A sudden display of psychotic behavior that lasts at least several hours but less than 1 week.

Causes, incidence, and risk factors

Brief reactive psychosis is usually precipitated by some type of stressor . The person may or may not be aware of the bizarre behavior. Usually symptoms appear and disappear rapidly. The incidence of brief reactive psychosis is unknown.

Signs and tests

A psychological evaluation confirms the symptoms. There is usually a history of recent stress . A physical examination rules out possible organic disorders (physical illness) as the cause of the symptoms.

Treatment

Antipsychotic drugs are usually prescribed to decrease or eliminate the psychotic symptoms and bizarre behavior, though symptoms can subside with time simply by providing a safe environment. Psychotherapy may help the person cope with the emotional stress that triggered the psychosis .

Expectations (prognosis)

Symptoms usually disappear in 1 week with no residual deficit. The disorder is associated with a good outcome. Repeat episodes may occur as a response to stress .

Complications

As with all psychotic illnesses, severe disruption of life, violence, and suicide can occur.

Calling your health care provider

Call for an appointment with your health care provider or mental health professional if symptoms of this disorder develop.

Prevention

Counseling in times of stress may be helpful for people who are prone to this condition may help prevent recurrence.