PT - JOURNAL ARTICLE AU - Anil Vasudev Israni AU - Sumant Kumar AU - Nahin Hussain TI - Fifteen-minute consultation: an approach to a child presenting to the emergency department with acute psychotic symptoms AID - 10.1136/archdischild-2017-313386 DP - 2018 Aug 01 TA - Archives of disease in childhood - Education & practice edition PG - 184--188 VI - 103 IP - 4 4099 - http://ep.bmj.com/content/103/4/184.short 4100 - http://ep.bmj.com/content/103/4/184.full SO - Arch Dis Child Educ Pract Ed2018 Aug 01; 103 AB - 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.