Your psychiatrist will carry out a full assessment to help identify and diagnose any underlying mental health condition that could be causing your symptoms. This will help when planning your treatment for psychosis.
To diagnose a psychotic disorder, doctors will take a medical and psychiatric history and possibly perform a brief physical exam. The person may get blood tests and sometimes brain imaging (such as MRI scans) to rule out physical illness or drug use like cocaine or LSD.
The word psychosis is usually used to refer to an experience. It is a symptom of certain mental health problems rather than a diagnosis itself. Doctors and psychiatrists may describe someone as experiencing psychosis rather than giving them a specific diagnosis.
Brain tumors and brain injury.
Some brain tumors may cause psychotic symptoms that seem like schizophrenia. Likewise, people who've had a traumatic brain injury may have symptoms such as psychosis.
Signs of early or first-episode psychosis
Hearing, seeing, tasting or believing things that others don't. Persistent, unusual thoughts or beliefs that can't be set aside regardless of what others believe. Strong and inappropriate emotions or no emotions at all. Withdrawing from family or friends.
Unlike taking someone's temperature, recognizing whether psychosis is present can be difficult – especially when it is in its early stages. These early stages can be associated with a wide variety of nonspecific changes such as mood swings, taking up of new philosophies or “odd” behaviours or beliefs.
Hypochondria is itself a form of mild psychosis. The hypochondriac has a deep and ungrounded worry about having or developing a serious mental illness. Paranoia and suspiciousness are classical traits of psychosis but they can be subtle.
People who have psychotic episodes are often totally unaware their behaviour is in any way strange or that their delusions or hallucinations are not real. They may recognise delusional or bizarre behaviour in others, but lack the self-awareness to recognise it in themselves.
Treatment and support for psychosis
The best place to start in getting a diagnosis is a GP. They can make an assessment and provide a referral to a psychiatrist for full diagnosis and treatment if appropriate. Your diagnosis might change over time. Early intervention can be helpful.
Your experience of psychosis will usually develop gradually over a period of 2 weeks or less.
There's no single test for schizophrenia and the condition is usually diagnosed after assessment by a specialist in mental health. If you're concerned you may be developing symptoms of schizophrenia, see a GP as soon as possible. The earlier schizophrenia is treated, the better.
Scientists have discovered that testing the levels of certain proteins in blood samples can predict whether a person at risk of psychosis is likely to develop a psychotic disorder years later.
Psychosis can be very serious, regardless of what is causing the symptoms. The best outcomes result from immediate treatment, and when not treated psychosis can lead to illness, injuries, legal and financial difficulties, and even death.
Psychosis is when people lose some contact with reality. This might involve seeing or hearing things that other people cannot see or hear (hallucinations) and believing things that are not actually true (delusions).
Typically, a psychotic break indicates the first onset of psychotic symptoms for a person or the sudden onset of psychotic symptoms after a period of remission. Symptoms may include delusional thoughts and beliefs, auditory and visual hallucinations, and paranoia.
Psychosis can come on suddenly or can develop very gradually. The symptoms of psychosis are often categorized as either “positive” or “negative.”
Trauma. Events such as a death, sexual assault, or war can trigger an episode. But other life events such as pregnancy and childbirth, accidents, loss of a job, or trouble with the law can also put you at risk for one. Substance use.
Depending on the cause, psychosis can appear quickly or cause slow, gradual changes in a person's thoughts and perceptions. It can also be mild or severe. In some cases, it may be mild when it first appears but become more intense over time.
When someone's anxiety disorder is bad enough that they suffer from panic and anxiety attacks, it is possible for them to simultaneously experience symptoms of psychosis. But the nature of this experience is different and distinct from an actual psychotic disorder.
Yes, some anxious people can have a psychotic episode from high degree anxiety or hyperstimulation, such as where they experience reality differently, as in hearing voices or seeing things that don't exist.
The onset of first episode psychosis typically presents when an individual is between the ages of 18-25, however, may present between the ages of 15-40. It is uncommon for first episode psychosis to present in childhood.