Transitions for Young Adults with Psychosis and Mania

First-episode psychosis (FEP) and first-episode mania (FEM) often occur in young adulthood. The unique developmental, social, and psychological needs of this population merit special attention, as they impact diagnosis and treatment. In addition to recognizing and addressing barriers to care, including the unique barriers faced by transitional-aged youth, early intervention following first-episode psychosis or mania is crucial for preserving functioning and improving outcomes. Growing evidence suggests that coordinated specialty care (CSC), which includes psychopharmacologic and psychosocial interventions, is the most effective form of intervention; such interdisciplinary intervention can reduce the adverse effects of illness, improve functioning, and reduce the risk of illness recurrence and rehospitalization. Risk factors for the development of psychotic and bipolar disorders continue to be an area of ongoing study, with current efforts being focused on identifying “clinical high risk” (CHR) populations and providing early intervention in hopes of impacting the overall disease trajectory.