Psychotic Disorders

Psychotic illnesses demand timely detection, phase-specific care, and coordinated pharmacologic and psychosocial strategies. Psychotic Disorders reviews diagnostic frameworks, differential diagnosis, and trajectories from prodrome through first-episode and multi-episode phases. We examine positive, negative, and cognitive symptom clusters; comorbid substance use; and medical contributors such as autoimmune, metabolic, or neurodegenerative conditions. The session emphasizes shared decision-making, adverse-effect mitigation, and functional recovery—education, work, relationships—not just symptom reduction. You’ll learn how to balance efficacy with tolerability, when to add long-acting injectables, and how to integrate CBT-p, family work, and supported employment. We’ll also cover metabolic monitoring, cardiometabolic risk reduction, and strategies for suicidality and aggression risk. With real-world data and early-intervention models, teams can shorten DUP, reduce relapse, and improve quality of life. See how Psychotic Disorders, insights from psychosis conference, and adjacent concepts like schizophrenia treatment guidelines translate evidence into compassionate, equitable care.

Assessment, Treatment & Recovery Essentials

Early detection and phase-specific care

  • Identify prodromal and first-episode psychosis early to shorten the duration of untreated psychosis (DUP).
  • Tailor care intensity from acute to maintenance phases to preserve functioning and prevent relapse.

Medication selection and optimization

  • Choose antipsychotics by balancing efficacy, side-effect profile, and patient preference.
  • Consider long-acting injectables (LAIs) when adherence is inconsistent or relapse risk is high.

Negative and cognitive symptoms

  • Combine pharmacologic interventions with cognitive remediation and structured psychosocial rehabilitation.
  • Target motivation, processing speed, and executive function to restore goal-directed activity.

Comorbidity and differential diagnosis

  • Differentiate substance-induced, mood-related, and medical causes of psychosis through comprehensive workups.
  • Address co-occurring anxiety, depression, or substance use without amplifying sedation or metabolic risks.

What You’ll Be Able To Do After This Session

Recognize early signals
Identify attenuated psychosis and first-episode features to accelerate referral and coordinated specialty care.

Choose the right agent
Balance efficacy with metabolic, neurologic, and cardiovascular risks while centering patient goals.

Use LAIs strategically
Deploy long-acting formulations to stabilize adherence and reduce relapse in real-world settings.

Address negative cognition
Blend cognitive remediation with rehabilitation and targeted pharmacologic adjuncts for functional gains.

Integrate family and CBT-p
Embed structured family work and CBT-p to lower relapse drivers and improve engagement.

Mitigate metabolic risk
Institute monitoring, lifestyle interventions, and medication switches when cardiometabolic risk emerges.

Coordinate with SUD care
Align antipsychotic plans with addiction treatment to reduce intoxication-triggered exacerbations.

Plan recovery outcomes
Track education, employment, housing, and social goals alongside symptom and side-effect metrics.

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