Psychosis involves a break from reality, with symptoms like hallucinations, delusions, or disorganized thinking. It’s a medical emergency requiring professional intervention never attempt to manage it alone. If someone is in acute psychosis and poses a danger to themselves or others, call emergency services (e.g., 911 in the US) immediately.
Immediate Steps:
- Ensure Safety: Remove access to weapons, sharp objects, or dangerous situations. Stay calm and speak softly to avoid escalating agitation.
- Reduce Stimulation: Move to a quiet, dimly lit space. Avoid arguing with delusions acknowledge feelings without agreeing (e.g., “I see this is scary for you”).
- Seek Professional Help: Contact a mental health crisis team, psychiatrist, or ER. Involuntary hospitalization may be needed under laws like the Baker Act (US) if the person refuses care.
Medical Intervention:
- Antipsychotic Medication: Drugs like risperidone or olanzapine are first-line treatments to reduce symptoms within hours to days. A psychiatrist adjusts dosing based on response and side effects.
- Hospitalization: Provides 24/7 monitoring, IV fluids if dehydrated, and rapid symptom control.
Long-Term Recovery:
- Therapy: Cognitive Behavioral Therapy for Psychosis (CBTp) helps challenge distorted thoughts post-stabilization.
- Support System: Family education via NAMI (nami.org) reduces relapse. Address triggers like substance use or stress.
What NOT to Do:
- Don’t restrain physically unless trained.
- Avoid caffeine, loud noises, or crowds.
- Never stop meds abruptly without medical supervision.
Full recovery is possible with early intervention 70% of first-episode psychosis patients achieve remission with treatment (per NIMH data). Prioritize professional care; your role is support, not treatment.