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For Teachers: How to identify and refer students with psychosis, a medical illness of the brain

Printable version of this resource: Teacher Fact Sheet – pdf

What’s the most important thing for teachers of youth aged 16+ to know about psychosis?

All young people who may be experiencing psychosis need to be assessed by a doctor or mental health team as soon as possible. Youth 16-30 are at the age when psychosis normally first appears, and rapid medical treatment has been shown to have a big effect on how quickly and thoroughly people recover.

How can I help students get appropriate medical help? Who do I refer students with suspected psychosis to?

Contact your local mental health team or contact an early psychosis intervention (EPI) program if you have one in your area. Here is a link to a listing of such services in BC If you can’t find a service near you, please contact the Kelty Resource Centre for assistance.

What signs should I watch out for? How do I know a student may be experiencing psychosis?

(The following is excerpted from Vancouver/Richmond Early Psychosis Program)

The following symptoms may indicate that an individual is experiencing psychosis. Frequently, people will display unusual behaviours before the onset of the acute psychotic episode.

Behavioural

  • Strange posturing
  • Odd or bizarre behaviour
  • Feeling refreshed after much less sleep than normal
  • Excessive writing without meaning
  • Cutting oneself; threats of self-mutilation
  • Deterioration of personal hygiene
  • Hyperactivity or inactivity, or alternating between the two
  • Staring without blinking – or blinking incessantly
  • Agitation
  • Severe sleep disturbances
  • Drug or alcohol abuse (This may be a coping mechanism: self-medicating)

Thinking and Speech

  • Things around them seem changed in some way
  • Rapid speech that is difficult to interrupt
  • Irrational statements
  • Extreme preoccupation with religion or with the occult
  • Peculiar use of words or odd language structures
  • Unusual sensitivity to stimuli (noise, light, colours, textures)
  • Memory problems
  • Severe distractibility

Social

  • Sensitivity and irritability when touched by others
  • Refusal to touch persons or objects; wearing gloves, etc.
  • Severe deterioration of social relationships
  • Dropping out of activities – or out of life in general
  • Social withdrawal, isolation, and reclusive
  • Unexpected aggression
  • Suspiciousness

Emotional

  • Inappropriate laughter
  • Inability to cry, or excessive crying
  • Feelings of depression and anxiety
  • Inability to express joy
  • Euphoric mood

Personality

  • Reckless behaviours that are out of character
  • Significantly prolonged drops in motivation or speech
  • Shift in basic personality.

Testmonials

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