Nonpharmacologic management of psychosis with affective mood disorder includes which of the following?

• A. Psychotherapy, lifestyle modifications, stress management
• B. Electroconvulsive therapy
• C. Antidepressants only
• D. Diet and sleep optimization only

Answer: (A)

Nonpharmacologic management focuses on psychosocial support and daily-life strategies that help stabilize mood and reduce psychotic symptoms. Psychotherapy provides coping skills, reality testing, and adherence strategies; it can address both mood and psychotic features and improve functioning. Lifestyle modifications, such as regular physical activity, consistent sleep-wake schedules, balanced nutrition, and avoidance of substances, help regulate mood and reduce stress responsiveness. Stress management techniques, including relaxation training and problem-solving, lessen triggers that can worsen symptoms and relapse risk. Together, these approaches form the foundation of nonpharmacologic care and are used alongside medications to optimize outcomes.

Electroconvulsive therapy is a nonpharmacologic treatment but is typically reserved for severe or treatment-resistant cases. Antidepressants are pharmacologic. Diet and sleep optimization alone are helpful but incomplete without broader psychosocial strategies.