Diagnosis 1. Doctor, do you have a diagnosis of the patient? - Yes 2. What is it? - Psychosis 3. What is psychosis?

- Psychosis refers to an abnormal condition of the mind, and is a generic psychiatric term for a mental state often described as involving a "loss of contact with reality" 4. What are the manifestations of psychosis? - People with psychosis may have one or more of the following: hallucinations, delusions, catatonia, or a thought disorder 5. Can you describe the effects of what you mentioned to a person suffering from psychosis? - A hallucination is a sensory perception in the absence of external stimuli. Hallucinations may occur in any of the five senses and take on almost any form, which may include simple sensations such as lights, colors, tastes, and smells to experiences such as seeing and interacting with fully formed animals and people, hearing voices, and having complex tactile sensations. - Psychosis may involve delusional beliefs, some of which are paranoid in nature. Put simply, delusions are false beliefs which a person holds on to, without adequate evidence. Common themes of delusions are persecutory. For example, a person believes that others are out to harm him or her. A person may also feel grandiose where such person believes that he or she has special powers or skills. - Catatonia describes a profoundly agitated state in which the experience of reality is generally considered to be impaired. The classic presentation is a person who does not move or interact with the world in any way while awake. 6. What are the major causes of psychosis? - There are a lot of causes. A person might suffer from psychosis because of the following reasons: schizotypal disorder, certain personality disorders caused by stress, bereavement, or even caffeine intoxication. We also have stimulant psychosis and substance-induced psychosis. 7. What is this stimulant psychosis? - Stimulant psychosis is a psychotic disorder that occurs in some people who use stimulant drugs. Stimulant psychosis commonly occurs in people who abuse drugs; but it also occurs in some patients taking therapeutic doses of stimulant drugs under medical supervision. 8. What kind of stimulant drugs usually causes stimulant psychosis? - The most common causative agents are metamphetamines or shabu and cocaine 9. When a person takes metampehtamine, what will be its effects emotionally to him or her? - Amphetamine and its derivatives are known to induce psychosis typically when chronically abused or used in high doses. The symptoms of amphetamine psychosis include auditory and visual hallucinations, delusions of persecution, and delusions of reference concurrent with both clear consciousness and prominent extreme agitation. Amphetamine psychosis may be purely related to high drug usage, or high drug usage may trigger an underlying vulnerability to schizophrenia. 10. You swore under oath that Mr. ______________ was your patient. Am I correct? - Yes 11. And what was your diagnosis Doctor? - The patient is suffering from stimulant psychosis because of drug overuse, more specifically, metamphetamine 12. What is the basis of your diagnosis?

Mr. Can such order be treated Doctor? .The stimulant psychosis will recur and all the symptoms will come back. __________. we already conducted supportive care when he was admitted. what did you recommend and for how long should patient. patients are required to take antipsychotic drugs. If What will happen if the patient stops from taking his/ her medication? .As early as 1 week after his taking of the medication 20. __________. .Yes. laboratory testing which include brain scans.It depends on the severity of his condition. blood pressure. 13. What is the time-span of the symptoms recurring after a patient stops taking antipsychotic drugs? . And for how long has the patient stopped taking medication? . body temperature.In his case.2 months . How? . Treatment may last for months or it may last for a lifetime. drug screens and MRI.Treatment consists of supportive care during the acute intoxication phase: maintaining hydration. 19. And how long should a patient undergo such treatment? . 16. maintain his treatment. 14. 15. blood tests for abnormal electrolyte and hormone levels. Based on your diagnosis. But more importantly.. Mr. 17. of those that you mentioned as possible treatment. Mr. Also. which reduce hallucinations and delusions and improve thinking and behavior are helpful. 18.All the results indicate that the patient is indeed suffering from stimulant psychosis. ______ should maintain lifetime medication of antipsychotic drugs because of the severity of his condition. Psychiatric evaluation. and heart rate at acceptable levels until the drug is sufficiently metabolized to allow vital signs to return to baseline. He also underwent counselling.I conducted different kinds of scientific tests and exams on the patient. And what do the results say? .

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