The First Interview of a Patient with Psychosis: Symptoms, Safety, and Stabilization

In this article we describe our approach to the patient presenting with a first episode of psychosis. This approach differs from the treatment of chronic patients, and it is critical in ensuring that the patient receives proper assessment, treatment, and stabilization. The first interview is a watershed moment for the patient; if all goes well, the patient can be engaged and treatment established; if it goes poorly, it can delay treatment and even set a course of noncompliance for years to come.