๐ง Neurosis vs Psychosis – Diagnosis, Types & Treatment
1. Definition
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Neurosis (เคจ्เคฏूเคฐोเคธिเคธ):
A mild mental disorder where the person remains in touch with reality but experiences anxiety, depression, or obsessive thoughts. -
Psychosis (เคธाเคเคोเคธिเคธ):
A severe mental disorder where the person loses touch with reality, showing delusions, hallucinations, or disorganized thinking.
2. Major Types
| Neurosis | Psychosis |
|---|---|
| Anxiety Disorder | Schizophrenia |
| Obsessive-Compulsive Disorder (OCD) | Bipolar Disorder (Mania/Depression) |
| Phobia | Delusional Disorder |
| Depression (Mild) | Psychotic Depression |
| Somatoform Disorder | Substance-induced Psychosis |
3. Diagnostic Features
| Feature | Neurosis | Psychosis |
|---|---|---|
| Reality Testing | Intact | Lost |
| Insight | Present | Absent |
| Hallucinations/Delusions | Absent | Present |
| Personality Disintegration | None | Present |
| Social Functioning | Usually Maintained | Impaired |
4. Treatment Summary
๐งฉ Neurosis Treatment:
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Psychotherapy: Cognitive Behaviour Therapy (CBT), Supportive counselling.
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Medication: Mild antidepressants or anxiolytics (SSRIs, benzodiazepines).
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Lifestyle: Stress reduction, regular sleep, yoga, and social interaction.
๐ Psychosis Treatment:
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Antipsychotic Drugs: Risperidone, Olanzapine, Haloperidol.
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Psychotherapy: Supportive & behavioural therapy post-stabilization.
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Rehabilitation: Family education, occupational therapy, long-term follow-up.
5. Key Difference for Clinical Practice
๐ฉบ Neurosis = disturbed mind but reality intact.
๐งฉ Psychosis = reality lost, needs medical stabilization.
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