Approaching psychotic symptoms

Traditionally, psychotic symptoms have been separated into two large groups: positive symptoms and the negativesPositive symptoms are those that, compared to someone not experiencing these symptoms, represent an excess of something, and negative symptoms are those that manifest as a deficiency. Although we'll go into detail later, let's give an example: under this approach, a hallucination would be an "excess" of perception, while apathy would be a "lack" of motivation.

In addition to these two large groups, we will also talk about other symptoms that can also appear in psychotic disorders: cognitive and affective symptoms..

It's worth remembering that, contrary to popular belief, a person suffering from a psychotic disorder does not experience these symptoms constantly. With appropriate coping and intervention strategies, they can be detected, managed, and their impact on daily life reduced. The onset of psychosis often has a serious impact on the individual and their immediate family; however, with the right support, most people can recover and lead normal lives.

Some experiences that are part of psychosis

  • Hallucination

    It is an alteration in perception. It occurs when a person experiences a sensation, without anything external having produced it. There are different types of hallucinations depending on the different senses. Thus, there are auditory, visual, tactile, and other hallucinations.

  • Delusions

     Ocurren cuando se mantienen creencias o ideas muy fijas, que son irrefutables y que otras personas no comparten y cuya lógica no comprenden. Se tratan, por tanto, de alteraciones en el pensamiento. Las ideas delirantes son interpretaciones que intentan explicar  experiencias ambiguas y confusas. Un ejemplo sería llegar a la conclusión inequívoca de estar siendo vigilado, por la forma en que le miran por la calle.

  • Disorganization of thought

    This is a group of symptoms that refer to alterations in the thought process. This disorganization is also reflected in language and the way one expresses oneself. Thus, the person may quickly switch from one unrelated topic to another, have incoherent speech, or be highly distractible. These alterations can greatly impede the sufferer's ability to communicate.

  • Changes in behavior

    They occur when a person exhibits strange behavior, often accompanied by hallucinations and delusions. For example, feeling like they're being chased by a group of criminals, or barricading themselves in their homes and not going outside.

  • Associability

    It involves a reduction in interest in interacting with other people, decreased contact with family, friends or colleagues and poses a great risk of social isolation.

  • Anhedonia

    It occurs when there are difficulties in performing pleasurable activities, and the ability to enjoy a person's interests or hobbies is diminished.

  • Avolition

    It involves a loss of willpower. The person finds it extremely difficult to initiate and persist with activities. It can even negatively affect self-care and occupational balance.

  • It occurs when there is a lack of emotional reactions, an apparent indifference and indolence towards things that happen around the person or their environment.

  • Alogia

    It occurs when spontaneity and fluency in conversation decrease, with short replies and a reduction in the amount of speech the person speaks.

  • Cognitive symptoms

    Desde la década de los 90, la investigación sobre los trastornos cognitivos en la

  • Affective symptoms

    La presencia de síntomas afectivos en la psicosis y esquizofrenia se ha concebido de diferentes maneras. En ocasiones, pueden estar enmascarados por la sintomatología negativa, como el aplanamiento afectivo. Otras veces pueden aparecer como consecuencia del rechazo y el aislamiento social. También pueden tener lugar trastornos afectivos, como la depresión, al mismo tiempo que la psicosis (comorbilidad).

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