Episode Details

Daniel wrote in with four questions about psychosis, and they turned out to be one question wearing four coats. The DSM-5-TR defines psychotic disorders by five domains — delusions, hallucinations, disorganized thinking, abnormal motor behavior, and negative symptoms — but the colloquial version collapses all of them into hallucinations. Meanwhile, a systematic review of 788 studies on "serious mental illness" found 85% never defined the term, and the share of a single community sample that qualified ranged from 4% to 88% depending on the rubric. Eating disorders have the highest mortality rate in psychiatry and appeared in 1% of those studies. This episode unpacks what psychosis actually is, what else lives in the category, and whether the severity stratification still does useful work or just routes people to the wrong specialist. Episode #236407 — open it directly at myweirdprompts.com/236407