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Approach to New-Onset Psychosis in Pediatrics: A Review of Current Practice and an Interdisciplinary Consensus-Driven

Alexander J Jonokuchi1, Daniel B Fenster2, Teresa A McCann3

  • 1Neurology, Columbia University Medical Center, New York, NY, USA.

Journal of Child Neurology
|May 11, 2023
PubMed

Insights

Pediatric psychosis presents diagnostic challenges. A novel clinical pathway, developed by expert physicians, offers a systematic approach to evaluating children with new-onset psychosis.

Area of Science:

  • Pediatric Medicine
  • Child Psychiatry
  • Neurology

Background:

  • New-onset psychosis in children presents complex diagnostic challenges due to diverse underlying causes.
  • Requires a multidisciplinary medical and coordinated approach for effective workup.
  • Multiple medical specialties are involved in managing pediatric psychosis.

Purpose of the Study:

  • To develop and implement a novel clinical pathway for evaluating pediatric patients with new-onset psychosis.
  • To provide a systematic and coordinated approach to the diagnostic workup.
  • To screen for a comprehensive range of potential etiologies.

Main Methods:

  • Convened a committee of expert pediatric physicians from emergency medicine, psychiatry, neurology, hospitalist medicine, and radiology.
  • Developed and implemented a novel clinical pathway.
  • Reviewed evidence supporting recommended investigations within the pathway.

Main Results:

  • A systematic clinical pathway was created and implemented.
  • The pathway facilitates a coordinated approach to diagnosis.
  • Evidence-based investigations are recommended for comprehensive etiology screening.

Conclusions:

  • The novel clinical pathway provides a structured approach to diagnosing pediatric psychosis.
  • This systematic method aids in identifying diverse underlying causes.
  • Expert collaboration is key to effectively managing new-onset psychosis in children.

Keywords:
autoimmuneelectroencephalographyencephalitisneuroimagingneuroimmunology

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