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Medical Conditions That May Present with Psychosis

Medical Conditions That May Present with Psychosis. Temporal lobe epilepsy Tumor Stroke Trauma Endocrine/metabolic abnormalities Infections Multiple Sclerosis Autoimmune diseases. Evaluating Psychosocial Function. Premorbid Current. Aspects of Psychosocial Function.

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Medical Conditions That May Present with Psychosis

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  1. Medical Conditions That May Present with Psychosis • Temporal lobe epilepsy • Tumor • Stroke • Trauma • Endocrine/metabolic abnormalities • Infections • Multiple Sclerosis • Autoimmune diseases

  2. Evaluating Psychosocial Function • Premorbid • Current

  3. Aspects of Psychosocial Function • Relationship to parents • Relationship to siblings • Relationship to peers • Sexual adjustment • Educational history • Work function • Recreational activities and interests

  4. LaboratoryWorkup • No standard set of laboratory tests • Test selected on basis of clinical presentation, mode of onset, and past history

  5. Some Common Laboratory Tests • Complete blood count • Urinalysis • Endocrine tests • Liver function tests • Electroencephalogram • Computerized Tomography • Magnetic Resonance Imaging • Neuropsychological tests • Projective tests

  6. Cross Cultural Issues: Similarities Across Cultures • Schizophrenia is found throughout the world • Some symptoms tend to be identical worldwide Negative symptoms Thought Disorder Cognitive Impairment

  7. Differences Across Cultures • Content of psychotic symptoms • Outcome • Frequency of acute psychotic episodes

  8. Reasons for Frequency of Acute Psychosis • Infections • Nutrition • Delays in provision of medical care

  9. Social Outcome in First Episode Schizophrenia: Nagasaki

  10. Poor Outcome: Predictors • Prominent negative symptoms • Early age of onset • Insidious onset • Poor premorbid adjustment • Low educational achievement • Low parental social class • Male gender

  11. Comparison of Course in Developed and Developing Countries

  12. Reasons for Better Outcome in Developing Countries • Better social support from extended families • Less social pressure to achieve occupationally • Lower stress in rural environments and small villages • Less stigma toward mental illness

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