Joseph

Joseph experienced a brief period of psychosis in his early 20s when he was working as a chef. He had delusions and was not his normal self. He spent less than four weeks in hospital. He fully recovered from his psychosis and does not take any medication.

Joseph was some months into a new job working as a high end chef when he first experienced psychosis. The work was demanding, with long hours, often working 75 hours a week, but rewarding. He had been pushing himself and had been promoted and he feels that he put more pressure on himself than others expected of him. The week before the psychotic episode he had been moved onto a new section of the kitchen. At the time he was getting less sleep than usual, about four hours, compared to his usual six, didn’t have time to eat properly, and was having a lot of caffeinated drinks. On reflection, when he left work that Friday he had a feeling that he might not be going back.

After a long weekend at home he became physically ill and collapsed. His girlfriend called an ambulance and he was taken to hospital. He remembers feeling a kind of relief that he was finally being taken care of, that he was now in safe hands away from the Intense lifestyle he had as a chef.

During the psychotic episode he had a lot of intense thoughts and was making connections between seemingly random bits of information. He was using his mobile phone to make notes about the things he was thinking. He also remembers using google’ search engine on his phone in unusual ways, as if it could answer any questions he had, such as where his girlfriend was. On one occasion he remembers noticing that his girlfriend hadn’t posted on twitter for six months and thinking that this must mean she had died. He experienced real grief at losing her, which continued until he saw her again.

While some of the experiences he had during the psychotic episode were bad, there were times when he felt very good. He had a huge amount of energy and remembers cartwheeling along the corridor of the hospital at night when other patients were asleep. One time he experienced euphoria’ looking out of a large hospital window at a view over the city. His sense of taste was heightened and whatever he ate, it was as if he was tasting it for the first time.

But he also describes his senses becoming overloaded, for example he remembers finding one light near his bed painfully bright, and he was acting in ways that were out of character. He could get very angry and be violent. He remembers breaking a light and having to be restrained. He didn’t feel particularly aware that what he was experiencing was delusional at the time.

Staff at the hospital were very good and always had time to listen to him. He remembers a psychiatrist telling him after he left hospital to be kind to himself, which he thinks was good advice. Rather than rush back to his old job, he decided to start work as a gardener and he thinks this has helped with his recovery. At the time of the interview he was considering working as a social care worker.

Joseph’s friends and family have been a good support to him throughout his experience and visited him in hospital, which he says was a very difficult experience for them. After he left hospital he moved back to his family home. It was a tough time for him, adjusting to the medication he was on, and coming to terms with what had happened and he appreciated his family giving him time to recover.

While in hospital Joseph was prescribed sleeping tablets which had the opposite effect, and haloperidol (anti-psychotic), which took time to work and made him feel weighed down. Procyclidine (anti-cholinergic), which was prescribed to counter some of the side effects of the haloperidol, made him hyperactive and increased his emotional sensitivity so that even watching the TV felt like sensory overload. Although Joseph wanted to come off the haloperidol quickly, the psychiatrist reduced it very slowly over eight months, which was a difficult time. Joseph feels he only really recovered once he came off the medication.

Joseph was never given a formal diagnosis, but the terms manic episode’ and psychotic episode’ were used by clinicians. That was enough for him to investigate more about his experience and he collected information about his experience from friends and by reading back through the notes, text messages and search engine history on his mobile phone during the episode.

After he experienced psychosis, Joseph’s friends came to see him in hospital and visited him at home. He appreciated having conversations with them.

Age at interview 22

Gender Male

Age at diagnosis 21

When Joseph was delusional he found it most helpful when staff just let him talk.

Age at interview 22

Gender Male

Age at diagnosis 21

Joseph says it’s important to know, and let others know, that the psychosis will end and that you can be your own agent of change.

Age at interview 22

Gender Male

Age at diagnosis 21

When people have learned a lot from their mental health experiences and feel a sense of recovery they might want to help others. Joseph wants to share his experiences to provide hope for others about the future.

Age at interview 22

Gender Male

Age at diagnosis 21

For Joseph, recovery is not about returning to how you were before the experience of psychosis, but about focusing on whatever comes out of those experiences.

Age at interview 22

Gender Male

Age at diagnosis 21

Joseph could have returned to his work as a chef but is glad that he didn’st. He took time to re-evaluate what he wanted and has taken on some gardening work for a while, which is quite therapeutic.

Age at interview 22

Gender Male

Age at diagnosis 21

Joseph wasn’st eating or sleeping well around the time of his psychotic experience and he thinks his immune system was very low.

Age at interview 22

Gender Male

Age at diagnosis 21

Joseph said the best advice he was given by a medical professional was be kind to yourself and it made him re-evaluate things and take things really slow.

Age at interview 22

Gender Male

Age at diagnosis 21

Joseph’s girlfriend was there when he collapsed at the start of a psychotic experience and she has been with him throughout his experience.

Age at interview 22

Gender Male

Age at diagnosis 21

Joseph chose to leave his profession as a chef and has retrained as a gardener. He talks about the benefits of having a less stressful job.

Age at interview 22

Gender Male

Age at diagnosis 21

Joseph describes a tin man effect of one medication that made him feel dull. He was prescribed another drug to take with it to lift his mood but that made him hyper.

Age at interview 22

Gender Male

Age at diagnosis 21

Joseph lived at home after he came out of hospital. He describes the importance of support from his parents in giving him time to recover.

Age at interview 22

Gender Male

Age at diagnosis 21

When he collapsed, Joseph was taken by ambulance to hospital and assessed for everything under the sun. After a week he got the three signatures and was sectioned.

Age at interview 22

Gender Male

Age at diagnosis 21

Joseph felt a big weight off when paramedics arrived to take him to hospital after he collapsed at the start of his psychotic experience.

Age at interview 22

Gender Male

Age at diagnosis 21

Joseph had visits from a Community mental health team. They did a wrap plan’s with him to get some routine into his life, but what he found most helpful was just being able to chat like he would to a friend.

Age at interview 22

Gender Male

Age at diagnosis 21

Joseph remembers tasting avocado while he was recovering in hospital and it being like the first time he’sd tried it. He also remembers a sense of euphoria looking out of the hospital windows over the city.

Age at interview 22

Gender Male

Age at diagnosis 21

Sometimes Joseph felt like he was bumping along the bottom and at other times he felt like he was flying. He compared it to moving up levels in a computer game.

Age at interview 22

Gender Male

Age at diagnosis 21

When Joseph’s mum didn’st make it to see him in hospital one day he thought she had died.

Age at interview 22

Gender Male

Age at diagnosis 21

Joseph had big memory blanks from his first experience and unanswered questions about what he had been doing and saying. He looked back through texts, computer history to help him understand what he had been doing and saying.

Age at interview 22

Gender Male

Age at diagnosis 21

Joseph never really got a diagnosis, though words like manic episode and episode of psychosis were thrown around. He was glad that there was no concrete diagnosis.

Age at interview 22

Gender Male

Age at diagnosis 21

When Joseph passed out during his first psychotic experience, his girlfriend was with him and called an ambulance.

Age at interview 22

Gender Male

Age at diagnosis 21

Despite a very brief one-off episode of psychosis, Joseph lost his social skills and found ordinary tasks challenging. He was also adjusting to the effect of his medication.

Age at interview 22

Gender Male

Age at diagnosis 21

Joseph describes eating breakfast just before he collapsed and was taken to hospital. He felt disinhibited and like something in him had changed on a mental and physiological level.

Age at interview 22

Gender Male

Age at diagnosis 21

Joseph was working as a chef and pushing himself to achieve more and more. On his last day of work before his first psychotic experience he kind of knew he wouldn’st be coming back.

Age at interview 22

Gender Male

Age at diagnosis 21