My cousin is 19 year old. She has been diagnosed with psychosis 8 months before. She is under medications of respideral 2 mg and censpram lite in the night time. She is fine and normal. Only one thought is not going from her mind that she get lost in the shopping mall even though she is not lost finding her own way in the shopping mall but still saying that I am lost. Otherwise She is studying well. Please advice me What should I do?

Dr. Saul PereiraPsychologist46yrs exp

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The age at which she had the breakdown is not surprising: late adolescence is normally the period when most people have these breakdowns and are indicative of childhood influences and genetic factors. This is the last time that she will get to resolve the issue and if it is not treated now it can lead to a permanent condition into adulthood. These symptoms must be reported to the doctor so that he can review the dosage or the medication. At her age, this disease can be quite crippling and difficult for her too. What she needs to do is to go for counseling along with the medication. She must be put on a tight time schedule of activities too. She must be occupied but not busy: occupational therapy is highly recommended. Anything that attracts her attention is normally good for her. Always keep her mind engaged with outside distractions because otherwise, she will go internal where all the craziness lurks. Once she goes internal she can get locked in and to get her to relate to the external world thereafter will become near impossible. Ideally, she should be around people who will interact with her. Sometimes these methods can actually relieve her of many symptoms of the disease. Exercise is an integral part of her daily routine but it has to be suitable to her age and physical condition. Remember there is no cure but getting her to become functional as much as possible is good for her and the family. This will be an on-going exercise and everyone must pitch in, be patient and kind, yet firm. Any passive state will encourage degeneration. 

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