The first stage of psychosis is the prodrome (or prodromal) phase.
This phase is characterized by subtle changes in a person's thoughts, feelings, perceptions, and behaviors, which can be difficult to recognize initially. These changes represent the beginning of the psychotic process, but do not yet meet the full diagnostic criteria for a psychotic disorder.
Characteristics of the Prodromal Phase:
The prodromal phase varies significantly from person to person, but some common signs and symptoms include:
- Reduced Concentration: Difficulty focusing or paying attention.
- Changes in Feelings: Increased anxiety, depression, irritability, or emotional blunting.
- Changes in Thoughts: Unusual or odd thoughts, suspiciousness, or difficulty organizing thoughts.
- Changes in Perceptions: Mild perceptual disturbances, such as increased sensitivity to light or sound, or illusions.
- Social Withdrawal: Decreased interest in social activities and relationships.
- Decline in Functioning: Deterioration in academic or work performance, self-care, or daily activities.
It's important to note that experiencing some of these symptoms does not automatically mean someone is developing psychosis. These symptoms can also be associated with other mental health conditions or life stressors. However, if these changes are persistent, significant, and interfere with a person's functioning, it's crucial to seek professional evaluation. Early identification and intervention during the prodromal phase may help delay or prevent the onset of full-blown psychosis.
