Reference
Guide | Reference

70  Mood-Psychosis Pattern Prototype

70.1 Summary

  • A pattern where psychosis-spectrum symptoms occur in the context of prominent mood or drive shifts.

70.2 Prototype Features

  • Psychotic experiences temporally linked to mood elevation or depression.
  • Mood and energy changes are prominent and episodic.
  • Psychosis intensity tracks with mood shifts.

70.3 Threshold Guidance

  • Use when psychosis is clearly tied to mood episodes and functional change.

70.4 Expected Domain Profile

  • Mood and Drive Dysregulation: moderate to high.
  • Psychosis and Reality Testing: mild to moderate, episodic.

70.5 Time-Course and Trajectory

  • Episodic with mood-driven fluctuations.

70.6 Differential and Red Flags

  • Primary psychosis with secondary mood symptoms.
  • Substance-induced mood elevation or psychosis.
  • Trauma-related intrusions misread as psychosis.

70.7 Specifiers (treatment-relevant, non-prescriptive)

  • Course/time pattern (episodic, mood-linked).
  • Contributors (sleep loss, substances, stress).
  • Risk modifiers (impulsivity, safety risk during episodes).

70.8 Measurement Prompts

  • Mood and energy tracking.
  • Psychosis symptom tracking by episode.

70.10 Documentation Snippet (1-2 lines)

  • “Psychosis emerges during mood episodes; Mood/Drive 4, Psychosis 2; episodic course.”