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Outcomes in first episode manic psychosisThe paper discussed here, Chang et al., (2016), presents a longitudinal 3-year follow up of first episode patients with mania with psychosis and those with a schizophreniform psychosis. This is an important study for those who work within Early Intervention in Psychosis services; although the majority of patients in such services will ultimately go on to have a diagnosis of schizophrenia, a substantial proportion will have an affective psychosis, presenting with either a depressive or manic episode, with psychotic features. Yet, most of the studies of first episode psychosis tend to be with patients with a diagnosis of schizophrenia; hence, this paper begins to fill an important aporia for clinicians and researchers interested in the early course of psychotic illness more generally.


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The paper discussed here, Chang et al., (2016), presents a longitudinal 3-year follow up of first episode patients with mania with psychosis and those with a schizophreniform psychosis. This is an important study for those who work within Early Intervention in Psychosis services; although the majority of patients in such services will ultimately go on to have a diagnosis of schizophrenia, a substantial proportion will have an affective psychosis, presenting with either a depressive or manic episode, with psychotic features. Yet, most of the studies of first episode psychosis tend to be with patients with a diagnosis of schizophrenia; hence, this paper begins to fill an important aporia for clinicians and researchers interested in the early course of psychotic illness more generally.

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