Childhood-Onset Psychotic Disorders: A Guide for Students

What is meant by "psychotic disorders originating in childhood"?

What are "psychotic disorders originating in childhood"? Are childhood-onset neurotic disorders considered "psychotic disorders originating in childhood"? I am currently a university student and have been diagnosed with anxiety disorder and obsessive-compulsive disorder by a psychiatrist.
However, my anxiety behaviors have been present since childhood.
While searching for the definition of "mental illness," I found that "psychotic disorders originating in childhood" are also classified as legal mental illnesses, which makes me extremely anxious about being labeled as a legal mental illness and how it might affect my public service and insurance issues.
I hope to receive clarification from you, doctor.
According to the regulations of the Mental Health Act, Article 2 states: "The mental illnesses referred to in Article 3 of this Act do not include those with antisocial personality disorders.
The term 'mental illness' refers to organic mental disorders, schizophrenia, affective disorders, delusional disorders, other non-organic mental disorders, and psychotic disorders originating in childhood.
'Neurotic disorders' refer to hysteria, anxiety disorders, depression, phobias, and obsessive-compulsive disorders." In simpler terms, the law defines "mental illness" as two categories: 1.
Psychotic disorders 2.
Neurotic disorders.
Psychotic disorders are defined as follows: 1.
Organic mental disorders 2.
Schizophrenia 3.
Affective disorders 4.
Delusional disorders 5.
Other non-organic mental disorders 6.
Psychotic disorders originating in childhood.
Neurotic disorders are defined as follows: 1.
Hysteria 2.
Anxiety disorders 3.
Depression 4.
Phobias 5.
Obsessive-compulsive disorders.

Chen Dada, 20~29 year old female. Ask Date: 2019/08/20

Dr. Huang Xiaoxian reply Psychiatry

Dear Chen, thank you for your question.
You mentioned psychotic disorders originating in childhood, which generally refer to autism and pervasive developmental disorders, and your current symptoms fall into a different category, so there is no need to worry too much.
Anxiety disorders are typically classified as neuroses and are quite common in modern individuals; they should not significantly impact your public service.
I recommend discussing this with your attending physician.
Best wishes!

Reply Date: 2019/08/20

More Info

Understanding childhood-onset psychotic disorders is crucial for students and their families, especially when navigating the complexities of mental health diagnoses. The term "childhood-onset psychotic disorders" refers to a range of mental health conditions that manifest during childhood and can significantly impact a child's development, behavior, and social interactions. These disorders can include, but are not limited to, schizophrenia, schizoaffective disorder, and other psychotic disorders that begin before the age of 18.

In your case, you mentioned being diagnosed with anxiety disorder and obsessive-compulsive disorder (OCD), both of which are classified as anxiety disorders and fall under the category of "mental disorders" rather than psychotic disorders. According to the definitions you provided from the mental health law, "mental disorders" are divided into two main categories: psychotic disorders and neuroses (or psychoneuroses). The latter includes conditions like anxiety disorders, depression, phobias, and OCD.

Your concern about being classified under "childhood-onset psychotic disorders" is understandable, especially given the stigma that can accompany mental health diagnoses. However, it is important to clarify that not all childhood mental health issues are classified as psychotic disorders. For instance, anxiety and OCD are not considered psychotic disorders; they are categorized as anxiety disorders or neuroses.
The classification of "childhood-onset psychotic disorders" typically involves symptoms such as hallucinations, delusions, disorganized thinking, and significant impairment in functioning. These symptoms are more severe and distinct from the symptoms associated with anxiety or OCD. Therefore, if your symptoms primarily revolve around anxiety and compulsive behaviors, they would not fall under the category of psychotic disorders.

It is also worth noting that mental health laws and definitions can vary by country and region, and the implications of being classified under certain categories can differ. In many cases, having a diagnosis of anxiety or OCD does not inherently affect your eligibility for public service positions or insurance, but it is always wise to consult with a mental health professional or legal advisor for specific guidance regarding your situation.

If you have experienced anxiety symptoms since childhood, it may be beneficial to explore therapeutic options that can help you manage these symptoms effectively. Cognitive-behavioral therapy (CBT) is often recommended for anxiety and OCD, as it can provide you with tools to cope with your symptoms and improve your overall mental health.

In summary, while childhood-onset psychotic disorders are a serious category of mental health issues, your diagnosis of anxiety and OCD does not classify you under that category. It is essential to focus on your treatment and well-being, and to seek support from mental health professionals who can guide you through your concerns and help you develop effective coping strategies. Remember, mental health is a journey, and seeking help is a positive step toward understanding and managing your condition.

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