Psychosis & schizophrenia
Conditions that affect a person's relationship to reality — and respond well to early treatment.
What it is
Psychosis means a temporary or ongoing disruption in how someone experiences reality — hallucinations (seeing or hearing things others don't) or delusions (strong beliefs that aren't shared by others and aren't swayed by evidence). Schizophrenia is one of several conditions that can involve psychosis.
Common signs
- Hearing, seeing, or sensing things others don't
- Strong beliefs that don't change even with clear evidence against them
- Increasing disorganization in thinking, speech, or daily routine
- Withdrawing sharply from friends, family, or usual activities
- A marked change in personality or functioning over weeks to months
Good to know
Early treatment is one of the strongest predictors of long-term outcome in psychosis — the gap between first symptoms and first treatment matters more than almost anything else, which is why a fast assessment is worth pursuing even if you're unsure.
What helps
Treatment combines medication with therapy and, often, family education and support — most people who receive early, consistent treatment are able to work, study, and maintain relationships.
When to seek help
Don't wait for certainty. If you're noticing these changes in yourself or someone close to you, an urgent assessment through 811 or an emergency department is the right move.
Before you call
Services that can help
- Mental Health and Addictions Centre (MHAC)NL's flagship adult mental health and addictions hospital, opened April 2025. Houses the Psychiatric Assessment Unit (24/7 walk-in mental health emergency, no referral needed), acute inpatient units, ECT, and outpatient clinics.
- Health Sciences Centre — Emergency DepartmentEmergency Department staffed 24/7 by an RN with mental health training, with on-call psychiatry.
- 911Life-threatening medical, fire, or police emergency.
- NL HealthLine (811)Free, confidential 24-hour line staffed by registered nurses. The province tells you to call 811 for a mental health or addictions crisis that isn't life-threatening. Nurses can also connect you to the right service.
- 988 Suicide Crisis HelplineNational line for anyone thinking about suicide, or worried about someone who might be. Call or text.
- Crisis support by textFree, confidential crisis support by text, any time. Anyone can text 988. Youth can text CONNECT to 686868 to reach Kids Help Phone.
Related topics
This page is general information, not a diagnosis or medical advice. If you're in crisis, go to Get Help Now instead of reading further.