Changes in functioning can precede a first psychotic episode. Someone may find study harder, withdraw from familiar activities or struggle with routines that were previously manageable. The important feature is change from their own baseline…Continue Reading

Unusual experiences before psychosis may include fleeting suspiciousness, changes in perception or a sense that ordinary events carry special significance. The person may remain uncertain about their meaning and able to consider alternatives. Clinicians sometimes…Continue Reading

Anxiety, low mood, irritability or emotional withdrawal can appear before a first episode of psychosis. These changes are non-specific: they are also common in many other conditions and during stressful periods. Their presence cannot identify…Continue Reading

Clinical high-risk states describe assessed patterns associated with an increased probability of developing psychosis compared with some comparison groups. Criteria may include attenuated symptoms, brief psychotic experiences or certain combinations of vulnerability and functional decline.…Continue Reading