Dr. Kay Browne, M.D.
Behavioral Pediatrician

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Question:

Considering all implications, treatment and conditions involved, which is worse, suffering from a neurosis or a psychosis?


Answer:

While this question does not directly apply to medical issues in the classroom, it is an interesting one that can be easily answered. Neurosis is a term that is not used that commonly in psychiatry any more, unless perhaps by psychoanalysts. It is really a “part of the human condition” and therefore part of the normal spectrum of human nature. At Wikipedia, http://en.wikipedia.org/wiki/Neurosis

Neurosis is defined as “any mental imbalance that causes distress but does not interfere with rational thought or an individual’s ability to function in daily life”. The treatment, depending on severity of the distress, is usually mental health therapy.

Psychosis, in contrast, is loss of contact with reality. It is a severe mental disorder that significantly interferes with all areas of an individual’s functioning, including care of themselves. A person with a psychosis can have hallucinations and delusions. The first line of treatment is antipsychotic medications which can help the individual come in contact with reality. These medications are powerful, both in their ability to treat the psychosis and in their side effects. The side effects can interfere with an individual taking these medications and therefore, in the treatment of the mental illness.

That being explained, I would choose a neurosis over a psychosis any day.


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