Mental health

Ugly Truth 34: Psychosis Sucks

“Imagine a world where your thoughts are not your own.” -Daniel, Schizoaffective Patient, 2019

Have you ever experienced psychosis? You are not alone. Approximately 100,000 adolescents and young adults in the US experience first episode psychosis each year. 

Psychosis is the experience of false beliefs and/or sensory experiences – including hallucinations involving sight, sound, smell or touch, and delusions – such as visions of grandeur or severe paranoia as it relates to mental illness. Delusions may be jealous, grandiose, persecutory, somatic or erotomanic. Hallucinations may sometimes be contextualized by one’s delusions, or altogether incongruent.

Some early warning signs of psychosis include:

Consistently worrying about grades or job performance

Struggling to concentrate or think clearly

Having unwarranted suspiciousness of others

Failure to keep up with personal hygiene

Withdrawing from friends and family

Experiencing strong, inappropriate feelings or no feelings at all

I experienced by first bout with psychosis in childhood. Throughout all my diagnoses, paranoia has always been very pervasive, and while I have put the work in to adjust this about myself, my conviction that others will almost always hurt me presented as hallucinations from a very early age.

It first began with insects, then shadow people, even dead people, screaming and full blown delusions – sometimes called thought hallucinations. On Halloween of 2014, I experienced my first ever break with reality. For the first time in my life I could not distinguish between what was real and what wasn’t. The evening was unremarkable, however, I believe the knocking of trick or treaters may have triggered me this night. (It is worth noting that during this time my PTSD was at it’s peak, I was not sleeping, and I had experienced small episodes of hallucinations in the days prior. I also have Bipolar Disorder and Panic Disorder, so it stands to reason that psychosis would present itself under the circumstances of extreme sleep deprivation, stress, and spiraling fear.) I was home alone, stood to walk toward the bathroom, sat down to pee, and upon standing was suddenly overcome by an impending sense of doom. In an instant I became paralyzed, unable to traverse the threshold between my bathroom and the dining room. I suddenly became convinced someone was in my home, hiding in the above attic, waiting for the opportunity to pounce on me and instigate my demise. Still frozen with fear, I flung into a panic turning off all the lights and locking all the doors. I locked myself in my bedroom and opened the nearest window, removing the screen to ensure my escape should this attic person come bursting through my door. Perhaps the best decision I made was calling for help while I had fleeting thoughts of where the firearms were kept.

This experience was by far one of my most troubling and profound. For many, the initial response is shame and embarrassment, perhaps even a suicidal impulse. However, I am grateful because this situation was the final push I needed to walk into a psychiatrist’s office where I was properly diagnosed and treated for the first time. The truth is, you’re not alone and it’s not your fault.

Psychosis may result from Bipolar Disorder, Schizophrenia, Depression, PTSD and/or an acute onset of trauma, sleep deprivation or stress. If you or a loved one is showing signs of psychosis, seek medical attention immediately.

For more of my thoughts and coping skills regarding psychosis read Trauma Confession Series: When Trauma Work Wakes Other Sleeping Monsters

**If you’re a mental health survivor or mental health provider and want to tell your story – please email me at!**

For more excellent insight and entertainment through a collaborative approach to all things mental health, including a guest post from yours truly, visit the Blunt Therapy Blog by Randy Withers, LPC! For additional perspectives on suicide prevention from master level mental health providers visit, 20 Professional Therapists Share Their Thoughts on Suicide!

In collaboration with Luis Posso, an Outreach Specialist from, Deskraven is now offering guides on depression and suicide prevention to its readers. For more information on understanding the perils of addiction visit, Substance Abuse and Suicide: A Guide to Understanding the Connection and Reducing Risk! In addition, for a comprehensive depression resource guide from their sister project at Columbus Recovery Center visit, Dealing with Depression!