Information about psychoses

What are the first signs?

bildMany symptoms that occur in an acute psychosis can appear in a weakened form already beforehand and are thus important early warning signs. However, the very first signs of a psychosis are frequently difficult to recognize. In hindsight, many persons realize that an unusual behaviour had commenced long before the onset of the psychosis. These first signs are often put down to puberty, drug abuse or mere laziness, arrogance or an absence of cooperation. Listed below are some typical early symptoms of a psychosis.

Possible early signs of a psychosis

Change in essential nature

  • Restlessness, anxiety, nervousness, irascibility
  • Increased sensitivity, oversensitivity, irritability
  • Sleeping disorders (excessive sleep or foregoing sleep)
  • Lack of appetite
  • Self-neglect, wearing bizarre clothes
  • Sudden lack of interest, initiative, energy

Change in feelings

  • Depression, flattened feelings or mood swings
  • Anxieties – in particular fear of being harmed or threatened

Change in efficiency and productivity

  • Reduced ability to work under pressure, above all in times of stress
  • Concentration disorders, increased distractibility
  • Drop in efficiency and productivity

Change in the social area

  • Distrust
  • Social withdrawal, isolation
  • Problems in relationships, breaking off contacts

Change in interests

  • Sudden unusual interests, for example in religious or supernatural matters, magic etc.

Change in perception and experience

  • Unusual perceptions, e.g. more intensive or altered perception of noises and colours; the feeling that oneself or one's surroundings are altered; the feeling that one can see, hear, taste or smell things that other persons cannot perceive
  • EPeculiar ideas; unusual experiences, e.g. self-referencing [Eigenbeziehung] (one relates experiences or actions or statements by others to oneself); the feeling of being observed; experiences of being manipulated (the feeling that other persons could control, steer or have access to one’s own thoughts)
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