Short course 9.1
Psychoses
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© 1998 MJA
| Psychoses, a primary care
perspective
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A psychosis
is a mental disorder characterised by severe disturbances in cognition (illogical reasoning, delusions), perception (hallucinations) and reality testing (inability to distinguish fact from fantasy).
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| | Psychoses (schizophrenia,
schizophreniform disorders, schizoaffective disorders,
bipolar disorder and psychotic depression) are
relatively rare, but highly disabling, forms of mental
illness.
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| | The most common psychosis is
schizophrenia, which has a lifetime prevalence of less
than 2%.
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| | People with psychoses are now
much less likely to be institutionalised. More of their
psychiatric care is likely to be handled by their family doctor with the
support of specialist mental health services.
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General
practitioners are well placed for early intervention (after detecting prodromal symptoms) and
continuing care of people with psychoses (including support to family members and coordinating various aspects of care for people with psychoses). |
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