How to treat or cure psychosis

Psychosis is treatable. Most people improve, and many recover well, especially with early treatment.

Step 1: get assessed urgently

A psychiatrist assesses symptoms, safety and possible medical causes. Blood tests, a physical check and sometimes brain scans or an EEG may be done to rule out other causes.

Step 2: ensure safety

If the person is at risk of harming themselves or others, hospital admission may be needed. Call 112 in an emergency.

Step 3: medicines

• Antipsychotic medicines, started soon and adjusted as needed
• Long-acting injections if tablets are hard to take
• Mood stabilisers or antidepressants when needed

Step 4: psychological and social support

• Cognitive behavioural therapy for psychosis
• Family education and support
• Help with work, study and housing
• Peer and community support

Step 5: relapse prevention

• Continue medicines, usually for at least 1 to 2 years after the first episode, and longer if it recurs. Never stop on your own.
• Regular follow-up
• Avoid drugs and alcohol
• Learn early warning signs and make a plan

Treating a cause

If psychosis is due to a medical condition or substance, treating that cause is essential.