About Psychosis

In this section:

Need Help Now?

Call 911, go to the emergency room, or call the local crisis line services if you need them.

24/7 Suicide Prevention & Crisis Hotline: 1-800-273-8255

National Suicide Prevention Lifeline

Local Crisis Lines

Most counties in Oregon have their own local crisis line.

This list is arranged alphabetically by county

  • Baker County (541) 519-7126
  • Clackamas County (971) 244-4635
  • Clatsop County (503) 325-5724
  • Columbia County (503) 397-5211 or 1-866-866-1426
  • Curry County 1-877-519-9322
  • Deschutes, Crook, & Jefferson Counties (541) 322-7500, #9
  • Douglas County (541) 530-2834
  • Hood River, Wasco, & Sherman Counties Weekdays: Hood River (541) 386-2620; The Dalles (541) 296-5452; Evenings & Weekends: (541) 296-6307 all areas
  • Jackson County (541) 774-8201
  • Josephine County (541) 474-5360
  • Klamath County (541) 883-1030
  • Lane County Weekdays: (458) 205-7070; Evenings & Weekends: (541) 510-5088
  • Linn County Weekdays: (541) 967-3866 or 1-800-304-7468; Evenings & Weekends: 1-800-560-5535
  • Malheur County (541) 523-5903
  • Marion County (503) 585-4949
  • Multnomah County (503) 988-4888 or 1-800-716-9769
  • Polk County Weekdays: (503) 623-9289, #1; Evenings & Weekends: (503) 581-5535 or 1-800-560-5833
  • Tillamook County (503) 842-8201 or 1-800-962-2851
  • Umatilla County Pendleton: (541) 276-6207; Hermiston or Milton-Freewater: 1-866-343-4473
  • Union County (541) 962-8800
  • Wallowa County (541) 398-1175
  • Washington County EASA Participants: (971) 244-4635; Not enrolled in EASA: (503) 291-9111
  • Yamhill County Weekdays: (503) 434-7523; Evenings & Weekends: 1-800-560-5535

For a complete list of crisis contacts within Oregon, please visit the Oregon.gov list of crisis services.

Find Help in Oregon

Are you or someone you know a young person experiencing psychosis? Please call these numbers to make an appointment with your nearest EASA team to receive information and support:

  • Baker County (541) 523-4636
  • Clackamas County (503) 496-3201, #1244 or (503) 710-8843
  • Clatsop County (503) 298-7416 or (503) 325-0241, #262
  • Columbia County (503) 397-5211, #128
  • Curry County (541) 373-0279
  • Deschutes, Crook, & Jefferson Counties (541) 213-6851
  • Douglas County (541) 440-3532 or 1-800-866-9780
  • Hood River, Wasco, & Sherman Counties (541) 296-5452, #4330
  • Jackson County (541) 770-7744
  • Josephine County (541) 244-3138
  • Klamath County (541) 883-1030
  • Lane County (458) 205-7070
  • Linn County (541) 967-3866, #4
  • Malheur County (541) 889-9167
  • Marion County (503) 576-4690
  • Multnomah County (503) 988-3272
  • Polk County Weekdays: (503) 385-7417
  • Tillamook County (503) 842-8201 or 1-800-962-2851
  • Umatilla County 1-866-343-4473
  • Union County (541) 962-8800
  • Wallowa County (541) 426-4524
  • Washington County (503) 705-9999
  • Yamhill County (503) 583-5527

Find Help in the U.S.

If you or someone you know is a young person experiencing psychosis outside Oregon, Partners for Stong Minds has a handy Google Map of treatment programs nationwide, and lists of U.S. and International programs. 

Assessment Process

What the Assessment Includes

The purpose of a good assessment is to help the person clarify whether they have a medical condition, how it is affecting their functioning, and what type of treatment or support may be needed. With this information, the person and their loved ones are able to make informed decisions about their medical care and personal goals.
 
Typically, an assessment will include medical tests, interviews, observation and collection of history. There are usually multiple people involved in the assessment process, including a psychiatrist or psychiatric nurse practitioner, your primary care physician, a qualified mental health professional, and, in some circumstances, other specialists such as a neurologist or occupational therapist. In order to complete a thorough assessment, close friends or family members are usually asked for their input, as they are likely to detect changes in information processing and behavior which are difficult for the person to detect. Also, families and friends are a great resource for identifying the person's strengths. Also, psychosis interferes with the person's ability to process information, and it may be difficult for them to report on their own medical situation. The following form was developed by EASA as a tool for families to provide input into the assessment process: Assessment Input Form (click to download PDF)

It is not uncommon for the diagnosis process to be ongoing over time. Some of the possible diagnoses require six months observation to confirm. You may be given a "rule-out" diagnosis, which means that additional observation or testing is needed to determine whether this diagnosis is correct.

Usually a preliminary diagnosis is made from the first interview, confirmed within approximately the first thirty days, and revisited periodically throughout treatment.

The following information will be important in any assessment:

Current situation:

How do you perceive what is going on- what do you observe? What changes or possible "symptoms" have you noticed:
  • Current illnesses and treatment you may be receiving
  • What medicines or supplements are you taking?
  • Physical changes with your body
  • Changes in your sleep and appetite
  • Changes in your moods
  • Changes in your thought process
History:
  • Illnesses that you or other family members have experienced
  • Injuries. Have you ever been knocked unconscious?
  • Allergies and adverse reactions to medicines
  • Drug use and reactions
  • Learning disabilities
  • progression
  • What do others around you observe (sometimes with neurochemical changes others notice changes when the individual doesn't)
Current psychosocial situation:
  • How are these changes affecting your ability to focus at work/school and home?
  • How are they affecting relationships with others?
  • How are they affecting your ability to meet personal goals and priorities?
  • What information do you and your supporters have, and what do you need?
  • Do you have a strong support network?
  • Is your living situation stable and supportive of your healing process?
  • What are your personal goals and priorities, and are these changes interfering?
Medical tests:

Medical tests which EASA routinely recommends for people experiencing psychosis include:
  • CBC with differential
  • Chemistry panel (with liver enzymes, electrolytes, BUN, Cr, calcium)
  • Urine drug screen
  • Urinalysis, with microscopy
  • B-12 and folate
  • Thyroid screen (TSH, T4)
  • MRI or CT
  • Other tests indicated by additional medical conditions identified
The result of the assessment process is:
  • A clarification of preliminary diagnosis. In some cases, it may take a while to get a final diagnosis.
  • Identification of the type of treatment which is most likely to be helpful
  • Initial goals for treatment, based on your needs and priorities