Whay does it mean if a person is psychotic?


Question:
I have been diagnoised with post tramatic stress disorder with anxiety and depression. I asked my internist doc to get a referal to a phychiatrist and he told me that becuase I have low income insurance they wont take me cause Im not psychotic. What does he mean?

Answers:
Psychotic people usually experience hallucinations, delusions, and paranoia.

Not all psychotic people hurt others. Some become withdrawl into their own world, some don't come out of their homes.

Psychotic behavior can happen in schizophrenia and related disorders, Bipolar, and depression.
In a sence, you wouldn't be able to tell the difference from good and bad. You'd get the same emotional rxn hearing the word murder as cute puppies.
Clinically it means that the person is actively experiencing either hallucinations or delusions.

I've never heard of a psychiatrist rejecting somebody for not being psychotic, try a different psychiatrist.
Psychotic usually means the person has hallucinations (sees or hears things that no one else does) and/or delusions (believes things are happening that aren't really happening; paranoia is common--believing others are conspiring against you when they really aren't. Grandiosity--believing you are God or you have some sort of magical powers or special authority. Ideas of reference--believing two unrelated things or events are somehow related--"if the sun goes down, I will die")

"Psychotic" is also sometimes used to describe mental illness symptoms that are markedly severe in general.

Popular culture sometimes uses the word "Psychotic" to mean someone is violent or evil. That is not accurate; only a very few small percentage of people with psychosis are violent or have any criminal behavior.

My state department of mental health (where I work) had classified mental illnesses as either MI (mental illness) or SMI (serious mental illness). For example: PTSD and OCD were considered MI. Schizophrenia and Bipolar DIsorder were considered SMI. People with SMI are entitled to more benefits under certain circumstances. Your insurance may have some kind of similar idea. Yes, it's true that less expensive insurance doesn't provide benefits that are as good as more expensive plans.
Psychotics are out of touch with reality and have an extremely difficult time knowing that they are. They tend to be paranoid and think that people are spying on them, sending them messages etc. For example, a grandmother killed her daughter because the geese told her to.

With anxiety, depression and PTSD, your thinking may be off, for example, you may be overly worried about things that don't warrant your level of worry or you may see the world as darker than it really is. But, either you recognize this fault or if you don't, your moods and thinking aren't bizarre like those of a psychotic.
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