Hallucinations
Hearing, seeing, tasting, smelling, and/or feeling things that others do not.
Your loved one may tell you directly that they are experiencing these perceptions, or you may notice cues in their behavior such as: they may appear to be talking to themselves, looking somewhere and you don’t know why, or focusing on certain body parts.
Delusions
Persistent beliefs that are not shared by others.
They may think other people are watching them, feel very good at certain tasks, have a special connection to a famous person, or any number of other thoughts that seem different than usual and that you don’t share; you may also notice that your loved one is pulling away in social situations, seems uneasy with others, or makes comments indicating suspiciousness about others’ intentions.
Behavioral and Emotional Changes
You may notice changes in a loved one’s mood (sad/depressed, happy/hyper/energetic), sleep (sleeping more or less than usual, sleeping at different times than usual, like staying up during the night and sleeping during the day), self-care (not grooming/showering as often as usual), substance use (using substances more than usual), socialization (not engaging with friends and family as usual), speech (talking more/less than usual, faster/slower than usual, using words in unusual ways or making up new words), motivation (more trouble than usual getting-going), and emotional expression (showing strong/inappropriate emotions, or no emotions at all). Many of these behaviors can happen for other reasons than psychosis, so you may question or worry that you are “making too much” of them. You may also not be sure if these are just typical behaviors for a teen or young adult. You do not have to feel that you should know the difference, there are professionals available to help sort things out.
Changes in Thinking
They may seem to be having trouble thinking clearly, concentrating, or processing what’s going on around them. They may seem confused, jump from topic to topic, or lose track of what they are saying or what others are saying to them.