Which disorder features psychotic symptoms that occur in response to markedly stressful events?

Which disorder features psychotic symptoms that occur in response to markedly stressful events?

• A. Schizophrenia
• B. Delusional Disorder
• C. Schizoaffective Disorder
• D. Brief Reactive Psychosis

Answer: (D)

Psychotic symptoms that appear after a markedly stressful event and remit quickly describe Brief Psychotic Disorder (brief reactive psychosis). The defining feature is an abrupt onset of psychotic symptoms—such as delusions, hallucinations, disorganized speech, or grossly disorganized behavior—following a major stressor, with full return to baseline functioning within days to a month. This contrasts with schizophrenia, which requires months of symptoms and a more chronic course; delusional disorder, where delusions are prominent but other psychotic symptoms are minimal or absent and functioning is relatively preserved; and schizoaffective disorder, where psychotic symptoms occur with mood episodes and follow a longer, more integrated course. The emphasis here is the stress-triggered onset plus rapid recovery.

Psychotic symptoms that appear after a markedly stressful event and remit quickly describe Brief Psychotic Disorder (brief reactive psychosis). The defining feature is an abrupt onset of psychotic symptoms—such as delusions, hallucinations, disorganized speech, or grossly disorganized behavior—following a major stressor, with full return to baseline functioning within days to a month. This contrasts with schizophrenia, which requires months of symptoms and a more chronic course; delusional disorder, where delusions are prominent but other psychotic symptoms are minimal or absent and functioning is relatively preserved; and schizoaffective disorder, where psychotic symptoms occur with mood episodes and follow a longer, more integrated course. The emphasis here is the stress-triggered onset plus rapid recovery.