Acute Psychosis
| Lifetime prevalence 3%, most often due to recreational drugs | |
|---|---|
| History | ➥ Duration/onset ➥ Character of psychosis/behavioural changes ➥ PMH - medications, recent infective s/s, ➥ DHx: recreational drug use, OTC ➥ Ask about alcohol + recreational drugs ➥ Ask about suicide, self-harm risk |
| Examination | Mental State Examination Neurological o/e? |
| Diagnostic investigations | Any suspicion of intracranial shenanigans → LP, brain imaging Check glucose, STI testing? |
| Differentials | autoimmune badness e.g. autoimmune encephalitis, paraneoplastic |
| Immediate management | - Management of Acute behavioural disturbance |
| Ongoing management |