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Psychosis is a mental health condition that affects the way an individual perceives reality, leading to significant disturbances in their thoughts, perceptions, and behaviors. It is a symptom rather than a diagnosis in itself, manifesting in various mental health disorders, including schizophrenia, bipolar disorder, and severe depression, as well as being triggered by substances or medical conditions. Individuals experiencing psychosis may encounter hallucinations, delusions, disorganized thinking, and a profound loss of insight into their condition, profoundly impacting their ability to function in daily life.


Hallucinations, one of the hallmark symptoms of psychosis, involve sensing things that do not exist in the external environment. These can affect all five senses; however, auditory hallucinations, such as hearing voices that others do not hear, are the most common. These voices can be critical, complimentary, or neutral, and may command the individual to engage in behaviors that can be harmful to themselves or others.


Delusions are another cornerstone of psychosis, characterized by firmly held beliefs that are not based in reality. These can include paranoid delusions, where the individual believes they are being persecuted or harmed by others; grandiose delusions, involving beliefs in one's own exaggerated importance, power, or knowledge; or delusions of reference, where unrelated events or circumstances are believed to have a direct personal significance.


Disorganized thinking, as observed in psychosis, manifests through jumbled or incoherent speech, making it difficult for the individual to organize their thoughts logically. This can severely impair communication and make it challenging for others to understand them.


A significant aspect of psychosis is the diminished awareness or denial of the unusual nature of their thoughts and behaviors. This lack of insight can hinder the affected individuals from seeking help or recognizing the need for treatment, often leading to a worsening of their condition.


The onset of psychosis can be acute or gradual, and the duration can vary significantly from person to person. Some may experience a single episode, while others may have recurrent episodes throughout their lives, particularly if associated with a chronic mental health condition like schizophrenia.


The exact cause of psychosis is not fully understood, but it is believed to result from a combination of genetic, biological, and environmental factors. Abnormalities in the brain's chemistry, particularly in the neurotransmitters dopamine and glutamate, have been linked to psychosis. Stressful life events, trauma, substance abuse, and certain medical conditions can also trigger psychotic episodes.


Early intervention is crucial in the management of psychosis, as it can significantly affect the long-term outcome. Programs that combine medication, education, and support for affected individuals and their families can lead to better recovery rates, helping those experiencing psychosis to lead fulfilling lives despite their condition. The goal of treatment is not only to alleviate the current symptoms but also to prevent future episodes and enhance the individual's quality of life, emphasizing the importance of a comprehensive, personalized approach to care.

Treatment for psychosis typically involves a combination of medication and psychotherapy. Antipsychotic medications are the cornerstone of treatment, helping to reduce or eliminate symptoms by affecting the brain's neurotransmitter systems. Psychotherapy, particularly cognitive-behavioral therapy (CBT), can be effective in helping individuals cope with the distressing symptoms of psychosis, challenge delusional beliefs, and improve social and occupational functioning. At Best Psychological Services, we specialize in a specific form of CBT called CBT for psychosis that is particularly effective for treating psychosis. This approach is tailored to your specific situation and does not assume that you have a diagnosed mental health condition. It can also be effective for you even if you are not currently taking medication. Contact us for your free consultation to see whether CBT for psychosis might be right for you.

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