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| Meta Title | Psychosis — symptoms and treatment | healthdirect |
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| Boilerpipe Text | Key facts
People with psychosis often can't tell what is and what isn't real.
You may hallucinate — hear voices that don't exist, or have false beliefs about yourself or the world.
Psychosis can be triggered by things like mental illness or drug use.
Depending on the cause of psychosis, treatment includes medicine and psychotherapy.
If you or someone close to you is experiencing psychosis, get urgent medical attention.
On this page
What is psychosis?
What symptoms are related to psychosis?
What causes psychosis?
When should I see my doctor?
How is the cause of psychosis diagnosed?
How is psychosis treated?
Self-care at home
Medicine
Psychological therapy
Community support programs
What are the complications of psychosis?
Can psychosis be prevented?
Resources and support
Related information on Australian websites
What is psychosis?
Psychosis is a syndrome that affects your brain. It disrupts your normal:
thinking
emotions
behaviour
Psychosis can be very frightening. During a 'psychotic episode', you can't tell what is and what isn't real. You may have difficulty with the way you interpret the world around you.
About 1 in every 200 adult Australians will have a psychotic illness each year. A first episode of psychosis is most likely to happen from your teens to mid-thirties.
What symptoms are related to psychosis?
If you are having thoughts of self-harm or suicide and are in immediate danger, call triple zero (000). For help and support, call Lifeline on 13 11 14.
When you have a psychotic episode, you have difficulty interpreting the real world. You may act inappropriately, such as laughing at sad news or believing the television is talking to you.
Usually, psychosis happens in 'episodes'. These can last anywhere from a few hours to a few months. This depends on the individual and the cause of their psychosis.
Symptoms vary from person to person, and from episode to episode.
Disordered thinking
Disordered thinking is when your thoughts are jumbled. This can be confusing.
If you have disordered thinking, you may notice that:
your thoughts and speech speed up or slow down
your sentences are hard to understand
you have difficulty remembering things
Delusions
Delusions
are when you have illogical, unshakeable beliefs about yourself and the world. These beliefs may be unusual for someone else of the same cultural background. Delusions can take different forms, such as:
paranoia
about being watched or singled out for harm
believing you have special powers, or are an important religious or political figure
believing you are guilty of a terrible crime or act or are going to do something terrible
Hallucinations
Hallucinations
are when you see, hear, feel, smell or taste something that doesn't exist. Auditory (sound) hallucinations are most common. You may hear voices or other sounds that are not there.
Disordered behaviour
Disordered behaviour is when you act unusually, such as:
becoming agitated and upset suddenly
showing childlike behaviours
not responding to others or the environment
difficulty having conversations
feeling inactive or slower than usual
You may also struggle to communicate how you are feeling. Disordered behaviour can make it hard to manage your day-to-day life, such as:
self-care, like
personal hygiene
school
work
Thoughts of self-harm or suicidal thoughts
If you are having thoughts of self-harm or suicide and are in immediate danger, call triple zero (000). For help and support, call Lifeline on 13 11 14.
In severe cases, someone with psychosis may be at risk of:
self-harm
suicide
harming others
What causes psychosis?
The causes of psychosis are complex. It's thought to be caused by a mix of:
genetic factors
environmental factors
biochemical factors
physical factors
It's likely that some people are more likely to get a psychotic illness. Certain things can trigger your first episode. Common triggers include:
stress
or trauma
use of drugs such as
marijuana
,
speed
and others
certain prescription medicines
Some people are more likely to develop psychosis, such as those with:
mental illnesses such as
schizophrenia
,
bipolar disorder
or severe
depression
a family history of mental illnesses
a history of illegal drug use
Some medical conditions have also been known to cause psychosis. These include:
head injuries
epilepsy
encephalitis
, caused by infections such as
HIV and AIDS
,
malaria
and
syphilis
autoimmune conditions such as
lupus
and
multiple sclerosis
endocrine conditions such as thyroid dysfunction
brain tumours
Some neurological conditions may lead to the development of psychosis, such as:
Alzheimer's disease
Lewy body dementia
Parkinson's disease
stroke
Large deficiencies of some
vitamins
may lead to psychosis, such as:
folate (Vitamin B9)
vitamin B12
vitamin B3
vitamin B1
Research also shows that too much
dopamine
may be linked to psychosis. Dopamine is a chemical messenger in your brain. Having high levels of dopamine may interrupt the pathways in your brain responsible for:
memory
emotion
social behaviour
self-awareness
mobility and movement
When should I see my doctor?
If you are showing symptoms of psychosis, see a doctor. This can keep you and others from harm.
You can also contact a
mental health crisis support team
, such as at your local hospital.
The best outcomes happen when psychosis is found and treated early.
Your
doctor
may refer you to a
psychologist or psychiatrist
.
Your healthcare provider can:
work to find the cause of your psychosis
tell you if it's likely to happen again
advise you on how to lower your chances of another psychotic episode
help you be aware of and manage your triggers and symptoms
FIND A HEALTH SERVICE
— The
Service Finder
can help you find doctors, pharmacies, hospitals and other health services.
How is the cause of psychosis diagnosed?
A
mental health professional
will complete an assessment which includes a:
mental health assessment
physical examination
neurological examination
They may also ask to speak to a relative or close friend for more information.
The purpose of these assessments is to find out:
if you have psychosis
what might be causing it, such as an underlying mental illness or physical health condition
your relevant family and medical history
the best course of treatment for you
Different tests may be needed to work out the diagnosis. These tests may include:
blood tests
for electrolyte levels (minerals and salts), hormone levels or infections
drug testing to identify any drugs that could be causing the psychosis
imaging scans
to check for abnormalities in the brain
Your doctor or other health professional might also ask to watch you, at home or in hospital.
How is psychosis treated?
Treatments and support are available for psychosis. Treatments can help improve your symptoms and allow you to live a fulfilling life.
Medicine, psychological therapy and community support can help improve symptoms.
Treatment usually involves a combination of:
medicines
education about the illness (psychoeducation)
psychotherapy
or
counselling
community support programs
family support
practical support
Self-care at home
If you have psychosis, there are things you can do to keep yourself safe.
Learning to recognise signs of a psychotic episode is important so you know when to get help. Having a safe person who can help you recognise signs is important too.
You can also:
eat well
,
exercise regularly
and make sure you get enough
sleep
plan times during your day to do something you enjoy
make sure that you rest — you can try
relaxation techniques
avoid using
drugs and alcohol
learn ways to
cope with stress
set yourself small tasks throughout your day to have a sense of achievement
keep track of your emotions — this helps you notice the impact of your emotions
Medicine
You may be prescribed
antipsychotic medicines
. These medicines work by changing the chemicals in your brain, including dopamine.
Antipsychotics usually take several weeks to reduce symptoms. But they may immediately produce a calming effect and help you get to sleep.
Antipsychotic medicines may cause
side effects
. So, it's important to find the right medicine or combination of medicines for you.
It's also important to take any other medicines as directed. Taking them incorrectly or mixing them with alcohol or other substances can increase your chance of psychosis.
Psychological therapy
There are several psychological treatments available to treat psychosis, depending on your needs. These include:
supportive psychotherapy
cognitive behaviour therapy (CBT)
family therapy and peer support groups
Mental health services
can offer practical support such as:
stable accommodation
social support
setting goals
for employment or education
If you have long-term psychosis, you may benefit from rehabilitation.
Many mental illnesses are best treated by a team of different health professionals working together, including:
psychiatrists
psychologists
mental health nurses
occupational therapists
Treatment for illnesses that cause psychosis may last for several years.
What are the complications of psychosis?
The longer psychosis is untreated, the poorer the outcomes are. These may include:
slower
recovery
impact on social and psychological development
poorer response to treatment and more chance of relapse
Relapse may cause a higher chance of:
problems with work, study, and relationships
depression
suicide
If the cause of psychosis is left untreated, other complications may arise.
These may depend on the underlying condition. For example, psychosis caused by Vitamin B12 deficiency, can lead to
cognitive impairment
.
Can psychosis be prevented?
Some causes of psychosis can't be prevented.
If you have had psychosis in the past, you can reduce the chance of recurrence by:
practicing self-care
learning to recognise triggers
learning to recognise early symptoms
Early treatment such as psychotherapy can help prevent psychosis if you are experiencing a decline in your mental health.
Resources and support
If you would like to find out more or talk to someone, here are some organisations that can help.
SANE Australia
provides information and support for people living with a mental illness and their loved ones.
Beyond Blue
supports people with depression and anxiety, and their friends, family and colleagues. Call 1300 22 4636 or visit their website to chat online.
Black Dog Institute
has information and support for people affected by mood disorders.
Lifeline
helps anyone having a personal crisis. You can call 13 11 14 for crisis support or to chat online.
The
Suicide Call Back Service
gives assistance to anyone thinking about suicide. You can call 1300 659 467.
You can read the
Mental Health First Aid Australia fact sheet
to help people with psychosis.
For advice and to get connected to local mental health services, call
Medicare Mental Health
on 1800 595 212.
If you are a young person, you can visit a
headspace centre
without a referral. Headspace offers mental health services to 12 to 25-year-olds. Centres are located across Australia.
You can also call the healthdirect helpline on
1800 022 222
(known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with you 24 hours a day, 7 days a week. |
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[beginning of content]()
# Psychosis
*12-minute read*
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**If you are having thoughts of self-harm or suicide and are in immediate danger, call triple zero (000). For help and support, call Lifeline on 13 11 14.**
## Key facts
- People with psychosis often can't tell what is and what isn't real.
- You may hallucinate — hear voices that don't exist, or have false beliefs about yourself or the world.
- Psychosis can be triggered by things like mental illness or drug use.
- Depending on the cause of psychosis, treatment includes medicine and psychotherapy.
- If you or someone close to you is experiencing psychosis, get urgent medical attention.
## On this page
- [What is psychosis?](https://www.healthdirect.gov.au/psychosis#what-is)
- [What symptoms are related to psychosis?](https://www.healthdirect.gov.au/psychosis#symptoms)
- [What causes psychosis?](https://www.healthdirect.gov.au/psychosis#causes)
- [When should I see my doctor?](https://www.healthdirect.gov.au/psychosis#doctor)
- [How is the cause of psychosis diagnosed?](https://www.healthdirect.gov.au/psychosis#diagnosed)
- [How is psychosis treated?](https://www.healthdirect.gov.au/psychosis#treated)
- [Self-care at home](https://www.healthdirect.gov.au/psychosis#self-care)
- [Medicine](https://www.healthdirect.gov.au/psychosis#medicine)
- [Psychological therapy](https://www.healthdirect.gov.au/psychosis#therapy)
- [Community support programs](https://www.healthdirect.gov.au/psychosis#community-support)
- [What are the complications of psychosis?](https://www.healthdirect.gov.au/psychosis#complications)
- [Can psychosis be prevented?](https://www.healthdirect.gov.au/psychosis#prevented)
- [Resources and support](https://www.healthdirect.gov.au/psychosis#resources)
- [Related information on Australian websites](https://www.healthdirect.gov.au/psychosis#searchGeneralResults)
## What is psychosis?
Psychosis is a syndrome that affects your brain. It disrupts your normal:
- thinking
- emotions
- behaviour
Psychosis can be very frightening. During a 'psychotic episode', you can't tell what is and what isn't real. You may have difficulty with the way you interpret the world around you.
About 1 in every 200 adult Australians will have a psychotic illness each year. A first episode of psychosis is most likely to happen from your teens to mid-thirties.
## What symptoms are related to psychosis?
**If you are having thoughts of self-harm or suicide and are in immediate danger, call triple zero (000). For help and support, call Lifeline on 13 11 14.**
When you have a psychotic episode, you have difficulty interpreting the real world. You may act inappropriately, such as laughing at sad news or believing the television is talking to you.
Usually, psychosis happens in 'episodes'. These can last anywhere from a few hours to a few months. This depends on the individual and the cause of their psychosis.
Symptoms vary from person to person, and from episode to episode.
### Disordered thinking
Disordered thinking is when your thoughts are jumbled. This can be confusing.
If you have disordered thinking, you may notice that:
- your thoughts and speech speed up or slow down
- your sentences are hard to understand
- you have difficulty remembering things
### Delusions
[Delusions](https://www.healthdirect.gov.au/delusions) are when you have illogical, unshakeable beliefs about yourself and the world. These beliefs may be unusual for someone else of the same cultural background. Delusions can take different forms, such as:
- [paranoia](https://www.healthdirect.gov.au/paranoia) about being watched or singled out for harm
- believing you have special powers, or are an important religious or political figure
- believing you are guilty of a terrible crime or act or are going to do something terrible
### Hallucinations
[Hallucinations](https://www.healthdirect.gov.au/hallucination) are when you see, hear, feel, smell or taste something that doesn't exist. Auditory (sound) hallucinations are most common. You may hear voices or other sounds that are not there.
### Disordered behaviour
Disordered behaviour is when you act unusually, such as:
- becoming agitated and upset suddenly
- showing childlike behaviours
- not responding to others or the environment
- difficulty having conversations
- feeling inactive or slower than usual
You may also struggle to communicate how you are feeling. Disordered behaviour can make it hard to manage your day-to-day life, such as:
- self-care, like [personal hygiene](https://www.healthdirect.gov.au/personal-hygiene)
- school
- work
### Thoughts of self-harm or suicidal thoughts
**If you are having thoughts of self-harm or suicide and are in immediate danger, call triple zero (000). For help and support, call Lifeline on 13 11 14.**
In severe cases, someone with psychosis may be at risk of:
- [self-harm](https://www.healthdirect.gov.au/self-harm)
- [suicide](https://www.healthdirect.gov.au/warning-signs-of-suicide)
- harming others
## What causes psychosis?
The causes of psychosis are complex. It's thought to be caused by a mix of:
- genetic factors
- environmental factors
- biochemical factors
- physical factors
It's likely that some people are more likely to get a psychotic illness. Certain things can trigger your first episode. Common triggers include:
- [stress](https://www.healthdirect.gov.au/stress) or trauma
- use of drugs such as [marijuana](https://www.healthdirect.gov.au/marijuana), [speed](https://www.healthdirect.gov.au/speed) and others
- certain prescription medicines
Some people are more likely to develop psychosis, such as those with:
- mental illnesses such as [schizophrenia](https://www.healthdirect.gov.au/schizophrenia), [bipolar disorder](https://www.healthdirect.gov.au/bipolar-disorder) or severe [depression](https://www.healthdirect.gov.au/depression)
- a family history of mental illnesses
- a history of illegal drug use
Some medical conditions have also been known to cause psychosis. These include:
- [head injuries](https://www.healthdirect.gov.au/head-injuries)
- [epilepsy](https://www.healthdirect.gov.au/epilepsy)
- [encephalitis](https://www.healthdirect.gov.au/encephalitis), caused by infections such as [HIV and AIDS](https://www.healthdirect.gov.au/hiv-infection-and-aids), [malaria](https://www.healthdirect.gov.au/malaria) and [syphilis](https://www.healthdirect.gov.au/syphilis)
- autoimmune conditions such as [lupus](https://www.healthdirect.gov.au/lupus) and [multiple sclerosis](https://www.healthdirect.gov.au/multiple-sclerosis-ms)
- endocrine conditions such as thyroid dysfunction
- [brain tumours](https://www.healthdirect.gov.au/brain-cancer)
Some neurological conditions may lead to the development of psychosis, such as:
- [Alzheimer's disease](https://www.healthdirect.gov.au/alzheimers-disease)
- [Lewy body dementia](https://www.healthdirect.gov.au/lewy-body-dementias)
- [Parkinson's disease](https://www.healthdirect.gov.au/parkinsons-disease)
- [stroke](https://www.healthdirect.gov.au/stroke)
Large deficiencies of some [vitamins](https://www.healthdirect.gov.au/vitamins-and-minerals) may lead to psychosis, such as:
- folate (Vitamin B9)
- vitamin B12
- vitamin B3
- vitamin B1
Research also shows that too much [dopamine](https://www.healthdirect.gov.au/dopamine) may be linked to psychosis. Dopamine is a chemical messenger in your brain. Having high levels of dopamine may interrupt the pathways in your brain responsible for:
- memory
- emotion
- social behaviour
- self-awareness
- mobility and movement
## When should I see my doctor?
If you are showing symptoms of psychosis, see a doctor. This can keep you and others from harm.
You can also contact a [mental health crisis support team](https://www.healthdirect.gov.au/mental-health-crisis-support), such as at your local hospital.
The best outcomes happen when psychosis is found and treated early.
Your [doctor](https://www.healthdirect.gov.au/talking-to-your-doctor-gp-about-mental-health) may refer you to a [psychologist or psychiatrist](https://www.healthdirect.gov.au/psychiatrists-and-psychologists).
Your healthcare provider can:
- work to find the cause of your psychosis
- tell you if it's likely to happen again
- advise you on how to lower your chances of another psychotic episode
- help you be aware of and manage your triggers and symptoms
[**FIND A HEALTH SERVICE** — The **Service Finder** can help you find doctors, pharmacies, hospitals and other health services.](https://www.healthdirect.gov.au/australian-health-services)
## How is the cause of psychosis diagnosed?
A [mental health professional](https://www.healthdirect.gov.au/mental-health-professionals) will complete an assessment which includes a:
- mental health assessment
- physical examination
- neurological examination
They may also ask to speak to a relative or close friend for more information.
The purpose of these assessments is to find out:
- if you have psychosis
- what might be causing it, such as an underlying mental illness or physical health condition
- your relevant family and medical history
- the best course of treatment for you
Different tests may be needed to work out the diagnosis. These tests may include:
- [blood tests](https://www.healthdirect.gov.au/blood-testing) for electrolyte levels (minerals and salts), hormone levels or infections
- drug testing to identify any drugs that could be causing the psychosis
- [imaging scans](https://www.healthdirect.gov.au/what-is-a-radiographer-what-is-a-radiologist) to check for abnormalities in the brain
Your doctor or other health professional might also ask to watch you, at home or in hospital.
## How is psychosis treated?
Treatments and support are available for psychosis. Treatments can help improve your symptoms and allow you to live a fulfilling life.
Medicine, psychological therapy and community support can help improve symptoms.
Treatment usually involves a combination of:
- medicines
- education about the illness (psychoeducation)
- [psychotherapy](https://www.healthdirect.gov.au/psychotherapy) or [counselling](https://www.healthdirect.gov.au/counsellors-and-counselling)
- community support programs
- family support
- practical support
## Self-care at home
If you have psychosis, there are things you can do to keep yourself safe.
Learning to recognise signs of a psychotic episode is important so you know when to get help. Having a safe person who can help you recognise signs is important too.
You can also:
- [eat well](https://www.healthdirect.gov.au/healthy-eating), [exercise regularly](https://www.healthdirect.gov.au/exercise-and-mental-health) and make sure you get enough [sleep](https://www.healthdirect.gov.au/sleep)
- plan times during your day to do something you enjoy
- make sure that you rest — you can try [relaxation techniques](https://www.healthdirect.gov.au/relaxation-techniques-for-stress-relief)
- avoid using [drugs and alcohol](https://www.healthdirect.gov.au/drugs-and-alcohol)
- learn ways to[cope with stress](https://www.healthdirect.gov.au/resilience)
- set yourself small tasks throughout your day to have a sense of achievement
- keep track of your emotions — this helps you notice the impact of your emotions
## Medicine
You may be prescribed [antipsychotic medicines](https://www.healthdirect.gov.au/antipsychotic-medicines). These medicines work by changing the chemicals in your brain, including dopamine.
Antipsychotics usually take several weeks to reduce symptoms. But they may immediately produce a calming effect and help you get to sleep.
Antipsychotic medicines may cause [side effects](https://www.healthdirect.gov.au/medicine-and-side-effects). So, it's important to find the right medicine or combination of medicines for you.
It's also important to take any other medicines as directed. Taking them incorrectly or mixing them with alcohol or other substances can increase your chance of psychosis.
## Psychological therapy
There are several psychological treatments available to treat psychosis, depending on your needs. These include:
- supportive psychotherapy
- [cognitive behaviour therapy (CBT)](https://www.healthdirect.gov.au/cognitive-behaviour-therapy-cbt)
- family therapy and peer support groups
## Community support programs
[Mental health services](https://www.healthdirect.gov.au/australian-mental-health-services) can offer practical support such as:
- stable accommodation
- social support
- [setting goals](https://www.healthdirect.gov.au/goal-setting) for employment or education
If you have long-term psychosis, you may benefit from rehabilitation.
Many mental illnesses are best treated by a team of different health professionals working together, including:
- psychiatrists
- psychologists
- [mental health nurses](https://www.healthdirect.gov.au/mental-health-nurses)
- [occupational therapists](https://www.healthdirect.gov.au/occupational-therapy)
Treatment for illnesses that cause psychosis may last for several years.
## What are the complications of psychosis?
The longer psychosis is untreated, the poorer the outcomes are. These may include:
- slower [recovery](https://www.healthdirect.gov.au/mental-health-recovery)
- impact on social and psychological development
- poorer response to treatment and more chance of relapse
Relapse may cause a higher chance of:
- problems with work, study, and relationships
- depression
- suicide
If the cause of psychosis is left untreated, other complications may arise.
These may depend on the underlying condition. For example, psychosis caused by Vitamin B12 deficiency, can lead to [cognitive impairment](https://www.healthdirect.gov.au/cognitive-impairment).
## Can psychosis be prevented?
Some causes of psychosis can't be prevented.
If you have had psychosis in the past, you can reduce the chance of recurrence by:
- practicing self-care
- learning to recognise triggers
- learning to recognise early symptoms
Early treatment such as psychotherapy can help prevent psychosis if you are experiencing a decline in your mental health.
## Resources and support
If you would like to find out more or talk to someone, here are some organisations that can help.
[SANE Australia](https://www.sane.org/get-support/sane-support-services) provides information and support for people living with a mental illness and their loved ones.
[Beyond Blue](https://www.beyondblue.org.au/) supports people with depression and anxiety, and their friends, family and colleagues. Call 1300 22 4636 or visit their website to chat online.
[Black Dog Institute](https://www.blackdoginstitute.org.au/) has information and support for people affected by mood disorders.
[Lifeline](https://www.lifeline.org.au/) helps anyone having a personal crisis. You can call 13 11 14 for crisis support or to chat online.
The [Suicide Call Back Service](https://www.suicidecallbackservice.org.au/) gives assistance to anyone thinking about suicide. You can call 1300 659 467.
You can read the [Mental Health First Aid Australia fact sheet](https://www.mhfa.com.au/wp-content/uploads/2023/12/MHFA_Psychosis-Guidelines.pdf) to help people with psychosis.
For advice and to get connected to local mental health services, call [Medicare Mental Health](https://www.medicarementalhealth.gov.au/) on 1800 595 212.
If you are a young person, you can visit a [headspace centre](https://headspace.org.au/headspace-centres/) without a referral. Headspace offers mental health services to 12 to 25-year-olds. Centres are located across Australia.
You can also call the healthdirect helpline on [1800 022 222](tel:1800022222) (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with you 24 hours a day, 7 days a week.
#### Sources:
Mental Health First Aid Australia *[(Psychosis Guidelines)](https://www.gvhealth.org.au/wp-content/uploads/2023/10/1.-MHFA_psychosis_guidelines_A4_2020.pdf "Psychosis Guidelines")*, Australian Institute of Health and Welfare *[(Prevalence and impact of mental illness)](https://www.aihw.gov.au/mental-health/overview/prevalence-and-impact-of-mental-illness "Prevalence and impact of mental illness")*, BMJ Best Practice *[(Assessment of psychosis)](https://bestpractice.bmj.com/topics/en-gb/1066/aetiology "Assessment of psychosis")*, Orygen *[(Australian Clinical Guidelines for Early Psychosis)](https://www.orygen.org.au/Campus/Expert-Network/Resources/Free/Clinical-Practice/Australian-Clinical-Guidelines-for-Early-Psychosis/Australian-Clinical-Guidelines-for-Early-Psychosis.aspx?ext "Australian Clinical Guidelines for Early Psychosis")*, Therapeutic Guidelines *[(First episode of psychosis)](https://app.tg.org.au/viewTopic?etgAccess=true&guidelinePage=Psychotropic&topicfile=first-episode-psychosis&guidelinename=Psychotropic§ionId=toc_d1e461#toc_d1e461 "First episode of psychosis")*, Therapeutic Guidelines *[(People at risk of psychosis)](https://app.tg.org.au/viewTopic?etgAccess=true&guidelinePage=Psychotropic&topicfile=people-at-risk-psychosis&guidelinename=Psychotropic§ionId=toc_d1e80#toc_d1e80 "People at risk of psychosis")*, MDPI Healthcare *[(Dopamine, Psychosis, and Symptom Fluctuation: A Narrative Review (Novak & Seeman))](https://www.mdpi.com/2227-9032/10/9/1713 "Dopamine, Psychosis, and Symptom Fluctuation: A Narrative Review (Novak & Seeman)")*, Molecular Psychiatry *[(Cerebrospinal fluid flow cytometry distinguishes psychosis spectrum disorders from differential diagnoses)](https://rest.neptune-prod.its.unimelb.edu.au/server/api/core/bitstreams/fc942d4b-3515-5a26-b0b3-22cc4fab39d6/content "Cerebrospinal fluid flow cytometry distinguishes psychosis spectrum disorders from differential diagnoses")*, Epilepsia *[(Interictal psychotic episodes in epilepsy: Duration and associated clinical factors)](https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1528-1167.2012.03438.x "Interictal psychotic episodes in epilepsy: Duration and associated clinical factors")*, National Drug and Alcohol Research Centre *[(Psychosis + substance abuse)](https://ndarc.med.unsw.edu.au/sites/default/files/ndarc/resources/NDARC_PYCHOSIS_FINAL.pdf "Psychosis + substance abuse")*, Orygen *[(Psychosis + young people)](https://www.orygen.org.au/Training/Resources/Psychosis/Fact-sheets/Psychosis-and-young-people/psychosis-yp-factsheet "Psychosis + young people")*, Lifeline *[(Psychotic illness)](https://www.lifeline.org.au/media/4wxprwlj/draft_ll-2pp-fact-sheet_psychotic-ilness-final.pdf "Psychotic illness")*
Learn more here about the [development and quality assurance of healthdirect content](https://www.healthdirect.gov.au/about-our-content).
Last reviewed: March 2025
[Back To Top](https://www.healthdirect.gov.au/psychosis#backToTop)
## Search our site for
- [Schizophrenia](https://www.healthdirect.gov.au/search-results/Schizophrenia "Search results for: Schizophrenia")
- [Antipsychotics](https://www.healthdirect.gov.au/search-results/Antipsychotics "Search results for: Antipsychotics")
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## Need more information?
These trusted information partners have more on this topic.
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[Postpartum psychosis Postpartum psychosis, a severe mental illness, can happen after you give birth. If you or your partner suspect postpartum psychosis, see a doctor. *Read more on Pregnancy,Birth & Baby website* ](https://www.pregnancybirthbaby.org.au/postpartum-psychosis)
[Psychosis - myDr.com.au When someone experiences psychosis they are unable to distinguish what is real. Symptoms include confused thinking, delusions and hallucinations. *Read more on myDoctor website* ](https://www.mydr.com.au/mental-health/psychosis/)
[Cannabis & psychosis SANE Australia, the National Mental Health Charity *Read more on SANE Australia website* ](https://www.sane.org/information-and-resources/facts-and-guides/cannabis-and-psychotic-illness)
[Psychosis Psychosis impacts a person's sense of what is real and what isn't. Learn what you need to know about psychosis symptoms, causes, and how to get help. *Read more on SANE Australia website* ](https://www.sane.org/information-and-resources/facts-and-guides/psychosis)
[What is psychosis? \| headspace Psychosis is an experience where a person has problems interpreting the world around them. They might see or hear things that other people can’t. *Read more on headspace website* ](https://headspace.org.au/services/early-psychosis/learning-about-psychosis-young-people/)
[Psychotic disorders \| ReachOut Australia People with psychosis have trouble interpreting what's going on around them. They may have confused thoughts, false beliefs, delusions or hallucinations. *Read more on ReachOut website* ](https://au.reachout.com/mental-health-issues/psychotic-disorders)
[Psychosis and other mental illnesses — TINO : Tune In Not Out People experiencing psychosis appear to have lost touch with everyone else's interpretation of what is going on around them. *Read more on Tune In Not Out website* ](https://tuneinnotout.com/mental-health/psychosis-and-other-mental-illnesses/)
[Jumbled Thoughts and Psychosis - WellMob Drug abuse, serious mental illness or high stress can cause psychosis or jumbled thoughts. This may include where a person might hear voices or see things that others can’t. It is important to talk with elders and go to the doctor or hospital if you have hearing, seeing or thinking strange things. *Read more on WellMob website* ](https://wellmob.org.au/e-health-topics/mind/jumbled-thoughts-and-psychosis/)
[Psychosis - Finding North If someone is struggling to tell what's real and what's not, or they're seeing or hearing things that aren’t really there, they may be experiencing psychosis. *Read more on Finding North website* ](https://findingnorth.org.au/mental-health-wellness/mental-health/mental-health-conditions/psychosis/)
[Psychosis \| Lifeline Psychosis is a symptom of a complex mental health issue like seizures are a symptom of epilepsy. Learn more about psychosis and various terms related to it. *Read more on Lifeline website* ](https://www.lifeline.org.au/get-help/support-toolkit/topics/psychosis)
Show more
Top results
[Psychosis: Early Warning Signs and Treatment Psychosis occurs when a person loses the capacity to distinguish reality from their imagination. Psychosis sometimes occurs alongside other mental illnesses, such as schizophrenia or bipolar disorders. However, it’s worth noting that up to three-quarters of psychotic experiences do not progress to a diagnosable condition. *Read more on Ausmed Education website* ](https://www.ausmed.com/learn/articles/psychosis)
[Psychosis - Orygen, Revolution in Mind Our Skills & Knowledge Division concentrates on growing the capacity of Australia’s youth mental health workforce with an emphasis on accessible expertise and innovation. *Read more on Orygen website* ](https://www.orygen.org.au/Training/Resources/Psychosis)
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| Readable Markdown | ## Key facts
- People with psychosis often can't tell what is and what isn't real.
- You may hallucinate — hear voices that don't exist, or have false beliefs about yourself or the world.
- Psychosis can be triggered by things like mental illness or drug use.
- Depending on the cause of psychosis, treatment includes medicine and psychotherapy.
- If you or someone close to you is experiencing psychosis, get urgent medical attention.
## On this page
- [What is psychosis?](https://www.healthdirect.gov.au/psychosis#what-is)
- [What symptoms are related to psychosis?](https://www.healthdirect.gov.au/psychosis#symptoms)
- [What causes psychosis?](https://www.healthdirect.gov.au/psychosis#causes)
- [When should I see my doctor?](https://www.healthdirect.gov.au/psychosis#doctor)
- [How is the cause of psychosis diagnosed?](https://www.healthdirect.gov.au/psychosis#diagnosed)
- [How is psychosis treated?](https://www.healthdirect.gov.au/psychosis#treated)
- [Self-care at home](https://www.healthdirect.gov.au/psychosis#self-care)
- [Medicine](https://www.healthdirect.gov.au/psychosis#medicine)
- [Psychological therapy](https://www.healthdirect.gov.au/psychosis#therapy)
- [Community support programs](https://www.healthdirect.gov.au/psychosis#community-support)
- [What are the complications of psychosis?](https://www.healthdirect.gov.au/psychosis#complications)
- [Can psychosis be prevented?](https://www.healthdirect.gov.au/psychosis#prevented)
- [Resources and support](https://www.healthdirect.gov.au/psychosis#resources)
- [Related information on Australian websites](https://www.healthdirect.gov.au/psychosis#searchGeneralResults)
## What is psychosis?
Psychosis is a syndrome that affects your brain. It disrupts your normal:
- thinking
- emotions
- behaviour
Psychosis can be very frightening. During a 'psychotic episode', you can't tell what is and what isn't real. You may have difficulty with the way you interpret the world around you.
About 1 in every 200 adult Australians will have a psychotic illness each year. A first episode of psychosis is most likely to happen from your teens to mid-thirties.
## What symptoms are related to psychosis?
**If you are having thoughts of self-harm or suicide and are in immediate danger, call triple zero (000). For help and support, call Lifeline on 13 11 14.**
When you have a psychotic episode, you have difficulty interpreting the real world. You may act inappropriately, such as laughing at sad news or believing the television is talking to you.
Usually, psychosis happens in 'episodes'. These can last anywhere from a few hours to a few months. This depends on the individual and the cause of their psychosis.
Symptoms vary from person to person, and from episode to episode.
### Disordered thinking
Disordered thinking is when your thoughts are jumbled. This can be confusing.
If you have disordered thinking, you may notice that:
- your thoughts and speech speed up or slow down
- your sentences are hard to understand
- you have difficulty remembering things
### Delusions
[Delusions](https://www.healthdirect.gov.au/delusions) are when you have illogical, unshakeable beliefs about yourself and the world. These beliefs may be unusual for someone else of the same cultural background. Delusions can take different forms, such as:
- [paranoia](https://www.healthdirect.gov.au/paranoia) about being watched or singled out for harm
- believing you have special powers, or are an important religious or political figure
- believing you are guilty of a terrible crime or act or are going to do something terrible
### Hallucinations
[Hallucinations](https://www.healthdirect.gov.au/hallucination) are when you see, hear, feel, smell or taste something that doesn't exist. Auditory (sound) hallucinations are most common. You may hear voices or other sounds that are not there.
### Disordered behaviour
Disordered behaviour is when you act unusually, such as:
- becoming agitated and upset suddenly
- showing childlike behaviours
- not responding to others or the environment
- difficulty having conversations
- feeling inactive or slower than usual
You may also struggle to communicate how you are feeling. Disordered behaviour can make it hard to manage your day-to-day life, such as:
- self-care, like [personal hygiene](https://www.healthdirect.gov.au/personal-hygiene)
- school
- work
### Thoughts of self-harm or suicidal thoughts
**If you are having thoughts of self-harm or suicide and are in immediate danger, call triple zero (000). For help and support, call Lifeline on 13 11 14.**
In severe cases, someone with psychosis may be at risk of:
- [self-harm](https://www.healthdirect.gov.au/self-harm)
- [suicide](https://www.healthdirect.gov.au/warning-signs-of-suicide)
- harming others
## What causes psychosis?
The causes of psychosis are complex. It's thought to be caused by a mix of:
- genetic factors
- environmental factors
- biochemical factors
- physical factors
It's likely that some people are more likely to get a psychotic illness. Certain things can trigger your first episode. Common triggers include:
- [stress](https://www.healthdirect.gov.au/stress) or trauma
- use of drugs such as [marijuana](https://www.healthdirect.gov.au/marijuana), [speed](https://www.healthdirect.gov.au/speed) and others
- certain prescription medicines
Some people are more likely to develop psychosis, such as those with:
- mental illnesses such as [schizophrenia](https://www.healthdirect.gov.au/schizophrenia), [bipolar disorder](https://www.healthdirect.gov.au/bipolar-disorder) or severe [depression](https://www.healthdirect.gov.au/depression)
- a family history of mental illnesses
- a history of illegal drug use
Some medical conditions have also been known to cause psychosis. These include:
- [head injuries](https://www.healthdirect.gov.au/head-injuries)
- [epilepsy](https://www.healthdirect.gov.au/epilepsy)
- [encephalitis](https://www.healthdirect.gov.au/encephalitis), caused by infections such as [HIV and AIDS](https://www.healthdirect.gov.au/hiv-infection-and-aids), [malaria](https://www.healthdirect.gov.au/malaria) and [syphilis](https://www.healthdirect.gov.au/syphilis)
- autoimmune conditions such as [lupus](https://www.healthdirect.gov.au/lupus) and [multiple sclerosis](https://www.healthdirect.gov.au/multiple-sclerosis-ms)
- endocrine conditions such as thyroid dysfunction
- [brain tumours](https://www.healthdirect.gov.au/brain-cancer)
Some neurological conditions may lead to the development of psychosis, such as:
- [Alzheimer's disease](https://www.healthdirect.gov.au/alzheimers-disease)
- [Lewy body dementia](https://www.healthdirect.gov.au/lewy-body-dementias)
- [Parkinson's disease](https://www.healthdirect.gov.au/parkinsons-disease)
- [stroke](https://www.healthdirect.gov.au/stroke)
Large deficiencies of some [vitamins](https://www.healthdirect.gov.au/vitamins-and-minerals) may lead to psychosis, such as:
- folate (Vitamin B9)
- vitamin B12
- vitamin B3
- vitamin B1
Research also shows that too much [dopamine](https://www.healthdirect.gov.au/dopamine) may be linked to psychosis. Dopamine is a chemical messenger in your brain. Having high levels of dopamine may interrupt the pathways in your brain responsible for:
- memory
- emotion
- social behaviour
- self-awareness
- mobility and movement
## When should I see my doctor?
If you are showing symptoms of psychosis, see a doctor. This can keep you and others from harm.
You can also contact a [mental health crisis support team](https://www.healthdirect.gov.au/mental-health-crisis-support), such as at your local hospital.
The best outcomes happen when psychosis is found and treated early.
Your [doctor](https://www.healthdirect.gov.au/talking-to-your-doctor-gp-about-mental-health) may refer you to a [psychologist or psychiatrist](https://www.healthdirect.gov.au/psychiatrists-and-psychologists).
Your healthcare provider can:
- work to find the cause of your psychosis
- tell you if it's likely to happen again
- advise you on how to lower your chances of another psychotic episode
- help you be aware of and manage your triggers and symptoms
[**FIND A HEALTH SERVICE** — The **Service Finder** can help you find doctors, pharmacies, hospitals and other health services.](https://www.healthdirect.gov.au/australian-health-services)
## How is the cause of psychosis diagnosed?
A [mental health professional](https://www.healthdirect.gov.au/mental-health-professionals) will complete an assessment which includes a:
- mental health assessment
- physical examination
- neurological examination
They may also ask to speak to a relative or close friend for more information.
The purpose of these assessments is to find out:
- if you have psychosis
- what might be causing it, such as an underlying mental illness or physical health condition
- your relevant family and medical history
- the best course of treatment for you
Different tests may be needed to work out the diagnosis. These tests may include:
- [blood tests](https://www.healthdirect.gov.au/blood-testing) for electrolyte levels (minerals and salts), hormone levels or infections
- drug testing to identify any drugs that could be causing the psychosis
- [imaging scans](https://www.healthdirect.gov.au/what-is-a-radiographer-what-is-a-radiologist) to check for abnormalities in the brain
Your doctor or other health professional might also ask to watch you, at home or in hospital.
## How is psychosis treated?
Treatments and support are available for psychosis. Treatments can help improve your symptoms and allow you to live a fulfilling life.
Medicine, psychological therapy and community support can help improve symptoms.
Treatment usually involves a combination of:
- medicines
- education about the illness (psychoeducation)
- [psychotherapy](https://www.healthdirect.gov.au/psychotherapy) or [counselling](https://www.healthdirect.gov.au/counsellors-and-counselling)
- community support programs
- family support
- practical support
## Self-care at home
If you have psychosis, there are things you can do to keep yourself safe.
Learning to recognise signs of a psychotic episode is important so you know when to get help. Having a safe person who can help you recognise signs is important too.
You can also:
- [eat well](https://www.healthdirect.gov.au/healthy-eating), [exercise regularly](https://www.healthdirect.gov.au/exercise-and-mental-health) and make sure you get enough [sleep](https://www.healthdirect.gov.au/sleep)
- plan times during your day to do something you enjoy
- make sure that you rest — you can try [relaxation techniques](https://www.healthdirect.gov.au/relaxation-techniques-for-stress-relief)
- avoid using [drugs and alcohol](https://www.healthdirect.gov.au/drugs-and-alcohol)
- learn ways to[cope with stress](https://www.healthdirect.gov.au/resilience)
- set yourself small tasks throughout your day to have a sense of achievement
- keep track of your emotions — this helps you notice the impact of your emotions
## Medicine
You may be prescribed [antipsychotic medicines](https://www.healthdirect.gov.au/antipsychotic-medicines). These medicines work by changing the chemicals in your brain, including dopamine.
Antipsychotics usually take several weeks to reduce symptoms. But they may immediately produce a calming effect and help you get to sleep.
Antipsychotic medicines may cause [side effects](https://www.healthdirect.gov.au/medicine-and-side-effects). So, it's important to find the right medicine or combination of medicines for you.
It's also important to take any other medicines as directed. Taking them incorrectly or mixing them with alcohol or other substances can increase your chance of psychosis.
## Psychological therapy
There are several psychological treatments available to treat psychosis, depending on your needs. These include:
- supportive psychotherapy
- [cognitive behaviour therapy (CBT)](https://www.healthdirect.gov.au/cognitive-behaviour-therapy-cbt)
- family therapy and peer support groups
[Mental health services](https://www.healthdirect.gov.au/australian-mental-health-services) can offer practical support such as:
- stable accommodation
- social support
- [setting goals](https://www.healthdirect.gov.au/goal-setting) for employment or education
If you have long-term psychosis, you may benefit from rehabilitation.
Many mental illnesses are best treated by a team of different health professionals working together, including:
- psychiatrists
- psychologists
- [mental health nurses](https://www.healthdirect.gov.au/mental-health-nurses)
- [occupational therapists](https://www.healthdirect.gov.au/occupational-therapy)
Treatment for illnesses that cause psychosis may last for several years.
## What are the complications of psychosis?
The longer psychosis is untreated, the poorer the outcomes are. These may include:
- slower [recovery](https://www.healthdirect.gov.au/mental-health-recovery)
- impact on social and psychological development
- poorer response to treatment and more chance of relapse
Relapse may cause a higher chance of:
- problems with work, study, and relationships
- depression
- suicide
If the cause of psychosis is left untreated, other complications may arise.
These may depend on the underlying condition. For example, psychosis caused by Vitamin B12 deficiency, can lead to [cognitive impairment](https://www.healthdirect.gov.au/cognitive-impairment).
## Can psychosis be prevented?
Some causes of psychosis can't be prevented.
If you have had psychosis in the past, you can reduce the chance of recurrence by:
- practicing self-care
- learning to recognise triggers
- learning to recognise early symptoms
Early treatment such as psychotherapy can help prevent psychosis if you are experiencing a decline in your mental health.
## Resources and support
If you would like to find out more or talk to someone, here are some organisations that can help.
[SANE Australia](https://www.sane.org/get-support/sane-support-services) provides information and support for people living with a mental illness and their loved ones.
[Beyond Blue](https://www.beyondblue.org.au/) supports people with depression and anxiety, and their friends, family and colleagues. Call 1300 22 4636 or visit their website to chat online.
[Black Dog Institute](https://www.blackdoginstitute.org.au/) has information and support for people affected by mood disorders.
[Lifeline](https://www.lifeline.org.au/) helps anyone having a personal crisis. You can call 13 11 14 for crisis support or to chat online.
The [Suicide Call Back Service](https://www.suicidecallbackservice.org.au/) gives assistance to anyone thinking about suicide. You can call 1300 659 467.
You can read the [Mental Health First Aid Australia fact sheet](https://www.mhfa.com.au/wp-content/uploads/2023/12/MHFA_Psychosis-Guidelines.pdf) to help people with psychosis.
For advice and to get connected to local mental health services, call [Medicare Mental Health](https://www.medicarementalhealth.gov.au/) on 1800 595 212.
If you are a young person, you can visit a [headspace centre](https://headspace.org.au/headspace-centres/) without a referral. Headspace offers mental health services to 12 to 25-year-olds. Centres are located across Australia.
You can also call the healthdirect helpline on [1800 022 222](tel:1800022222) (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with you 24 hours a day, 7 days a week. |
| Shard | 187 (laksa) |
| Root Hash | 11476440364350543187 |
| Unparsed URL | au,gov,healthdirect!www,/psychosis s443 |