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Psychosis

Clinical teaching and practical ideas for your next study session.

Case Discussion

Stimulant-Associated Psychotic Agitation: Treat Both Targets

When psychosis and methamphetamine exposure overlap, rapid tranquilization should not become a one-drug reflex. This case shows how to address acute arousal and psychotic symptoms as separate treatment targets while keeping medical evaluation active.

Case Discussion

When a Psychotic Teen Refuses Psychiatric Admission

A psychotic adolescent’s refusal raises three separate questions: whether inpatient care is needed, who may authorize admission, and what process permits admission over objection.

Medical Education

Violence Risk Formulation: From Risk Factors to Scenarios

Turn a vague “high risk” label into a time-bound, target-specific account of what could happen, under what conditions, and what could reduce the risk.

Case Discussion

Alcohol Withdrawal Hallucinations: Hallucinosis or Delirium?

Hallucinations after alcohol cessation do not by themselves establish withdrawal delirium. This case discussion uses serial attention, awareness, arousal, and symptom fluctuation to distinguish alcohol-induced hallucinosis from delirium—and to guide monitoring, assessment tools, and safe adjunctive antipsychotic use.

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