The Carlat Psychiatry Podcast
Recognizing and Treating Psychosis in Autism
Aug 21, 2023
Dr. Kristin Cadenhead, an expert in recognizing and treating psychosis in autism, discusses the challenges of differentiating between autism and psychosis. She explores the importance of changes in behavior, clinical symptoms, and family psychiatric history. The chapter also covers different approaches for treating psychosis in autism, including medication options and collaboration with neurologists. Additionally, the cautious approach to using stimulants in individuals with psychosis is discussed, as well as the stigma associated with psychotic disorders and the challenges in treating individuals with both psychosis and autism.
16:02
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Quick takeaways
- Psychosis can co-occur with autism more often than in the general population, and certain risk factors increase the likelihood of developing both conditions.
- Differentiating between autism and psychosis requires a careful history and clinical assessment, as there are no specific tests available.
Deep dives
Recognition and Treatment of Psychosis in Autistic Children
Psychosis can co-occur with autism more often than in the general population. The severity of psychotic symptoms in autistic and non-autistic kids is similar. Certain risk factors increase the likelihood of developing both psychosis and autism, such as obstetrical complications and urban living. Puberty and cannabis use also contribute to the risk of developing psychosis. Autism and psychosis share symptoms like social isolation and misperceiving social interactions. Differentiating between autism and psychosis requires a careful history and clinical assessment, as there are no specific tests available. Early identification of high-risk individuals and the use of a psychosis risk calculator can help predict the onset of psychosis.
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