%0 Journal Article %A Anil Vasudev Israni %A Sumant Kumar %A Nahin Hussain %T Fifteen-minute consultation: an approach to a child presenting to the emergency department with acute psychotic symptoms %D 2017 %R 10.1136/archdischild-2017-313386 %J Archives of disease in childhood - Education & practice edition %P edpract-2017-313386 %X Presentation of a child in the A&E with altered behaviour including psychotic features is not unusual. New-onset psychotic symptoms in children pose a significant diagnostic challenge due to several reasons. First, primary psychotic conditions are uncommon in pre-pubertal children. Second, differentiating between delirium and psychosis can be difficult in children, more so in infants, toddlers and young children. Third, intervening and managing a secondary cause of psychosis can significantly optimise outcome. Prompt recognition of a possible underlying cause for a child’s psychotic behaviour is essential, and at the same time challenging, in the emergency department. This article attempts to present a systematic approach to a child with acute onset of psychotic symptoms in an emergency setting. %U https://ep.bmj.com/content/edpract/early/2017/12/08/archdischild-2017-313386.full.pdf