Psychotic disorders

Psychoses are characterised by delusions. The patient is convinced of things that are not real, based on intuition, interpretation or hallucinations – especially auditory ones.
Delusions are often accompanied by behaviour disorders, for example agitation, prostration, mutism, opposition, and fleeing.

Management includes psychosocial support and antipsychotic medication.
Treatment efficacy and the prognosis depend in large part on the quality of the relationship established with the patient and his family.
Keeping the patient at home with outpatient follow-up is preferred if the patient is not a danger to himself or others, and if the family is capable of managing the disorder.

The meaning of psychoses varies with the cultural context1 . For example, psychotic disorders may be attributed to charms or to ancestor intervention. Therapeutic approach should take those beliefs into account. Patient are usually already under “traditional” treatments, this should not be seen as an obstacle to conventional medical treatment.

Ref Notes
1 Hence the importance of working with an “informant” (in the anthropological sense of the word) when dealing with unfamiliar cultural contexts.