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 www.ted.com/tedx

Пікірлер: 96

  • @laurenelizabeth9398
    @laurenelizabeth93984 жыл бұрын

    I went to two psychologists with very psychotic symptoms (but mild) and neither of them noticed it had psychosis. I went untreated for a year and a half. They both have this idea that psychosis means that you are going to be a rambling mess that is unable to hold a conversation. That is simply not always the case.

  • @saranox7319

    @saranox7319

    2 жыл бұрын

    Same, wen‘t to a psych ward for help for mania and they basically said I’m not manic, I had lost control already, I kept going trying to finish my education and now one week before my exams I went into acute psychosis or meltdown or something, lost my mind.

  • @luciem4562

    @luciem4562

    Жыл бұрын

    The same thing happened to me

  • @johnrobbins7669

    @johnrobbins7669

    Жыл бұрын

    What were your symptoms

  • @sickntired9693

    @sickntired9693

    9 ай бұрын

    From My Experience Ok Very First Indication Something is Starting Is Isolation Seclusion They Stop Texting Ising Social Media Stay in Their Room That was My Boys Its Been 7 Yrs Now Its A Jpurney 💜♦️

  • @ralitsapapuchieva255
    @ralitsapapuchieva255 Жыл бұрын

    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♥️♥️

  • @dianakarina8080

    @dianakarina8080

    Жыл бұрын

    I appreciate your words of encouragement but...my fiance just broke into straight psychosis for the first time in his life....I feel for your drug induced pain but hun....pure psychosis is nothing what you'd imagine....after meds and months ND months in a psych ward...unfortunately, alot of ppl never come back to reality....I just lost my fiance to schizophrenia....I wouldn't wish it on my worst enemy. I now cab barely function...I struggle horrendously....I had no family and now I lost the only person that loved me.....this is excruciating. He doesn't even think anything is wrong.... He left me after a couple days being 302 in a hospital....for a chic he just met in there...I cant....i cant

  • @psychosehulpalbert9465
    @psychosehulpalbert94655 жыл бұрын

    I agree that young people need to get more information and awareness about psychosis. I even think that this subject, and similar subjects should be a part of general education. Why not teach this in schools as a part of the main curriculum? Why depend on volunteers to spot for early signals. Why would 16 to 24 year old choose to educate themselves in this subject? I'd recon they do not have the responsibility yet, to choose to do something that is depressing, and that they barely understand.. I would suggest to make psychology a mandatory course in every high school around the world. That would solve these problems and many similar problems like this.

  • @samiburgess1247

    @samiburgess1247

    4 жыл бұрын

    hello I had a really odd upbringing but I was not educated properly and the misuse and exposure to narcotics

  • @chooseaname1423

    @chooseaname1423

    Жыл бұрын

    We had it in my high school (in the US) and it was really good, but more basic and the in depth portion was focused on understanding how difficult it would be to live with it/having compassion, they did not cover how to help identify it and what to do for that person. We definitely need more psych and communication classes in high school....it’s all at the root of what brings communities down. Our education system is messed up. We don’t even learn how to do taxes, but it’s something we have to do after we graduate. A class on financial responsibility should be added as well.

  • @halycon4923
    @halycon49232 жыл бұрын

    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.

  • @squarepeg9546

    @squarepeg9546

    2 жыл бұрын

    I see you mentioned teachers. If you haven’t look up students with psychosis.

  • @YellinHelenP

    @YellinHelenP

    Жыл бұрын

    Are you better today? I hope you got help shortly after this post. Do you have suggestions on how to get help quickly at this point? For me, it's go to an ER in a smaller community. Get out of the big city ER's and highly populated areas.. Then, tell them you are in psychosis and need help. That MIGHT expedite things.

  • @seerguru6896
    @seerguru68962 жыл бұрын

    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.

  • @shirleyhowell3593

    @shirleyhowell3593

    2 жыл бұрын

    💛🙏🌻

  • @allisonwalford6072
    @allisonwalford60725 жыл бұрын

    Hi Rachel, I am Ron’s daughter and also in the Psych field. This was very interesting, thanks for sharing it! I am currently working with patients who have eating disorders as well as co-morbid diagnoses and they also desperately need community support! -Allison

  • @industryliaison
    @industryliaison3 жыл бұрын

    So many barriers to get to mental health resources

  • @thisisawsomenezz
    @thisisawsomenezz2 жыл бұрын

    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.

  • @saranox7319

    @saranox7319

    2 жыл бұрын

    Yes, I feel like people monitoring and discussing my behavior stressed me out more and drove me deeper into it.

  • @patriciaharris9300
    @patriciaharris93003 жыл бұрын

    excellent video! Thank you as your words have helped me become a better nurse and "first responder".

  • @LoRy4119
    @LoRy41194 жыл бұрын

    I 'm so gratful for this video, for this woman .. I have a twin sister who has this disease.. I agree with everything she said... 😢

  • @pineapplehead6167
    @pineapplehead61672 жыл бұрын

    I had psychosis for 6 to 8 years been in 3 mental hospitals and now I’m getting my medication lowered. I’m starting to hear voices again

  • @shikaruJet
    @shikaruJet3 жыл бұрын

    I have this disorder and damn this is a war that i wish on no one

  • @jasminerogers5756

    @jasminerogers5756

    3 жыл бұрын

    It really is. Ready to end it

  • @fburt100

    @fburt100

    2 жыл бұрын

    @@jasminerogers5756 I hope you are okay.

  • @shirleyhowell3593

    @shirleyhowell3593

    2 жыл бұрын

    Please don't give up!!! My heart is breaking, going through it with my son!! Prayers for you all!!!

  • @shikaruJet

    @shikaruJet

    2 жыл бұрын

    @@shirleyhowell3593 i never give up it is not in me to give up i have too much strength in my spirit thanks so much for your compassion

  • @shirleyhowell3593

    @shirleyhowell3593

    2 жыл бұрын

    @@shikaruJet 💛🙏🌻💖

  • @Paperhuman15
    @Paperhuman153 жыл бұрын

    Big respect to first responders!

  • @charlesthomas2454
    @charlesthomas24544 жыл бұрын

    Very good talk. Her outlook on mental health and how we can treat it if addressed early on is inspiring.

  • @JohnKooz
    @JohnKooz2 жыл бұрын

    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!

  • @ninjamatt2164
    @ninjamatt2164 Жыл бұрын

    Thank you for this video ❤️✨

  • @shirleyhowell3593
    @shirleyhowell35932 жыл бұрын

    Thank you!!!

  • @aurelius8990
    @aurelius89902 жыл бұрын

    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

  • @aarohelander2590

    @aarohelander2590

    2 жыл бұрын

    Do you feel like having people to have real conversations with would help? For me the biggest help has been finding men with whom I can bring all the darkest stuff to surface, and then with a mutual challenge to strive to beat these. I'm a follower of Jesus, just now at 31 I'm finding that we can actually fight these things with faith and just being vulnerable, and pressing on. I pray and believe that God will meet you where you are and help you with all things!

  • @esmecooper8945
    @esmecooper89455 жыл бұрын

    i have recently been referred to early intervention for psychosis and im terrified.

  • @fredweeks9451

    @fredweeks9451

    4 жыл бұрын

    felt the same as you Esme scared, alone, isolated, lacking in any form of confidence and very vulnerable. ive been with psypher hull almost a year now and i promise you with support and patience you will get back on your feet. i still struggle but my early intervention group means i dont have to do it alone. stay strong hope you're feeling better

  • @Adam-qt1sz

    @Adam-qt1sz

    2 жыл бұрын

    Take fish oil and vitamine suppliments. Dont take antipsychotics.

  • @dmtdreamz7706

    @dmtdreamz7706

    2 жыл бұрын

    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? 😂🌪

  • @leahthomas2262

    @leahthomas2262

    2 жыл бұрын

    @@dmtdreamz7706 psychosis and schizophrenia are different things.

  • @brianorakpohit

    @brianorakpohit

    9 ай бұрын

    ​@Adam-qt1sz Whilst finding the right Antipsychotic isn't always pinpointed first time, as a Mental Health worker, it is highly irresponsible to suggest it is some kind of myth that they work, and to suggest vitamins and fish oil! I've seen once floridly psychotic men discharged from psychiatric care having made transformative progress because of antipsychotics.

  • @francissemazzi1530
    @francissemazzi15308 ай бұрын

    Very good talk about mental health. She's right we need a culture change about mental illness

  • @MightybyGrace
    @MightybyGrace4 жыл бұрын

    the eyes are the windows to the soul

  • @billyblackburn864
    @billyblackburn8643 жыл бұрын

    i managed to stay out of the hospitol this go round but I think I might should have gone

  • @JungleJargon
    @JungleJargon2 жыл бұрын

    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.

  • @alyssatraore9609

    @alyssatraore9609

    2 жыл бұрын

    How did you manage to out it? What worked for you? :)

  • @JungleJargon

    @JungleJargon

    2 жыл бұрын

    @@alyssatraore9609 I had to not believe in my hallucinations and delusions and I ignored them as if they weren’t there and they lost their power over me.

  • @kasei_sketches8058
    @kasei_sketches80582 жыл бұрын

    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.

  • @donnacockerham914
    @donnacockerham9143 жыл бұрын

    Good idea

  • @kansksksnzkznz
    @kansksksnzkznz3 жыл бұрын

    totally unrelated to talk but where did you get that skirt? want one!

  • @corbingrieves4505
    @corbingrieves45052 жыл бұрын

    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.

  • @sp-bc1kk

    @sp-bc1kk

    Жыл бұрын

    Never ever go to a pysciatrist. You will be put on antisycotics for the rest of your life. If you can ever afford it, go to a phycotherapy. CBT.

  • @abdull5721
    @abdull57212 жыл бұрын

    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.

  • @GabyPivet
    @GabyPivet3 жыл бұрын

    What about peer support workers? Aren’t they even better first respondents?

  • @JamilMartinez
    @JamilMartinez3 жыл бұрын

    Does anyone have any personal experiences with psychosis recovery?

  • @alexlucas9308

    @alexlucas9308

    3 жыл бұрын

    I had it for 4 years then one night all my symptoms disappeared worst time of my life

  • @pedmole5

    @pedmole5

    3 жыл бұрын

    @@alexlucas9308 because you realised what had happened over the past 4 years?

  • @rachelabbott1338

    @rachelabbott1338

    2 жыл бұрын

    Yes, after several stays in inpatient hospitals and eventually residential treatment. It took 3 months to get my psychosis under control, but I’m doing good now.

  • @lindaguida4074
    @lindaguida40743 жыл бұрын

    No one helped my brother, he had no insurance.

  • @dyrefate
    @dyrefate8 ай бұрын

    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.

  • @chelsearenee6761
    @chelsearenee6761 Жыл бұрын

    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

  • @ron030363
    @ron030363 Жыл бұрын

    The beliefs of the mentally ill are not false because it becomes real with the spirit.

  • @JonathanDavisKookaburra
    @JonathanDavisKookaburra3 жыл бұрын

    What are the 'gold standard treatments for psychosis that work' that you fail to give any details about. Excuse my scepticism. I completely agree that early intervention is important and creating a safe space for young people to seek support is needed. Removing all barriers to young people getting care is great as young people are the most likely to have only one episode and never have a recurrence out of any age group, if handled the right way. The fact that you skirt around mentioning what these gold standard treatments that work are, does not engender trust. It feels evasive.

  • @pedmole5

    @pedmole5

    3 жыл бұрын

    I would also like to know what the gold standard treatments are.

  • @notcrazy1750

    @notcrazy1750

    3 жыл бұрын

    @@pedmole5 Coordinated Specialty Care for first episode psychosis has shown extremely effective. This mixes psychiatry, CBT for Psychosis, help getting back to work or school, and a recovery focus

  • @pedmole5

    @pedmole5

    3 жыл бұрын

    @@notcrazy1750 Thank you

  • @cnq22589

    @cnq22589

    2 жыл бұрын

    I agree, I wish she would’ve delved more into that. This Ted talk was all things I already knew and tbh, she didn’t say anything most of us who suffer from psychosis already know. Useless.

  • 2 жыл бұрын

    Good talk, for a beauty woman. :) Thank you

  • @TomJerry-xe9or
    @TomJerry-xe9or Жыл бұрын

    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

  • @stev1et785
    @stev1et7852 жыл бұрын

    Any solution that sounds that good is multilevel marketing…

  • @cnq22589

    @cnq22589

    2 жыл бұрын

    Lol

  • @bluerain8317
    @bluerain83172 жыл бұрын

    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

  • @bobbybrown4935
    @bobbybrown49353 жыл бұрын

    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.

  • @angelstinson2436
    @angelstinson2436 Жыл бұрын

    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..

  • @bobbybrown4935
    @bobbybrown49353 жыл бұрын

    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.

  • @robertkeys6873
    @robertkeys68732 жыл бұрын

    Rx😘9911 schizophrenia

  • @dmtdreamz7706
    @dmtdreamz77062 жыл бұрын

    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? 😂🌪

  • @saranox7319

    @saranox7319

    2 жыл бұрын

    🤦🏻‍♀️

  • @bobbybrown4935
    @bobbybrown49353 жыл бұрын

    This is my ghost

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