{"id":7084,"date":"2026-01-15T04:36:14","date_gmt":"2026-01-15T04:36:14","guid":{"rendered":"http:\/\/almomento.net\/?p=1092131"},"modified":"2026-01-15T04:36:14","modified_gmt":"2026-01-15T04:36:14","slug":"psicosis-y-salud-mental-en-rd-entre-la-crisis-y-el-abandono","status":"publish","type":"post","link":"https:\/\/sarmiento24h.com\/?p=7084","title":{"rendered":"Psicosis y salud mental en RD: entre la crisis y el abandono"},"content":{"rendered":"

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\"imagen\"<\/a><\/p>\n

El autor es m\u00e9dico. Reside en Santo Domingo<\/p>\n<\/p><\/div>\n

En la Rep\u00fablica Dominicana, la psicosis constituye uno de los trastornos mentales m\u00e1s graves y, al mismo tiempo, uno de los m\u00e1s invisibilizado. Lejos de ser \u00fanicamente un problema individual o familiar, la psicosis pone en evidencia una profunda deuda estructural del sistema de salud p\u00fablica dominicano en materia de salud mental.<\/p>\n

A pesar de que sus manifestaciones cl\u00ednicas, delirios, alucinaciones, pensamiento desorganizado y conductas extra\u00f1as,  impactan de manera severa la vida de quienes la padecen y de su entorno, el abordaje institucional contin\u00faa siendo tard\u00edo, fragmentado y excesivamente centralizado.<\/p>\n

Desde el punto de vista cl\u00ednico, la psicosis implica una ruptura con la realidad que deteriora gravemente la capacidad de la persona para estudiar, trabajar y sostener v\u00ednculos sociales estables, profundizando as\u00ed su exclusi\u00f3n y vulnerabilidad social.<\/p>\n

A los s\u00edntomas m\u00e1s visibles se suman los llamados s\u00edntomas negativos, tales como,  aislamiento, apat\u00eda, p\u00e9rdida de motivaci\u00f3n y empobrecimiento emocional. Estos \u00faltimos son los que m\u00e1s deterioran la funcionalidad a largo plazo y se consolidan cuando no existe atenci\u00f3n temprana ni seguimiento cont\u00ednuo.<\/p>\n

En la Rep\u00fablica Dominicana, las estad\u00edsticas disponibles, aunque limitadas, revelan la magnitud del problema, aproximadamente el 23 % de las personas que solicitan servicios de salud mental en el sistema p\u00fablico lo hacen por esquizofrenia, uno de los principales trastornos psic\u00f3ticos.<\/p>\n

Esta cifra no representa la prevalencia poblacional, sino la carga asistencial que generan los trastornos psic\u00f3ticos dentro del sistema sanitario. Esta estad\u00edstica alta de la esquizofrenia en las consultas se explica por la naturaleza de la psicosis. Estos trastornos tienden a manifestarse en forma de crisis recurrentes.<\/p>\n

Las personas con psicosis requieren atenci\u00f3n especializada, pues presentan reca\u00eddas frecuentes, por lo tanto, necesitan hospitalizaciones repetidas y son resistentes al tratamiento. Aunque menor en n\u00famero poblacional, utilizan de manera intensiva los servicios psiqui\u00e1tricos p\u00fablicos.<\/p>\n

No es casual, entonces, que la esquizofrenia sea una de las principales causas de hospitalizaci\u00f3n de salud mental en el pa\u00eds. Esto evidencia un modelo de atenci\u00f3n reactivo, centrado en la crisis, m\u00e1s que en la prevenci\u00f3n y el acompa\u00f1amiento comunitario.<\/p>\n

La falta de detecci\u00f3n temprana y continuidad terap\u00e9utica empuja a las personas a ciclos repetidos de descompensaci\u00f3n, internamiento y abandono del tratamiento. La evidencia cient\u00edfica indica que la psicosis afecta a hombres y mujeres en proporciones similares, pero no de la misma forma ni en el mismo momento de la vida.<\/p>\n

En los hombres, el inicio suele producirse entre los quince y veinticinco a\u00f1os, con mayor deterioro funcional y mayor asociaci\u00f3n al consumo de sustancias. En las mujeres, el debut suele ser m\u00e1s tard\u00edo y con mejor respuesta inicial al tratamiento.<\/p>\n

A este panorama se suma el componente hereditario. La psicosis no se hereda de forma directa, pero existe una vulnerabilidad gen\u00e9tica que, combinada con factores sociales como pobreza, violencia, desempleo y consumo de drogas, incrementa el riesgo.<\/p>\n

En la Rep\u00fablica Dominicana, estas condiciones estructurales act\u00faan como detonantes del trastorno. El estigma social sigue siendo una barrera decisiva. En muchas comunidades, la psicosis se asocia a peligrosidad o castigo, retrasando la b\u00fasqueda de ayuda y profundizando el aislamiento.<\/p>\n

La enfermedad termina siendo gestionada por las familias o por la coerci\u00f3n institucional, debido a la ausencia de pol\u00edticas p\u00fablicas eficaces. Por lo tanto, abordar la psicosis como problema de salud p\u00fablica exige un cambio de enfoque que fortalezca la atenci\u00f3n primaria, desarrollando servicios comunitarios y garantizando continuidad terap\u00e9utica son opciones, de urgencias.<\/p>\n

Mientras la salud mental siga siendo marginal en la agenda p\u00fablica dominicana, el sistema seguir\u00e1 llegando tarde, y llegar tarde siempre significa m\u00e1s crisis, m\u00e1s hospitalizaciones y m\u00e1s vidas quebradas. Invertir en prevenci\u00f3n, educaci\u00f3n y acompa\u00f1amiento temprano permitir\u00eda reducir costos, sufrimiento y exclusi\u00f3n social.<\/p>\n

La psicosis, tratada a tiempo, no condena a la marginalidad. Ignorarla, en cambio, perpet\u00faa un modelo sanitario ineficiente que castiga a los m\u00e1s vulnerables y normaliza la emergencia como \u00fanica respuesta institucional del sistema p\u00fablico.<\/p>\n

jpm-am<\/i><\/p>\n

\n

Comp\u00e1rtelo en tus redes:<\/p>\n<\/div>\n


\n<\/ins> <\/p>\n","protected":false},"excerpt":{"rendered":"

El autor es m\u00e9dico. Reside en Santo...<\/p>\n","protected":false},"author":1,"featured_media":7085,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[64],"tags":[],"class_list":["post-7084","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-salud"],"yoast_head":"\nPsicosis y salud mental en RD: entre la crisis y el abandono - Sarmiento24h<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sarmiento24h.com\/?p=7084\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Psicosis y salud mental en RD: entre la crisis y el abandono - Sarmiento24h\" \/>\n<meta property=\"og:description\" content=\"El autor es m\u00e9dico. 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