Study on the outcome of acute and transient psychotic disorders

Author : I. Lakshminarayana Reddy, C. Radhakrishna Raju

The concept of Psychosis dates from late 19th century and the adoption of the term itself is the origin of the term psychosis coined by Austrian physician, Von Feuchterleben in 1847. He named it as, those conditions which we usually call in a more restricted sense, "mental derangement". Most psychiatrists will agree that a considerable number of psychoses occur, which do not naturally fit in to Kraeplin's two forms, which nosologically have very little in common with schizophrenia or manic depressive disorder. Aim: To study the outcome of acute and transient psychotic disorders. Material and Method: The present study was conducted at Government General Hospital, Guntur, Guntur Medical College, Guntur; from January 1st 2012 to December 31st 2012. Type of study: Prospective study. Results & Discussion: The study also found out that most of the first episode schizophrenias and affective disorders which could not be diagnosed as such because of the specification of the duration mentioned in ICD-10, would naturally get a label of' acute psychosis. The diagnostic stability of the so called acute and transient psychoses at the end of one year is only 32%. The present sub categorisation might probably pick up schizophrenias better than the affective disorders during the first visit and require further revision based on more third world experience of acute psychosis.

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