Question:

How would you confirm patient have psychosis?

Answer:
We will do a detail assessment of a patient to confirm that he or she is having psychosis by
asking about the following:
1. Symptoms of psychosis:
1) Changes in speech
2) Abnormal beliefs (Delusions)

3) Abnormal perceptions (Hallucinations)

4) Changes In emotions
5) Changes in social Behaviour
6) Changes In behavior

2. Ask about previous/current episodes and treatment

Ask both the person and the family about;

o Is this first episode or a relapse?

o Symptoms worsened?

o Details of any previous or current treatment

o Within the last 3 months? ( 3 < acute, 3 > chronic)

3. Rule out:
• Psychotic symptoms caused by substance use e.g., cannabis or alcohol
• Psychotic symptoms caused by delirium due to acute medical conditions e.g., cerebral
malaria, systemic infection, sepsis, head injury etc.

Typical antipsychotics are more likely to cause extrapyramidal side effects in which
motor control is sometimes severely impaired, causing tremors, spasms, muscle rigidity, and
the loss of control and coordination of muscle movement. In some cases, the symptoms may
become permanent even after the treatment is stopped.

Atypical antipsychotics are far less likely to cause extrapyramidal side effects. With
that being said, they are known to cause weight gain, metabolic problems, and sexual side
effects, among others.
Generic name Oral Medications Dosage Depot Injections Dosage

First Generation

Fluphenazine Modrin Motvil 2.5 mg Largactil 12.5mg/ml

(Long acting)

Haloperidol Cara-Dol Haldol 2 mg Pyscate 50mg/ml,

(short acting) Medinac Sycate 100mg/ml
Available in Pak Modecate injection
Synocate

Chlorpromazine Dawnotil 200 mg Seridol Halophrenia

Largactil
Second Generation

Aripiprazole Apizole 10 mg 400mg/ml

Aripan
Zedan
Raylify

Olanzapine Zyprexa 5 mg Zyprexa Relprevv 210, 300, 405

Ozapine mg vials
Olan-Z

Quetiapine Ziapine 150 mg

Tiapine
Quitin

Resperidone 2 mg

Clozapine Lozep 12.5 mg

Cloztec
Clogen