Posted by Mark H. on September 14, 2002, at 0:51:00
In reply to facial features/psychosis onset , posted by tancu on September 13, 2002, at 20:38:07
I haven't noticed changes in the facial features of those who are experiencing psychotic onset, so I would guess that it is not particularly common. However, sometimes those who suffer from psychosis will perceive changes in the features of others. It is the nature of psychosis (as I understand it) to seem utterly believable to the person experiencing it, which is one of many reasons why it is so distressing.
It might help to check other things besides facial features, such as (possible) history of psychosis, changes in personal grooming and attire, irrational beliefs or highly disorganized conversation, reactions to recent stressors, and so forth.
Also, if your friend has had episodes of psychosis in the past, what treatment or help worked for your friend? Is there a therapist or psychiatrist this person already sees? Would your friend be open to a friendly suggestion to make an appointment to check in with this care provider? Timely intervention can save a lot of grief, especially given some of the wonderful newer anti-psychotic medications that are available today.
It's always best to ask the person directly, if you can, rather than to speculate. I suspect that your kindness and concern will be well received.
I hope that some of these ideas will be useful to you.
With kind regards,