Schizophrenia and psychosis: what it is and where to start

Heads up before you read on

This this articletalks about some heavy themes. It's honest, but it might be heavy going if you're having a rough day. If you'd rather talk to someone first: Lifeline 13 11 14 or more options.

Questions blokes ask

What's the difference between psychosis and schizophrenia?

Psychosis is the broad experience of losing touch with what's real for a while, which can include hearing or seeing things or holding strong unusual beliefs. It has many causes, including heavy ice or cannabis use, lack of sleep, or severe depression or bipolar. Schizophrenia is one specific condition that involves psychosis. Having one episode of psychosis is a signal to get help, not a diagnosis or a life sentence.

Can weed or ice cause psychosis?

Yes, heavy use of ice (methamphetamine) and strong cannabis can trigger psychosis and make recovery harder. Cutting them right back or stopping is one of the most powerful moves you can make, and a GP can help with that, no lectures. If you or a mate is experiencing psychosis, see a GP soon.

Is someone with psychosis dangerous?

No, that's a harmful myth. Someone experiencing psychosis is far more likely to be frightened, confused and vulnerable than a danger to anyone. What they need is calm support and proper medical care, the same as anyone with a serious health condition. If you're supporting them, stay calm, don't argue with the beliefs, and help them get to a doctor.

Can you recover from a psychotic episode?

Yes, and recovery is the norm, especially when treatment starts early. The usual mix is medication, talking therapy and practical support. Plenty of people have one episode, get the right help, go back to work, study and sport, and get on with their lives. Australia has genuinely good early intervention services through headspace and Orygen.

How do I help someone who thinks people are out to get them?

Stay calm and steady, and don't argue with or mock the belief, because it feels completely real to them and arguing just pushes them away. You don't have to agree either. Listen, focus on the feeling ('that sounds really stressful'), and gently steer towards seeing a GP together. SANE Australia (1800 187 263) has support for families. If anyone's in danger, call 000 and say it's a mental health emergency.