Initial assessment will not necessarily lead to a firm diagnosis. However, a delay in determining the precise diagnosis does not mean that symptomatic treatment also has to be delayed.

The onset of psychosis is often characterized by slowly evolving and fluctuating symptoms which are closely related to psychosocial stressors or developmental issues [42]. Symptoms of early psychosis can mimic nonpsychotic disorders commonly seen in adolescence, such as adjustment disorders or emergent personality or mood disorders. Confirmation of psychosis may be difficult, particularly if delusions are not particularly bizarre or if patients deliberately conceal the changes they are experiencing.

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