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How to Help a Loved One Through a Psychotic Episode

in Blog, Disorders, Mental Health, Treatment

Supporting a loved one during a psychotic episode can be a challenging and taxing experience. Psychosis, characterized by symptoms like hallucinations, delusions, and disorganized thinking, disrupts a person’s ability to distinguish between reality and their perceptions. These episodes often feel overwhelming for both the person experiencing them and those trying to help.

Our team at Alvarado Parkway Institute understands how intimidating psychosis can be. Here, we offer actionable steps to ensure your loved one’s safety and well-being while maintaining your own.

Signs of a Psychotic Episode

Knowing the signs of a psychotic episode can help you act quickly and effectively. Some of the earliest indicators include:

  • Paranoia or extreme suspicion
  • Erratic or disorganized behavior
  • Unusual or irrational beliefs
  • Withdrawal from loved ones or daily activities
  • Changes in speech patterns, such as rapid or incoherent talking

It’s important to distinguish a psychotic episode from other mental health conditions like anxiety or depression. While all mental health concerns deserve attention, psychosis often requires immediate and specialized intervention. Prompt action can prevent the situation from escalating while ensuring your loved one gets the care they need.

Ensure Their Immediate Safety

When someone is in the midst of a psychotic episode, safety is the top priority. Here’s how you can create a secure environment:

  • Remove potentially harmful objects or substances, such as sharp items, medications, or alcohol, from the immediate area.
  • Stay with them if you sense they may harm themselves or others. Being present reassures them they’re not alone and allows you to intervene if necessary.
  • Do your best to manage your own emotions. While feeling scared or frustrated is natural during these times, broadcasting those emotions can worsen the situation. Instead, try to adopt a calm, soothing tone to de-escalate the situation.

Remember, your loved one is likely scared and confused, too. By maintaining a reassuring presence, you can help quell their heightened emotions and create a space where they feel safe.

Use Simple Language and Avoid Confrontation

Communicating effectively during a psychotic episode can feel like walking a tightrope. The key is to approach conversations with care and simplicity.

  • Speak clearly and use short, straightforward sentences. Complex or abstract explanations only add to their confusion.
  • Avoid challenging their delusions or hallucinations. Instead of saying, “That’s not real,” try something like, “I understand that’s what you’re experiencing, and I’m here to help you through it.”
  • Validate their emotions without reinforcing false beliefs. For example, you can say, “It sounds like you’re feeling scared, and I want to help you feel safe.”

This approach minimizes resistance and helps build trust, which is crucial for guiding them toward further help and a more grounded mindset.

Seek Professional Help

Psychosis is an intense condition that requires professional intervention. While your support during episodes is invaluable, long-term professional treatment is essential for your loved one’s stability and recovery. Depending on the situation, you may need to:

  • Contact their therapist, psychiatrist, or caseworker. If they have a pre-established crisis plan, follow it closely.
  • Call 911 or a mental health crisis team if your loved one is a danger to themselves or others. When speaking to emergency responders, be specific about the situation. For example, explain their mental health history, current behavior, and any steps you’ve already taken.
  • Seek advice from mental health professionals about immediate next steps if the situation feels overwhelming. Even if you are the primary caretaker, you do not have to navigate these experiences alone.

Professional help can provide a clear pathway to stabilization and long-term treatment. Remember that seeking outside assistance isn’t a failure on your part—it’s an essential step toward improving your loved one’s quality of life.

Encourage Mental Health Treatment

Once your loved one is stabilized, treatment becomes the next critical phase. At Alvarado Parkway Institute, we offer three main levels of care for psychosis:

You can assist your loved one by helping them schedule appointments, attending sessions with them, or managing medication reminders. Showing your support during this phase reinforces that they can lean on you as they work toward recovery.

Extend Empathy and Acceptance

Recovery from a psychotic episode doesn’t happen overnight, and your loved one may face setbacks along the way. Your patience and understanding likely mean the world to them, even if they don’t express it. Here are some ways you can show your compassion during a difficult time:

  • Avoid blame or shame. Psychosis is a medical condition, not a personal failing.
  • Celebrate small victories, whether your loved one simply attends a therapy session or takes their prescribed medication.

Extending empathy and acceptance can help your loved one regain their confidence and stability over time.

Educate Yourself About Psychosis

The more you understand psychosis, the better equipped you’ll be to provide meaningful support to your loved one. Learning about the symptoms, causes, and treatment options can help you develop a thorough understanding of the condition and how it affects their life.

Additionally, exploring caregiver resources, such as support groups or educational materials, can offer valuable insights and strategies. Alvarado Parkway Institute provides resources specifically designed for families and friends of those facing mental health challenges. Educating yourself empowers you to assist your loved one and fosters greater compassion by deepening your understanding of their experience.

Psychosis Treatment Center in San Diego

Helping a loved one through a psychotic episode can be emotionally draining, but it’s possible with the right approach and resources. Be sure to prioritize your well-being, too. Remember, you can’t pour from an empty cup. 

For guidance or treatment options, don’t hesitate to contact us at Alvarado Parkway Institute. We specialize in compassionate, evidence-based care for individuals experiencing psychosis. Our team is here to support both you and your loved one as you walk the path toward healing.

From our mental health blog