Maria Mangicaro – What Is Brief Reactive Psychosis?

Jason Russell, Diagnosed Wtih Brief Reactive Psychosis

Jason Russell, Diagnosed Wtih Brief Reactive Psychosis

All mental health advocates should learn from the recent hospitalization of “Kony 2012? creator Jason Russell.
Jason’s behavior was filmed, and it seems clear that he was in a psychotic state, in urgent need of medical services to support the unique needs of someone in an acute, altered state of mind.  According to news reports, Jason’s preliminary diagnosis is ”brief reactive psychosis.”

Danica Russell said she feels her husband’s “irrational” behavior stemmed from exhaustion and dehydration, not drugs or alcohol.

Symptoms and Causes of Brief Reactive Disorder

The National Institutes of Health says “brief reactive psychosis” can cause a variety of symptoms, including speaking strangely, hallucinating, being delusional and having disorganized behavior.

Brief reactive psychosis is not a result of drugs or alcohol, the NIH says.

Alan Hilfer, chief psychologist at Maimonides Medical Center in New York City, told ABC News:

“Dehydration can absolutely cause all the signs of mental confusion he seemed to be experiencing”, adding that severe dehydration would most likely be brought on by illness, but could also result from poor self-care. Starvation, can also cause acute psychosis. “A bad reaction to a medication, possible a prescription sleep aide, might also be to blame,” he said

Is Brief Reactive Psychosis A Diagnosis for Rich Celebrities?

I think if anyone else acted like Jason, they would have been immediately labeled with schizophrenia.

Considering the many controversial issues in mental health care, treatment, and advocacy, creating an awareness of underlying medical conditions and substances that can induce mania/psychosis and be labeled as bipolar disorder/schizophrenia needs to be part of an advocacy agenda.

Medical Causes of Psychosis

Corinna West: Is All Psychosis "Brief Reactive Psychosis?"

Corinna West: Is All Psychosis "Brief Reactive Psychosis?"

There are many medical conditions that can induce psychosis. The British Medical Journal has a very good guideline for Best Practice Assessment of Psychosis. This seems like it should be the first consideration as some medical conditions that can induce psychosis are fatal (eg. CJ Disease), while others are easily resolved (eg. routine use of over-the-counter cold medicine can induce psychosis)

Psychosis Due to a Medical Condition involves a surprisingly large number of different medical conditions, some of which include: brain tumors, cerebrovascular disease, Huntington’s disease, multiple sclerosis, Creitzfeld-Jakob disease, anti-NMDAR Encephalitis, herpes zoster-associated encephalitis, head trauma, infections such as neurosyphilis, epilepsy, auditory or visual nerve injury or impairment, deafness, migraine, endocrine disturbances, metabolic disturbances, vitamin B12 deficiency, a decrease in blood gases such as oxygen or carbon dioxide, or imbalances in blood sugar levels, and autoimmune disorders with central nervous system involvement such as systemic lupus erythematosus have also been known to cause psychosis.

A substance-induced psychotic disorder, by definition, is directly caused by the effects of drugs including alcohol, medications, and toxins. Psychotic symptoms can result from intoxication on alcohol, amphetamines (and related substances), cannabis (marijuana), cocaine, hallucinogens, inhalants, opioids, phencyclidine (PCP) and related substances, sedatives, hypnotics, anxiolytics, and other or unknown substances. Psychotic symptoms can also result from withdrawal from alcohol, sedatives, hypnotics, anxiolytics, and other or unknown substances.

Some medications that may induce psychotic symptoms include anesthetics and analgesics, anticholinergic agents, anti-convulsants, antihistamines, anti-hypertensive and cardiovascular medications, antimicrobial medications, anti-parkinsonian medications, chemotherapeutic agents, corticosteroids, gastrointestinal medications, muscle relaxants, non-steroidal anti-inflammatory medications, other over-the-counter medications, antidepressant medications, and Disulfiram . Toxins that may induce psychotic symptoms include anticholinesterase, organo-phosphate insecticides, nerve gases, heavy metals, carbon monoxide, carbon dioxide, and volatile substances (such as fuel or paint).

If I had to state a short summary of my perspective I would say: The psychiatrization and medicalization of psychosocial situations, personal choices, behavior challenges and learning disabilities, poor parenting skills, spirituality, trauma, injuries and toxic exposure has been monopolized by the pharmaceutical industry because of government’s failure to protect consumer rights.

Is All Psychosis Brief And Reactive?

Corinna West, founder of Wellness Wordworks, asks if all psychoses are “brief reactive psychoses” until people are told they’ll bee sick forever and put on meds that increase the predisposition to further illness.

BINGO! Yes, Look at the long list of medical conditions and substances that can induce psychosis/mania and be LABELED as bipolar/schizophrenia…these are listed in the DSM.  The problem is medical and mental health professionals are using a rubber-stamp approach and labeling everyone bp/schizophrenic….how many other people just have dehydration like Jason Russell, or perhaps at one point in thier life were exposed to lead/mercury or some other toxin

Best Practices for Reactive Psychosis Assessment

I don’t  know how anyone could argue against using Best Practice standards for assessment.  It seems like something all mental health advocates should support, where you belong to National Alliance on Mental Illness (NAMI)  or Citizens Commission on Human Rights.
Not only is it ethical to follow these guidelines, it is economical.
CCHR in FL seems to be the only organization adopting this approach. (see below)
If anyone ever writes “Economy of an Epidemic”, it will support Integrative Psychiatry/Funcional Medicine.
In this site, I collect abstracts and articles on underlying causes of psychosis/mania that can be misdiagnosed as bp/schizophrenia.

Recommended Medical Website List

CCHR recommends getting a complete physical examination by a competent medical practitioner who does not prescribe psychiatric drugs.
Very often, when a person is experiencing emotional or behavioral problems, there is an underlying, undiagnosed medical condition causing the symptoms diagnosed as a psychiatric disorder.
The list below is of Recommended Medical Websites that many people have found helpful in finding a competent, non-psychiatric, medical doctor. CCHR provides these websites as a public service on a ‘buyer-beware’ basis, you must use your own judgment in deciding which site will best serve your specific needs, and you do so at your own risk.
WARNING: No one should stop taking any psychiatric drug without the advice and assistance of a competent, non-psychiatric, medical doctor!
The Road Back
The Road Back program has been in use since 1999. Well over 30,000 people are now drug free after following these simple but powerful procedures.
All donations are tax deductable in the United States and Canada. Our service and help is completely free.
In 1999, our founder, Jim Harper began investigating antidepressants and the cause of their adverse reactions.

Is all psychosis “brief reactive psychosis?”


1 comment to Maria Mangicaro – What Is Brief Reactive Psychosis?

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