psychosis and neurosis

> a condition that affects the mind where in there is a loss of contact with reality. includes: delusions, and hallucination, thought disorder poor awareness

CAUSES:> Psychiatric - functionalGeneral medical - organicPsychoactive drug use

PSYCHOSIS

PSYCHOSIS: SIGNS AND SYMPTOMS

Main : Delusions Hallucination Illusions Changed feelings Changed Behavior Problems in thinking

DIAGNOSTIC TOOLS

MRI Test for Syphilis Drug Screens

TYPES OF PSYCHOSIS

1. Brief Psychotic Disorder2. Organic Disorder3. Substance Induced4. Bipolar Disorder5. Major Depressive episode with

psychotic feature without mania6. Schizophrenia7. Schizophreniform disorder8. Schizoaffective disorder9. Postpartum psychosis

TYPES OF PSYCHOSIS10. Prison psychosis11. Senile psychosis12. Toxic psychosis13. Unipolar psychosis

PROGNOSIS: It varies with specific disorders It can be controlled with long term

treatment

TREATMENT

1. Medication2. Supportive psychotherapy3. Psychosocial Rehab

COMPLICATION:> Inability to care of oneself

NURSING DIAGNOSIS1.Altered thought process2. Sensory perceptual alterations: visual/

auditory/kinesthetic/gustatory/tactile/olfactory

3. Self care deficit4. Altered role performance5. Personal identity performance6. Potential for violence:

- Self – directed- directed to others

NEUROSIS A term generally used to describe a

nonpsychotic mental illness which triggers feelings of distress and anxiety and impairs functioning.

Describes internal process ( unconscious conflict) that triggers anxiety characteristics.

Has firm grip with reality.CAUSES:

Emotional Stress Hysterical stress Drug interaction

NEUROSIS: SIGNS AND SYMPTOMS

Main: Disturbances in :

- Emotional-Occupational-Social Life

NEUROSIS: TYPES

1. Anxiety2. Depression3. Obsessive-compulsive4. Post-traumatic stress disorder5. Dissociative disorder6. Somatization7. Hypochondriac8. Prison neurosis9. Transference neurosis10. War neurosis

Prognosis:Good prognosis

Treatment:MedicationsCounsellingPsychotherapyCognitive behavioral therapy

Complication:> May lead to psychosis

Nursing Diagnosis:AnxietyFearHopelessnessSelf-esteem : Situational

LowPost traumatic responseImpaired adjustment