PSYCHOSIS CAUSES |
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Psychosis may be caused by the
interaction of biological and psychosocial factors depending on the
disorder it presents in; psychosis can also be caused by purely
social factors, with no biological component.
Schizophrenia, schizophreniform disorder, and schizoaffective
disorder
Psychosis in schizophrenia and perhaps schizophreniform disorder
appears to be related to abnormalities in the structure and
chemistry of the brain, and appears to have strong genetic links;
but its course and severity can be altered by social factors such as
stress or a lack of support within the family. The cause of
schizoaffective disorder is less clear cut, but biological factors
are also suspected.
Delusional disorder
The exact cause of delusional disorder has not been conclusively
determined, but potential causes include heredity, neurological
abnormalities, and changes in brain chemistry. Some studies have
indicated that delusions are generated by abnormalities in the
limbic system, the portion of the brain on the inner edge of the
cerebral cortex that is believed to regulate emotions.
Brief psychotic disorder
Trauma and stress can cause a short-term psychosis (less than a
month's duration) known as brief psychotic disorder. Major life-changing
events such as the death of a family member or a natural disaster
have been known to stimulate brief psychotic disorder in patients
with no prior history of mental illness.
Psychotic disorder due to a general medical condition
Psychosis may also be triggered by an organic cause, termed a
psychotic disorder due to a general medical condition. Organic
sources of psychosis include neurological conditions (for example,
epilepsy and cerebrovascular disease), metabolic conditions (for
example, porphyria), endocrine conditions (for example, hyper- or
hypothyroidism), renal failure, electrolyte imbalance, or autoimmune
disorders.
Substance-induced psychotic disorder
Psychosis is also a known side effect of the use, abuse, and
withdrawal from certain drugs. So-called recreational drugs, such as
hallucinogenics, PCP, amphetamines, cocaine, marijuana, and alcohol,
may cause a psychotic reaction during use or withdrawal. Certain
prescription medications such as steroids, anticonvulsants,
chemotherapeutic agents, and antiparkinsonian medications may also
induce psychotic symptoms. Toxic substances such as carbon monoxide
have also been reported to cause substance-induced psychotic
disorder. |
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