Early Psychosis and Prodrome
Early Psychosis and Prodrome covers risk syndromes and the pathway from attenuated symptoms to first episode, emphasizing identification without pathologizing youth. This page translates staging models into choices: when to monitor, when to start CBTp and family support, and when careful medication use is justified. If you’re reviewing a first episode psychosis conference, you’ll find practical guidance on outreach in schools and primary care, non-stigmatizing language, and sleep/circadian protection that may avert transition. Measurement focuses on function, stress reactivity, and role performance; we also address substance risks (cannabis, stimulants) and anxiety/depression that often precede psychosis-like experiences.
Programs must balance vigilance with restraint. We outline stepwise care that begins with psychoeducation, coping skills, and family coaching; adds CBTp and academic supports; and reserves medication for persistent, impairing, or high-risk presentations. Shared decisions are central—youth and caregivers weigh benefits and potential adverse effects together. When transitions occur, single-door navigation ensures same-week subspecialty access and smooth continuity. For post-onset pathways and social recovery, pair with Early Intervention in Psychosis.
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Outreach and detection
- Normalize help-seeking; train partners to notice early patterns.
- Use structured interviews without labeling youth prematurely.
Skills and stress buffering
- Teach sleep hygiene, stimulus control, and coping scripts.
- Support school routines and reduce cognitive load.
Skills and stress buffering
- Teach sleep hygiene, stimulus control, and coping scripts.
- Support school routines and reduce cognitive load.
Substance and anxiety interfaces
- Address cannabis/stimulant risks and co-occurring anxiety/depression.
- Offer safer-use education and stepped psychological care.
Programs, Ethics, and Outcomes
Stepwise treatment
Start with CBTp/family work; add meds only when indicated.
Measurement
Track function, distress, and role participation over time.
Equity and access
Language support, transport help, and tele-options.
Confidential youth pathways
Protect autonomy with developmentally sensitive consent.
Transitions
Fast-track to first-episode services when thresholds are met.
Digital supports
Apps for sleep, stress, and coping with clear escalation.
Research and RWE
Registries that include diverse youth and families.
Public education
Campaigns that reduce stigma and promote early help-seeking.
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