[[Estrogen]] has a protective effect against psychosis, which is why women tend to have a later age of onset for disorders like Schizophrenia and even bipolar or stress induced psychosis in Borderline-BPD

The Cycle of Psychosis
1. Prodrome

Negative symptoms of psychosis appear.

Experiences changes in thoughts, feelings, behavior, and perception but is not yet experiencing delusions or hallucinations. Depending on the underlying conditions, the prodrome period may not be obvious from external observation. Some people do not experience prodrome at all.

Changes in affect

Feelings of vague suspiciousness, depression, anxiety. Irritable with mood swings.

Changes in cognition

Difficulty with concentration and memory. Thoughts feel slow or sped up. Odd ideas emerge. Vague speech.

Changes in perception of self , others and the world

Feeling different from others or a vague sense that things have changed when they haven’t.

Changes in physical perception

Sleep disturbances, appetite changes, bodily complaints, loss of energy or motivation, perceptional abberations

Friends and family may noticed changes in work or school, increased isolation and disinterest in activities or things they enjoyed. Similar external symptoms to depression.

2. Acute Phase

Positive symptoms appear, including thought disorder, hallucinations and delusions.

Hallucinations are sensory perceptions without external stimulus (internal stimuli). Most common is auditory hallucinations, such as hearing sounds or voices. Can be visual, olfactory, tactile or gustatory.

Delusions are fixed, false beliefs that are sustained despite proof to the contrary. Common forms of delusions are:

  • persecutory
  • Religious
  • Grandiose
  • Reference: that comments and people are directed towards them when they are not.
  • Bodily and somatic delusions
  • Passivity: such as though broadcasting, thought insertion and withdrawal.

Disorganized thinking refers to vague patterns of illogical thought. They may have a hard time expressing themself.

Additionally, disturbances of mood, behavior, sleep and activity may occur.

May initially present with physical symptoms such as tiredness, headache, or insomnia.

The person experiencing psychosis is unlikely to realize anything is wrong.

3. Recovery Phase