosis often if you work in a crisis center or an emergency room where there's not time. Sometimes we need time. A lot of people read this book and they say, oh, you know, if someone meets these criteria, they are this. I tell this to my students all the time, we need time. This diagnostic interview that you can sit with somebody for one hour and know their chronic long-term diagnosis is not fair to you as a practitioner, nor is it fair to the patient, right? So, these are diagnosis that we can treat because we must put a diagnosis in. To patients listening or clients listening. Your doctor had to continue treating you. They must put something otherwise your insurance will not cover it. And so, these are diagnosis that we can use to say we hope this is brief, but these are the symptoms that we are treating.
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Dr. Cristi Bundukamara, Ed.D, PMHNP-BC --- A Psychiatric Mental Health Nurse Practitioner and a Doctor of Healthcare Education has experienced unimaginable trials that have caused many feelings such as depression, anxiety, anger, & overwhelming stress.
However, she has developed a new pathway to becoming Mentally Strong & Choosing to be Happy. With purpose, Dr. B has developed the phases that were refined within the Mentally STRONG Method that she created and wants to share with you.

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