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298 Other nonorganic psychoses
Categories 298.0-298.8 should be restricted to the small group of psychotic
conditions that are largely or entirely attributable to a recent life
experience. They should not be used for the wider range of psychoses in which
environmental factors play some [but not the major] part in aetiology.
298.0 Depressive type
A depressive psychosis which can be similar in its symptoms to
manic-depressive psychosis, depressed type (296.1) but is apparently provoked
by saddening stress such as a bereavement, or a severe disappointment or
frustration. There may be less diurnal variation of symptoms than in 296.1,
and the delusions are more often understandable in the context of the life
experiences. There is usually a serious disturbance of behavior, e.g., major
suicidal attempt.
Psychogenic depressive psychosis
Reactive depressive psychosis
Excludes: manic-depressive psychosis, depressed type (296.1)
neurotic depression (300.4)
298.1 Excitative type
An affective psychosis similar in its symptoms to manic-depressive psychosis,
manic type, but apparently provoked by emotional stress.
Excludes: manic-depressive psychosis, manic type (296.0)
298.2 Reactive confusion
Mental disorders with clouded consciousness, disorientation [though less
marked than in organic confusion] and diminished accessibility often
accompanied by excessive activity and apparently provoked by emotional stress.
Psychogenic confusion Psychogenic twilight state
Excludes: acute confusional state (293.0)
298.3 Acute paranoid reaction
Paranoid states apparently provoked by some emotional stress. The stress is
often misconstrued as an attack or threat. Such states are particularly prone
to occur in prisoners or as acute reactions to a strange and threatening
environment, e.g., in immigrants.
Bouff‚e d‚lirante
Excludes: paranoid states (297.-)
298.4 Psychogenic paranoid psychosis
Psychogenic or reactive paranoid psychosis of any type which is more
protracted than the acute reactions covered in 298.3. Where there is a
diagnosis of psychogenic paranoid psychosis which does not specify "acute"
this coding should be made.
Protracted reactive paranoid psychosis
298.8 Other and unspecified reactive psychosis
Hysterical psychosis Psychogenic stupor
Psychogenic psychosis NOS
298.9 Unspecified psychosis
To be used only as a last resort, when no other term can be used.
Psychosis NOS
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