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Re: Topic 5 DQ 2

What are the differences between substance-induced psychotic disorder and a psychotic disorder? How would you tell the difference in an assessment session?

Substance-Induced Psychitic Disorders and Psychotic Disorders are manifested in totally two different ways. I like to think of the two on the nature vs. nurture model. Some individuals are predisposed to psychotic disorders and its in the genetics to manifest certain psychotic disorders. Some of the disorders could be manifested through and form a trigger especially stress and now an indiviual could be suffering bipolar disorder or schizophrenia. Schizophrenia is known to followed along the gene that is passed along from the mom so, those predispostion factors plays a major role in determining and assessing psychotic disorders in an indiviudal. Substance-Induced Psychotic Disorders are a combination of nature and then the habit (enviornment) that an indiviual is in at the moment that triggers the psychotic disorders. Substances like cocaine and marijuana could induce psychosis in an individual and in some cases could also increase the longetivity of the disorders.

But, I want to go back and define what Substance-Induced Psychotic Disorders mean, according to the "American Addiction Centers"," is simply any psychotic episode that is related to the abuse of an intoxican." Ultimately this could occur when an individual has consumed to much of certain substance and also of any specific drug as well. What happens is when the consumption of the substance is abused it creates an adverse reaction after mixing with other substances that might be witin an individual which in return causes an indivual to experience some psychotic dysfuntions.I believe this would look different in a assessment session due to fact that you would possibly have to screen for the substance abuse aspect then begin to assess for the psychotic disorder afterwards.

Psychotic Disorders are a group of illness taht ultimately affect the mind and this could be seen by a person loosing touch of reality, making poor judgement and not being able to understand reality. This looks totally different from Substance-Induced Disorders when it comes to an assessment session due to the fact the only thing that needs to be is the clients mental stability to determine what psychotic disorders the individual might possess at the moment.

My response:

Good afternoon Antonio

Re: Topic 5 DQ 2

       An episode of psychotic disorder affects the mind of the individual where there is a loss of contact with reality. The person’s thoughts and perceptions are disturbed having difficulty understanding what is real and what is not. This may include delusions (false beliefs), hallucinations (seeing or hearing things others did not hear or see), incoherent or nonsense speech, and behavior is inappropriate for different situation. The individual may experience depression, anxiety, sleep problems, social withdrawal, lack of motivation, and difficulty functioning.

       Substance-induced psychotic disorder is distinct from independent co-occurring mental disorders that all or most of the psychiatric symptoms as direct result of the substance use. Not to say they preclude mental disorders, only that the specific symptom cluster at specific point in time may result of substance use, abuse, intoxication, or withdrawal than of an underlying mental illness. Some of the symptoms run gamut of mild anxiety and depression, to full blown manic and other psychotic reactions. Some of these examples of detoxing from depressants such as alcohol and benzodiazepines, some symptoms may be hyperactivity, agitation and anxiety as opposed to those who “crash” from stimulants may have symptoms of tired, withdrawn, and depressed. Symptoms improve within hours or day after substance use has stopped.

       The counselor’s difficulty is determining whether it is a psychotic disorder symptom, or a disorder brought on about with the substance use disorder. The early phase of assessment is stabilizing the crisis rather than determining one over the other. The assessment will be used to determine the biological (medical occurrences of detoxification or underlying chronic mental illness), psychological (assessment of danger and cognitive impairment) and social risks (assessing the basic needs of the client). Once the client has gotten past the acute assessment, substance induced psychotic should subside and the counselor will be able to determine the treatment plan of the client. In the assessment of the psychotic client it is addressing the severity of presenting behaviors and symptoms.

Center for Substance Abuse Treatment. Substance Abuse Treatment for Persons With Co-Occurring Disorders. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2005. (Treatment Improvement Protocol (TIP) Series, No. 42.) 9 Substance-Induced Disorders. Available from:  https://www.ncbi.nlm.nih.gov/books/NBK64178/

Psychotic Disorders Dual-Focus Perspective. Foundations Recovery Network. Retrieved from  https://www.dualdiagnosis.org/resource/patient-assessments/psychotic-disorders/

What is Psychosis?. National Institute of Mental Health. Retrieved from  https://www.nimh.nih.gov/health/topics/schizophrenia/raise/what-is-psychosis.shtml

My response:

Good afternoon Tamara