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Psychosis: Cases
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Psychosis changes the way you relate to others and the way you think about everyday activities. Therefore, you will probably need a therapist or case manager to help you manage your daily needs. Cognitive behavioral therapy (CBT) is a way to help you identify and change thoughts you have that are not realistic. CBT can make you aware of unhealthy ways of thinking. It can ... help you learn new thought and behavior patterns. You may need to spend some time in a hospital if you are thinking about hurting yourself or someone else, or if you are unable to take care of yourself.
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The existence of a "cannabis psychosis" is still a matter for debate. In its favour are case series of "cannabis psychoses", and a small number of controlled studies that compare the characteristics of "cannabis psychoses" with those of psychoses in individuals who were not using cannabis at the time of hospital admission (e.g. [39]). Critics of the hypothesis emphasise the fallibility of clinical judgements about aetiology, the poorly specified criteria used in diagnosing these psychoses, the dearth of controlled studies, and the striking variations in the clinical features of "cannabis psychoses" [24).
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An array of medical and psychiatric problems can cause psychosis [Table 1]. Psychosis can result from a variety of psychiatric and medical problems. When psychosis stems from a mental illness, it is best handled by a psychiatrist. However, a family doctor or neurologist can manage cases of psychosis that are triggered by an underlying medical problem.
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