Mindmap presentation.2015.08.25

PSYCHOSIS: SYMPTOMS, WARNING SIGNSAND STEPS TO EFFECTIVE TREATMENT

THE BASICSPsychological and emotional difficulties are like other medical problems; early signs and symptoms usually occur before serious illnesses develop. As with other medical illnesses, the sooner psychological problems are identified and treated, the less likely they are to disrupt a person’s ability to study, work, make friends and be with others. Early identification and treatment can lead to a better prognosis.

OUR MISSION:To work with our community to transform pathways to care for those who have recently suffered the onset of a psychotic illness or are showing the warning signs that they may be at risk of developing a serious mental illness like psychosis

INTRO PREVALENCESYMPTOMSSIGNS MYTHS TREATMENT

The Genetics of Mental DisordersPsychotic disorders are complex and appear to

involve multiple susceptibility genes interacting with multiple environmental factors throughout the development of the person. The nature of these interactions is very complex and poorly understood at this time.

In order to avoid the deterministic viewpoint of mental illness, it is crucial to emphasize the importance of the environment and lifestyle choices and that there is hope for recovery.

Taking illicit drugs is a preventable risk factor, as is excess stress.

PSYCHOSIS IS MORE COMMON THAN YOU THINK• More common than Multiple Sclerosis and Muscular Dystrophy

combined• Psychosis effects about 3% of the world’s population

FOR EVERY ONE PERSON AFFECTED BY PSYCHOSIS, THERE ARE 6 MORE FAMILY AND FRIENDS AFFECTED


IT’S A YOUNG PERSON’S DISEASE• Most mental illnesses are chronic diseases of the young• Symptoms commonly first appear in people age 12-25

3585% OF PEOPLE SUFFERING FROM PSYCHOTIC ILLNESSES DEVELOPED THIS BEFORE THEY TURNED 35


SO WHAT IS PSYCHOSIS?Psychosis is a mental health problem that causes people to perceive or interpret things differently from those around them. This might involve hallucinations or delusions. It is any severe mental disorder in which contact with reality is lost or distorted.


Psychosis

Positive Symptoms Negative Symptoms

Hallucinations Lack of interestDelusions Lack of motivationThought Disorder Lack of pleasureBizarre Behavior Social withdrawal

Blunted affectLethargyApathy

Phases of Psychosis

PREMORBID AT RISK ACTIVE

Func

tion

ing

Course of Illness

*First appropriate treatment

Onset of illness

Duration of Untreated Psychosis

Decrease in functioning, Beginning

of mild but not yet psychotic symptoms.

Summary of Relevant Research1) Early Identification and early intervention

appear to lead to better prognosis.Australian EPPIC Program

2) It is possible to reduce theduration of untreated Psychosis.Norwegian TIPS Project

3) It appears to help to identify people “at risk” for serious mental illness.British Early Intervention Study

4) It is possible to identify people in a pre-psychotic state.PACE, TOPS, and PRIME Data

TIPS LATE-BREAKING FINDINGS

Baseline ED vs UD Differences

- Less suicidality with ED

- Less involuntary hospitalization with ED

- Holds true even 10 years out

Case for Early Intervention

• At onset, already present are:• Measurable cognitive impairment• Measurable gray matter volume loss• Damaging social development losses• Diminished capacity to actively engage in treatment

SO WHAT ARE THE COMMON CAUSES OF PSYCHOSIS?

• mental illnesses (e.g. schizophrenia)• medical illnesses (e.g. epilepsy)• substances: such as alcohol or drugs


JUST LIKE ANY OTHER MEDICAL PROBLEM• People suffering from psychosis did nothing to

“cause” their disease• It requires treatment just like any other illness or

injury• The sooner someone gets treatment the more

likely they are to get better


THE KEY TO SEEKING HELP IS UNDERSTANDING SYMPTOMS AND SIGNS

• Hallucinations - seeing or hearing things that aren’t there• Delusions - believing things that aren’t true, and are often impossible• Thought Disorder - trouble putting thoughts in order or keeping track of usual tasks• Lack of insight and self-awareness

The combination of hallucinations and delusional thinking can often severely disrupt perception, thinking, emotion and behavior.


SIGNS OF PSYCHOSISWatch for changes in behavior such as:• withdrawing from usual activities with friends• spacing out or falling behind in tasks• social isolation


SIGNS IN SCHOOL

• Falling asleep in class• Struggling with basic work• Paying less attention to personal appearance and hygiene


Behaviors of ConcernWithdrawal/Isolation

Ongoing Social Difficulties

Poor Hygiene

Bizarre Behavior/Appearance

Falling Asleep in Class Repeatedly

Sadness/Tearfulness

Excessive Anxiety

Absenteeism/Staying in Room

Poor Concentration/ Spacing Out

Hypervigilance

Decrease in Work Performance/Activity Level

Becoming Neglectful and Unfeeling

Emotional Outbursts/Emotional Flatness

Behaviors of ConcernIdentify recent changes

Identify more than one behavior of concern

Identify distress level associated with behavior of concern

Identify interference with functioning associated with behavior of concern

Early Warning Signs of Psychosis:

Increased difficulty at school or workWithdrawal from friends or family

Difficulty concentrating or thinking clearly

Suspiciousness or mistrust of others

Changes in the way things look or sound

Odd thinking or behavior

Emotional outbursts or lack of emotion

Poor personal hygiene

Is someone you know at risk?

Some Typical Queries and Responses

Have you felt that you are not in control of your own ideas or thoughts?

Do you ever feel that your mind is playing tricks on you? Déjà vu, minding reading?

Your ears? More sensitive to sounds? Ringing in your ears? Name being called? Cell phone ringing?

Your eyes? More sensitive to light? Flashes, flames, vague figures or shadows out of the corner of your eyes?

Do you seem to be having trouble getting your point across? Following multi-step directions?

Changes in the Way Things Look or Sound

• Wind rushing by ears

• Noisy pipes

• Hall to the Cafeteria

Odd Thinking• School class watching him

• Traffic lights have meaning

• Friends might be only pretending

• Teachers might be against

“IT STARTED WITH MYLOSS OF INTEREST INBASICALLY EVERYTHING”


WHAT TO DO IF YOU SEE THE SIGNSIf you believe you see the signs of psychotic disorder in someone you know then they need your help.

IF YOUR FRIENDWAS HURTINGYOU’D CALLA DOCTOR


CALL FOR HELPSTEP CLINIC203-589-0388www.mindmapct.org

PRIME CLINIC1-866-AT-PRIME OR 203-785-2100http://primeclinic.yale.edu

http://www.mindmapct.org/

Treatment is effective. The sooner treatment is started, the better the recovery.

MYTH:TREATMENT DOESN’T WORK

#1


Early treatment often happens in an office. The patient comes in for treatment and then goes home again.

MYTH:TREATMENT MEANS BEING LOCKED IN A HOSPITAL

#2


OUR TREATMENT:

• a full assessment of your needs to navigate a clear path to mental health

• rapid referral to appropriate service in local community or engagement in STEP or PRIME


OUR TREATMENT:

• prescriptions for medications when required

• psychotherapy• education and support for patients and

families• support for employment and

educational goals



High School

College

Mental HealthServices

PublicCharity/Clergy

Primary CareHospital

SocialServices

JudicialPolice/Probation

Consumer/Youth/Orgs.

Branches ofGovernment

PATHWAYS TO CARE: MINDMAP

STEP CLINIC

• PERSONS AGED 16 – 35 WITH PSYCHOSIS EARLY IN THE COURSE OF TREATMENT

• DIAGNOSTIC CLARIFICATION EVALUATION

• MEDICATION MANAGEMENT, INDIVIDUAL, GROUP, FAMILY THERAPY, & VOCATIONAL ENGAGEMENT

• FLEXIBLE, INDIVIDUALIZED, RECOVERY ORIENTED TREATMENT WITH EMPHASIS ON ENGAGEMENT

Free Effective Local

HELP IS AVAILABLE

203 589 0388www.mindmapct.org



PRIME CLINIC 203-785-2100

• PERSONS BETWEEN 12 - 35 YEARS OF AGE• CAN RESIDE ANYWHERE AS LONG AS CAN COME INTO

THE CLINIC IN NEW HAVEN• MUST HAVE MINIMUM IQ OF 70• MUST HAVE NEVER MET CRITERIA FOR FULL BLOWN

PSYCHOSIS• PROVIDES CLINICAL EVALUATION, DIAGNOSTIC

CLARIFICATION, COMMUNITY EDUCATION, CONSULTATION WITH COMMUNITY PROVIDERS & SCHOOL PERSONNEL, & TREATMENT STUDIES

* ALL SERVICES ARE FREE OF CHARGE

Dr. Barbara Walsh203-974-7052

Call (TOLL FREE) 1-866-at PRIME or 203-785-2100

OUR COMMUNITY ONLINE:

OWNED MEDIAEARNED MEDIA

PAID MEDIA


203 589 0388www.mindmapct.org



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Presentations & Public Speaking

Mindmap presentation.2015.08.25