top of page
Writer's pictureSorhaya Zamor

Psychosis A silent voice


"Psychosis, a silent voice” echoing in the depths of the mind, whispers truths and illusions alike, unseen and unheard by those untouched by its grasp. It speaks in the language of distorted perceptions, weaving a tapestry of reality and fantasy that dances on the edge of comprehension.


Yet, despite its silent nature, psychosis reverberates loudly within the souls of those who experience it. It is the silent scream of terror in the face of imagined threats, the whispered secrets of grandiosity, and the haunting echoes of voices that only they can hear. In its silence, psychosis carries the weight of stigma and misunderstanding, shrouding those who bear its burden in shame and isolation. It is a silent cry for help, a plea for understanding in a world that struggles to comprehend the depths of its complexity. But within the silence lies resilience and strength. For those who listen closely, psychosis is not just a voice of chaos, but also a call to action. It is a reminder to break the silence, to speak out against stigma, and to lend a compassionate ear to those whose voices go unheard. In its silence, psychosis beckons us to listen, to learn, and to embrace the humanity that lies within us all. For only by breaking the silence can we truly begin to understand the silent voice of psychosis and the individuals who carry its weight."


It's true that mental illness affects a significant portion of the population, and its portrayal in media can be both crucial and complex. The depiction of characters struggling with psychosis can offer insight and empathy, helping to break down stigma and promote understanding. When done thoughtfully, such portrayals can shed light on the challenges faced by those with mental health conditions and encourage conversations about support and treatment.


What’s role of media in shaping perceptions and understanding of psychosis?


Media can help foster empathy and compassion while highlighting the importance of access to mental health resources and support systems by exploring these themes with sensitivity and accuracy. Psychosis characters grappling with feelings of hopelessness, guilt, and suicidal thoughts due to internal struggles experienced by many individuals dealing with similar issues. However, it's also important for media to avoid sensationalizing or stigmatizing mental illness, as this can perpetuate harmful stereotypes and misconceptions. Responsible storytelling should prioritize authenticity and respect for the diverse experiences of individuals living with mental health conditions.


Overall, media has the potential to play a significant role in shaping societal attitudes towards mental illness and promoting greater understanding and acceptance. By portraying characters with psychosis in a nuanced and empathetic manner, creators can contribute to a more compassionate and supportive cultural landscape for those affected by mental health challenges.

 

Why psychosis is a silent voice?

It is crucial issue regarding the depiction of mental illness in media. While some works handle these topics with sensitivity and realism, others often miss the mark, either by romanticizing or sensationalizing them or by altogether avoiding them. The approach of such complex and sensitive subjects with care and accuracy, acknowledging their real-world impact on individuals and communities. By portraying mental illness realistically, without downplaying its severity or glamorizing its effects, media can contribute to greater awareness, understanding, and empathy.

It is time to point out, psychotic disorders like schizophrenia and bipolar disorder are indeed severe conditions that can significantly affect a person's life. However, with proper treatment, including medication and therapy, many individuals with psychotic disorders can lead fulfilling and productive lives. Promoting accurate information about mental health conditions and reducing stigma are essential steps toward creating a more supportive and inclusive society for those affected by these challenges. This involves not only representations in media but also education, advocacy, and access to quality mental health care services.

 

Comparing Psychosis and Psychotic Disorders


 The importance to clarify the distinction between psychosis and psychotic disorders. Psychosis refers to a symptom characterized by a break from reality, which can occur in various mental health conditions, including psychotic disorders such as schizophrenia, as well as in other situations like substance-induced psychosis or medical conditions affecting the brain.


Recognizing the subtle warning signs of an impending psychotic break is crucial for early intervention and treatment. By identifying these signs, individuals and their support networks can seek appropriate help from mental health professionals to manage symptoms and prevent further deterioration.


Understanding the complexity of psychosis and psychotic disorders helps combat misconceptions and stigma surrounding these conditions. It underscores the importance of accurate information and access to comprehensive mental health care to support individuals affected by these challenges effectively. This clarification is essential for fostering empathy, promoting early intervention, and ensuring proper support and treatment for those experiencing psychosis and psychotic disorders.

 

What is the complexity of Psychosis?


The complexity of psychosis lies in its multifaceted nature and the diverse range of factors that can contribute to its development and manifestation. Here are several aspects that contribute to the complexity of psychosis:

Diverse Causes: Psychosis can stem from various underlying causes, including but not limited to psychiatric disorders such as schizophrenia, bipolar disorder, and major depression, as well as substance abuse, neurological conditions, and medical illnesses affecting the brain. Understanding the specific cause or contributing factors for an individual's psychosis often requires thorough evaluation and assessment by mental health professionals.

Heterogeneous Symptoms: Psychosis can manifest in a wide array of symptoms, which may include hallucinations (perceiving things that aren't real), delusions (false beliefs), disorganized thinking or speech, catatonia (lack of movement or response), and negative symptoms (diminished emotional expression or motivation). These symptoms can vary greatly in severity and presentation from person to person, adding to the complexity of diagnosis and treatment.

Individual Variability: Each individual's experience of psychosis is unique, influenced by factors such as age, gender, cultural background, personal history, and co-occurring conditions. This variability necessitates personalized approaches to assessment, treatment, and support tailored to the specific needs and circumstances of each individual.

Challenges in Diagnosis: Diagnosing psychosis can be challenging due to the diverse symptomatology and overlap with other mental health conditions. Differential diagnosis requires careful consideration of clinical presentation, duration, and functional impairment, as well as ruling out potential medical or substance-induced causes.

Treatment Complexity: Effective treatment of psychosis often involves a multidisciplinary approach, incorporating pharmacotherapy, psychotherapy, psychosocial interventions, and support services. Finding the right combination of treatments tailored to an individual's needs requires ongoing evaluation and adjustment, as response to treatment can vary widely.

Impact on Functioning: Psychosis can significantly impair an individual's cognitive, emotional, social, and occupational functioning, leading to difficulties in daily life, relationships, and work or school. Addressing these functional impairments often requires comprehensive interventions aimed at promoting recovery, rehabilitation, and community integration.

The complexity of psychosis underscores the importance of comprehensive assessment, individualized treatment, and ongoing support to effectively address the diverse needs of individuals experiencing psychotic symptoms. A holistic understanding of psychosis is essential for promoting accurate diagnosis, reducing stigma, and facilitating recovery and well-being for those affected by these challenging conditions.


Causes of Psychotic Disorders

Psychotic disorders are complex conditions that can arise from a combination of genetic, biological, environmental, and psychosocial factors. While the exact causes of psychotic disorders are not fully understood, several factors have been identified as potential contributors. Here are some key factors associated with the development of psychotic disorders:

Genetic Factors: There is evidence to suggest that genetic predisposition plays a role in the development of psychotic disorders. Individuals with a family history of psychotic disorders, such as schizophrenia or bipolar disorder, have an increased risk of developing these conditions themselves. However, genetics alone are not deterministic, and environmental factors also play a significant role.

Brain Chemistry and Structure: Imbalances in neurotransmitters, such as dopamine and serotonin, have been implicated in the development of psychotic disorders. Disruptions in the functioning of these neurotransmitters can affect communication within the brain, leading to the manifestation of psychotic symptoms. Additionally, abnormalities in brain structure and function, including alterations in brain volume and connectivity, have been observed in individuals with psychotic disorders.

Environmental Factors: Environmental stressors and exposures during critical periods of brain development may contribute to the onset of psychotic disorders. These can include prenatal factors such as maternal stress, infections, malnutrition, and exposure to toxins or substances during pregnancy. Additionally, childhood trauma, adverse life events, social stressors, and substance abuse later in life have also been linked to an increased risk of developing psychotic disorders.

Neurodevelopmental Factors: Disruptions in early brain development and neurodevelopmental processes may predispose individuals to psychotic disorders. This includes factors such as birth complications, developmental abnormalities, and disruptions in synaptic pruning and neural circuitry formation during critical periods of brain maturation.

Substance Use and Abuse: Substance abuse, particularly of psychoactive substances such as cannabis, stimulants, and hallucinogens, can precipitate or exacerbate psychotic symptoms in vulnerable individuals. Substance-induced psychosis can occur acutely or persistently with chronic substance use, and may contribute to the development of psychotic disorders in susceptible individuals.

Medical Conditions and Trauma: Certain medical conditions affecting the brain, such as brain tumors, neurodegenerative diseases, autoimmune disorders, and infections, can cause or mimic psychotic symptoms. Traumatic brain injury, stroke, and other forms of brain damage may also increase the risk of developing psychotic disorders.


It's important to note that psychotic disorders are likely to result from a complex interplay of multiple factors, rather than any single cause. It is imperative to understand these factors can help inform prevention, early intervention, and treatment strategies for individuals affected by psychotic disorders. Early identification and comprehensive management of contributing factors are crucial for optimizing outcomes and promoting recovery in individuals with psychotic disorders.

 

Give Psychosis a voice


Psychosis, often misunderstood and stigmatized, deserves a voice to express its complexities and challenges. Here is an attempt to give psychosis a voice: "I am psychosis, a manifestation of the mind's intricate workings, both mysterious and misunderstood. I am not a choice, nor a reflection of character, but rather a symptom of underlying turmoil within the depths of the brain.


My voice echoes through the corridors of perception, distorting reality and weaving illusions that others struggle to comprehend. I am the whispers of paranoia, the shadows of delusion, and the echoes of hallucination that can engulf the mind in a storm of confusion and fear.


Yet, I am more than just chaos and confusion. I am a messenger, signaling distress and imbalance within the intricate network of neurotransmitters and neural circuits. My presence speaks volumes about the underlying struggles and challenges faced by those who experience me.


I am not a label or a stereotype, but a complex phenomenon with roots deeply embedded in genetics, biology, environment, and experience. I am a reminder of the fragility of the human mind and the importance of compassion, understanding, and support in the face of adversity. Though my presence may be daunting, I am not without hope. With proper treatment, support, and understanding, individuals can learn to navigate the tumultuous waters of psychosis and find stability, resilience, and even growth in the face of adversity.


So, listen to my voice, not with fear or judgment, but with empathy and understanding. For within the chaos lies the potential for healing, transformation, and the resilience of the human spirit."


Sorhaya Zamor, RN 2-19-24

 

References

 

“A Silent Voice: The Adults Aren’t There.” Therefore It Is. 13 December 2019, thereforeitis.wordpress.com/2019/12/13/a-silent-voice-the-adults-arent-there/. Accessed 1 March 2020.

  Assessed and Endorsed by the MedReport Medical Review Board 

bottom of page