Stress induced psychotic break12/9/2023 ![]() Medical providers tailor FEP treatment plans to individual patients based on their medication tolerability, symptoms, functional impairment, and other unique circumstances. 1 In CSC, mental health care providers combine medication management, psychotherapy, family support and education, and education and employment support to curate a personalized, multimodal treatment for patients. ![]() 5 A treatment model called Coordinated Specialty Care has demonstrated particular effectiveness in alleviating FEP symptoms. Treatment for FEP typically consists of medication, psychotherapy, and social and employment supports. Service members who may be experiencing FEP should receive medical care from a primary care or mental health provider as soon as possible. 14 Fortunately, the military structure, particularly its expectations of accountability, close interactions between line leaders and service members, and easy access to covered health care, lends itself to shortening DUP for service members experiencing FEP. 1,13 Early treatment of FEP for service members is also likely to be more cost effective for the military. 12 A short DUP, ideally within 12 weeks of symptom onset, is crucial to optimize symptomatic and functional recovery for individuals experiencing FEP. Line leaders can encourage service members who may be experiencing FEP to schedule an appointment with the Military Health System for evaluation by a primary care or mental health professional.įinally, leaders can take advantage of their supervisory role to reduce the Duration of Untreated Psychosis for service members with FEP. Second, line leaders should receive education on the warning signs of potential FEP among service members, including poor performance, subpar personal hygiene, social withdrawal, and difficulties with emotional regulation or concentration. Line leaders should encourage service members experiencing mental or behavioral difficulties to seek help as early as possible. 10,11 How can military line leaders support service members with FEP?įirst, line leaders can help reduce the stigma around FEP by speaking openly about mental health. 10 Overall incidence of FEP is similar between males and females. 5,6,9–11 Prior or current marital status decreases the risk of developing schizophrenia, in particular. 6–8 Moreover, younger people (whether civilians or service members), particularly those under age 30, are at higher risk of experiencing psychotic disorders. Genetic factors along with stress associated with adjustment to military service and customs can contribute to the expression of FEP symptoms. The beginning months of military service tend to have the highest risk of FEP for service members. 5 Substance or prescription drug use may also induce a brief episode of psychosis. 3–5 Risk factors that may lead to brief or chronic psychotic disorders include genetics, environmental stressors, and traumatic experiences. schizophrenia or bipolar disorder with psychotic features), many episodes are relatively brief (less than one month) and isolated events (e.g. ![]() 2 While some instances of FEP mark the beginning of a chronic illness (e.g. What risk factors are associated with FEP?Īpproximately three out of 100 people develop psychosis during their lives. 2 For example, someone with psychosis might erroneously believe they are the target of a massive conspiracy or an external entity is controlling them. 2 Delusions occur when individuals have strong beliefs which are not rooted in reality nor do they reflect their cultural norms. 2 Hallucinations involve sensing things that are not present, such as hearing voices or seeing distorted images no one else can hear or see. Most experiences of psychosis consist of hallucinations or delusions. 1,2 Emotional signs may include intense emotional responses to environmental triggers and feeling uncomfortable around others. 1 Behavioral signs may include trouble with self-care, social withdrawal, and subpar work performance. 1 Cognitive signs associated with FEP may include atypical thinking patterns, persistent and unusual beliefs, and difficulties with concentration or focus. 2 Signs that may indicate FEP can be grouped into cognitive, behavioral, and emotional categories. 1 Psychosis, whether FEP or subsequent episodes, is a symptom rather than an illness (though it often occurs as part of an illness, such as schizophrenia, a mood disorder like postpartum psychosis, or a host of other disorders). Tawny Schmitįirst Episode Psychosis is a condition in which thoughts, feelings, and behaviors do not necessarily reflect reality.
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