Reply to ISO info on psychosis in late teens/early 20s.

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Reply to "ISO info on psychosis in late teens/early 20s."

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[quote=Anonymous]Op, so glad niece is making progress!

I don't know what to say about "one time occurrence".  I think that very much depends on the underlying mechanism for the psychosis (schizophrenia? bipolar? an infection? drugs?).

I only have familiarity with bipolar with psychosis. On the right meds, the mania and psychosis can recede very quickly, and things can come back to "normal".  But, over the long term it is very common for the person with bipolar to start to feel well enough that they come to doubt the further utility of meds and go off, and then the cycle begins again. The early phase of mania feels so good that some people mistake that for their "normal" and think the meds are unnecessarily depressing them. TBH, my now ExH has never in 20 years accepted his diagnosis and stayed on medication.  Part of it was missing the hypomania, and part of it was not accepting that he had a serious MI.  He did not tell his new wife, for example, that he had bipolar, rather just anxiety and depression. As a result, I don't think he's very well medicated, and he continues to struggle in ways.

If I had any advice, it would be to make sure the Niece has ongoing regular appointments with a psychiatrist and therapist, even when she's feeling good. And, while she's feeling well and competent, to have her sign any necessary paperwork (if she is over 18) to give her parents access to medical advice, healthcare decision-making if she becomes non-competent again as well as access to finances and bills and school. [/quote]

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