Psychosis has been called a “trick of the mind” that causes a temporary “break from reality,” but the full nature of this serious mental health problem is a lot more nuanced.
For starters, psychosis isn’t a mental illness—it’s a symptom. A psychotic episode is a disruption in thoughts and perceptions that makes it hard to distinguish delusions and hallucinations from reality. A psychotic disorder is any mental health condition that can give rise to psychosis.
Key Takeaways
- Psychosis is a symptom, not a standalone diagnosis.
- Early warning signs often appear before a psychotic episode.
- Psychosis can be caused by schizophrenia, mood disorders, trauma, substance use, or medical issues.
- Delusions and hallucinations are hallmark features.
- Early intervention is key for better long-term outcomes.
Understanding the Nature of Psychosis
Psychosis causes significant disruptions in how a person thinks, perceives, and relates to the world. It triggers delusions (false beliefs) and hallucinations (false sensory experiences). These symptoms can make it extremely difficult to distinguish what’s real from what isn’t.
Delusions may include paranoia (“someone is watching me”) or grandiosity (“I have special powers”). Hallucinations might involve hearing voices, seeing things that aren’t there, or feeling phantom sensations.
Schizophrenia is a primary psychotic disorder, but psychotic features can also be found in major depression, bipolar disorder, substance-induced psychosis, and even brain trauma or infection.
How Common Is Psychosis?
Psychosis is more common than most people think. About 3% of Americans will experience a psychotic episode at some point. Each year, nearly 100,000 adolescents and young adults in the U.S. have their first experience of psychosis.
Recognizing Early Signs and Symptoms
While psychotic episodes may seem sudden, they’re usually preceded by subtle, nonspecific symptoms. Recognizing these early warning signs can make all the difference in getting prompt care.
Nonspecific early warning signs:
- Difficulty focusing or thinking clearly
- Declining performance at school or work
- Feeling persistently “off,” anxious, or withdrawn
- Lack of motivation and personal hygiene
- Disconnection from friends and family
- Sleep disturbances or emotional numbing
Attenuated psychotic symptoms (mild but concerning signs):
- Suspicion or paranoia around others
- Odd beliefs or magical thinking
- Unusual sensory experiences
- Brief hallucinations or illusions
- Disorganized speech or thoughts
These signs don’t always indicate psychosis, but when they persist or escalate, it’s essential to seek evaluation—especially for those with a family history of psychotic disorders.
Why Early Intervention Matters
Research shows that the average delay between the onset of psychotic symptoms and treatment is over a year. Unfortunately, this delay can significantly impact outcomes. The sooner treatment begins, the better the long-term prognosis.
EXIS Recovery’s Approach to Psychosis
At EXIS Recovery, we offer a comprehensive, evidence-based approach tailored to each individual. Our multidisciplinary team provides:
- Therapy and psychoeducation
- Medication management
- Family involvement and support
- Long-term planning and recovery tools
If you or someone you love is showing signs of psychosis, don’t wait. Contact us today or call 424-832-0848 to speak with our West Los Angeles team.
No, it’s a symptom that can appear in several mental health conditions, such as schizophrenia or bipolar disorder.
They include changes in mood, social withdrawal, unusual beliefs, and difficulty concentrating or thinking clearly.
Psychosis often requires treatment to resolve. Early care improves long-term outcomes.
