Psychosis

Medically reviewed byგიორგი (გუგა) სიხარულიძე · ფსიქიატრი MD, PHD· Last updated: May 20, 2026

Psychosis can present as a single, transient episode or as a chronic condition. Pathologies in perception and thinking characterize it. Individuals often report that reality or their environment has changed.

Types:

  1. Exogenous Psychosis: Triggered by external factors:
  • Organic pathologies of the CNS causing degenerative changes
  • Psychoactive substances
  • Hallucinogenic substancesMarijuana
  • Alcohol
  • Intoxication from various substances
  1. Endogenous Psychosis: Arises spontaneously.

Symptoms:

Perceptual Pathologies

:

  • Hallucinations:

Auditory

Tactile (sensory)

Olfactory

Visceral (sensations in internal organs)

  • Illusions:

Verbal illusions: a person hears insults or mocking in other people's conversations.

Types of Delusions:

  • Paranoid Delusions: Believing one is being persecuted by others, organizations, or government structures intending to harm or damage their reputation.
  • Referential Delusions: a belief that events, gestures, conversations... are somehow related to a person.
  • Grandiose Delusions: Inflated beliefs about one’s abilities, such as having unique talents like telepathy or prophecy.
  • Nihilistic Delusions: Total hopelessness, such as believing the world is ending or everything is meaningless.
  • Hypochondriacal Delusions: Unfounded belief of having a severe illness despite medical evidence to the contrary.
  • Religious Delusions: Varying content, such as feeling sinful or perceiving oneself as a messiah.
  • Jealous Delusions: otherwise known as morbid, particularly in marital contexts, having a sense of betrayal despite evidence to the contrary.
  • Erotomanic Delusions: Believing that someone unattainable loves them.
  • Delusions of Influence: Believing that external forces control one’s thoughts or actions.
  • Thought Insertion or Withdrawal: Believing that thoughts are being implanted or removed by an external force through telepathy or other means.

Immediate medication treatment is necessary.

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