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. 2020 Apr 1;63(1):e36. doi: 10.1192/j.eurpsy.2020.33

Table 3.

Communication about the disorder in prodromal stages.

  • Be aware that communication about the risk of developing psychosis may profoundly alarm patients’ and caregivers
  • In case of prodromal states of psychosis, disclosure should be tailored in line with characteristics specific to each presenting case
  • Disclosure should be accompanied by a clear communication about what the terms “prodromal” or “at risk state” really mean
  • In case of suspected major neurocognitive disorders patients should be given the possibility of choosing whether to be informed or not
  • the principle of “therapeutic privilege” may be applied if the physician feels obliged to forego full disclosure, in order to safeguard the patient’s wellbeing
  • In case of biomarker positivity, the physician should seek consent from the patient to allow a family member or other person to be informed of the outcome