First episode psychosis

In this episode, Dr Cheryl Buhay will discuss first episode psychosis, the importance of early diagnosis and intervention, along with risk factors.

Topics

What is the formal definition of first episode psychosis?
Is there ethnic variability?
The four stages of psychosis.
Patient examination, what do we need to look for?
Specialist investigations for young people.
Red flags for urgent referral.
How do we manage these patients in the community?
What interventions have been shown to work?
Does cannabis use increase the risk of developing psychosis?

Take home messages

Maintain an index of suspicion.
Early detection and treatment are key.
Maintain therapeutic alliance.
Access specialist treatment for advice on early psychosis intervention.

Resources

Psychosis Health Navigator NZ
Australian Clinical Guidelines for Early Psychosis The National Centre of Excellence in Youth Mental Health (2016)
He rongoā kei te kōrero. Talking therapies for Māori Te Pou o Te Whakaaro Nui (2010)

Presenter

Cheryl Buhay

Psychiatrist

Dr Cheryl Buhay is an Otago Medical School graduate and Fellow of the Royal Australia and New Zealand College of Psychiatrists. She is working for Waitemata DHB Specialist Mental Health Services as a Primary Care Liaison psychiatrist, providing specialist support to GP practices mainly within the West Auckland area. She is involved in GP teaching and is a contributor of mental health resources to Auckland Regional HealthPathways.