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You are here: Home / Online Therapy / 13 Warning Signs Of A Psychotic Episode

13 Warning Signs Of A Psychotic Episode

June 24, 2022 by Amanda Phillips

Updated: 03/20/2024

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Psychosis is an impaired relationship with reality. It can be thought of as a “trick of the mind” that causes some people to have hallucinations or delusions. It is a serious mental health problem with many nuances. There are quite a few early warning signs of a psychotic break that we can recognize.

Signs Of A Psychotic Break

Psychosis is an episodic symptom, meaning that it is a symptom of a mental illness and that it comes and goes over time. The perceptions and thoughts that happen during a psychotic break can make the affected person lose touch with reality.

It may seem like psychosis comes on fast, but this usually is not the case. Typically, a person’s perceptions and thoughts change gradually over time, which can be difficult to recognize at first.

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Table of Contents show
Early Warning Signs Of A Psychotic Break
Signs Of Psychotic Disorder
Psychotic Break Diagnosis And Treatment

Early Warning Signs Of A Psychotic Break

Since the person who is on the verge of psychosis is unable to make sense of what’s happening, it is crucial that friends and family members can recognize psychotic break symptoms.

Early warning signs of a psychotic break often include:

  • Unusual difficulties at work or school
  • Abnormal withdrawal from friends and family
  • Neglecting personal hygiene or self-care
  • Unmotivated and depressed mood
  • Increased time spent alone
  • Unable to think clearly or stay focused
  • Speaking nonsensically
  • Hallucinations
  • Delusions
  • Anxiety

Other psychotic break symptoms include difficulty expressing or controlling emotions, dealing with stress, and trouble sleeping. Some people with a psychotic disorder have no feelings at all, while others feel intense, inappropriate emotions.

Some of these signs of psychotic behavior may be temporarily induced by stress or signs of a completely different mental health issue. Yet others, known as attenuated psychotic symptoms, imply a higher risk of an oncoming psychotic episode.

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Signs Of Psychotic Disorder

Again, it’s important to understand that psychosis itself is only a symptom of a larger psychotic disorder. A psychotic disorder can be any form of mental health condition that leads to psychosis.

Mental health disorders that can lead to psychosis include:

  • Schizophrenia
  • Major depression
  • Bipolar disorder
  • Illnesses that affect the brain – brain tumors, strokes, Alzheimer’s disease, HIV, syphilis, Parkinson’s disease, Huntington’s disease

If you or someone you know has any of these disorders, you are at higher risk of developing psychosis. That’s why it’s important to speak with a mental health expert who specializes in psychotic disorders, even if you currently show no signs of psychosis.

You would be wrong to think that psychosis is rare, as it is actually very common. According to the National Institute Of Mental Health, 3% of people in the U.S. will experience a psychotic break at some point in life. Additionally, approximately 100,000 American teens have their first episode of psychosis every year.

Psychotic Break Diagnosis And Treatment

Based on research, most people who experience a psychotic event for the first time show signs of psychotic behavior for more than a year before they are officially diagnosed. However, prompt diagnosis and treatment almost always afford the best outcomes.

Having the knowledge to identify the early warning signs of psychosis is the first important step in minimizing the average duration of untreated psychosis. If the person has a family history of BPD, schizophrenia, or other psychotic disorder, early diagnosis is especially important.

A specially trained online therapist will take a multidisciplinary, evidence-based approach when diagnosing and treating adults and teens with psychoses. They will develop a coordinated care model tailored to the individual that includes everything from medication and psychotherapy to family support and education.

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Category: Online TherapyTag: Personality Disorders
Amanda Phillips

Researcher and author dedicated to mental health awareness. After struggling with my own mental health issues as a teen, I decided to dedicate my life to helping others deal with mental health challenges and maximizing their potential.

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