Medical evaluation of first presentation of psychotic symptoms in children and adolescents - Takeaways - MDSpire

Medical evaluation of first presentation of psychotic symptoms in children and adolescents

  • By

  • Orly Lavan

  • Esther Ganelin-Cohen

  • Amit Goldstein

  • Tomer Mevorach

  • Shani Frank

  • Alan Apter

  • Silvana Fennig

  • Noa Benaroya-Milshtein

  • Amir Krivoy

  • April 14, 2026

  • 0 min

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  • 1

    The study evaluated 68 pediatric patients with initial psychotic symptoms over a 10-year period at a tertiary pediatric center.

  • 2

    23.5% of patients were diagnosed with substance-/medication-induced or medically-associated psychosis.

  • 3

    Younger age and early onset psychosis were more common in patients with secondary etiologies compared to those with primary psychiatric disorders.

  • 4

    Most medical investigations did not identify secondary causes, emphasizing the need for careful assessment in specific cases.

  • 5

    Targeted medical evaluation may aid in diagnosing pediatric psychosis, particularly when clinical features suggest secondary causes.

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