Similarities and Differences Between Psychosis and Neurosis?

Similarities and Differences Between Psychosis and Neurosis?

Before you know about the difference between psychosis and neurosis you would need to know each one separately. What is psychosis and what is neurosis? This article will tell you about them in brief and the relationship between psychosis and neurosis.

What is Neurosis?

Neurosis is a psychiatric disorder. It is an emotional illness where a person experiences strong feelings of worries or fear. It involves fear and distress and may simulate stress symptoms. There are no hallucinations or suspiciousness involved and contact with reality is usually maintained.

What is Psychosis?

Psychosis, on the other hand, is a psychiatric disorder in which thoughts and emotions are so impaired that contact is lost with external reality. People suffering from this kind of disease are characterized by radical changes in personality. And they have impaired functioning and contact with reality is impaired.. The person suffering from this disease may then encounter hallucinations or delusions. This is the main Differences between psychosis and neurosis

15 Differences Between Psychosis and Neurosis

In order to know more about these disorders, we need to know the intricate differences between the two. Neurosis refers to minor mental disorders while psychosis refers to severe mental disorders. The distinction between the two is based on symptomology, psychopathology and management.

  • Neurosis is a mental disorder while psychosis is a personality disorder.
  • Psychosis involves a change in the total replacement of the whole personality of the person who is affected. While in psychoneuroses only a part of the character is concerned. This means that Neurosis is just a part while Psychosis is the total
  • The symptoms of Neurosis are transitory, and the outcome of treatment is usually favourable. On the other hand in neurosis the symptoms are relatively constant from day to day and the outcome less favourable and cure temporary and the death rate is high.
  • In generally speaking terms, psychotic behaviour is not permanent. It differs from psychopathic behaviour and may not involve any violence which associates with the brain. According to the latest research updates such behavior did exist in any person and is linked to a developed personality.
  • Neurosis is associated with anxiousness and phobia that may also result in the panic attack, while psychosis is thoroughly associated with hallucinations and delusions.
  • People with psychosis have a firm belief that others are watching them or even following them all the time. Projection of this kind is often based on a sense of guilt, biased but unconscious. This is however not the case in neurosis, and people have touch with the reality
  • People with neurosis are in touch with the real world, but people with psychotic disorders lead total contact with reality and thus become mentally sick
  • Psychosis is known to interfere with the day to day functions of daily life. While neurosis may not interfere with any features of daily life unless it becomes severe.
  • Psychosis usually differs from neurosis regarding go and libido regression and regarding the topographical location of the conflict. Therefore the ego is much more profound and regressing is much more
  • As far as the general behaviour is concerned, in neurosis, the speech and thought processes are rational and logical. There are rarely delusions hallucinations and confusion. On the contrary, in case of the psychosis speech and thought processes are confused, unsystematic, weird and irrational.
  • Neurosis involves anxiety, depression, post-traumatic disorder, transference neurosis, war neurosis. This can be treated by counselling, medication, psychotherapy and cognitive behavioural therapy. While psychosis deals with Delusions, hallucinations, illusions which are not true. Changed feeling and behaviour as well as problems in thinking and can be controlled with long-term treatment with pharmacotherapy and ECT ( Electroconvulsive therapy).
  • Neurosis involves distress but not delusions or hallucinations. Its symptoms are very similar to stress, but the person concerned does not face a radical loss of touch with reality. Unlike neurosis, psychosis is severe psychiatric disorder in which emotions as well as the thoughts, are so impaired that contact lost with external reality
  • Neurosis is rarely suicidal and they may not need hospitalization. Psychotic patients are however incapable of managing themselves and may be suicidal and need hospitalization or equivalent home care.
  • Psychosis and Neurosis also differ in the treatment procedure. Patients with Neurosis respond to psychotherapy, such as suggestion, psychoanalysis and other forms of psychotherapy. While patients with psychosis do not respond efficiently to psychotherapy and treatment is mainly pharmacological or ECT.
  • Although there is no marked line of difference that can differentiate the two diseases, is psychosis, language undergoes a distortion in various kinds of incoherent speech, grammatically incorrect sentences while neurosis is however based on reality and does not suffer any language distortion.

Similarities Between Psychosis and Neurosis

Though neurosis and psychosis are solely different topics altogether, many people are in doubt whether can neurosis could leads to psychosis? Neurosis and psychosis are more or less similar with some differences. The term borderline is generally used to indicate that someone is just on the border between neurosis and psychosis. And a person who has neurosis can also turn to a psychotic if not taken care of. There are some people who also suffer from borderline psychosis and neurosis personality disorder where its difficult to understand what the person is actually suffering from.

These are the differences between psychosis and neurosis by which you would like to diagnose the patient.

Medically Reviewed By
Dr. Bharti Talreja (MBBS, DPM, FAGE, MIPS)She is a Psychiatrist practising in Indore, India.