Psychosis is a condition characterised by hallucinations, delusions, disorganised behaviour, and a decline in a person’s ability to work or care for themselves. It typically develops gradually, which makes it less obvious to those around them at the beginning. Early signs can include changes in mood, increasing anxiety, and progressive social withdrawal. Because the individual often believes their experiences are real, they may not recognise them as symptoms of a mental health condition. As such, it is usually a concerned family member or friend—not the patient—who first seeks help from a doctor.
A thorough assessment by a psychiatrist usually takes up to an hour. Both the patient and a close family member are interviewed to provide a fuller picture of what has been happening. Blood tests and, in some cases, a brain scan may be recommended to rule out any underlying medical issues that could be contributing to the symptoms.
Once a diagnosis is made, medication is typically prescribed, as it remains the most effective treatment for psychosis. It is always started at the lowest dose and adjusted gradually based on the patient’s response. All medications come with possible side effects, and these will be clearly explained to the patient and their family so they know what to expect. Importantly, these medications are not addictive and do not damage the liver or kidneys.
Medication takes time to work—usually between 2 to 4 weeks—and should be continued for at least 6 months to 2 years after an episode. For individuals who have experienced multiple episodes, continuing treatment beyond 2 years is generally recommended. Alongside medication, therapy can be helpful in supporting recovery. Cognitive Behavioural Therapy (CBT) can reduce distress around persistent symptoms, while Cognitive Remediation Therapy helps improve skills such as attention, processing speed, and working memory. These interventions can support the person in returning to their usual social and occupational roles.
Early intervention is the most important factor in improving long-term outcomes. If you or someone you care about is showing signs of psychosis, seeking timely professional support can make a significant difference.
If you’re unsure where to begin, our team of experienced psychiatrists and psychologists at Private Space Medical is here to guide you with care, expertise, and discretion. Reach out to explore how we can support you on the path to recovery.
Dr. Ashwin Chee
Senior Consultant Psychiatrist
Senior Consultant Psychiatrist
