1. Psychosis

2. Early, non specific changes (signs) Social withdrawal or isolation Decline in functioning (at school or work, in self-care) Depressed mood Anxiety Decreased motivation Reduced concentration Sleep disturbance Reduced emotional expression Problems with handling everyday stress Impairment in personal hygiene

3. What do you say when somebody asks you ‘ what is psychosis’? Problems in meaning and thinking Problems in sensory perception Problems with cognitive functioning Problems in emotional life

4. Problems in the meaning and thinking The meaning: interpretation of himself or the surroundings: delusions f.e. social interaction: can you trust that person? He looks angry with me. A person with psychosis is attracted by a specific sort of interpretation. f.e. megalomania: he is loving me. f.e. suspiciousness Lots of associations

5. Problems in sensory perception Hallucinations (hearing, seeing, tasting, smelling, feeling)

6. Problems in cognitive functioning Problems with recognising the tone of a conversation Problems in recognising mimic expressions and gestures Problems in flexibility (switching from one subject to another is hard) Problems in information processing (everything is important) Problems with abstraction

7. Problems in emotional functioning Less emotional drive Flat emotions Flat mimic

8. Consequences Less emotional expressions Depression Isolation Loss of skills Loss of control Anxiety, agitation

9. Brain Frontal brain: lack of dopamin Emotions, abstraction and learning -> apathy Central brain: to much dopamin Marking of information: what is important -> everything seems to be important.

10. Treatment Medication Psycho-education Crisis-intervention Early intervention

11. Psychosis documentary