Emergency Treatment of Acute Psychosis

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The author reviews the evolution of emergency psychiatric practice over the past 20 years—from the concept of high-dose antipsychotic medication to the more rational treatment approach for acute psychosis made possible by modern pharmacodynamic insight and the availability of new pharmacotherapeutic agents. A decision tree for current practice in the rapid tranquilization of agitated, apparently psychotic patients is described.

J Clin Psychiatry 1998;59(suppl 1):57–60