Diagnosing psychosis starts with process, not content

A patient tells you that her deceased grandmother still visits her in dreams. Another believes that unseen spiritual forces influence his health. A third insists the government has implanted a device that broadcasts his thoughts.

Which patient is psychotic? The answer is that you don’t know. At least not yet.

One of the most common misconceptions about psychiatry is that delusions are simply “false beliefs.” In reality, experienced clinicians rarely diagnose psychosis …

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Diagnosing psychosis starts with process, not content