Psychosis

A variation of one’s perception of reality. Episodes occur when primary-process thinking (ie. dreams) dominate secondary-process thinking (ie. logic).

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Psychosis Three Most Common Symptoms:

Delusions:
Strong false beliefs that are contradictory to evidence (ex., paranoia).

Hallucinations:
False sensory experiences.
Ex. hearing voices that aren’t there, seeing people that aren’t present, feeling something crawling on skin when nothing’s there.

Disorganized speech:
Incoherent verbal expression, jumbled word choice.
Ex. loose associations, word salad.


Psychotic Disorders

- Schizophrenia
- Bipolar Disorder
- Schizoaffective Disorder
- Brief Psychotic Disorder
- Delusional Disorder
- Major Depressive Disorder

Relationship between DUP and Recovery Difficulty
The graph shows a direct relationship between the Duration of Untreated Psychosis (DUP) and recovery difficulty, emphasizing that the longer psychosis goes untreated, the more difficult recovery becomes.

Psychosis is considered to be neurotoxic to the brain and a lack of treatment is associated with cognitive decline. Data indicates that every decade of untreated psychosis can result in the loss of approximately one standard deviation of IQ.  Early intervention is critical to limiting brain damage and supporting long-term symptom management.
Figure: Psychosis as a Continuum
Pie Chart: Percent of Psychosis Affiliated with Schizophrenia

Treatment Process

Initial Consultation and Assessment

The journey begins with a comprehensive mental health assessment focused on psychosis, led by our expert team, including Dr. Ryan Sultan. This initial assessment ensures we understand the uniqueness of each patient’s psychosis, medical history, and treatment goals. With this, we then create a tailored, evidence-based care plan to address the specifics of psychosis.

Personalized Treatment Plan Development

Based on the initial psychosis assessment, our team collaborates to design a personalized treatment plan targeting each person’s symptoms. This plan outlines specific therapeutic approaches, such as Cognitive Behavioral Therapy for Psychosis (CBTp), aligning with the patient’s unique needs and goals, ensuring comprehensive and effective OCD treatment.

Introduction to Therapeutic Approaches

Patients are introduced to evidence-based therapeutic approaches that are proven to be effective in treating psychosis. This would look like Cognitive Behavioral Therapy (CBT), with a strong emphasis on psychosis. Our team provides detailed explanations and sets expectations, ensuring that patients feel informed and supported.

Implementation of Therapy Sessions

Regular therapy sessions begin following the individualized psychosis treatment plan. Our therapists, experienced in treating psychosis, work closely with patients to address their symptoms using the most suitable techniques. Sessions are scheduled consistently to ensure progression, symptom reduction, and effectiveness.

Medication Management

For patients whose psychosis care includes medication, Dr. Ryan Sultan and our team provide careful prescription management. This includes selected choosing the appropriate medication, such as antipsychotic medications used for psychosis, monitoring their effectiveness, and adjusting dosages as needed to optimize therapeutic outcomes and support long-term symptom management

Patient Education and Empowerment

We emphasize the importance of education patients about their psychosis, empowering them with knowledge about their condition, along with its symptoms, triggers, and treatment. This step includes providing resources, coping strategies, and self-care techniques to enhance the effectiveness of therapy and support overall well-being.

Ongoing Evaluation and Support

Our commitment to our patients extends beyond the initial stages of psychosis treatment. We conduct ongoing evaluations to monitor symptom reduction, track responsiveness to CBTp and medication, and adjust the treatment plan as needed. Ongoing appointments and follow-ups ensure that the patient feels continuous support throughout their journey to mental health wellness.

Dr. Ryan Sultan, MD Senior Psychiatrist at Integrative Psych

Meet The Founder

Dr. Sultan, son of psychiatrist, is a dual board certified mental health physician who has made it his life’s mission to explore, learn and practice the many treatments for the mind and its troubles.

Dr. Sultan’s path has led him to extensive training in therapies ranging from meditation and mindfulness to practical cognitive behavioral therapy and deep psychodynamic therapy. As a physician, he has explored how classical and innovative medical treatments can foster healing of the mind as well as personal growth.

These extensive ranges of therapies can be effective for many individuals, however they often take years to get results and many individuals hit walls in their treatment—getting only limited benefits.

Dr. Sultan founded Integrative Psych to push past the barriers of traditional mental health treatment by using naturally derived compounds in conjunction with conventional treatments such as medications, lifestyle interventions and psychotherapy to heal the pain and struggles in our minds beyond what traditional mental health treatments can accomplish.


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