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What are some warning signs of early or first-episode psychosis?

  • A worrisome drop in grades or job performance
  • Trouble thinking clearly or concentrating
  • Suspiciousness or uneasiness with others
  • A decline in self-care or personal hygiene
  • Spending a lot more time alone than usual
  • Strong, inappropriate emotions or having no feelings at all

What are some symptoms of early or first-episode psychosis?

  • Hearing, seeing, tasting or believing things that others don’t
  • Persistent, unusual thoughts or beliefs that can’t be set aside regardless of what others believe
  • Strong and inappropriate emotions or no emotions at all
  • Withdrawing from family or friends
  • A sudden decline in self-care
  • Trouble thinking clearly or concentrating

Learn more


Crisis Resources

If you or someone you know is in immediate danger, please call 911 or go to the nearest emergency room.

If you or someone you know is in distress or has concerns about mental health or psychosis, here are some confidential and free resources:

Crisis services listed here are available 24 hours a day, 7 days a week unless otherwise noted.

  • National Suicide Prevention and Crisis Hotline: 988
    Languages: English and Spanish
  • National Suicide Prevention Hotline: 1-800-273-TALK (8255)
  • National Suicide Prevention Chat
  • Crisis Text Line: Text "HOME" to 741741
  • Emergency NAMI Helpline: 800-950-NAMI (6264)
    Mon - Fri, 10 a.m. - 10 p.m. EST
    In a crisis, text “NAMI” to 741741
  • SAMHSA 24-Hour Helpline: 800-662-4357
  • SAMHSA Treatment Referral Helpline: 1-877-726-4727
    Mon - Fri, 8 a.m. - 8 p.m. EST
  • NIMH Helpline: 866-615-6464
    Mon - Fri, 8:30 a.m. - 5 p.m. EST

NIMH: Find Help in a Crisis