Counselor Toolbox Podcast with DocSnipes

1027-How to Support Someone with Psychosis_ 5 Tips


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1. Understanding Psychotic Symptoms
  • Psychosis Definition: Includes hallucinations (seeing/hearing things not present) and delusions (firmly held false beliefs).
  • Associated Disorders: Present in schizophrenia, bipolar disorder, major depression, and more.
    2. Common Triggers and Causes of Psychotic Episodes
    • Stress: A major factor that can trigger or exacerbate symptoms.
    • Medication Compliance: Non-adherence or imbalance can lead to breakthrough symptoms.
    • Physical Conditions: Conditions like diabetes, sleep deprivation, and traumatic brain injuries may contribute to psychosis.
      3. Strategies to Support Someone with Psychosis
      • Create a Safe Environment: Focus on safety and security rather than challenging their reality.
      • Reduce Stress: Identify and mitigate stressors (emotional, physical, or environmental).
      • Develop an Emergency Plan: Be prepared with a relapse or prodromal symptom plan.
        4. Managing Symptoms in Acute Episodes
        • Join Their Reality: Instead of arguing, acknowledge their experience and work on creating a sense of safety.
        • Behavioral Observations: Examine behavior as a form of communication to understand underlying needs.
          5. Long-Term Interventions
          • CBT for Psychosis (CBTp): Effective in residual symptoms or remission but not during acute episodes.
          • Motivation and Scaffolding: Help individuals develop motivation for self-care tasks using step-by-step guidance and rewards.


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            Counselor Toolbox Podcast with DocSnipesBy Dr. Dawn-Elise Snipes

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