Psychiatry/Behavioral · PANCE / PANRE

Acute Psychosis Evaluation

Systematic workup of new-onset or acute exacerbation of psychotic symptoms to identify medical, substance, and primary psychiatric causes.

Also known as: acute psychosis, first-episode psychosis, new-onset psychosis

Overview

Acute onset or exacerbation of psychotic symptoms — delusions, hallucinations, disorganized thought, grossly disorganized/catatonic behavior, or negative symptoms — requiring urgent evaluation to distinguish primary psychiatric, substance-induced, and medical/neurologic etiologies, and to initiate safe and effective management.

Epidemiology

First-episode psychosis incidence ~15-30 per 100,000/year. Peak onset late teens through 30s; men present 3-5 years earlier than women. Acute exacerbations common in established schizophrenia, schizoaffective disorder, bipolar I, and severe MDD.

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Risk factors

  • Family history of psychotic illness
  • Substance use — cannabis (high-potency THC), methamphetamine, cocaine, hallucinogens, synthetic cannabinoids
  • Medications — corticosteroids, anticholinergics, dopaminergic agents, levodopa, sympathomimetics
  • Medical/neurologic conditions — delirium, encephalitis, stroke, seizure (post-ictal), CNS infection, autoimmune (anti-NMDA), metabolic (hypoglycemia, hyponatremia, hypercalcemia, B12 deficiency, hepatic/uremic encephalopathy), endocrine (hyper/hypothyroidism, Cushing)
  • Sleep deprivation, postpartum (postpartum psychosis is a psychiatric emergency)

Pathophysiology

Final common pathway involves dysregulated mesolimbic dopaminergic signaling, with contributions from glutamatergic, GABAergic, serotonergic, and cholinergic systems depending on etiology. Inflammatory and structural mechanisms in delirium and autoimmune encephalitis.

Clinical presentation

Symptoms

  • Hallucinations (auditory most common in primary psychiatric; visual, tactile, olfactory raise concern for medical/substance etiology)
  • Delusions — persecutory, referential, grandiose, somatic, bizarre
  • Disorganized speech and behavior
  • Negative symptoms — flat affect, alogia, avolition
  • Catatonia — stupor, mutism, posturing, waxy flexibility, echolalia/echopraxia
  • Associated: agitation, suicidality, command hallucinations, sleep loss

Signs / physical exam

  • Vital signs — fever, HTN, tachycardia raise concern for medical cause
  • Neurologic exam — focal deficits, abnormal movements, papilledema
  • Pupils — pinpoint (opioids), mydriasis (sympathomimetics, anticholinergics)
  • Skin — needle marks, rashes, anticholinergic flushing
  • Mental status — orientation, attention (asterixis, serial 7s) — inattention/clouded sensorium points to delirium

Differential diagnosis

  • Delirium — Acute onset, fluctuating course, inattention, altered consciousness — search for underlying medical cause
  • Substance-induced psychosis — Temporal relationship to use or withdrawal (stimulants, cannabis, hallucinogens, alcohol withdrawal); resolves with abstinence
  • Primary psychotic disorder — Schizophrenia, schizophreniform, schizoaffective, brief psychotic, delusional — by duration and pattern
  • Mood disorder with psychotic features — Mood congruent or incongruent psychosis confined to MDE or manic episode
  • Anti-NMDA receptor encephalitis — Subacute behavioral change, autonomic instability, seizures, dyskinesias; often ovarian teratoma — LP, autoimmune panel
  • CNS infection — Encephalitis, meningitis, neurosyphilis, HIV — fever, meningismus, focal signs
  • Seizure-related — Post-ictal psychosis, complex partial seizures, NCSE
  • Endocrine/metabolic — Thyroid storm, Cushing, B12, hypercalcemia, hyponatremia
  • Postpartum psychosis — Onset within days-weeks postpartum; rapid mood/cognition shifts; PSYCHIATRIC EMERGENCY due to suicide and infanticide risk

Diagnostic workup

Diagnostic criteria

Workup-driven differential. Delirium per DSM-5-TR requires disturbance in attention and awareness developing over hours to days with fluctuation and evidence of an underlying medical cause. Primary psychotic disorders categorized by duration and mood context (see Schizophrenia entry).

Labs

  • CBC, CMP (Ca, glucose), Mg, phosphate, LFTs
  • TSH, B12, folate; thiamine if malnourished
  • Urinalysis, urine drug screen (including fentanyl, synthetic cannabinoids if available)
  • Blood alcohol
  • Pregnancy test in women of reproductive age
  • Syphilis serology, HIV; consider hepatitis panel
  • ESR/CRP; ANA if autoimmune concern
  • Acetaminophen and salicylate levels if overdose possible
  • ECG (QTc baseline before antipsychotic, and especially for haloperidol, ziprasidone, IV antipsychotics)
  • Ammonia, ABG, lactate if metabolic encephalopathy suspected
  • LP if febrile, meningismus, immunocompromised, or autoimmune encephalitis suspected

Imaging

  • Non-contrast head CT in first-episode psychosis, focal neurologic findings, trauma, altered consciousness
  • MRI brain when feasible — higher sensitivity for demyelination, autoimmune encephalitis, structural lesions
  • EEG if seizure suspected or to evaluate encephalopathy / non-convulsive status epilepticus

Diagnostic algorithm

flowchart TD
  A[Acute psychotic presentation] --> B[Stabilize and ensure safety<br/>vital signs, focused exam]
  B --> C{Vital sign or<br/>neurologic abnormality?}
  C -->|Yes| D[Workup for medical cause<br/>labs, head imaging, +/- LP/EEG]
  C -->|No| E[Targeted psychiatric +<br/>substance workup]
  D --> F{Delirium / medical /<br/>autoimmune / infectious?}
  F -->|Yes| G[Treat underlying cause<br/>+ supportive care]
  F -->|No| H[Likely primary psychiatric]
  E --> I{Substance present?}
  I -->|Yes| J[Substance-induced<br/>reassess after abstinence]
  I -->|No| H
  H --> K[Antipsychotic +<br/>coordinated specialty care]
Acute psychosis triage from presentation to disposition.

Treatment

First-line

  • Stabilize ABC; protect patient and staff; ensure safe environment
  • Verbal de-escalation; offer oral medication before IM
  • Acute agitation: PO/IM olanzapine, risperidone, haloperidol (often + lorazepam) — avoid combining IM olanzapine + IM benzodiazepine due to respiratory depression risk
  • Treat underlying cause — correct hypoglycemia, electrolytes, infection; benzodiazepines for alcohol withdrawal; physostigmine for severe anticholinergic toxicity in select cases; immunotherapy for autoimmune encephalitis
  • Antipsychotic for primary psychotic disorder once medical causes addressed — risperidone, olanzapine, aripiprazole, quetiapine
  • Admit involuntarily if necessary to protect from self-harm or harm to others
  • Reduce stimulation; address sleep; involve family for collateral and supports

Suspected delirium

  • Identify and treat medical cause
  • Reorientation, environmental measures, treat pain, normalize sleep-wake cycle
  • Low-dose antipsychotic for severe agitation/safety; avoid in alcohol/benzo withdrawal (use benzodiazepines)
  • Avoid benzodiazepines as routine delirium treatment (worsens delirium except in withdrawal states)

First-episode primary psychosis

  • Coordinated specialty care — case management, family education, supported employment
  • Antipsychotic with favorable metabolic and EPS profile; shared decision-making
  • Address substance use, particularly cannabis
  • Engage family early; provide long-term follow-up

Postpartum psychosis

  • Psychiatric emergency — inpatient admission with mother-infant safety planning
  • Antipsychotic, mood stabilizer (often lithium), benzodiazepine for agitation; ECT highly effective and rapid
  • Address breastfeeding considerations and infant safety

Second-line / adjunct

  • ECT for refractory or catatonic presentations, severe MDD with psychosis, postpartum psychosis
  • Long-acting injectable antipsychotics for adherence challenges
  • Clozapine for treatment-resistant primary psychotic disorder
  • Address ongoing substance use with MOUD/AUD treatment as appropriate

Complications

  • Self-harm or harm to others during acute phase
  • Neuroleptic malignant syndrome from antipsychotic — discontinue, supportive care, consider dantrolene/bromocriptine
  • QT prolongation, especially with IV haloperidol, ziprasidone, or polypharmacy
  • Catatonia complications: DVT, pressure injuries, malnutrition, aspiration
  • Diagnostic anchoring — missed autoimmune encephalitis, NCSE, intracranial pathology
  • Iatrogenic worsening of delirium with benzodiazepines or anticholinergics

PANCE pearls

  • First-episode psychosis warrants thorough medical workup, including neuroimaging — do not assume primary psychiatric etiology.
  • Visual or tactile hallucinations, fluctuating attention, abnormal vitals, focal neuro findings, or age >50 with new psychosis should escalate medical workup.
  • Anti-NMDA receptor encephalitis classically affects young women (often with ovarian teratoma) — subacute behavioral change, seizures, dyskinesias, autonomic instability; LP shows CSF antibodies.
  • Postpartum psychosis is a psychiatric emergency — distinguish from postpartum depression and 'baby blues'; rapid cycling, suicidality, infanticidal thoughts require admission.
  • Do not use lorazepam IM with IM olanzapine (respiratory and cardiopulmonary depression risk); separate by >=1 hour.
  • In delirium, antipsychotics are for safety only — they do not shorten delirium duration.

References

  • APA 2020 — American Psychiatric Association Practice Guideline for the Treatment of Patients with Schizophrenia, 3rd ed. (2020)
  • EPA Guidance — European Psychiatric Association early intervention in psychosis guidance
  • Graus 2016 — Graus F et al. A clinical approach to diagnosis of autoimmune encephalitis. Lancet Neurol 2016
  • ACEP — American College of Emergency Physicians Clinical Policy: Adult Psychiatric Patients in the ED
  • DSM-5-TR — American Psychiatric Association. DSM-5-TR (2022)

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