Experiencing a first episode of psychosis (FEP) can be confusing and scary—for both the person going through it and their loved ones. Getting help early is very important. Treatment that starts quickly can lead to better long-term outcomes. In this article, we’ll explain what psychosis is, what might cause it, and the signs to look out for.
What Is Psychosis?
Psychosis is a condition that changes how a person sees and understands the world around them. It can cause someone to think, see, or hear things that may appear to be real but aren’t.
Common symptoms include:
- Hallucinations – Seeing or hearing things that aren’t there.
- Delusions – Strong beliefs that aren’t based in reality.
- Disorganized thinking or speech – Talking in ways that are hard to understand.
- Mood or behavior changes – Acting differently or having a hard time concentrating.
Psychosis is not a diagnosis on its own. It is a symptom that can happen in mental health conditions like schizophrenia, bipolar disorder, or major depression.
(https://www.mayoclinic.org/diseases-conditions/schizophrenia/symptoms-causes/syc-20354443)
Causes of First Episode Psychosis
FEP can happen for different reasons. These include:
- Genetics – Having a family member with a psychotic disorder may increase the risk.
- Brain Chemistry and Structure – Problems with brain chemicals like dopamine, or changes in how the brain is built, may play a role.
- Substance Use – Drugs like marijuana, LSD, or stimulants can trigger psychosis, especially in people who are more at risk.
- Trauma or Stress – Experiences like abuse, neglect, or extreme stress may contribute.
- Medical Issues – Some health conditions, like brain infections or autoimmune diseases, can lead to psychotic symptoms. (https://www.nimh.nih.gov/health/publications/understanding-psychosis)
Early Warning Signs
Knowing the early signs of psychosis can help someone get support sooner. Some warning signs include:
- Strange thoughts or beliefs – Feeling suspicious or having ideas that don’t make sense to others.
- Problems at school, work, or home – Trouble focusing, completing tasks, or keeping up with responsibilities.
- Strong or flat emotions – Big mood swings or showing very little emotion.
- Talking in a confusing way – Using odd words or jumping between topics.
- Pulling away from others – Not wanting to be around family or friends.
Why Early Help Matters
Getting help early can make a big difference. People who get treatment soon after experiencing symptoms often have:
- Fewer long-term symptoms
- Lower risk of having another episode
- Better relationships, school, and work life
Treatment usually includes medication, therapy, family support, and help with school or work. Programs that utilize the Coordinated Specialty Care (CSC) model—such as Quiet Minds—offer team-based help for people going through FEP (https://www.nimh.nih.gov/health/topics/schizophrenia/raise).
How to Get Help
If you or someone you care about is showing signs of psychosis, don’t wait. Talk to a doctor or mental health professional as soon as possible. With the right support, recovery is possible, and many people go on to live healthy, full lives.
Raising awareness and understanding of first episode psychosis can help reduce stigma and encourage early intervention, leading to better outcomes for those affected. If you or someone you know is experiencing symptoms of psychosis, visit the Get Help page of the Quiet Minds website.
Sources
• National Institute of Mental Health (NIMH). (2022). “RAISE: Early Treatment for Psychosis.” Retrieved from https://www.nimh.nih.gov/health/topics/schizophrenia/raise
• National Institute of Mental Health (NIMH). (2023). “Understanding Psychosis.” Retrieved from https://www.nimh.nih.gov/health/publications/understanding-psychosis
• Mayo Clinic. (2023). “Schizophrenia: Symptoms and Causes.” Retrieved from https://www.mayoclinic.org/diseases-conditions/schizophrenia/symptoms-causes/syc-20354443