Case 3, Episode 3: Diagnostic Possibilities – Psychosis, PTSD, or Institutional Adaptation?

“They call it a disorder. But it’s how I survived.” — Cynthia, 62

By now, you’ve walked with Cynthia through her first appointment, then through the story of her life—layer by layer.

  • She hears a voice (her grandmother’s).

  • She’s wary of being watched.

  • She avoids enclosed rooms.

  • She doesn’t express emotion easily.

  • And she believes certain “people” are still trying to control her.

But here’s the question:
Is this psychosis… or something else entirely?

And more importantly:
What do we risk when we get the diagnosis wrong—or too fast?

The Danger of Diagnostic Overreach
When a person presents with “hearing voices” or “paranoia,” the default often becomes:

  • Schizophrenia

  • Schizoaffective disorder

  • Delusional disorder

But for someone like Cynthia—who’s endured trauma, institutionalization, and forced compliance—the line between symptom and survival is blurred.[1]

We need a framework that allows us to hold multiple diagnostic possibilities in mind—without collapsing too quickly into certainty.

Three Overlapping Possibilities
Let’s walk through the most likely diagnostic frameworks in Cynthia’s case—and how to approach them without reducing her to a label. 

1. Chronic Psychotic Disorder (e.g., Schizoaffective, Schizophrenia)[2]
Clues that support this:

  • Persistent auditory hallucinations

  • Paranoia not clearly linked to a specific trauma

  • Flattened affect, limited insight

  • History of psychiatric care and forced medication in prison

Questions to ask:

  • Have the voices changed over time, or remained consistent?

  • Do they command or comment?

  • Is there disorganization in thought or behavior?

  • Is there a family history of psychotic illness?

Approach:

  • Consider trial of low-dose antipsychotics only with shared decision-making

  • Monitor response before assuming permanence

  • Prioritize trust over compliance

2. Complex PTSD with Dissociative Features
Clues that support this[3]:

  • Childhood trauma, prolonged neglect

  • Voices are familiar, comforting (grandmother)

  • Flashbacks or hypervigilance tied to past experiences

  • Avoidance, numbing, and difficulty trusting others

  • Symptoms worsened in high-stress or institutional environments

Questions to ask:

  • What does the voice say? Is it frightening or soothing?

  • When did the “paranoia” begin—before or during incarceration?

  • How does she describe her own sense of self?

  • Is she aware of emotional “cutoffs” or time loss?

Approach:

  • Use grounding, narrative, and trauma-informed care

  • Avoid pathologizing coping mechanisms

  • Normalize dissociative experiences as part of the adaptation

3. Institutional Adaptation Syndrome[4] (Not in DSM—but real)
Clues that support this:

  • 20 years of incarceration

  • Learned hypervigilance, compliance, and emotional flattening

  • Fear of autonomy, overwhelmed by daily decisions

  • Expectation of surveillance or control

  • Detachment from community norms

Questions to ask:

  • What’s most difficult about being “free”?

  • What’s her routine like? How does she structure her time?

  • How does she feel in spaces without rules or authority?

  • Has she ever lived in a setting that felt safe?

Approach:

  • Structure care around predictability and autonomy

  • Allow time to unlearn institutional rhythms

  • Offer peer support from others with reentry experience

The Case for Holding All Three

Here’s the truth:
Cynthia may have chronic psychosis, trauma-induced dissociation, and institutional adaptation—all at once.
These are not mutually exclusive.
They are interwoven expressions of experience.
Her “symptoms” are not just brain-based.
They are body-based, story-based, survival-based.

So What Do We Call It?
Whatever diagnosis you document, make sure your treatment plan reflects her context, history, and dignity.
It’s okay to use a provisional diagnosis.
What matters more is that your approach:

  • Is trauma-informed

  • Is collaborative

  • Is adaptable over time

  • Avoids blaming or forcing

Cynthia doesn’t need you to name her condition.
She needs you to see her fully—and stay.

Coming Up Next: Episode 4 – Medication and Consent
In our next episode, we’ll ask:

  • What happens when someone who may benefit from medication refuses it?

  • How do you balance autonomy with care?

  • What does trauma-informed prescribing actually look like in practice?

  • And how do you build trust without coercion?

Because healing doesn’t begin with a pill.
It begins with a partnership.

Reflective Prompt for You
Have you ever been wrong about a diagnosis—only to realize the person made perfect sense once you knew their story?

What changed in you as a result?

The most accurate diagnosis is often the one we’re humble enough to revise.


References:

[1] Herman, Judith L. Trauma and Recovery: The Aftermath of Violence—From Domestic Abuse to Political Terror. Basic Books, 1997.

[2] American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-5-TR. 5th ed., Text Revision, American Psychiatric Publishing, 2022.

[3] World Health Organization. International Classification of Diseases, 11th Revision (ICD-11). World Health Organization, 2018.

[4] Chow, Winnie S., and Eric Y. H. Priebe. “Understanding Psychiatric Institutionalization: A Conceptual Review.” BMC Psychiatry, vol. 13, 2013, p. 169. PubMed Central, https://doi.org/10.1186/1471-244X-13-169.

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Case 3, Episode 2: Layers of Experience – Constructing the Biopsychosocial-Institutional Timeline