First episode psychosis

Date Published: 
Tuesday, November 24, 2020

In this episode, Dr Cheryl Buhay will discuss first episode psychosis, the importance of early diagnosis and intervention, along with risk factors.



  • What is the formal definition of first episode psychosis?
  • Is there ethnic variability?
  • The four stages of psychosis.
  • Patient examination, what do we need to look for?
  • Specialist investigations for young people.
  • Red flags for urgent referral.
  • How do we manage these patients in the community?
  • What interventions have been shown to work?
  • Does cannabis use increase the risk of developing psychosis?


Take-home messages

  • Maintain an index of suspicion.
  • Early detection and treatment are key.
  • Maintain therapeutic alliance.
  • Access specialist treatment for advice on early psychosis intervention. 





Cheryl Buhay

Dr Cheryl Buhay is an Otago Medical School graduate and Fellow of the Royal Australia and New Zealand College of Psychiatrists.  She is working for Waitemata DHB Specialist Mental Health Services as a Primary Care Liaison psychiatrist, providing specialist support to GP practices mainly within the West Auckland area.  She is involved in GP teaching and is a contributor of mental health resources to Auckland Regional HealthPathways.

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This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.