Psychosis

Psychosis is a psychic disorder in which there is a loss of touch to reality and affects the brain's information processing. It is also associated with the occurence of hallucination or delusion. However, it is not the disease itself and is an underlying sign of a psychotic disorder like schizophrenia or bipolar disorder. A psychotic episode is manifested by audio, visual and tactile hallucinations, and delusions.

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I had an episode of blackout when I was drunken. Should I continue the Olanzapine?

Query: Hello doctor, Almost two years back, I was diagnosed with psychosis. I improved in two months after taking treatment. I took medicine (Olanzapine) for nearly 9 to 10 months then I stopped taking the medication as I recovered from it completely. I did not consult doctors. Still, my condition is good...  Read Full »


Dr. Aneel Kumar

Answer: Hello, Welcome to icliniq.com. Psychosis should not be taken lightly because psychosis is a term that reflects a variety of explanation like it may be schizophrenia, it may be due to depression, may be secondary to alcohol or any other condition, so diagnosis is very important, that your primary doc...  Read Full »

I had an episode of psychosis. How long should I stay on the treatment?

Query: Hello doctor,I am a 35 years old male. I had an episode of psychosis for the first time four months ago and is treated with Risperidone and Escitalopram. For how long should I stay on the treatment?  Read Full »


Dr. Prashant Gohil

Answer: Hello, Welcome to icliniq.com. For psychosis, Risperidone is considered the right drug. However, Escitalopram is given for depression. So if at present you do not have any depressive symptoms you can discontinue Escitalopram. However, Risperidone should be continued at least for a year in the first ...  Read Full »

Can Enalapril cause psychosis with auditory hallucinations?

Query: Hello doctor, I am taking Enalapril 10 mg and developed psychosis with auditory hallucinations. Could it be due to my medication? It is listed as a rare side effect and the symptoms are worse when I take the medication and lessen when I stop taking it.  Read Full »


Dr. Sreejith. M. G

Answer: Hi, Welcome to icliniq.com. As you said ACE (angiotensin-converting enzyme) inhibitors usually will not produce any hallucination or psychosis but some rare reports of hallucinations are available which was mainly visual hallucination not auditory, but psychosis is unlikely. Anyway, you change Ena...  Read Full »

How do I avoid hearing voices telling me to do the wrong thing?

Query: Hi doctor, I am a 21-year-old mother of a 10-month-old. I have been diagnosed with generalized anxiety disorder, borderline personality disorder, and major depression. I have been experiencing what sounds like my voice telling me horrible things about myself and the people around me for quite some ...  Read Full »


Dr. Seikhoo Bishnoi

Answer: Hello, Welcome to icliniq.com. If you have symptoms like voices telling you to do something wrong and you have feeling that these voices are real and are not your doubts then this needs re-evaluation. This could be due to some psychotic issues. Hearing voices giving running commentary could be due...  Read Full »

What is the treatment for seizure episodes in my 15-year-old sister?

Query: Hello doctor, My sister has been having seizures. So, we consulted a doctor, who said she has abnormal brain activity. Her EEG showed abnormal spikes. Currently, she is taking Levipil 1000,  twice a day. What is going on with my sister? No one is explaining anything, and the medication is affecti...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hello, Welcome to icliniq.com. I have read your query and understand your concerns. Regarding seizures, Levipil (Levetiracetam) is a good option for treatment of seizure disorder, and I think your doctor has taken the right decision. Now regarding the behavioral changes that you mentioned, I ...  Read Full »

I had psychosis and am taking the drug Olanzapine for the same. Does long-term use of it cause tardive dyskinesia?

Query: Hello doctor, I am a 24-year-old, and I experienced psychosis four years ago. I am taking a maintenance dose of 2.5 mg of Oleanz (olanzapine). I cannot stop taking the drug permanently since I get anxiety and slight delusions after stopping it. I heard long treatment of antipsychotics causes tardiv...  Read Full »


Dr. Aditya Gupta

Answer: Hello, Welcome to icliniq.com. The incidence of tardive dyskinesia is close to zero with newer antipsychotics like the drug Oleanz. So the benefit of Oleanz is far more than any possible risk of side effects. So do not worry. Just have regular follow-ups with the treating psychiatrist and regular te...  Read Full »

What kind of treatment does my fiance need for bipolar disorder?

Query: Hi doctor,My fiance and I have been together for five years, and she has been taking Lithium for bipolar disorder. We are living in an apartment, and she accuses me of being a cheater. She has no reasoning other than that I am communicating with people upstairs through the walls. There are men and w...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. From the available description, there are two possibilities regarding her illness. Either she was diagnosed wrongly with bipolar disorder as there are no symptoms in the description that indicate bipolar disorder. ...  Read Full »

Will Risperidone and Asprito affect my fetus during pregnancy?

Query: Hello doctor, I had two episodes of psychosis in the past two years. I started treatment with Risperidone and later started Asprito 5 mg. I am getting married after two months. I want to know that if I start a family, will this treatment affect my baby's health as only limited medicines are allowed ...  Read Full »


Dr. Nidhi Jain Bukharia

Answer: Hi, Welcome to icliniq.com. As you are receiving only 5 mg Asprito (Aripiprazole), which is a very low dose, it is better if you stop the medication at least in the first trimester (first 3 months of pregnancy). Then, you can take medicine safely during remaining pregnancy (last 6 months). But, if...  Read Full »

My grandmother has had severe hallucinations for the last two years, which are worsening now. Please help.

Query: Hi doctor, My grandmother, aged 77, has had severe hallucinations for the last two years. But for the last month, she has continuously seen bad images and heard voices of people saying she is a thief, calling the cops, etc. Please suggest some medicine that will treat her as soon as possible.  Read Full »


Dr. Seikhoo Bishnoi

Answer: Hi, Welcome to icliniq.com. I understand your concern. Seeing objects and hearing voices are seen in some individuals of older age. Such symptoms occur due to depression and psychosis. This should be adequately evaluated. Her blood sugar levels and electrolyte levels should be checked. I ho...  Read Full »

How to care for someone with aggressive and abusive behavior?

Query: Hello doctor, This is regarding my 87-year-old father who is physically fine perfectly. But, the whole day and night, he curses my mother and will not let her sleep. In his mind, he thinks that everyone is trying to cheat him and because of that he is not able to sleep. Sometimes he becomes violent ...  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. Your father is having features of psychosis. I would suggest starting him on Quetiapine 25 mg twice daily and increase after one week to 50 mg daily. Consult your specialist doctor, discuss with him or her and take medicines with their consent. This should have a g...  Read Full »

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