An untreated episode of psychosis can result in structural brain damage due to neurotoxicity.
Brain changes can happen in people whose psychosis goes untreated. "The more relapses and episodes a person has, the more we see that it can permanently change their brain function and structure," says Tso.
The short answer is yes. Like many other mental health conditions, it is entirely possible to lead a completely functional life after psychosis. Psychosis is treatable. Many people recover from a first psychotic episode and never experience another.
Psychosis is a condition that affects the way your brain processes information. It causes you to lose touch with reality. You might see, hear, or believe things that aren't real. Psychosis is a symptom, not an illness.
But knowledge of what is happening in the brain in a psychosis might be more helpful in reducing stigma. It is suggested that psychosis is due to an affection of the supplementary motor area (SMA), located at the centre of the Medial Frontal Lobe network.
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.
There is no one cause of psychosis. Psychosis appears to result from a complex combination of genetic risk, differences in brain development, and exposure to stressors or trauma. Psychosis may be a symptom of a mental illness, such as schizophrenia, bipolar disorder, or severe depression.
Self-harm and suicide. People with psychosis have a higher than average risk of self-harm and suicide. See a GP if you're self-harming. You can also call the Samaritans, free of charge, on 116 123 for support.
Brain scans for psychiatric disorders can identify lesions in the frontal or temporal lobes or the thalamus and hypothalamus of the brain that can occur with psychosis. Brain scans have shown that the volume of various regions in the brain decrease during psychotic episodes.
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.
Sometimes psychotic symptoms resolve rapidly and people resume a normal life. Other people take several weeks or even months to recover. Like any major illness, they may want to spend some time recovering and they may wish to use a variety of treatment options.
While psychosis looks different from person to person, it always causes changes in your abilities and personality.
Average life expectancy with schizophrenia
According to the World Health Organization (WHO), the decline in life expectancy among people with more severe mental illness ranges from 10–25 years . Most studies of schizophrenia show a life expectancy reduction of 10–20 years.
If left untreated, schizophrenia can worsen at any age, especially if you continue to experience episodes and symptoms. Typically, early onset schizophrenia in the late teens tends to be associated more with severe symptoms than later-life onset. But aging can change the trajectory of how symptoms show up.
Schizophrenia is a lifelong psychotic illness that is also characterized by cognitive and affective dysfunctions; it affects 1 % of the population worldwide.
Schizophrenia is one type of psychotic disorder. People with bipolar disorder may also have psychotic symptoms. Other problems that can cause psychosis include alcohol and some drugs, brain tumors, brain infections, and stroke.
“What we do know is that during an episode of psychosis, the brain is basically in a state of stress overload,” says Garrett. Stress can be caused by anything, including poor physical health, loss, trauma or other major life changes. When stress becomes frequent, it can affect your body, both physically and mentally.
The typical course of a psychotic episode can be thought of as having three phases: Prodrome Phase, Acute Phase, and Recovery Phase.
“People who experience recurring psychotic episodes often find it difficult to keep up with school and work, struggle with substance abuse, homelessness, and face a high rate of suicide,” says Olshan-Perlmutter.
You may find it's possible to manage your symptoms, or to make a full recovery, without medication. If you are taking antipsychotics, you may also want to use other options to support your mental health, as well as your medication. This page has information on some of the common alternatives to antipsychotics.
Antipsychotics. Antipsychotic medicines are usually recommended as the first treatment for psychosis. They work by blocking the effect of dopamine, a chemical that transmits messages in the brain.