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Navigating Daily Life with Psychosis

Navigating Daily Life with Psychosis

Last Updated: 24-11-2023

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Written by :

Mr.Nishant Sharma
Clinical Psychologist

Reviewed By:

Counselling Psychologist MA Psychology Pennsylvania State University, USA
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Navigating Daily Life with Psychosis: A Practical Guide to Self-Care

An individual with psychosis, a disorder marked by a warped sense of reality, may find their everyday life greatly affected. It can be difficult to maintain a sense of normalcy when it presents as hallucinations, delusions or disordered thinking. However, people with psychosis can successfully navigate their daily lives and attain a good quality of life with the right management and self-care techniques.

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What are the Signs and Symptoms of Psychosis?

Delusions (false beliefs, such as that characters on television are sending them special messages or that others are out to get them) and hallucinations (seeing or hearing things that others do not, such as voices telling them to do something or criticising them) are common in people with psychosis. However, a person will often show changes in their behaviour before psychosis develops. Behavioural warning signs for psychosis include:

  • Suspiciousness, paranoid ideas, or uneasiness around others

  • Trouble thinking clearly and logically

  • Withdrawing socially and spending a lot more time alone

  • Unusual or overly intense ideas, strange feelings, or a lack of feelings

  • Decline in self-care or personal hygiene

  • Disruption of sleep, including difficulty falling asleep and reduced sleep time

  • Difficulty telling reality from fantasy

  • Confused speech or trouble communicating

  • A sudden drop in grades or job performance

Alongside these symptoms, a person with psychosis may also experience more general changes in behaviour that include:

  • Emotional disruption

  • Anxiety

  • Lack of motivation

  • Difficulty functioning overall

It is crucial to receive treatment for psychosis since it lowers the risk of violence and suicide. Speak with a healthcare professional if you observe these behavioural changes in yourself or a friend or family member.ย 

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What causes Psychosis?

Psychosis has no single cause and emerges from a mix of hereditary vulnerability, mental health variations, and stress or injury. It might demonstrate conditions like schizophrenia, bipolar disorder, or severe depression however can also happen independently. In older adults, psychosis might flag late-onset mental disorders or age-related illnesses like Parkinsons or Alzheimers dementia.

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How is Psychosis Treated?

Psychotic symptoms often go untreated for over a year, but early intervention can significantly enhance results. Licensed professionals like social specialists, psychologists, or psychiatrists can analyze and make tailored treatment plans. Antipsychotic medications, chosen in consultation with medical care providers, are generally utilized. Coordinated specialty care, a team based approach including patients and families, is best when started early.

There are several parts to coordinated speciality care:

Individual or Group Psychotherapy: The purpose of cognitive and behavioural therapy is to help patients achieve their goals and preserve their resilience by teaching them the knowledge and skills they need to deal with the negative features of psychosis.

Family Support or Education Program: Family members are taught coping, communication, and problem-solving techniques as well as information regarding psychosis through family support and education programs.

Pharmacotherapy: Medical Management means choosing the right kind and dosage of medication to treat psychotic symptoms in a way that is customized to the needs of the individual.ย 

Supportive Environment and Education Services: With the assistance of a coach, individuals can attain their goals by returning to work or school with the help of supported employment and education programs.

Case Management: People with psychosis can work with a case manager to solve practical issues and enhance access to necessary support services through case management.

Finding a mental health expert who is skilled in treating psychosis and who also helps the patient feel at ease is crucial. Psychosis is treatable with the right medication and early diagnosis. It has been observed that at times if patients receive early therapeutic intervention, they may never experience another psychotic episode again.ย 

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Encouraging Facts about Psychosis

Psychosis can be successfully managed with proper medical care, self help, and a strong encouraging group of people. With the right treatment, most people with psychosis can lead satisfying lives, maintain connections, work, and add to their community. Hospitalization is more uncertain while sticking to suitable treatment

Self-Help Tips for Psychosis

Tip 1: Get Involved in Treatment & Self Help
Effective treatment for psychosis includes more than medication. It requires remaining informed, maintaining open communication with healthcare providers, building strong support, practicing self-care, and sticking to therapy plans. Self help Techniques like a balanced diet, stress management, and social connections can improve side effects, mood, and confidence.ย 

Our attitude towards psychosis treatment matters
Recognize & Accept your Diagnosis: Even though receiving a diagnosis of psychosis might be distressing, it is essential to your recovery that you make the decision to be proactive in your care and self-help.ย 

Reject the Stigma associated with Psychosis: Many misconceptions concerning psychosis are unfounded. One should treat their condition seriously and resist the notion that we are hopeless. Be in the company of people who see you for the person you truly are, not just your illness.

Speak with your Psychiatrist: Assist your doctor in making sure you are taking the appropriate drug at the optimal dose. Regarding side effects, worries, and other treatment-related difficulties, be truthful and forthright.

Seek treatment and self-help to assist you in managing your symptoms: Supportive therapy can help you learn how to confront false ideas, silence inner critics, guard against relapse, and inspire yourself to stick with treatment and self-care.

Set and pursue your life objectives:ย  It is not impossible to work, have relationships, or lead a full life if you have psychosis. After your sickness, set important life goals for yourself.

Receiving a Diagnosis
Diagnosing psychosis is often challenging, as its symptoms can look like those of other mental or physical well-being conditions. Additionally, people with psychosis might resist seeing a specialist, it is inappropriate to not trust anything. For diagnosis and effective treatment, best to counsel a psychiatrist has some expertise in psychosis as opposed to a general physician.

Tip 2: Get Active
Exercise offers mental and physical benefits and can assist with managing psychosis symptoms. Engaging in enjoyable activities like walking, running, swimming, or dancing for 30 minutes most days โ€” or in three 10-minute sessions โ€” can further enhance focus, decrease stress, boost energy, and improve sleep. Rhythmic exercises including the two arms and legs are especially relaxing. Focus on sensations like your breath, the wind, or your means for added calmness.

Tip 3: Seek Face to Face Support
The best method for reducing stress and calming your nervous system is to interact with people in person. Managing stress is crucial since it has the potential to precipitate psychosis and exacerbate the symptoms of psychosis. Look for someone you can connect with in person on a regular basis; someone you can talk to for hours on end who will listen to you without passing judgment or becoming sidetracked.

Ways to Find Support
Consult with dependable family members and acquaintances. Your loved ones can support you in receiving the proper care, managing your symptoms, and reintegrating into your community. Inquire with your loved ones if you may call on them in an emergency.ย 

Continue engaging with people. If you have the ability to carry on working or learning, do so. If not, follow your passion, take up a new pastime, or volunteer for a cause that matters to you or other people or animals. Helping others can keep you connected, give you a feeling of purpose, and increase your self-esteem.

Make new friends. By attending a support group for psychosis, you can get to know other individuals going through similar things and pick up helpful coping mechanisms. Alternatively, join a club, church, or other local organization.

Look for a place to live that is encouraging. Individuals with psychosis frequently perform at their best when they are able to live at home around their family. Seek a place to live that will allow you to adhere to your treatment and self-help plans, should be stable, and should give you a sense of security.

Make use of the local resources for assistance. Consult with your physician or therapist about local resources, and make contact with hospitals and mental health facilities.

Tip 4: Manage your Stress
Excessive stress also causes the body to produce more cortisol, a hormone that can cause psychotic episodes. There are several things you may do to lower your stress levels in addition to working out and maintaining social connections:

Recognize your boundaries at home, at work, and in the classroom: If you feel overburdened, take some time for yourself and do not take on more than you can manage.

Reduce tension by using relaxation techniques: Stress can be reduced and your body and mind can rebalance with methods including progressive muscle relaxation, deep breathing, and mindfulness meditation.

Control your feelings: Comprehending and embracing emotions, particularly those disagreeable ones that the majority of us attempt to suppress, can significantly impact your capacity to handle stress, preserve emotional equilibrium, and take charge of your life.

Tip 5: Take Care of Yourself
Making simple lifestyle changes can have a huge impact on the way you feel as well as your symptoms.

Aim for a lot of sleep: It is likely that you require even more sleep than the recommended eight hours when taking medicine. Sleep problems are common in persons with psychosis; but, frequent exercise, cutting back on sugar in your diet, and avoiding coffee can all help.

Avert drugs and alcohol: It can be alluring to attempt to use alcohol and drugs as a kind of self-medication for psychotic symptoms. However, abusing drugs exacerbates symptoms of schizophrenia and makes treatment more difficult.ย 

Consume a well-balanced diet: Reduce your intake of sugar and processed carbohydrates, which can cause a rapid drop in mood and energy. Increase your consumption of omega-3 fatty acids by eating walnuts, flaxseeds, fish oil, and fatty fish to help elevate mood, eliminate weariness, and enhance attention.

Tip 6: Understand the Role of Medications
If diagnosed with psychosis, you will probably recommend an antipsychotic medication, which includes typical and atypical medication classes. While these medications assist with diminishing symptoms like delusions, paranoia, and hallucinations, they are less effective for issues like low inspiration, social withdrawal, and emotional suppression. Medication is only one part of psychosis treatment, not a cure.

Conclusion:
The key lies in a comprehensive approach that addresses both the psychological and physical aspects of the condition.

Seek Professional Help: Establish a strong relationship with a mental health professional who can provide ongoing support and guidance. Medication, therapy and case management play crucial roles in managing symptoms and preventing relapse.

Establish a Routine: Create a consistent daily schedule that includes adequate sleep, regular exercise and a healthy diet. This structure helps regulate mood, reduce stress and improve overall well-being.

Identify Stressors: Recognize situations or activities that trigger or exacerbate symptoms. Develop coping mechanisms such as mindfulness techniques or relaxation exercises to manage these stressors effectively.

Maintain a Healthy Lifestyle: Avoid substance abuse as alcohol and drugs can worsen psychotic symptoms. Prioritize a balanced diet, regular physical activity, and adequate sleep to promote overall health and mental well-being.

Build a Support Network: Surround yourself with supportive individuals who understand your condition and can offer encouragement and assistance. Engage in social activities and maintain meaningful relationships to enhance your sense of belonging and reduce social isolation.

Seek Early Signs of Warning: Be aware of early warning signs of relapse, such as changes in sleep patterns, increased anxiety, or unusual thoughts/beliefs. Promptly communicate these changes to your mental health team for timely intervention.

Educate Yourself: Gain knowledge about psychosis and its treatment options. This empowers you to make informed decisions about your care and advocate for your own needs.

Practice Self-Care: Engage in activities that promote relaxation and stress reduction, such as yoga, meditation, or spending time in nature. Prioritize self-compassion and accept that recovery is a gradual process.

Remember managing psychosis is a lifelong journey that requires ongoing effort and collaboration with your healthcare team. With dedication and the right strategies, individuals can achieve stability, independence, and a fulfilling life.

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Reference

References

  1. American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.

  2. Davidson, L. (2012). Living with voices: A practical guide for understanding and coping with psychosis. Oxford University Press.

  3. Dudley, R. (2014). Recovery from psychosis: A guide to hope and empowerment. Jessica Kingsley Publishers.

  4. Eaton, W. G., & Wells, J. E. (2009). Understanding psychosis and schizophrenia. Oxford University Press.

  5. Feinstein, E. (2016). A guide to coping with psychosis: Taking control of your life. Sheldon Press.

  6. National Alliance on Mental Illness (NAMI). (2023). Schizophrenia. https://www.nami.org/Home

  7. Substance Abuse and Mental Health Services Administration (SAMHSA). (2023). Schizophrenia. https://www.samhsa.gov/

  8. Torrey, E. F. (2019). The voyage of the beagle: How a psychotic sailor changed the world. Harper Perennial.

  9. Waters, F. (2017). Crazy like us: The truth about mental illness from the inside out. Harmony Books.

  10. Woodward, J. (2014. Living with bipolar disorder: What it s like and how to cope. Oneworld Publications.

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