Understanding Psychosis: Early Signs and Why Early Help Matters

As a clinical psychologist with experience doing psychotherapy and psychodiagnostic assessments, I often meet individuals and families who are confused and concerned when questioning or faced with psychosis. Psychosis is not a diagnosis itself, but a state where someone loses touch with reality—often experiencing hallucinations, delusions, or disorganized thoughts. These symptoms can appear in a range of conditions, including schizophrenia, schizoaffective disorder, and brief psychotic disorder, as well as from medical issues or substance use.

Recognizing Early Signs (The Prodromal Phase)

Most people who develop schizophrenia or related disorders go through a "prodromal phase"—a period where subtle changes appear before full symptoms emerge. This might look like increased anxiety, social withdrawal, odd thoughts, or changes in motivation and self-care. Not everyone with these symptoms will develop a psychotic disorder, but early identification is extremely important.

Why Early Intervention Matters

The earlier we can recognize and address these changes, the better the outcomes. Treatment often includes a combination of medication, therapy (like Cognitive Behavioral Therapy for Psychosis [CBTp), and family support. Early intervention can reduce the severity of symptoms and help people maintain their relationships, school, or work life.

Getting Help

If you or someone you love is experiencing unusual thoughts, perceptions, or behaviors—especially if there’s a family history of psychosis—don’t wait to reach out. In Utah County, the PREP Team at Wasatch Behavioral Health offers free, specialized support for early psychosis (learn more here).

Psychosis is treatable and early support can make a significant difference. If you have questions or concerns, consider consulting a mental health professional for guidance