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What Not to Do During Psychosis
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Psychosis involves a break from reality, often with hallucinations, delusions, or disorganized thinking. While episodes can be frightening, certain actions worsen symptoms, delay recovery, or create danger. Here's what to avoid:

  1. Don't ignore or deny symptoms. Dismissing hallucinations as "just imagination" or delusions as "true beliefs" prevents timely help. Psychosis rarely resolves alone; untreated, it risks escalation into harm or chronic issues.
  2. Avoid self-medication with drugs or alcohol. Substances like cannabis, stimulants, or excessive drinking intensify paranoia, hallucinations, and confusion. They interact dangerously with medications and complicate diagnosis.
  3. Don't isolate yourself. Withdrawing from others fuels delusions of persecution or abandonment. Isolation removes external reality checks and support, deepening the episode.
  4. Resist arguing with delusions or hallucinations. Challenging a fixed false belief (e.g., "The government isn't spying on you") often heightens agitation. Instead, calmly acknowledge distress without endorsing the content.
  5. Don't make major life decisions. Impaired judgment during psychosis leads to regrettable actions quitting jobs, ending relationships, or spending savings impulsively. Postpone big choices until clarity returns.
  6. Avoid high-stimulation environments. Crowded, noisy, or chaotic settings overload senses, amplifying anxiety and sensory distortions. Seek quiet, familiar spaces.
  7. Don't skip sleep or meals. Sleep deprivation and poor nutrition mimic or worsen psychotic symptoms. Maintain routine hygiene, rest, and balanced eating.
  8. Never drive or operate machinery. Altered perception endangers yourself and others. Surrender keys until a professional clears you.
  9. Don't delay professional help. Waiting for "it to pass" risks involuntary hospitalization or injury. Contact a psychiatrist, crisis line (e.g., 988 in the US), or emergency services immediately.

If supporting someone in psychosis, avoid restraint unless imminent harm exists call professionals. Early intervention with antipsychotics, therapy, and support shortens episodes and improves outcomes. Prioritize safety, seek help without shame.