Patient's question:
My wife was diagnosed with an acute and transient psychotic disorder. After being admitted for treatment, she showed significant improvement within three days. However, the doctor's advice was to carefully observe her even after she was discharged on a conditional leave, which lasted for one month before she was finally discharged.After her discharge, she read the instructions for paliperidone extended-release tablets and compared them with her own symptoms, including those experienced during her hospital stay, which made her very anxious:
1. She worried about intestinal obstruction and difficulty defecating. This concern has been alleviated by drinking honey and increasing her activity.
2. The side effect of hyperprolactinemia led to a connection between the brain cavity and nasal cavity, making her feel as if something was constantly flowing in her nose.
3. She noticed that after taking the medication, she experienced recurring numbness and tremors in her hands, with these symptoms being most pronounced at night. Sometimes, she felt as if her hands were not even her own.
4. She worried that the medication might cause brain atrophy.
Doctor's answer:
Psychotic disorders are two types of severe mental illnesses. The vast majority of patients, during their illness, completely lose their ability to distinguish their abnormal psychology, do not deny that they are ill, and will never actively seek medical help. Psychosis is a mental abnormality that reappears when caused by physical diseases, such as infectious diseases, poisoning, trauma, or other severe physical illnesses. These disorders require collaboration between psychiatrists and additional internal and surgical doctors to resolve. When the physical illness improves, the psychological symptoms also decrease or disappear.