"What does that mean?"

"It means you are disconnected from reality."

I still remember looking up at the psychologist who had shared her impressions with me of my psychosis. At just 13 years old, the term "disconnected from reality" mystified me. As an adult and therapist specializing in psychosis, it still does.

An objective reality is nearly impossible to define. There is consensus on a few topics. For example, most would agree that we share this interaction on Earth. Yet, even in these consensus pieces, the variations in experience are wild. Most people have at least one belief that could be called unusual.

Many clinicians find the concept of fixation more accurate in defining psychosis and especially delusion. A delusion is........

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