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Mental health problems


Here you will find information on how you can proceed to assess whether the young person has or is about to get a psychosis. Anyone who is concerned that they themselves, someone in the family or others are in the process of developing a serious mental illness, can contact TOPS, which stands for "early detection of psychosis."

 Image: Dreamstime (with licence)

This emerges from one brochure from Helse Bergen.


Early signs of psychosis

Early signs of psychosis may be that young people isolate themselves from family and friends, sleep poorly, are very sad, have difficulty concentrating, are afraid to leave the house, neglect hygiene, work or school, are extremely preoccupied with topics such as death, politics or religion, have great mood swings, speak incoherently, and see other things others do not see.

If the person shows such symptoms, this may be a sign of psychosis, and it is important to seek help quickly to get an examination. It is also possible that there is no question of a psychosis, but in all cases the person will need help, and it is very important to seek help when such symptoms are present.


Checklist to assess whether there may be psychosis

TOPS has developed a separate checklist of questions, which can give you an indication of whether you need to be concerned about psychosis or not. Here is the list:


Early signs of psychosis Ja     Unsure in    
1. Withdraw from family and friends      
2. Sleeps poorly or turns around the clock      
3. Make it worse at school or work      
4. Has trouble concentrating and forgets more than before      
5. Cares less about your own hygiene      
6. Afraid to leave the house      
7. Panics, is very sad or has suicidal thoughts      
8. Seems indifferent or has mood swings      
9. Hear voices that no one else hears      
10. See things that no one else sees      
11. Is extremely concerned with topics such as death, politics or religion      
12. Believe that others are making a conspiracy, spying on one, or following one       
13. Believe that others will hurt one      
14. Believe that one is influenced to do things, for example by television or radio       
15. Believe that one has special abilities and can read other people's thoughts      
16. Tests out various drugs      
17. Have someone in the immediate family who is seriously mentally ill      


TOPS writes in its brochure:

Contact TOPS if you have answered yes or are unsure of more than three points (Norwegian service!).

If you have answered yes to points 9, 10, 11, 12, 13, 14, or 15, we would like you to get in touch even if it is the only thing you have answered yes to. Do not be afraid to call us!

Similar services may be available in other countries. Please contact your GP for more information.



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