Clinical Q&A: Psychosis and loss of libido.

Our experts answer queries on the transport of a disturbed patient and lack of libido.

What should be the first-line treatment by a GP who is treating acute psychosis of unknown origin when sedation is required to transport the patient into hospital? What is safe in a remote area when resuscitation facilities are poor?

There are several points to consider when managing psychosis. Any case of new-onset psychosis or cases where there is any doubt about diagnosis should be referred to a specialist as early as possible. Psychoses can be secondary to medical illness or can be drug- or alcohol-related.

If a patient is deemed to need hospital care, …