Psychotic disorders are relatively rare, but cause significant morbidity and mortality to patients in the primary care setting. The primary care physician is becoming increasingly important in the diagnosis and treatment of these disorders. The practitioner needs to rule out medical, substance, and mood causes of psychotic symptoms before assuming a patient has a psychotic disorder (e.g., schizophrenia). There are many new medication options for the treatment of psychotic symptoms. These medications have fewer side-effects and improved effectiveness in treating negative symptoms than older medications. Many psychotic patients can be managed by the primary care physician in collaboration with a psychiatrist or other mental health service providers. Patients with suicidal ideation, command auditory hallucinations, or an acute exacerbation of their psychosis need a referral to a psychiatrist, as do patients who are unresponsive to medication trials.
|Original language||English (US)|
|Number of pages||22|
|Journal||Primary Care - Clinics in Office Practice|
|State||Published - 1999|
ASJC Scopus subject areas