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Psychosis with origin in childhood

Last edited: 4/15/2026

Overview

Psychosis originating in childhood refers to the presence of psychotic symptoms such as delusions, hallucinations, and disorganized thinking that emerge during developmental years, significantly impacting cognitive and social functioning 1.

Diagnosis

  • Key diagnostic criteria include persistent psychotic symptoms (delusions, hallucinations) lasting more than several weeks 1.
  • Comprehensive psychiatric evaluation essential, including developmental history and family history 1.
  • No specific laboratory tests; neuroimaging may be considered to rule out secondary causes 1.

    • Management

  • First-line treatments typically involve antipsychotic medications; specific dosing varies by agent (e.g., risperidone, aripiprazole) 1.
  • Psychosocial interventions, such as cognitive-behavioral therapy adapted for children, are recommended adjunctively 1.
  • Family therapy and support can enhance treatment outcomes 1.

    • Special Populations

  • Pediatrics: Early intervention is crucial; tailored psychotherapeutic approaches alongside medication are advised 1.
  • Comorbidities: Management should address co-occurring conditions like ADHD or mood disorders concurrently 1.

    • Key Recommendations

  • Initiate treatment with evidence-based antipsychotic medications tailored to pediatric dosing guidelines (Evidence: Moderate 1).
  • Incorporate psychosocial interventions, particularly those adapted for children, alongside pharmacotherapy (Evidence: Moderate 1).
  • Engage families in the treatment process to support the child's recovery and management (Evidence: Expert opinion 1).

    • References

    1 Fitzgerald M. Why did Sigmund Freud refuse to see Pierre Janet? Origins of psychoanalysis: Janet, Freud or both?. History of psychiatry 2017. link

    Original source

    1. [1]
      Why did Sigmund Freud refuse to see Pierre Janet? Origins of psychoanalysis: Janet, Freud or both? — Fitzgerald M History of psychiatry (2017)
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