1st episode psychoses are a common attendance in a city mental hopital, like Calcutta Pavlov Hospital in Calcutta & they constituse approximately 35-40% of new OPD registration in a day. These data is derived from the OPD register during the period 1st Jan 08-30th june09. The average new consultation in this opd is around 38 patients/day, and old repeat consultations usually around 300 case.

Management style usually practiced in this hospital is detailed here with the proportion of different management & their type as diagonosed on the 1st day.

Here this presntation of style in a devoloping country with meagre facities may be assesed & compared with those in other countries in Europe.

1st episode psychosis in new OPD attended cases are 12-14/day.They constitutes BPMD, hypomania 40%,Schizoprenia 30%, delusional disorders10%,Brief psychotic Disorder 8%,Pshyotic behavioral disurbances 5% and other non-specified psychoses 6-7%.

50-55% of 1st episode recieve drug only and after 7 days follow up return 80-90% become calm and tranquile with majority of their positive sypmtoms like delutions, hallucination losing sharpness. In 1/3rd no. of cases, mainly with violent, aggressive or refusal to medication inj. preparations are used. Previousely 1-2 cases were given ECT treatment, but that is stopped after Govt. banned ECT in OPD setting. Inj. commonly used are Inj. haloperidol, Promethazine HCl, and lorezepam in agrresives, Inj Olanjapine in negative or positive scizophrenic group, followed by Inj. Clopixol(zupixol)aquaphase follwed by depot.

Injection in 1st 2-3 days makes the compliance better and quick.

1sd episode management is the key in sucsess of psychosisas a whole.