Types of Psychosis

What is Psychosis ?

What is Psychosis?
What is psychosis?

Abnormal behaviors that can easily be noticed and a person does not accept that he or she has abnormal behaviors raise the question of psychosis in our minds. Psychosis can be more dangerous and difficult process than neuroses cases. The most important reason for this is the patient does not accept his or her disease and does not need any effort to heal. This mental illness is getting worse and worse over time and it still continues to protect its mysterious side even today.

Psychosis is all kinds of mental health disorders which is usually traumatic and genetic predisposition. Lots of research has been done on the cause of psychosis and how it invades the body and although many preliminary reasons are presented such as genetic predisposition, severe incidents or head trauma, the main cause of psychosis is still unknown. Different realities can emerge in each psychosis case.

What are the types of psychosis ?

It is possible to talk about psychosis under the following three main headings;
  1. Schizophrenic Disorders
  2. Paranoid Disorders
  3. Other Psychotic Disorders

What are Schizophrenic Disorders ?

What are Schizophrenic Disorders?
What are schizophrenic disorders?
Schizophrenic disorder initially reveals itself with minor behavioral disorders. It is not welcomed well in the social environment. As it is not accepted in the social environment, the patient also tends to reject the social environment and stay away from it. The initial symptoms of the schizophrenic disorder are:
  • The patient does not pay attention to personal hygiene.
  • Clothing will be incompatible or dirty.
  • The patient cannot determine his or her role in society, this will lead him to stay away from the social environment or isolated from that environment.
Although these are initial and mild symptoms, there may be a transition to an active phase in some cases even without these symptoms. Here are the symptoms available in active phase:
What are the Symptoms in the Active Phase?
What are the indications in the active phase
What are the indications in the active phase
  • Hallucination
  • Nonsense speaking (delusions)
  • Degeneration (forgetting his essence)
  • Disturbance and perception disorders
  • Apathy (dullness in the feelings)
  • Depersonalization (self-alienation)
  • Self-enclosed
  • Ignoring logic and physical rules
  • Creating a world of their own (fantasy)
  • Negativism (opposition to others’ wishes or thoughts)
  • Catatonia (The patient will remain in a determined position such as wax or game dough. The patient can remain in that position for hours in case no one will touch them)
  • Disconnection from world, indifference, and unconsciousness
  • Temperament disorder (unnecessary and noisy laughter, anger explosions, obsessive states such as constant hand disruption, depression)
  • Swing forward-back, up-down, right-left
  • Confusion and panic situations
  • Taking on the issues that are not relevant to them, thinking that people are talking about them and they are very important figure for the world (thinking themselves as prophet or king)
Continuation of these symptoms for at least 6 months and if the patient is younger than 45 years old, these are important in diagnosis. It is not possible to return to the old state and fully recover even after the treatment process. They have to take medicine regularly throughout their lives. In cases where the medicine will not be enough alone, specialists can decide on electroshock application after discussing the patient’s situation and then treatment of neuroleptic medicine continues at home or in hospital in more severe cases.

What are Schizophrenia Types ?

What are schizophrenia types?
What are Schizophrenia Types
  1. Residual Type: No delusions or hallucinations; is a type of schizophrenia only social disorder and negative psychological conditions present.
  2. Unspecified Type: Schizophrenics that are unidentifiable and unequivocally classified are in this group.
  3. Catatonic Type: Extreme negativism (severe resistance to movement) and motor inactivity cases are observed in patients.
  4. Disorganized Type: Speech and behavioral disorders are present. Movements and conversations are weird, scattered and unmatched.
  5. Paranoid Schizophrenia: Delusion, visual and auditory hallucinations present.
Schizophrenia is a completely psychological condition and it has no relevance with the mental deficiency or organic mental disorder. On the contrary, schizophrenia is high even in people with high IQ level. Families of schizophrenia patients must meet this difficult and overly prolonged period with patience and attention should be paid to constant treatment.

What are Paranoid Disorders ?

What are Paranoid Disorders?
What are paranoid disorders?
Like schizophrenia, the paranoid disorder has also been categorized within itself and there are 4 types:
  1. Jealousy Type: It is a process that begins with the criticism of one of the spouses to other during marriage. This situation which starts with minor criticisms can lead to blames and heavy accusations. Jealousy delirium is dominant.
  2. Erotic Delirium Paranoid: This type of paranoid patients think that people who are known to be very powerful, famous or well-known are in love with them however they cannot confess their love in order to not lose their reputation and place in society. These patients try to contact with the people who they think that they love them and try to hear their confess their love. Some patients give up from communication by considering the values in their subconscious but some can perform initiatives which can lead to scandals.
  3. Invention Delirium Paranoid: This case is usually seen in people with high levels of intelligence. They believe that they have great inventions in areas which they are not specialized and they try to convince the people around them. They give a great importance to change the society or save them by using their skills and they voluntarily work day and night without stopping.
  4. Enmity (Persecution) Delirium Paranoid: Such cases believe that people around them jealous them and due to this jealousy they are being treated badly. They have confidence in their intelligence and skills. When they fail, they claim that they are sabotaged, their achievements were covered up by jealous people, claim that they are in a trap and they seek their rights. They provide lots of evidence that are logically compatible and try to convince people around them. They do not do it only verbally but they also do it in legal ways. They do not hesitate to apply to the necessary institutions with the evidence.

What Distinguishes Paranoid Psychosis from Schizophrenia ?

What distinguishes paranoid psychosis from schizophrenia?
What Distinguishes Paranoid Psychosis from Schizophrenia
  • While the patient must be younger than 45 years old in schizophrenia, paranoid disorders can be seen in people from all ages, all classes, all sexes and all socio-economical conditions.
  • Persecution (enmity) and jealousy delusions are predominant.
  • Cognitive impairment (hallucination) in schizophrenia in not present in paranoid disorder.
  • There is no thought and logic disorder in paranoid disorder because patients have great faith and self-confidence to their delirious conditions and they can bring in evidence appropriate to the events they have created from their minds.
  • Since they have confidence in their intelligence and skills, mental depression situational (depression, Anxiety) are not seen in patients with the paranoid disorder.

Shared Psychotic Disorder:

What is Shared Psychotic Disorder?
What is a shared psychotic disorder?
This case which is also known as “shadow paranoid personality” defines the patients who follow the paranoid patients like a shadow and become a partner to their delusion. This means that there will be “dependent paranoid patient” which moves together with the “ruling-imperative paranoid patient” in each delusion.

Paranoid Disorder Diagnosis and Treatment

The paranoid disorder is not a mental illness. Even intelligent people can experience paranoid disorder with the influence of the events. Paranoid disorder diagnosis is performed with some tests that can be performed by a specialist psychiatrist. People with the shared paranoid disorder can be recovered by various suggestions and persuasion methods when they are kept away from the patients with constant paranoid dysfunction.
  • Aggravated prison sentences, bondage, exile, staying in a place for a long-term where no one knows can lead to temporary (acute) paranoid disorder. The change in the condition will recover their paranoids in a short time.
  • Most of the permanent (chronic) paranoid cases can find a place in society during the treatment and continue their lives with their duties and responsibilities. The love, tolerance, and understanding of the people around them are very important in this regard.

Other Psychotic Disorder Types

What are the other types of psychotic disorders?
What are the other types of psychotic disorders?
There are also interesting and often temporary psychosis types which are not clearly diagnosable unlike paranoid disorder or schizophrenia:
  1. Short Reactive Psychosis: It is a short-term psychosis which lasts at most 2 weeks and at least few hours and the patient return to the normal mood at the end of the period.
  2. Schizophreniform Disorder: Symptoms indicate schizophrenia, however, it starts at a time and ends within 6-7 months, this is why these cases are evaluated separately from schizophrenia.
  3. Schizoaffective Disorder: It is the psychosis case where one or more of both manic depressive and schizophrenic delirious symptoms happen. Suicide attempts or thoughts are common in these cases. They can be in the form of seizures or it can continue on a full-time basis.
  4. Atypical Psychosis: It is the case which cannot be included in other psychotic groups and has no precise boundaries. Temporary psychosis symptoms in women during the menstruation or puerperal period can classify as “atypical psychosis”.


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