How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Mark Your Own Question

Dr. Mark
Dr. Mark, Psychotherapist
Category: Mental Health
Satisfied Customers: 5313
Experience:  Dr. Mark is a PhD in psychology in private practice
Type Your Mental Health Question Here...
Dr. Mark is online now
A new question is answered every 9 seconds

what are the specific signs of psychosis

Customer Question

what are the specific signs of psychosis
Submitted: 5 years ago.
Category: Mental Health
Expert:  Dr. Mark replied 5 years ago.

Hi! I believe I can be of help with this issue.

I can imagine how worrisome this situation must be for you. You are clearly a very loving and caring aunt to be making these efforts on your niece's behalf. That's really wonderful.

In one sense I can understand the therapist's hesitation in getting your niece involved with meds given that she is recovering from addiction. On the other hand, if she's having psychotic symptoms, then that worry needs to be overridden. Seroquel is an antipsychotic used in treating schizophrenia and Bipolar Disorder, which both feature psychotic symptoms. If she's done well before with Seroquel, you are very right in thinking about psychiatric evaluation.

Psychotic disorders share these symptoms:

Delusions--believing something is true that we know is clearly not, whether paranoid delusion or not.

Hallucinations--whether audio or visual. This means that she is hearing voices, not just having "thoughts" that she knows are her own.

Disorganized thinking and speech--that means you can't follow her train of thought because it just doesn't make sense.

Disorganized behavior--like sometimes being catatonic when talked to, for example.

I want to stress: I've worked with people with psychotic symptoms throughout my career and I urge you to err on the side of getting her to a psychiatric evaluation. Untreated psychotic disorders can cause long term damage as each succeeding episode builds on previous ones' severity.

Okay, I wish you the very best!

Please remember to click the green accept button because: even though you have made a deposit, I do not get paid for my time unless you press ACCEPT. Feel free to continue the discussion as my goal is to get you the best answer possible. You can continue the discussion even after pressing ACCEPT. Bonuses are always appreciated! If I can be of further help with any issue, just put "for Dr. Mark" in the front of your new question, and I'll be the one to answer it. All the best, XXXXX XXXXX

Dr. Mark and other Mental Health Specialists are ready to help you
Customer: replied 5 years ago.
Her mother and I are at wits end. She has repeatedly asked for a psych referral and has been denied.

a major problem is that she was taken off the seroquel cold turkey. We are seeking other avenues to get a referral. I can see her declining day by day.
Expert:  Dr. Mark replied 5 years ago.
I'm confused: I cannot imagine that her MD refused to refer to a psychiatrist if she is having severe symptoms even if they are not fully psychotic!

If this IS the situation, though, then you need to take her to the ER of a big city hospital in your area that has a psychiatric unit and describe the symptoms to the ER docs and ask if a psychiatric resident could come and treat her. Then you could tell him/her history and see whether he/she will prescribe for her.

All the best, Dr. Mark

Related Mental Health Questions