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Related Concept Videos

Psychosis and Antipsychotic Drugs: Overview01:28

Psychosis and Antipsychotic Drugs: Overview

The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic symptoms in all...
Psychosis: Goals of Pharmacotherapy01:26

Psychosis: Goals of Pharmacotherapy

Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation. For...
Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders01:27

Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders

Schizophrenia is a neurodevelopmental disorder whose origins are rooted in complex genetic components. Despite our burgeoning understanding, the pathophysiology of this disorder remains incompletely deciphered.
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within the...
Psychological and Sociocultural Causes of Schizophrenia01:29

Psychological and Sociocultural Causes of Schizophrenia

Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
Schizophrenia01:17

Schizophrenia

Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those diagnosed.
Altered States of Awareness01:06

Altered States of Awareness

Altered states of consciousness represent significant deviations from one's normal mental state. These deviations can range from subtle changes in awareness to profound transformations in perception, thought processes, and sensory experiences. Altered states of consciousness can be triggered by various factors, including drug use, meditation, hypnosis, illness, or even intense fatigue.
The ingestion of substances like stimulants or hallucinogens leads to chemical alterations in the brain that...

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Updated: May 9, 2026

Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis
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Alternative Psychosis - Is it a Defined Clinical Entity?

Girish H Banwari1, Chirag D Parmar, Dhiraj D Kandre

  • 1Department of Psychiatry, Sheth V.S. General Hospital, Ahmedabad, Gujarat, India.

Indian Journal of Psychological Medicine
|July 9, 2013
PubMed
Summary

Alternative psychosis, a behavioral issue in epilepsy patients, can emerge after seizure control. This case study shows aggressive behavior responding well to antipsychotic medication, suggesting a variable presentation and effective treatment options.

Keywords:
Alternative psychosisantiepileptic drugsantipsychotic drugsforced normalization

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Area of Science:

  • Neurology
  • Psychiatry

Background:

  • Epilepsy management often involves antiepileptic drugs (AEDs) to control seizures.
  • Behavioral problems, termed 'alternative psychosis', can manifest after successful seizure control.
  • This phenomenon lacks clear diagnostic criteria and established treatment guidelines.

Observation:

  • A 13-year untreated epilepsy patient developed non-specific aggressive behavior within a week of starting sodium valproate.
  • The patient's aggressive behavior was a new onset, occurring after achieving seizure control.

Findings:

  • The patient's aggressive behavior responded effectively to a short course of low-dose risperidone, an antipsychotic medication.
  • This case demonstrates that 'alternative psychosis' can present variably in epileptic patients.

Implications:

  • Antipsychotic drugs may be a viable treatment for 'alternative psychosis' in epilepsy.
  • Further research is needed to understand the mechanisms and standardize treatment for this condition.