First episode psychosis refers to the first time someone experiences symptoms of psychosis—such as hallucinations, delusions, or disorganised thinking. It often begins in late adolescence or early adulthood and can be frightening and confusing. Early support makes a major difference.
“I couldn’t tell what was real anymore. I was terrified—but also ashamed to say anything, in case people thought I was crazy.”
First episode psychosis (FEP) can come on gradually or suddenly. Many people begin to feel withdrawn, suspicious, or overwhelmed before more noticeable symptoms—like hearing voices or holding unusual beliefs—emerge. It can happen to anyone, often without warning, and is sometimes triggered by stress, trauma, sleep deprivation, or substance use. Some people recover completely after one episode; others go on to develop a longer-term condition like schizophrenia or schizoaffective disorder.
Adults experiencing FEP often delay seeking help due to fear or stigma. Symptoms may be misattributed to anxiety, burnout, or drug use. Without support, psychosis can cause severe disruption to work, relationships, and identity. With early intervention, however, the outlook can be very positive. Getting the right help quickly improves long-term recovery.
“It’s a privilege to support someone through their first episode of psychosis—early help can change the whole course of their life.”
At Bloomfield Health, we act quickly to support individuals experiencing first episode psychosis. We offer urgent, thorough assessments and create a personalised care plan that includes antipsychotic medication if needed, psychological therapy (CBT for psychosis), trauma-informed support, and family involvement. We focus on early recovery, symptom reduction, and restoring confidence in everyday life. We also help with return to study, work, and social roles. Our goal is to reduce distress, prevent relapse, and build long-term wellbeing.
It may be triggered by stress, trauma, lack of sleep, or substance use. In some cases, it signals an underlying mental illness.
Not necessarily. Some people have a single episode of psychosis and recover fully. We monitor carefully to understand the long-term picture.
Not always. Many people are treated in the community, especially with early intervention. We’ll assess what’s safest and most helpful for you.
Antipsychotic medication is often recommended in the early stages. We discuss this carefully with you and review regularly.
Yes. CBT for psychosis helps reduce distress, improve insight, and manage unusual thoughts or experiences.
As early as possible. The sooner support is offered, the better the chances of full recovery.
Yes. With the right support, many people make a full or near-full recovery after their first episode.
Yes, we usually encourage this. We offer psychoeducation and family support, and involve others only with your consent.
We are registered by the Care Quality Commission (CQC),
the independent regulator of health and social care in England.
