Based in Santa Monica, CA, Dr. Rebecca Payne help adults unravel trauma, shift painful patterns, and feel more grounded. I specialize in complex trauma, dissociation, and identity issues—especially for those who’ve felt stuck in surface-level therapy.

Supporting someone with high-functioning psychosis—a condition where individuals manage many aspects of daily life while experiencing symptoms like hallucinations, delusions, or disorganized thinking—requires empathy, understanding, and consistency. Here are 5 effective ways to offer support:

1. Educate Yourself About Psychosis

Understanding what high-functioning psychosis is—and isn’t—is the first step. Learn about the symptoms, treatment options, and what it feels like for those who live with it. This helps you offer informed, nonjudgmental support and avoid harmful misconceptions.

2. Listen Without Judging or Fixing

People with psychosis often feel isolated or misunderstood. Let them talk about their experiences without trying to “correct” or invalidate their thoughts. Your role isn’t to solve everything—it’s to be present, compassionate, and open-minded.

3. Encourage Professional Help—Gently

While it’s important to respect their autonomy, you can encourage consistent care, such as therapy, psychiatry, or support groups. Normalize the idea that mental health care is a form of strength, not weakness.

4. Respect Their Reality—While Staying Grounded in Yours

You don’t need to agree with delusions or hallucinations, but dismissing them outright can damage trust. Instead, validate the emotion behind the experience and gently offer your perspective.

5. Be Consistent and Patient

High-functioning doesn’t mean symptom-free. Your loved one may experience good days and hard ones. Maintain routines, check in regularly, and let them know your support doesn’t depend on how well they’re functioning that day.

Final Thoughts:

People living with high-functioning psychosis can lead fulfilling lives—with the right support, understanding, and treatment. Your steady presence and nonjudgmental support can make a huge difference.

Dr. Payne helps people cope with a wide range of challenges, including anxiety, depression, trauma, relationship issues, and life transitions. Contact Dr. Payne today at (213) 761-8555 to schedule a no-cost 15-minute consultation. She is verified on Psychology Today.