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A guide for young people Psychosis

If you're seeing or hearing things that aren't there, or feeling out of touch with reality, you're not alone. Find out more about psychosis and what to do if it affects you.

What is psychosis?

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Psychosis can be a symptom of serious mental illness like bipolar disorder or schizophrenia.

In a psychotic episode, a person loses touch with reality as other people see it. They might hear voices, see or feel things that aren't there, feel paranoid or believe things that don't rationally make sense. These symptoms are there for most of the time for several weeks.

Although it can be scary, psychosis is treatable. Some people have one episode of psychosis and never have another one, while others might need ongoing treatment.

Find out more about schizophrenia

The symptoms of psychosis

Common symptoms of psychosis include:

  • hallucinations where you see, feel, smell or hear things that aren't there
  • delusions, where you 'just know' things that seem unreal to other people e.g. paranoid beliefs that there is a conspiracy against you
  • feeling that you're being followed or your life is in danger
  • muddled thinking and difficulty concentrating
  • a feeling that you're being controlled by something outside yourself
  • feeling like time speeds up or slows down

Other people might notice symptoms of psychosis before you do. This is because psychosis can make you feel like things are normal when they're not.

Just because you experience one or more of these symptoms, it doesn’t mean you’re definitely affected by psychosis. It’s important to talk to your GP to get a full diagnosis.

How to speak to your GP
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It's okay if it doesn't make sense

What to do about psychosis

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Take the first step

Talk to someone straight away and ask for help. Choose someone you like and trust, like a teacher, relative, counsellor or friend.

You should also see your GP. They may offer to refer you to Child and Adolescent Mental Health Services (CAMHS), an expert or a psychiatrist who can help.

Reaching out for help

Tips from young people who've been through psychosis

Experiencing psychosis can be scary and can make you feel like you're alone, but you're not.

We asked some young people who have experienced psychosis what advice they would give someone going through it. Here's what they said.

  • Amy says...

    “First of all if you can, try and identify exactly what you are struggling with (e.g. voices, delusions, hallucinations etc.) and talk to a parent or teacher.” 

  • Lotte says...

    “Tell someone that you need help and explain all the thoughts that are going around in your head.”

  • Jane says...

    “It will be helpful to see the GP as they may be able to give you more support and advise medications that may help.”

Treating psychosis

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Psychosis is usually treated using medications called antipsychotics or neuroleptics.

You may also be offered counselling or therapy to help you get over the experience of psychosis. For some people, cognitive behavioural therapy (CBT) can really help with this.

If you have been diagnosed with schizophrenia or bipolar disorder, your treatment will depend on your needs.

Find out more about medication
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Just because you think it, doesn't make it true.

Get help now

Where to get help

Whatever you're experiencing, if you're worried or struggling to cope, you are not alone. Here are some services that can support you. 

  • YoungMinds Textline

    Text YM to 85258

    Provides free, 24/7 text support for young people across the UK experiencing a mental health crisis.

    All texts are answered by trained volunteers, with support from experienced clinical supervisors.

    Texts are free from EE, O2, Vodafone, 3, Virgin Mobile, BT Mobile, GiffGaff, Tesco Mobile and Telecom Plus.

    Texts can be anonymous, but if the volunteer believes you are at immediate risk of harm, they may share your details with people who can provide support.

    Opening times:
    24/7
  • Samaritans

    Whatever you're going through, you can contact the Samaritans for support.

    Opening times:
    24/7
  • Childline

    If you’re under 19 you can confidentially call, chat online or email about any problem big or small.

    Sign up for a free Childline locker (real name or email address not needed) to use their free 1-2-1 counsellor chat and email support service.

    Can provide a BSL interpreter if you are deaf or hearing-impaired.

    Hosts online message boards where you can share your experiences, have fun and get support from other young people in similar situations.

    Opening times:
    9am - midnight, 365 days a year
  • The Mix

    Offers support to anyone under 25 about anything that’s troubling them.

    Email support available via their online contact form.

    Free 1-2-1 webchat service available.

    Free short-term counselling service available.

    Opening times:
    4pm - 11pm, seven days a week