There are many myths and rumours about what psychosis is and why people experience symptoms.
This section looks at challenging some of those ideas.
True or false?
People with psychosis never recover
False
Many people who experience psychosis do recover and go on to live full and happy lives. For some, this means that they will never experience psychosis again. For others, psychosis can be described as “episodic”. This means that there will be times when the psychosis is present, and others when it is not. Over time it is possible to learn how to gain control over these experiences to reduce any problems they may be causing. Recovery is a very individual journey and the best way to support someone in this will vary from person to person.
People with psychosis are dangerous
False
The vast majority of people with psychosis are no more dangerous than anyone else you know. Unfortunately, psychosis and violence are often linked in the media. This is probably because when people have psychotic experiences this can make them very frightened and appear to act in bizarre ways. They may talk back to voices out loud, or seem very wary of others. These behaviours make other people wary as they are hard to understand. However, for a very small minority of people, their experiences can be so frightening that they may feel the need to protect themselves and this can lead them to lash out at others. This can lead to fear in family and friends.
People with psychosis are exceptionally creative, artistic or intelligent
False
Although there are some extremely artistic, creative and intelligent people with psychosis, there is no strong evidence that they are more so than people without psychosis. Having said that, many people with mental health problems find art, poetry and other creative activities can help them to find ways to express their thoughts and emotions.
People with psychosis have to take medication for the rest of their lives
False
The way in which people with psychosis use medication is highly varied. Some people never take any medication, others take it for a short period of time and then stop when they recover. Others need an ongoing prescription that helps to prevent symptoms from returning.
Psychosis is a result of poor parenting
False
There is no evidence that psychosis is caused by parents’ behaviour. However, many parents continue to blame themselves and worry that others also blame them. This is a natural and very common reaction but can be very distressing. It is a normal reaction in parents all over the world and is a direct result of our need to protect our children. Psychosis is not caused by family or friends, but they can play a key role in supporting someone through recovery
There is nothing anyone can do to help someone with psychosis
False
There is a lot that family and friends can do to help and this toolkit will outline the key ones. There are also a number of effective treatments available including medication and psychological therapies. These are described in more detail in the treatment options module.
People with psychosis are called psychopaths
False
A psychopath is often considered as someone who takes what they want from others with no remorse and no empathy for how other people may feel. There is no overlap with psychosis – it’s just unfortunate that the terms are similar and therefore can become confused. In fact, people with psychosis are often very sensitive to understanding other people.
People with psychosis are just crazy
False
Sometimes people with psychosis can seem to act in bizarre ways. However, this behaviour is not “crazy” if you understand what is happening inside their head. For example, people with psychosis are not talking to themselves, but are generally talking back to voices they hear in their head but which seem very real to them. Acting in a suspicious or frightened way is not crazy if you really believe that someone is really trying to harm you. By understanding what psychosis is like for the person who has it, behaviour that can seem crazy becomes very normal.
People with psychosis are lazy
False
Some of the symptoms of psychosis can be poor motivation and lack of energy, which to some might appear to be laziness. Sometimes people also experience multiple mental health conditions, such as depression, low self-esteem, loss of confidence or substance misuse.
Source: The REACT Toolkit
Stories of recovery
Sophie shares her story of experiencing psychosis when she moved away for university.
I did leave my university course and returned home at the time as I couldn’t cope, but the EIP team helped me keep links with the university and I am now looking at options to return to my studies next year. I can’t imagine where I would be if I hadn’t been referred to EIP.
Sophie, 23