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Dec 15
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Thomas Reilly's avatar

Examples would be addressing substance use (eg avoiding cannabis), optimising psychosocial functioning (eg employment/educational support), monitoring of mental state for development of frank psychosis (so treatment can be initiated promptly). This is the current model of managing at risk mental state for psychosis.

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Dec 15
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Sasha Gusev's avatar

In my experience, the psychiatric genetics organizations take unintended consequences very seriously. See (https://pgc.unc.edu/for-the-public/genetic-testing/) on genetic testing / prediction, (https://pgc.unc.edu/for-the-public/stigma/) on stigma, (https://www.youtube.com/watch?v=yltzRp6hX-E) on gene-environment interplay and complexity, etc.

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Thomas Reilly's avatar

Valid concerns! IтАЩve written critically about early intervention in psychosis https://rationalpsychiatry.substack.com/p/early-intervention-in-psychosis

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Joseph Meyer's avatar

Our childтАЩs psychosis became apparent to us when she was merely 6 years old. She* told me about an event in her first-grade classroom where she saw skulls floating near the ceiling, and then a dragon swinging its tail at the homes of villagers who lived on a mountain. She said she wanted to help, but could not reach them. Soon she tapped and scratched on her bedroom wall while we read to her at night, saying she was communicating with her friends who lived inside the wall. Later, a preschool teacher told us our daughter spoke of hearing whispers and bells in preschool when she was 4 years old. Her psychiatrist thought she had a vivid imagination and did not prescribe an antipsychotic until she was 7 years old. Who rushes to put a young child on an antipsychotic? Many people donтАЩt believe me when I tell them about our daughterтАЩs early-onset psychosis.

*She is biologically male, but now identifies as a transgender woman.

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