Clinical high risk (CHR) for psychosis is a term used to describe individuals who are at an increased risk of developing psychosis. This high risk is based on a combination of clinical, psychological, and behavioural factors. These individuals may experience periods of intense distress and anxiety, as well as subtle changes in their thinking and behaviour. The aim of CHR treatment is to reduce the risk of developing psychosis and its associated symptoms and to improve the individual’s quality of life.
Risk Factors for Clinical High Risk for Psychosis
There are a number of risk factors that can increase an individual’s chance of developing psychosis. These can include a family history of psychosis, a previous psychotic episode, substance use, and childhood trauma or abuse. Other risk factors that are associated with an increased risk of developing psychosis include genetic predisposition, social isolation, and psychiatric disorders such as anxiety and depression.
Signs and Symptoms of Clinical High Risk for Psychosis
Individuals who are at a high risk of developing psychosis may experience a range of signs and symptoms. These may include:
• Difficulty concentrating or focusing
• Unusual or illogical thoughts
• Unusual beliefs or suspicions
• Confused or disorganized speech
• Unusual or exaggerated reactions to minor events
• Heightened sensitivity to sensory stimuli
• Visual or auditory hallucinations
• Changes in sleep patterns or appetite
• Increased social withdrawal
• Increased suspiciousness or paranoia
• Feelings of depression or anxiety
• Rapid changes in mood
• Loss of interest in activities once enjoyed
Treatment for Clinical High Risk for Psychosis
The goal of treatment for CHR is to reduce the risk of developing psychosis and its associated symptoms. Treatment may include a combination of medication, psychotherapy, lifestyle modifications, and social support. Medication may be used to reduce symptoms such as anxiety and depression, as well as to address any underlying medical conditions. Psychotherapy may be used to help the individual develop coping strategies and to improve their understanding of their symptoms. Lifestyle modifications may include changes to diet and exercise, as well as reducing stress. Social support can help the individual to stay connected with family and friends and to build a strong support system.