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Psychosis

What is it?

Psychosis is a severe mental disorder that is characterized by a loss of contact with reality, changes in personality, and difficulty with social functioning.

Who gets it?

Psychosis occurs in a small number of children - fewer than 1 out of every 1,000 - during mid-adolescence.

What causes it?

Psychosis can be caused by extreme stress and emotions, as well as the abuse of substances such as cocaine or other illegal drugs. Although this condition can be temporary when brought on by some external event, it can also be a component of a lifelong condition such as schizophrenia.

What are the symptoms?

The symptoms of psychosis include depression, delusions, hallucinations, violent or destructive behavior, and withdrawal from social activities. Psychotic children may attempt suicide, exhibit an absence of emotion, and indulge in uncharacteristic behaviors, such as stealing or sexual promiscuity.

How is it diagnosed?

A doctor can diagnose psychosis by its symptoms. It is important to diagnose this condition early so that treatment can begin.

What is the treatment?

Psychosis is treated with antipsychotic drugs such as haloperidol, chlorpromazine, and flupenthixol. Children with symptoms of depression are also treated with antidepressants, which might include a class of drugs called selective serotonin reuptake inhibitors (SSRIs) or monoamine oxidase inhibitors (MAOIs). Psychiatric therapy is an important part of treatment, and can help the child and his or her family learn to recognize the stresses that contribute to this condition and to develop strategies for managing this illness. Severe cases may require periods of hospitalization.

Self-care tips

It is important for a child suffering from psychosis to take his or her prescribed medications at regular intervals. With treatment, a child with psychosis can and should be encouraged to participate in normal activities at home and school.


This information has been designed as a comprehensive and quick reference guide written by our health care reviewers.  The health information written by our authors is intended to be a supplement to the care provided by your physician.  It is not intended nor implied to be a substitute for professional medical advice.

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This page was last updated on October 31, 2006
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