Acute psychosis is a rare presentation in general practice. Safe management requires preparation and a team response from everyone in the practice. An accurate assessment, aimed at determining the cause of the psychosis, the capacity of the patient to consent to treatment and where treatment should occur, as well as emergency management, will significantly improve the outcome in this difficult situation.
- Acute psychosis is rare but frightening for the person experiencing it and for the people they are in contact with.
- The safety and security of yourself, your clinic staff and the patient are the first priority.
- Have a practice crisis response plan ready.
- The immediate task is to engage with the patient and make them feel secure and understood.
- Assessment is aimed at determining the cause of the psychosis, the capacity of the patient to consent to treatment and where the treatment should occur.