Outbreaks, such as the one that led the model Eloisa Fontes, 26, to become disoriented wandering around a community in Rio de Janeiro, do not happen “out of the blue”, as explained by the psychiatrist and psychotherapist Ivan Mario Braun, doctor of Medicine at the Faculdade de Medicina da University of Sao Paulo.
She was found disoriented in the Cantagalo community on October 6 after a year gone. Last year, she had already been found wandering around New York after five days missing. Eloisa was admitted to the Phillipe Pinel Municipal Institute in Rio de Janeiro, and is undergoing treatment. His diagnosis was not released.
“Outbreaks can have many causes. Anyone who has a genetic predisposition, is exposed to certain triggering environmental factors or has certain sensitivities is subject. Most people do not develop psychotic outbreaks through the use of marijuana, but some do,” he says.
Outbreak is an expression that refers to psychotic outbreak, according to the psychiatrist. He explains that in psychotic outbreaks people can become agitated, with “disorganized behavior”.
“They may be disoriented in relation to who they are. Some, within this disorganized behavior or because they develop delusions, in which they feel persecuted or believe they are overpowered, for example, may be wandering and, depending on how affected they are and concentrated in their thoughts. , sometimes accompanied by hallucinations, usually voices that talk, comment or give orders, can get lost “, he says.
Psychotic outbreaks can be triggered by severe depression, in the so-called schizophrenia mania or other disorders, such as schizoaffective disorder and delusional disorder, in which the person becomes excessively euphoric, due to clinical illnesses or the use of drugs, such as alcohol, LSD , cocaine and marijuana, according to the psychiatrist.
Identifying the cause helps treatment
The diagnosis is made from the history of the appearance of the outbreak, which can be obtained through family members, and by psychic examination. “In this examination, the psychiatrist observes the patient’s behavior and asks questions directed to identify the type of psychotic condition. In the case of suspicion of resulting from intoxication or clinical illness, the physical examination and some laboratory tests can be useful”, explains the doctor .
In most cases, treatment requires hospitalization, as a person can become aggressive and pose a risk to themselves and others, says Braun. “They can take risks, for example, if they run away from home or expose themselves to socially problematic behaviors, such as fights or false reports by the police for feeling persecuted. In milder cases and well-oriented families, it is possible to keep the person at home”, points out.
Psychologist Naiara Mariotto says that therapy plays an essential role in the treatment. “We work on cognitive functions, in addition to the issue of values and social interaction. Depending on the situation, the person suffers from prejudice and fear of socializing due to judgments,” he says.
“Dysfunctional thoughts that are more negative, such as fear and worry, also need to be worked on to increase the quality of life”, he adds.
Returning to a normal life will depend on what caused the outbreak, according to the psychiatrist. “In a psychotic episode of a bipolar disorder, for example, the person usually, after some time, returns to normal, even at the risk of having new psychotic outbreaks, especially if it is not treated,” he says.
“People with schizophrenia, even if treated, may experience difficulties in academic, work and social performance, not being the same as they were before. This can be improved through treatment and measures such as psychotherapy and occupational therapy”, he adds.
He points out that there is no way to prevent a psychotic outbreak as it can have different causes. “Outbreaks are behavioral manifestations, not a disease, that can be present in different psychiatric disorders. Prevention will be according to the cause. For example: avoiding the use of drugs, treating, if there is any brain injury, or taking medications in a way in the case of schizophrenia and psychotic bipolar disorder “, he concludes.