Psychosis involves experiencing something that is not really happening and having a difficult time distinguishing what is real. The three stages of psychosis are prodome, acute and recovery. Psychotic disorders can last for a month or less and only occur once, or they can also last for six months or longer.
Often this is linked to extreme stress. But this is not the case all of the time. 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.
The typical course of the initial psychotic episode can be conceptualised as occurring in three phases. These are the prodromal phase, the acute phase and the recovery phase.
Recovery from a first episode of psychosis varies from person to person. Sometimes symptoms go away quickly and people are able to resume their regular life right away. Other people may need several weeks or months to recover, and they may need support over a longer period of time.
People aimed at improvement by decreasing their stress levels (e.g. getting enough exercise, swimming, yoga, meditation) instead of concentrating on one particular experience such as voice-hearing.
In fact, many medical experts today believe there is potential for all individuals to recover from psychosis, to some extent. Experiencing psychosis may feel like a nightmare, but being told your life is over after having your first episode is just as scary.
With effective treatment most people will recover from their first episode of psychosis and may never have another episode. It is important to remember that psychosis is a treatable condition and if help is sought early, an individual may never suffer another episode.
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.
People with psychosis often have disturbed, confused, and disrupted patterns of thought. Signs of this include: rapid and constant speech. random speech – for example, they may switch from one topic to another mid-sentence.
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.
Many people with substance-induced psychoses will later transition to a diagnosis of schizophrenia, but estimates vary widely between early psychosis services and population-based registers.
Psychosis is a symptom and therefore temporary; however, if not treated early, it may develop into more intense experiences, including hallucinations and delusions.
First-episode psychosis (FEP) can result in a loss of up to 1% of total brain volume and up to 3% of cortical gray matter. When FEP goes untreated, approximately 10 to 12 cc of brain tissue—basically a tablespoon of cells and myelin—could be permanently damaged.
Recovery from the first episode usually takes a number of months. If symptoms remain or return, the recovery process may be prolonged. Some people experience a difficult period lasting months or even years before effective management of further episodes of psychosis is achieved.
Listen and try to understand.
It can help if your loved one feels able to discuss their feelings and options with someone supportive and calm. Listen to their experiences and ask them what would help. Our information can help you understand more about psychosis.
Phases of psychosis
While it's most commonly a feature of a mental illness like schizophrenia, bipolar disorder, or major depression, psychosis can also be triggered by trauma, substance abuse, brain disease or injury, and even extreme sleep deprivation.
Some people will recover from the psychosis very quickly and be ready to return to their life and responsibilities soon after. Other individuals will need time to respond to treatment and may need to return to their responsibilities more gradually. Recovery from the first episode usually takes a number of months.
While psychosis looks different from person to person, it always causes changes in your abilities and personality.
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.
Recovery: The last stage of psychosis is recovery. During this stage, the symptoms of psychosis will lessen and the person will be able to return to a normal routine. This phase usually occurs after the person receives treatment for their mental health disorder or stops using the substance that induced psychosis.
Remembering psychotic experiences
Andrew X said, “I struggle to remember things from my psychotic experiences… like my brain has blocked them out deliberately – which I'm cool with”. However, psychotic experiences could also feel so much like reality that some people had vivid memories of them.
Psychotic disorders are severe mental disorders that cause abnormal thinking and perceptions. People with psychoses lose touch with reality.
Psychotic disorder – including acute episode
If psychiatric illness has been associated with substance misuse, continued misuse, contraindicates driving or licensing.