Early Intervention for Psychosis: Building a Mental Health Community | Rachel Waford | TEDxDecatur

In recent years there has been increasing attention given to young people with emerging psychosis, both in popular media coverage of current events as well as policies and movements toward providing specialized services to this vulnerable population. It is often the case that those in a young person’s life (parents, siblings, friends, professors, roommates, counselors, mentors, residence life staff) notice changes that may be consistent with emerging psychosis, however they may not be able to identify it as such, and may not know what to do to appropriately support the young person. Or, it is the case that professionals with whom young people cross paths in times of crisis (law enforcement, campus safety officers, first responders, emergency medical providers) are faced with responding to acute mental health crisis, despite this not being their primary role. The age of onset of psychosis (~16-30 years) is such that that the emergence of symptoms often coincides with engagement in a number of relationships, environments, and roles. In turn, many different people can be unintended “first responders” on the “frontlines” of psychiatric crises. By building a broader mental heath community we can empower the many individuals who might come in contact with a young person in psychiatric distress to do something to help. The aim is to decrease the duration of untreated psychosis, minimize the trauma of psychotic illness, and promote recovery. Rachel Waford is a licensed clinical psychologist in Atlanta, GA and an assistant professor in Emory University’s Schools of Public Health and Medicine. Dr. Waford received her PhD in Clinical Psychology from the University of Louisville in Louisville, KY. She completed her pre-doctoral internship at Harvard Medical School/Beth Israel Deaconess Medical Center/Massachusetts Mental Health Center in Boston, MA and her post-doctoral fellowship at Emory University/Grady Health System in Atlanta, GA. Her area of interest and specialty is early identification and intervention for individuals living with severe mental illness, with an emphasis in early psychosis. She also promotes recovery, and destigmatization of mental illness in communities via education and advocacy, and co-authored the text, The Psychosis Response Guide: How to help young people in psychiatric crises. Dr. Waford lives in Atlanta, GA with her husband Jared and their dog Sweet Lou. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at https://www.ted.com/tedx

33 Comments

  1. US PATENT 4,877,027–HEARING SYSTEM –Sound is induced in the head of a person by radiating the head with microwaves in the range of 100 megahertz to 10,000 megahertz that are modulated with a particular waveform. The waveform consists of frequency modulated bursts. Each burst is made up of ten to twenty uniformly spaced pulses grouped tightly together. The burst width is between 500 nanoseconds and 100 microseconds. The pulse width is in the range of 10 nanoseconds to 1 microsecond. The bursts are frequency modulated by the audio input to create the sensation of hearing in the person whose head is irradiated.

  2. US PATENT 5,123,899 –METHOD AND SYSTEM FOR ALTERING CONSCIOUSNESS–A system for altering the states of human consciousness involves the simultaneous application of multiple stimuli, preferable sounds, having differing frequencies and wave forms. The relationship between the frequencies of the several stimuli is exhibited by the equation g=s.sup.n/4 .multidot.f where: f=frequency of one stimulus; g=frequency of the other stimuli of stimulus; and n=a positive or negative integer which is different for each other stimulus.

  3. i don't know,when you talk about the people that can help at the same time you are talking about the same person that usually don't help you,you say boss,teacher and family but you don't mention friend….this to me seems unrealistic and naive.Regard this i find the exsplenation of the disorders very usefull

  4. Bless all those effected. I found out a week ago my son is. I Prayed real hard after 4 days of complete sadness and chaos. I’m hopeful … the past 3 days have been good.

  5. A lot of talk to get people to be drug dependent as soon as possible. Then again, some people do need intervention as soon as possible, for sure. I just want people to know how to be free from the symptoms by addressing the cause of schizophrenia. Yes, I said it. I know what is causing schizophrenia because I had it and I no longer have any of the symptoms. The delusions themselves are the cause of schizophrenia as well as the symptoms. People didn’t suddenly begin believing strange things. They have been believing strange things for a while. The psychosis is the result of all the confusion from believing things that are not true. It’s an escalation of a sort of cognitive dissonance that may take advantage of short term memory loss where the person can’t remember if something is true or not and just believes things, anything that comes to mind. The person gets caught up in a circular line of reasoning and they can’t get out. Every stimulus takes them back into the same line of reasoning. They develop a one track mind so to speak.

  6. For early intervention its rather late to the party, I've had numerous (small) psychotic episodes in the time I've called up about it and been referred, yet
    every time I call up it's still being reviewed I can't go out, I can't be in an educational setting my anxiety and depression have reached new levels,
    I feel sick to my stomach and upset, I've been to the GP about it, I'm due a blood test to rule out any indicators of infections as a cause.

    It's hard to hold onto the belief that people are doing everything they can when you're waiting days without treatment in distress panicking about when the next moment will be,
    It makes me wonder if I'll have to be on the edge of a cliff just to get help, thankfully my family are very supportive and calming during this difficult time as are my teachers,
    I just wish this would be over with so I can get back to my life not this constant uneasiness, constant paranoia, constant anxiety, waiting for the impending triggers to set me off, to see things and hear things that aren't there again.

    My heart goes out to anyone else suffering just the same, it really is horrible.

  7. Please anyone I need help. My brother who lives in another city is having psychosis. He keeps sending me videos in the night of people apparently breaking into his room even though no one's there. He doesn't think anything is wrong and won't see the doctor. I'm desperate please help me.

  8. I don't have schizophrenia but I hope I will one day. I mean the only goal in life is to permanently trip, 24/7 psychosis, that's heaven to me. What's heaven to you? 😂🌪

  9. I hate it I hate dealing with these annoying insulting voices and seeing things in my head this is the worst thing to be diagnosed with it’s hard to live with I’m tired and worn out from this battle with these annoying voices going to the hospital does nothing and neither does the medication the voices continue to meddle until provoked to anger

  10. What I'm hearing is getting people in someone's life to monitor and 'help' them. One of my paranoid thoughts during psychosis were thinking that everyone is secretly involved in 'helping' me. So I could imagine if a person finds out everyone is suddenly monitoring them even if it is to help, can be quite scary.

  11. I recovered from psychosis roughly about a year and a half ago. Had a episode that lasted roughly 5 months before I got diagnosed and treated. Medicated for a little white with brief periods of hallucinations frequently… then started self medicating and got heavily addicted to hard drugs for a year. Stopped the drug use by myself with out support slowly taught myself how to live with the hallucinations and paranoia and ignore them and eventually they went away from time to time I still get paranoid every once in a while but I can live with that. The issue now is my bipolar disorder I can manage the highs but the lows kill me. I don’t find happiness in much things and I feel like I’m just fighting to breathe balance my emotions and my mental state half the time. I’m afraid I don’t have the energy to be a good father, partner, brother, son or friend anymore. I feel empty with no one to talk to cause everyone things I’m so strong and they don’t even know half of the truth… only what I’m not to ashamed to tell them. But I’m not strong I’m weak. I feel so weak now

  12. Honestly, I may be undergoing psychosis but I'm doing my best to maintain my moods, diet, and health. Socially, it's harder due to lockdowns and such (I understand why) but I do feel people with Psychosis need more supports and a schedule. That's my main problem, but I'm finding my way. I try not to do too much alcohol and marijuana cause I'm more likely to devolp Schizophrenia. Haven't seen any psychologists or therapists cause I ain't got the money for it. I'm more afraid of getting diagnosed incorrectly and pay for a whole lot of nothing.

  13. I always found my diagnosis for psychosis,Ironic, because when I was little and my self-harm was brought up (by a misunderstanding and accident) The person who showed up said "There's a place for kids like you," now I was an eight year old, so I wasn't the most rational, and I started to hear a voice, referencing Psych wards in movies. And How I was going to get needles poked into me. So I kept it to myself for years. I didn't get a real diagnosis till I was 15. In that spare time it started to develop more and more, I started hearing things, seeing things, and having delusions. All because I was scared to get help from a physc ward.

  14. Really good mindful piece about intervention and getting proper treatment, emphasizing coordinating the timing during a psychotic episode with first responders.  Great awareness increaser of psychiatric and psychotic intervention and treatment!

  15. This is for everyone going through psychosis: Stay strong, you will be all right! You’re not alone. Contact someone to help you through this. I had drug induced psychosis from weed and DMT and i felt like i’ll never feel ok and my life is lost but it’s not. I am completely fine and happy right now after 2 months of recovery without medication. I am back to my normal life like nothing has happened. So have hope and patience and everything will be okay♥️♥️

  16. I believe I got a WiFi signal pulsingfrom my brain some people fink I'm joking Wen I say I hear voices or the robots talkin to me I blame drugs opening my mind with no safety stop I have changed my views words and thoughts towards things and it's very pychois like a Wen u see your self as a different person then wot u are or a ego broken but mentaly connection to vision and sound pushing fear and disorganised thinkin

  17. Phycoses is scery I am a suffering from 2016 I can't sense of my life I fort I was a robot 🤖 once I started talking to animals and trees then zombies and invisible people It seemd like a invisible group of people and society was takin and pussing me forward I fill like my mind has bin washed and used for wot they needed now Ive bin spat out fillin used and damaged it's life changing Wen it's happening to my self I had stages for months on end Wer I was talkin about nuffin but magic and technology and ghosts now I fill Ive scerd my self in to a shell a hole it's scery bein locks in a box for years on end it changes your life u no. I really really see god and he says big deal now it's the end of earth its time to pic a side walk with me or run from me.

  18. I would like to know when I have an episode and I'm around people people can hear and see what I hear and see how come is it things are visible to the eyes all eyes around me

  19. Get help and therapy ..And forgive everyone…you cannot ot love without forgiveness ..Go to a church and get delivered… Bind the enemy from yourself I Jesus name and keep getting help .Loving yourself..

  20. Actually people who take antipsychotics are more likely to have heart disease and diabetes, as well as excessive weight gain. And the vast majority of people who are treated with these drugs are completely debilitated, never returning to work and school, spending the rest of their life on disability. Recovery rates are best when people are treated with little to no neuroleptics, such as in Open Dialogue and Soteria houses.

Leave A Reply