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How I Work: When Psychosis Is Actually Precision


People often assume that those experiencing psychosis lack insight.


But in my experience, it’s often the opposite.


Many of the people I’ve worked with — and many I’ve met on locked wards — are highly attuned. They’re noticing subtle dynamics, sensing emotional shifts, tracking meaning the rest of the room can’t hold.


The system reads this as delusion.

I read it as unintegrated sensitivity.


This is the core of how I work.


I don’t diagnose or pathologise.

I listen. I attune. I meet people in the field of what they’re actually experiencing — not what the file says.


And often, when someone labelled “psychotic” is given space to be met without fear, correction, or flattening, something extraordinary happens:


Their system begins to settle.

Their clarity starts to land.

And their so-called symptoms lose their charge.


I’ve written a new piece on Medium about this approach, sharing a scenario that shows what’s possible when we stop trying to fix — and start trusting what’s true beneath the surface.


 
 
 

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The content on this website is written from lived experience and professional reflection. All views expressed are my own and should not be taken as representing the position of my employer, the NHS, or any affiliated organisation.

© 2023 by Wishart

Phone: 07476 762416

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