Before an episode of psychosis begins, you will likely experience early warning signs. Warning signs can include depression, anxiety, feeling "different" or feeling like your thoughts have sped up or slowed down. These signs can be vague and hard to understand, especially in the first episode of psychosis.
You should see a GP immediately if you're experiencing symptoms of psychosis. It's important psychosis is treated as soon as possible, as early treatment can be more effective. The GP may ask you some questions to help determine what's causing your psychosis.
Psychosis can come on suddenly or can develop very gradually. The symptoms of psychosis are often categorized as either “positive” or “negative.”
It's not a symptom you should try to self-diagnose or treat on your own. A person with psychotic symptoms needs a trained, qualified medical provider to examine them, make the diagnosis and recommend treatment.
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.
The typical course of a psychotic episode can be thought of as having three phases: Prodrome Phase, Acute Phase, and Recovery Phase.
It is possible for anxiety to lead to psychosis symptoms when a person's anxiety is particularly severe. However, such an instance of psychosis is different from an actual psychotic disorder in the cause and treatment approaches.
Psychosis can be caused by a mental (psychological) condition, a general medical condition, or alcohol or drug misuse.
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.
Avoid drugs and alcohol.
While you might want to use drugs or alcohol to cope with difficult feelings, in the long run they can make you feel a lot worse and can prevent you from dealing with any underlying problems that the drug or alcohol use may have been masking.
The period of subclinical signs and symptoms that precedes the onset of psychosis is referred to as the prodrome. The prodromal period can last from weeks to several years, and comorbid disorders are very common during this period [42].
BPD is a very different diagnosis than schizophrenia, though the two can co-exist. While BPD is characterized by a pattern of instability in interpersonal relationships; schizophrenia is characterized by a range of cognitive, behavioral, and emotional dysfunctions.
The exact causes of schizophrenia are unknown. Research suggests a combination of physical, genetic, psychological and environmental factors can make a person more likely to develop the condition. Some people may be prone to schizophrenia, and a stressful or emotional life event might trigger a psychotic episode.
In most people with schizophrenia, symptoms generally start in the mid- to late 20s, though it can start later, up to the mid-30s. Schizophrenia is considered early onset when it starts before the age of 18. Onset of schizophrenia in children younger than age 13 is extremely rare.
An episode of psychosis is treatable, and it is possible to recover. It is widely accepted that the earlier people get help the better the outcome. 25% of people who develop psychosis will never have another episode, another 50% may have more than one episode but will be able to live normal lives.
A nervous breakdown, also known as a mental health crisis or mental breakdown, describes a period of intense mental distress. A person having a nervous breakdown is temporarily not able to function in their everyday life.
Brief psychotic disorder (BPD) according to DSM-5 is the sudden onset of psychotic behavior that lasts less than 1 month followed by complete remission with possible future relapses. It is differentiated from schizophreniform disorder and schizophrenia by the duration of the psychosis.
Your experience of psychosis will usually develop gradually over a period of 2 weeks or less. You are likely to fully recover within a few months, weeks or days.
Some people only experience a few episodes of psychosis, or a brief episode that lasts for a few days or weeks. Others will experience symptoms more frequently, in association with a longer-term illness such as schizophrenia. The first episode of psychosis usually occurs in a person's late teens or early 20s.
Expand Section. Brief psychotic disorder is triggered by extreme stress, such as a traumatic accident or loss of a loved one. It is followed by a return to the previous level of function. The person may or may not be aware of the strange behavior. This condition most often affects people in their 20s, 30s, and 40s.