Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • age over 18 years
  • at least 1 positive psychotic symptom lasting >1 day but <1 month
  • symptoms not due to substance use
  • symptoms not due to medical condition

Other diagnostic factors

  • recent childbirth: within last 4 weeks
  • recent stress and trauma

Risk factors

  • significant life stressor
  • personality disorder
  • FHx of psychotic disorder
  • 4 weeks postnatal
  • previous psychiatric symptoms in women
  • age 35 to 45 years
  • single mother

Diagnostic investigations

1st investigations to order

  • serum pregnancy test (females)
Full details

Investigations to consider

  • electrolytes
  • urea
  • creatinine
  • glucose
  • LFTs
  • TFTs
  • syphilis serology
  • urinalysis
  • urine toxicology
  • ECG
  • CT scan brain
  • MRI brain
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Faculty Research Associate

Maryland Psychiatric Research Center

University of Maryland

School of Medicine

Department of Psychiatry

Catonsville

MD

Disclosures

KRW declares that she has no competing interests.

Assistant Professor

Department of Psychiatry

University of Maryland

School of Medicine

Department of Psychiatry

Catonsville

MD

Disclosures

WRK declares that he has no competing interests.

Associate Professor

Director

Treatment Research Program

Maryland Psychiatric Research Center

University of Maryland

School of Medicine

Department of Psychiatry

Catonsville

MD

Disclosures

DLK has served on the advisory boards for Bristol-Myers Squibb and Solvay. She has received an honorarium from Astra Zeneca.

Peer reviewers VIEW ALL

Professor

Department of Psychiatry

University of New Mexico School of Medicine

Albuquerque

NM

Disclosures

JY is an author of a reference cited in this monograph.

Affiliate Assistant Professor

Department of Psychiatry and Behavioral Sciences

University of Washington Medical Center

Seattle

WA

Disclosures

CNS declares that he has no competing interests.

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