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DEFINITION OF NEUROSIS
A term generally used to describe a non-psychotic mental illness which triggers feelings of distress and anxiety and impairs functioning.

An emotional illness in which a person experiences strong feelings of fear or

worry. Is a maladaptive emotional state due to unresolved emotional conflict;

Has firm grip with reality.

Greek roots (neuron, meaning "nerve," and -osis, meaning "disease") implies disorder,

CAUSES
a. Emotional Stress b. Hysterical stress c. Drug interaction

NEUROSIS: SIGNS AND SYMPTOMS

Disturbances in : Emotional Occupational Social Life

Treatment for Neurosis:

1. 2. 3. 4. Medications Counselling Psychotherapy Cognitive behavioral therapy

Complication: > May lead to psychosis

DEFINITION OF PSYCHOSIS
A severe mental disorder, with or without organic damage, characterized by derangement of personality and loss of contact with reality and causing deterioration of normal social functioning. People suffering from psychosis are described as psychotic

CAUSES OF PSYCHOSIS
1. FUNCTIONAL: mental illnesses such as a. schizophrenia b. bipolar disorder 2. ORGANIC: medical or non-psychological conditionssuch as a. brain tumors b. sleep deprivation c. psychoactive drugs (eg barbituates, amphetamines, and hallucinogens).

TYPES OF PSYCHOSIS
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Brief Psychotic Disorder Organic Disorder Substance Induced Bipolar Disorder Major Depressive episode with psychotic feature without mania Schizophrenia Schizophreniform disorder Schizoaffective disorder Postpartum psychosis Prison psychosis Senile psychosis Toxic psychosis Unipolar psychosis

CONTTYPES OF PSYCHOSIS
PROGNOSIS: It varies with specific disorders It can be controlled with long term treatment

Signs and symptoms

1. 2. 3. Hallucinations Delusions Thought disorder

DIAGNOSTIC TOOLS
a. MRI b. Test for Syphilis (neurosyphilis) c. Drug Screens

TREATMENT
1. 2. 3. Medication Supportive psychotherapy Psychosocial Rehabilitation

COMPLICATION: > Inability to care of oneself

NEUROSIS

PSYCHOSIS

Does not need hospitalization

Needs hospitalization

Minor reaction to stress

Major reaction to stress

Normal reality

Impaired reality

Can feel sufferings and wants to get Does not know his ill well Does not deny reality Denies reality

Exploits sex for secondary gain

No secondary gain is derived

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TREATMENT
Psychotherapy : treatment of emotional, behavioral, personality, and psychiatric disorders based primarily upon verbal or nonverbal communication and interventions with the patient. Counselling: Talking to a social worker or psychotherapist.

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MEDICATIONS
1. SEDATIVES: The National Mental Health Institute reports that although prescription sedative medications such as benzodiazepams are effective in treating neurosis, they can create dependence. Consequently, other types of medications are preferable. 2. ANTI-DEPRESSANTS: Tricyclic anti-depressants (so named because of the "three ring " chemical structure of all the drugs in this class), which work on two neurotransmitters in the brain, norephinephrine and serotonin, are effectively used to treat neurosis without the addiction potential and side effects of sedatives. 3. NATURAL ALTERNATIVES: Natural alternatives to sedatives include but are not limited to chamomile, St. John's Wort, lavender, valerian root, and many others. These substances typically create far fewer negative side effects than prescription sedatives.

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