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Can psychosis be treated successfully?

Yes, there is effective treatment available which is covered under our health care system. In London, there is the Prevention and Early Intervention Program for Psychoses (PEPP) at the London Health Sciences Centre (LHSC). It is dedicated to the assessment and treatment of individuals who are experiencing their first episode of psychosis. The program provides optimum treatment to suit the particular needs of youth. Treatment consists of safe and effective second-generation antipsychotic medications and a number of psychological interventions delivered within a comprehensive case management model. Treatment planning is based on a thorough assessment of the biological and psychosocial aspects of the individual’s presentation. The Program is committed to working in partnership with clients’ families. Whenever possible, assessment and treatment is provided without admission to hospital.

What happens if treatment is delayed?

Unfortunately, treatment often gets delayed by one to two years for individuals who are showing early signs and symptoms of psychosis. This delay leads to slow and incomplete recovery when treatment is initiated.

It also increases the risk of depression, suicide and violence. Delay in treatment interferes with psychological and social development and reintegration, strains family relationships and may lead to prolonged unemployment or interruption of education.

Why is early treatment important?

One of the most important ways to improve outcome in psychosis is to initiate treatment early. This means that individuals presenting with signs of psychosis need to be identified early and referred for assessment and treatment immediately. Research has shown that most individuals who eventually receive treatment for psychosis have consulted a health care practitioner several times before correct diagnosis and initiation of appropriate treatment. Results from our program confirm those from the EPPIC program in Melbourne, Australia, that individuals receiving optimum treatment within six months following onset of psychosis have better recovery than those receiving treatment after a delay of greater than six months.