What it can look like
- Hearing or seeing things that others do not
- Beliefs that others find implausible, sometimes with fear or suspicion
- Disorganized speech or thinking
- Withdrawal from family, friends, and activities
- Neglect of self-care
- Psychotic symptoms that appear during severe depression, mania, or with dementia
Experiencing some of these does not mean you have this condition. Many symptoms overlap, which is why a careful evaluation matters.
How it is evaluated
Psychotic symptoms can arise from schizophrenia, schizoaffective disorder, mood disorders, neurocognitive conditions, medical illness, or substance use, and the evaluation works to distinguish among them. Justina's experience includes each of these presentations, and she works closely with families and care teams so that everyone shares the same understanding.
How treatment may help
Psychotic disorders respond best to consistent, long-term care from someone who knows the person and their history. The goals are stability, function, safety, and dignity — with early recognition of relapse and coordination with case managers, facilities, and other providers.
The role of medication
Antipsychotic medication is a cornerstone of treatment for most psychotic disorders. These medications require monitoring for metabolic and other side effects, and Justina reviews that monitoring at follow-up visits.
When to seek urgent help. If someone is at risk of harming themselves or others, is unable to care for basic needs, or is in acute crisis, call 911 or go to the nearest emergency department. Call or text 988 for crisis support.
What happens next at Rosecare
Online scheduling and practice contact options are being finalized. This page will update as soon as they are available. Your first visit is a comprehensive psychiatric evaluation; from there, Justina will discuss options with you and set a follow-up plan.