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| Meta Title | Stress-Induced Psychosis: Symptoms, Diagnosis, Treatment |
| Meta Description | Stress-induced psychosis can be a difficult and scary experience for you and your loved ones, but recovery is possible. Here’s what you should know. |
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| Boilerpipe Text | Psychosis can be triggered by severe stress or trauma. The symptoms of stress-induced psychosis include hallucinations and delusions.
Stress is a natural part of everyday life, but extreme stress can take its toll on your mental health. In severe cases, stress can trigger psychosis.
Psychosis isn’t a mental health condition in itself but a group of symptoms. It’s relatively rare. According to the National Institute of Mental Health,
between 15 and 100 people out of every 100,000
experience psychosis each year.
Stress may trigger psychosis in people living with lifelong mental health conditions like
bipolar disorder
and
schizophrenia
.
But individual episodes of psychosis — particularly those called brief psychotic disorder — can also be triggered by severe stress.
Hallucinations:
These involve seeing, hearing, tasting, smelling, or feeling things that don’t exist outside of your mind (for example, you may hear the voice of someone who isn’t there).
Delusions:
These involve believing in something untrue (for example, you may believe someone wants to hurt or kill you, or you may believe you have power, magical abilities, or authority you don’t actually have).
Confused and disturbed thoughts:
These may cause you to speak rapidly or to change conversational topics abruptly.
During psychosis, you may also experience:
impulsive behavior or behavior that’s reckless or disorganized
negative symptoms, such as a lack of interest in regular activities, an ungroomed appearance, not participating in usual routines, or not showing emotion
catatonia
, which is where you may seem “frozen” and be unable to move or speak much
Episodes are usually accompanied by a lack of self-awareness. You may be unable to recognize that you’re experiencing delusions or hallucinations.
Some people may realize that they need mental health help during an episode of psychosis, but they may be afraid to get help, or their delusions might stop them.
For example, a person may believe that doctors and nurses are conspiring against them and might avoid calling emergency services.
This is why it’s important to intervene if you think your loved one is experiencing an episode of psychosis.
Typically, stress-induced psychosis is triggered by extremely stressful or
traumatic events
.
For example, stress-induced psychosis can be caused by:
the death of a loved one
witnessing or experiencing an act of violence or abuse
car accidents
natural disaster
childbirth
war
Because there can be multiple possible causes of psychosis, it isn’t always easy for clinicians to determine what triggered an episode. Multiple stressors or contributing factors may play a role.
Genetics may play a role in whether or not someone develops a psychotic disorder. But not everybody who experiences stress-induced psychosis has a psychotic disorder.
For example, stress can lead to
brief psychotic disorder
, which is where an episode lasts between 1 and 30 days. Your symptoms will resolve after this period but may return in the future.
You may be
more likely
to develop brief psychotic disorder if you:
are female
are in your 20s, 30s, or 40s
have a
personality disorder
or
mood disorder
are an immigrant or refugee
live in a developing country
Brief psychotic disorder isn’t always caused by stress or trauma — and not all stress-induced psychosis fits the diagnostic criteria for brief psychotic disorder.
For example, stress might play a role in triggering episodes of psychosis in people living with
schizophrenia
.
A genetic component may also determine who experiences stress-induced psychosis and who doesn’t. One
2007 study
found that a certain genotype — the COMT Val(158)Met genotype — may make people more susceptible to stress-induced psychosis.
Your treatment will depend on the cause of psychosis. Brief psychotic disorder, for example, is treated differently from schizophrenia.
Psychosis treatment may include:
antipsychotic medications
benzodiazepines
talk therapy
, which can include individual or
group therapy
In some cases, inpatient treatment — where you stay overnight in a psychiatric facility to receive ongoing observation and support — may be necessary.
Inpatient treatment can be especially helpful if your home environment is adding to your stress levels or if you’re at risk of self-harm.
Psychosis can be a complication of a number of underlying conditions, some lifelong and some short term. Your outlook will depend on your underlying condition.
For example:
Brief psychotic disorder:
Brief psychotic disorder may occur once only. But once you experience it, it’s possible for it to occur again.
Bipolar disorder:
Bipolar disorder can sometimes include episodes of psychosis. Although bipolar disorder is a chronic condition that can’t be cured, it
can be managed
through medication and therapy.
Postpartum psychosis:
Postpartum psychosis eventually goes away when treated with medication and therapy, but it’s possible to experience psychosis again, especially if you give birth again.
Schizophrenia:
Schizophrenia is also a chronic condition that can’t be cured, but
medication and therapy
may help you manage the symptoms.
Schizophreniform disorder:
Schizophreniform disorder is a type of schizophrenia where you experience schizophrenia symptoms briefly and recover fully. You may continue medication to prevent a relapse for
up to a year
.
In general, a combination of medication and therapy can reduce your chances of experiencing psychosis again.
Can a panic attack feel like an episode of psychosis?
In the midst of a panic attack, you might worry that you’re experiencing psychosis or a
mental breakdown
.
During a
panic attack
, you might experience difficulty thinking clearly or talking in coherent sentences. You may also experience dissociation, depersonalization, or derealization.
This might make you feel like nothing around you is real, or like you’re detached from reality. But hallucinations and delusions aren’t typical symptoms of panic attacks.
What else can cause psychosis?
Brief psychotic disorder can occur without a major stressor or traumatic event. Sometimes, it occurs without a particular trigger.
Psychosis may also occur because of mental health conditions like schizophrenia, postpartum psychosis, and bipolar disorder.
Psychosis can also be triggered by:
substance use
sleep deprivation
hormonal disturbances
brain injuries
dementia
brain tumor
Is psychosis the same as depersonalization, derealization, or dissociation?
No. With psychosis, you firmly believe that your delusions are real. With depersonalization, derealization, or dissociation, you feel
disconnected from the world
and as if your actions and surroundings are surreal. But you’re not questioning reality.
Depersonalization
is where you feel disconnected from your thoughts and feelings, like they aren’t real or like they don’t really belong to you. You might feel like you’re outside your body, watching yourself like you’re watching a movie.
Derealization is where you feel disconnected from your surroundings. The people and environment around you might not feel real. They might feel foggy, distorted, or artificial.
Dissociation
, on the other hand, is a broader term that refers to feeling disconnected from your own feelings, thoughts, and surroundings. Dissociation might include depersonalization and derealization.
Although dissociation may be a symptom of a mental health condition, it isn’t a mental health condition in itself.
What mental health conditions are associated with psychosis?
Psychosis is associated with a range of mental health conditions, including:
bipolar disorder
delusional disorder
postpartum psychosis
psychotic depression
schizophrenia
schizophreniform disorder
But having an episode of psychosis doesn’t necessarily mean that you have a chronic mental health condition.
Psychosis may be triggered by traumatic events and extreme stress. Your genetics, mental health, and environment may play a role in whether you develop stress-induced psychosis.
Psychosis can also be a complication of a chronic mental health condition, like schizophrenia and postpartum psychosis.
Stress-induced psychosis can be a difficult and scary experience for you and your loved ones, but recovery is possible. You may benefit from a combination of therapy, medication, and self-care strategies.
If you think you’re experiencing psychosis, or if a loved one is displaying the symptoms of psychosis, call 911 or local emergency medical services as soon as possible.
Sian Ferguson is a freelance health and cannabis writer based in Cape Town, South Africa. She’s passionate about empowering readers to take care of their mental and physical health through science-based, empathetically delivered information. |
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# What Is Stress-Induced Psychosis?

[Medically reviewed]() by [Ifeanyi Olele, DO, MBA, MS, FAPA]() — Written by [Sian Ferguson]() on May 17, 2023
- [Symptoms](https://www.healthline.com/health/stress-induced-psychosis#symptoms)
- [Causes](https://www.healthline.com/health/stress-induced-psychosis#causes)
- [Risk factors](https://www.healthline.com/health/stress-induced-psychosis#risk-factors)
- [Diagnosis](https://www.healthline.com/health/stress-induced-psychosis#diagnosis)
- [Treatment](https://www.healthline.com/health/stress-induced-psychosis#treatment)
- [Outlook](https://www.healthline.com/health/stress-induced-psychosis#outlook)
- [FAQs](https://www.healthline.com/health/stress-induced-psychosis#fa-qs)
- [Takeaway](https://www.healthline.com/health/stress-induced-psychosis#takeaway)
Psychosis can be triggered by severe stress or trauma. The symptoms of stress-induced psychosis include hallucinations and delusions.
Stress is a natural part of everyday life, but extreme stress can take its toll on your mental health. In severe cases, stress can trigger psychosis.
Psychosis isn’t a mental health condition in itself but a group of symptoms. It’s relatively rare. According to the National Institute of Mental Health, [between 15 and 100 people out of every 100,000](https://www.nimh.nih.gov/health/publications/understanding-psychosis) experience psychosis each year.
Stress may trigger psychosis in people living with lifelong mental health conditions like [bipolar disorder](http://healthline.com/health/bipolar-disorder) and [schizophrenia](https://www.healthline.com/health/schizophrenia).
But individual episodes of psychosis — particularly those called brief psychotic disorder — can also be triggered by severe stress.
## [What are the symptoms of stress-induced psychosis?]()
The main symptoms of [psychosis](https://www.healthline.com/health/psychosis) are:
- **Hallucinations:** These involve seeing, hearing, tasting, smelling, or feeling things that don’t exist outside of your mind (for example, you may hear the voice of someone who isn’t there).
- **Delusions:** These involve believing in something untrue (for example, you may believe someone wants to hurt or kill you, or you may believe you have power, magical abilities, or authority you don’t actually have).
- **Confused and disturbed thoughts:** These may cause you to speak rapidly or to change conversational topics abruptly.
During psychosis, you may also experience:
- impulsive behavior or behavior that’s reckless or disorganized
- negative symptoms, such as a lack of interest in regular activities, an ungroomed appearance, not participating in usual routines, or not showing emotion
- [catatonia](https://www.healthline.com/health/depression/catatonic-depression), which is where you may seem “frozen” and be unable to move or speak much
Episodes are usually accompanied by a lack of self-awareness. You may be unable to recognize that you’re experiencing delusions or hallucinations.
Some people may realize that they need mental health help during an episode of psychosis, but they may be afraid to get help, or their delusions might stop them.
For example, a person may believe that doctors and nurses are conspiring against them and might avoid calling emergency services.
This is why it’s important to intervene if you think your loved one is experiencing an episode of psychosis.
## [What exactly causes stress-induced psychosis?]()
Typically, stress-induced psychosis is triggered by extremely stressful or [traumatic events](https://www.healthline.com/health/traumatic-events).
For example, stress-induced psychosis can be caused by:
- [the death of a loved one](https://www.healthline.com/health/stages-of-grief)
- witnessing or experiencing an act of violence or abuse
- car accidents
- natural disaster
- [childbirth](https://www.healthline.com/health/parenting/postpartum-psychosis)
- war
Because there can be multiple possible causes of psychosis, it isn’t always easy for clinicians to determine what triggered an episode. Multiple stressors or contributing factors may play a role.
## [Are some people more likely to develop stress-induced psychosis than others?]()
Genetics may play a role in whether or not someone develops a psychotic disorder. But not everybody who experiences stress-induced psychosis has a psychotic disorder.
For example, stress can lead to [brief psychotic disorder](https://www.healthline.com/health/brief-psychotic-disorder), which is where an episode lasts between 1 and 30 days. Your symptoms will resolve after this period but may return in the future.
You may be [more likely](https://www.ncbi.nlm.nih.gov/books/NBK539912/) to develop brief psychotic disorder if you:
- are female
- are in your 20s, 30s, or 40s
- have a [personality disorder](https://www.healthline.com/health/personality-disorders) or [mood disorder](https://www.healthline.com/health/affective-disorders)
- are an immigrant or refugee
- live in a developing country
Brief psychotic disorder isn’t always caused by stress or trauma — and not all stress-induced psychosis fits the diagnostic criteria for brief psychotic disorder.
For example, stress might play a role in triggering episodes of psychosis in people living with [schizophrenia](https://psychcentral.com/schizophrenia/stress-and-schizophrenia).
A genetic component may also determine who experiences stress-induced psychosis and who doesn’t. One [2007 study](https://pubmed.ncbi.nlm.nih.gov/17640440/) found that a certain genotype — the COMT Val(158)Met genotype — may make people more susceptible to stress-induced psychosis.
## [How is stress-induced psychosis diagnosed?]()
A healthcare professional will conduct a [psychiatric evaluation](https://www.healthline.com/health/mental-status-tests), asking questions about your thoughts and experiences and observing your behavior, to assess your symptoms.
The clinician may also run tests to determine whether your symptoms are associated with an underlying health condition or substance use.
The diagnosis ultimately depends on the duration of your symptoms:
- **Brief psychotic disorder:** 1 to 30 days
- **[Schizophreniform disorder](https://www.healthline.com/health/schizophrenia/schizophreniform):** 1 to 6 months
- **[Schizophrenia](https://www.healthline.com/health/schizophrenia):** longer than 6 months
Psychosis may also be a symptom of:
- [bipolar disorder](https://www.healthline.com/health/bipolar-disorder/bipolar-psychosis)
- [delusional disorder](https://www.medicalnewstoday.com/articles/delusional-disorder)
- [postpartum psychosis](https://www.healthline.com/health/parenting/postpartum-psychosis)
- [psychotic depression](https://www.nhs.uk/mental-health/conditions/psychotic-depression/)
## [How is stress-induced psychosis treated?]()
Your treatment will depend on the cause of psychosis. Brief psychotic disorder, for example, is treated differently from schizophrenia.
Psychosis treatment may include:
- [antipsychotic medications](https://www.healthline.com/health/schizophrenia/atypical-antipsychotics-schizophrenia)
- [benzodiazepines](https://www.healthline.com/health/bipolar-disorder/benzodiazepines)
- [talk therapy](https://www.healthline.com/health/mental-health/talk-therapy), which can include individual or [group therapy](https://www.healthline.com/health/mental-health/online-group-therapy)
In some cases, inpatient treatment — where you stay overnight in a psychiatric facility to receive ongoing observation and support — may be necessary.
Inpatient treatment can be especially helpful if your home environment is adding to your stress levels or if you’re at risk of self-harm.
## [What’s the outlook for someone experiencing stress-induced psychosis?]()
Psychosis can be a complication of a number of underlying conditions, some lifelong and some short term. Your outlook will depend on your underlying condition.
For example:
- **Brief psychotic disorder:** Brief psychotic disorder may occur once only. But once you experience it, it’s possible for it to occur again.
- **Bipolar disorder:** Bipolar disorder can sometimes include episodes of psychosis. Although bipolar disorder is a chronic condition that can’t be cured, it [can be managed](https://www.healthline.com/health/bipolar-disorder/bipolar-treatment-assessment) through medication and therapy.
- **Postpartum psychosis:** Postpartum psychosis eventually goes away when treated with medication and therapy, but it’s possible to experience psychosis again, especially if you give birth again.
- **Schizophrenia:** Schizophrenia is also a chronic condition that can’t be cured, but [medication and therapy](https://www.healthline.com/health/mental-health/schizophrenia-treatment) may help you manage the symptoms.
- **Schizophreniform disorder:** Schizophreniform disorder is a type of schizophrenia where you experience schizophrenia symptoms briefly and recover fully. You may continue medication to prevent a relapse for [up to a year](https://www.frontiersin.org/articles/10.3389/fpsyt.2020.00566/full).
In general, a combination of medication and therapy can reduce your chances of experiencing psychosis again.
Therapy for psychosis often includes learning [stress-reduction techniques](https://www.healthline.com/nutrition/16-ways-relieve-stress-anxiety) so that you build skills that enable you to [cope with anxiety](https://www.healthline.com/health/mental-health/how-to-cope-with-anxiety)\-inducing situations.
## [Other frequently asked questions]()
### Can a panic attack feel like an episode of psychosis?
In the midst of a panic attack, you might worry that you’re experiencing psychosis or a [mental breakdown](https://www.healthline.com/health/mental-health/nervous-breakdown).
During a [panic attack](https://www.healthline.com/health/panic-disorder), you might experience difficulty thinking clearly or talking in coherent sentences. You may also experience dissociation, depersonalization, or derealization.
This might make you feel like nothing around you is real, or like you’re detached from reality. But hallucinations and delusions aren’t typical symptoms of panic attacks.
### What else can cause psychosis?
Brief psychotic disorder can occur without a major stressor or traumatic event. Sometimes, it occurs without a particular trigger.
Psychosis may also occur because of mental health conditions like schizophrenia, postpartum psychosis, and bipolar disorder.
Psychosis can also be triggered by:
- substance use
- [sleep deprivation](https://psychcentral.com/health/sleep-deprivation-psychosis)
- [hormonal disturbances](https://www.frontiersin.org/articles/10.3389/fpsyt.2020.00693/full)
- [brain injuries](https://www.healthline.com/health/head-injury)
- [dementia](https://www.healthline.com/health/dementia-related-psychosis)
- [brain tumor](https://www.healthline.com/health/brain-tumor)
### Is psychosis the same as depersonalization, derealization, or dissociation?
No. With psychosis, you firmly believe that your delusions are real. With depersonalization, derealization, or dissociation, you feel [disconnected from the world](https://www.healthline.com/health/mental-health/dissociation-coping) and as if your actions and surroundings are surreal. But you’re not questioning reality.
[Depersonalization](https://www.healthline.com/health/mental-health/coping-with-depersonalization) is where you feel disconnected from your thoughts and feelings, like they aren’t real or like they don’t really belong to you. You might feel like you’re outside your body, watching yourself like you’re watching a movie.
Derealization is where you feel disconnected from your surroundings. The people and environment around you might not feel real. They might feel foggy, distorted, or artificial.
[Dissociation](https://www.medicalnewstoday.com/articles/262888), on the other hand, is a broader term that refers to feeling disconnected from your own feelings, thoughts, and surroundings. Dissociation might include depersonalization and derealization.
Although dissociation may be a symptom of a mental health condition, it isn’t a mental health condition in itself.
### What mental health conditions are associated with psychosis?
Psychosis is associated with a range of mental health conditions, including:
- bipolar disorder
- delusional disorder
- postpartum psychosis
- psychotic depression
- schizophrenia
- schizophreniform disorder
But having an episode of psychosis doesn’t necessarily mean that you have a chronic mental health condition.
## [The bottom line]()
Psychosis may be triggered by traumatic events and extreme stress. Your genetics, mental health, and environment may play a role in whether you develop stress-induced psychosis.
Psychosis can also be a complication of a chronic mental health condition, like schizophrenia and postpartum psychosis.
Stress-induced psychosis can be a difficult and scary experience for you and your loved ones, but recovery is possible. You may benefit from a combination of therapy, medication, and self-care strategies.
If you think you’re experiencing psychosis, or if a loved one is displaying the symptoms of psychosis, call 911 or local emergency medical services as soon as possible.
***
*Sian Ferguson is a freelance health and cannabis writer based in Cape Town, South Africa. She’s passionate about empowering readers to take care of their mental and physical health through science-based, empathetically delivered information.*
### How we reviewed this article:
Sources
History
Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our [editorial policy](https://www.healthline.com/about/process).
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<https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2632486/>
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[Medically reviewed]() by [Ifeanyi Olele, DO, MBA, MS, FAPA]() — Written by [Sian Ferguson]() on May 17, 2023
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