๐Ÿง  Neurosis vs Psychosis – Diagnosis, Types & Treatment

 

๐Ÿง  Neurosis vs Psychosis – Diagnosis, Types & Treatment

1. Definition

  • Neurosis (เคจ्เคฏूเคฐोเคธिเคธ):
    A mild mental disorder where the person remains in touch with reality but experiences anxiety, depression, or obsessive thoughts.

  • Psychosis (เคธाเค‡เค•ोเคธिเคธ):
    A severe mental disorder where the person loses touch with reality, showing delusions, hallucinations, or disorganized thinking.


2. Major Types

NeurosisPsychosis
Anxiety DisorderSchizophrenia
Obsessive-Compulsive Disorder (OCD)Bipolar Disorder (Mania/Depression)
PhobiaDelusional Disorder
Depression (Mild)Psychotic Depression
Somatoform DisorderSubstance-induced Psychosis

3. Diagnostic Features

FeatureNeurosisPsychosis
Reality TestingIntactLost
InsightPresentAbsent
Hallucinations/DelusionsAbsentPresent
Personality DisintegrationNonePresent
Social FunctioningUsually MaintainedImpaired

4. Treatment Summary

๐Ÿงฉ Neurosis Treatment:

  • Psychotherapy: Cognitive Behaviour Therapy (CBT), Supportive counselling.

  • Medication: Mild antidepressants or anxiolytics (SSRIs, benzodiazepines).

  • Lifestyle: Stress reduction, regular sleep, yoga, and social interaction.

๐Ÿ’Š Psychosis Treatment:

  • Antipsychotic Drugs: Risperidone, Olanzapine, Haloperidol.

  • Psychotherapy: Supportive & behavioural therapy post-stabilization.

  • Rehabilitation: Family education, occupational therapy, long-term follow-up.


5. Key Difference for Clinical Practice

๐Ÿฉบ Neurosis = disturbed mind but reality intact.
๐Ÿงฉ Psychosis = reality lost, needs medical stabilization.

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