Patient education: Psychosis – Discharge instructions (The Basics)

What are discharge instructions? — Discharge instructions are information about how to take care of yourself after getting medical care for a health problem.

What is psychosis? — This is when a person cannot think normally and has trouble knowing what is real. A person with psychosis might have:

●Hallucinations – These are when a person hears, sees, feels, smells, or tastes things that aren't there.

●Delusions – These are when a person believes things that are not true.

●Disorganized thinking or speech – This is when a person cannot think or talk clearly.

Psychosis can happen with certain brain disorders. Examples include schizophrenia or bipolar disorder. These conditions need treatment with medicines and therapy. Psychosis can also be caused by other medical conditions or drug use.

Get help right away if you are thinking of hurting or killing yourself! — Sometimes, psychosis can make a person think of hurting or killing themselves. If you ever feel like you might hurt yourself or someone else, help is available:

●In the US, contact the 988 Suicide & Crisis Lifeline:

•To speak to someone, call or text 988.

•To talk to someone online, go to www.988lifeline.org/chat.

●Call your doctor or nurse, and tell them that it is an emergency.

●Call for an ambulance (in the US and Canada, call 9-1-1).

●Go to the emergency department at the nearest hospital.

How do I care for myself at home? — Ask the doctor or nurse what you should do when you go home. Make sure that you understand exactly what you need to do to care for yourself. Ask questions if there is anything you do not understand.

You should also:

●Take your medicines exactly as your doctor tells you. It's very important to get the correct amount of each medicine.

•Some people find it helpful to use reminders or a weekly pill box.

•If you are having side effects, talk to your doctor. Many side effects go away after a few days or weeks of use.

●Go to all of your appointments. This might include counseling sessions, support groups, or appointments for medical treatments.

●Work with a counselor to learn skills to help you live with your illness. This is an important part of your care and treatment. Your doctor might also suggest that your family go to counseling with you.

●Take care of yourself.

•Avoid alcohol and recreational drugs.

•Try to get regular physical activity or exercise. Even gentle forms of exercise, like walking, are good for your health.

•Find healthy ways to handle stress, like talking to others or hobbies you enjoy. Relaxation exercises, meditation, and activities like yoga or tai chi can help you handle stress.

•Try to get at least 8 hours of sleep every night.

●Speak with trusted family or friends about your illness and how they can help.

●Talk to your doctor about how to make where you live a safe place. For example, you might need to remove knives and other items that could hurt you or someone else.

What follow-up care do I need? — Your doctor or nurse will tell you when to make a follow-up appointment. The care you need depends on what caused your psychosis. Go to these appointments.

When should I call the doctor? — Call for emergency help right away (in the US and Canada, call 9-1-1) if you have thoughts of hurting yourself or someone else.

Call your doctor or nurse for advice if:

●Your symptoms do not get better within 1 to 2 weeks.

●Your body is having trouble staying still or is moving in ways you cannot control.

●You have changes in your mood or behavior.

●You see or hear things that are not there.

●You are having trouble taking your medicine.

●You cannot take care of yourself.

More on this topic

Patient education: Schizophrenia (The Basics)
Patient education: Bipolar disorder (The Basics)
Patient education: Electroconvulsive therapy (ECT) (The Basics)
Patient education: Coping with stress (The Basics)

Patient education: Bipolar disorder (Beyond the Basics)
Patient education: Electroconvulsive therapy (ECT) (Beyond the Basics)