Psychosis in adolescence

Psychotic behavior in adolescent patients is uncommon but occasionally encountered in adolescent medicine practice. Although a physician may not be able to distinguish the precise diagnosis initially, immediate symptomatic management of acute psychotic symptoms is indicated to allay the patient's anxiety and tQ begin treatment. In chronic and more subtle conditions, their recognition is the essential first step. In all cases, referral to a mental health specialist is indicated for comprehensive evaluation and appropriate management. Continuing support of patient and family by the primary care physician avoids a perception of abandonment and can help ensure effective long-term care.