Doctors have trouble talking to patients about psychotic symptoms

November 14, 2002

Doctors have trouble talking to patients about psychotic symptoms, finds a study in this week's BMJ.

Researchers analysed 32 consultations between psychiatrists and patients with schizophrenia or schizoaffective disorder at two psychiatric outpatient clinics in London.

They found that patients actively attempted to talk about the content of their psychotic symptoms, such as hallucinations and delusions, and the distress associated with these symptoms. However, doctors tended to hesitate and avoid answering the patients' questions, indicating a reluctance to engage with these concerns.

When there was an informal carer present, the doctor also smiled or laughed in response to patients' assessments of and questions about their symptoms. This response to patients' distress may be an obstacle to successful engagement, say the authors.

Proactively addressing patients' distress about their psychotic symptoms may lead to a more satisfactory outcome of the consultation itself and improve engagement of such patients with health services, they conclude.
-end-


BMJ

Related Psychotic Symptoms Articles from Brightsurf:

Scientists use blood test to predict who is likely to develop psychotic disorders
Scientists have discovered that testing the levels of certain proteins in blood samples can predict whether a person at risk of psychosis is likely to develop a psychotic disorder years later.

Faulty brain processing of new information underlies psychotic delusions, finds new research
Problems in how the brain recognizes and processes novel information lie at the root of psychosis, researchers have found.

The Lancet Psychiatry: Single dose of psychoactive component in cannabis could induce psychotic, depressive, and anxiety symptoms in healthy people
A single dose of the main psychoactive component in cannabis, tetrahydrocannabinol (THC), can induce a range of psychiatric symptoms, according to results of a systematic review and meta-analysis of 15 studies including 331 people with no history of psychotic or other major psychiatric disorders, published in The Lancet Psychiatry journal.

Anti-psychotic medication linked to adverse change in brain structure
In a first-of-its-kind study using advanced brain imaging techniques, a commonly used anti-psychotic medication was associated with potentially adverse changes in brain structure.

New policy reduces anti-psychotic medications in foster children
Rutgers researchers have found that a Texas strategy to reduce anti-psychotic medication for children can serve as a model for other state Medicaid programs.

Having a psychotic disorder may increase decline of some areas of cognition over adulthood
A new study has shown that relative to participants without a psychotic disorder, those diagnosed with a disorder were consistently impaired across all areas of cognitive (memory and thinking) ability measured.

Acute psychotic illness triggered by Brexit Referendum
Political events can take a serious toll on mental health, a doctor has warned in the journal BMJ Case Reports, after treating a man with a brief episode of acute psychosis, triggered by the 2016 Referendum on Brexit -- the process of the UK leaving the European Union (EU).

Association of genetic risk to psychotic experiences with neuropsychiatric disorders
Data from the UK Biobank were used to examine whether genetic risk to psychotic experiences is shared with neuropsychiatric disorders.

Neurological brain markers might detect risk for psychotic disorders
People who may hear and see things that are not there could have symptoms of psychosis, better known as psychotic disorders.

Towards new indicators of vulnerability to psychotic disorders
The decision-making processes of healthy subjects with sub-clinical psychotic episodes are altered in a way that is similar to what happens in subjects with schizophrenia.

Read More: Psychotic Symptoms News and Psychotic Symptoms Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.