Characterized by disruptions to a person’s thoughts and perceptions, psychosis is an often misunderstood and mistreated mental health condition that makes it difficult to recognize what is real and what is not. Although experiencing these symptoms can be unnerving for the individual and their loved ones, collaborative treatment after an initial psychotic episode has been shown to not only treat the symptoms but also reduce relapse rates and improve the individual’s quality of life.

This innovative and evidence-based treatment plan, referred to as FIRST Episode Psychosis (FIRST), provides specialized, evidence-based treatment initiatives designed for individuals experiencing early episodes of psychosis. These programs aim to provide timely and comprehensive intervention, which is crucial for improving long-term outcomes. By combining individual therapy, medication management, psychoeducation, case management, and employment support, FIRST participants can experience better recovery outcomes, which sets them up for future success.

A first episode of psychosis rarely comes suddenly, but rather as gradual changes in a person’s thoughts and perceptions. Sometimes early warning signs can be difficult to distinguish from typical adolescent or young adult behaviors, but a trusted mental health professional can provide further evaluation. Because mental health treatment is not often “one size fits all,” FIRST treatment plans are custom-built to address the needs and goals of the client. These unique integrated care plans provide several areas of care in those first crucial weeks following a client’s psychotic episode.

“Zepf Center's FIRST Episode Psychosis program is changing lives for the better and is a critical resource for our community,” said Chief Integration Officer Linda Nordahl. “Our team supports clients and families who are often unfamiliar with behavioral health disorders, systems, policies, programs, and resources. Our team works to empower the client while educating, advocating, and building skills to support their recovery.”

The importance of early intervention and FIRST programs can be witnessed firsthand at Zepf Center. Recently, a client enrolled in the program and was able to successfully treat his mental health after years of incorrect diagnoses and unsubstantial care.  

After Alan* first began experiencing intense delusions and auditory hallucinations in his early 20s, his life took an unexpected turn. He sought treatment and was diagnosed with bipolar disorder with psychotic features. Following this diagnosis, Alan’s symptoms continued to impact his life, leading to multiple hospitalizations and even an arrest.

Like many living with psychosis, Alan struggled to take medication due to its side effects and, at times, disbelief in his need for treatment. Despite these challenges, Alan found a consistent support system in the FIRST program at Zepf Center.

Although his symptoms continued to fluctuate, the FIRST team stuck with him, offering steady support from therapists, medical staff, and case managers. Because of their care, Alan currently works, maintains close ties with his family, and stays connected to his treatment team.

One of his biggest recent wins? After a hospital stay, Alan voluntarily called his case manager to share where he was and asked to meet once he was discharged. That small moment reflected a positive change in Alan and his ability to build trust, self-awareness, and personal growth.

“These interventions are vital for the FIRST clients we serve,” said Zepf Center CEO Deb Flores. “This is the only program of its kind in the area, and allows us to provide accessible, person-centered care to someone during what may be the most challenging period of their life.”

Recovery from psychosis is not always linear, but it is possible with the right care and resources. Programs like FIRST provide individuals and their families with the tools, guidance, and support to reclaim their lives and manage their symptoms.

If you or a loved one is showing signs of early psychosis, such as hearing or seeing things that others don’t, experiencing paranoia, or having trouble thinking clearly, don’t wait. Getting help at the first sign of symptoms can make all the difference.

Even in the most challenging times, Zepf Center’s FIRST Episode Psychosis program is here to help. By providing clients and their families with compassionate, accessible, person-centered care, our team is ready to support clients through their journey, providing hope every step of the way.

For more information about FIRST Episode Psychosis programs in Wood & Lucas Counties, call 419-265-8582 or visit https://www.zepfcenter.org/first-episode-psychosis/.

*names & identifying information have been changed or removed to protect client confidentiality